Nurs 1871 CSCC Exam 1 Questions With Correct Solutions, Already Passed!!

A patient informs the nurse that he is having severe chest pain. He took two nitroglycerin tablets more than 1 hour ago with no relief. On further assessment the nurse notices that the patient is diaphoretic and also complains of feeling dizzy. The nurse would expect which diagnostic test or tests to be ordered: - Creatine kinase-myoglobin (CK-MB) and C-reactive protein (CRP) A 72-year-old man presents to the emergency room. The patient appears diaphoretic and anxious, and has noted peripheral edema. The patient's vital signs are blood pressure of 100/40, heart rate of 130 and irregular, and respiratory rate of 26. How does the nurse interpret these findings? - The patient has impaired central perfusion A defining characteristic of high reliability organizations (HROs) is sensitivity to operations. Which of the following is a manifestation of this characteristic? - Process anomalies and outliers are quickly identified A patient had a hip replacement 3 days ago. The patient states that the right leg is swollen below the knee and is warm to the touch. The patient has the diagnosis of deep vein thrombosis. Which intervention is appropriate for the patient? - Elevate the right lower leg when the patient is in the sitting position. A patient is admitted to the medical unit with pneumonia. When reviewing home medications, which of the following medications would the nurse recognize as a risk for bleeding? - Warfarin (Coumadin) A patient is experiencing periods of confusion, and the family is concerned. The patient's son asks the nurse for an explanation and recommendation. What is the nurse's best response? - "Your father may be having mini-strokes; I will notify his physician." A patient is having the arterial blood gas (ABG) measured. What would the nurse identify as the parameters to be evaluated by this test? - Status of acid-base balance in arterial blood A patient is questioning the nurse about circulation and perfusion. What is the nurse's best response? - Perfusion assists the cell by delivering oxygen and removing waste products.A patient states that everything has been going great; however, the nurse observe the patient biting his nails and fidgeting. What type of communication does the nurse recognize from the patient's actions and statements? - Paralinguistic A patient voices an understanding of instructions about furosemide (Lasix) when he makes which statement? - "If I notice ringing in my ears, I will call the doctor." A student nurse receives an order for diazepam to be given intravenously. Diazepam tablets are available. The student nurse crushes a tablet and mixes it with sterile water for injection. The instructor notes that the solution is cloudy and asks to see the medication vial. When the student produces the vial of sterile water for injection and the instructor stops the medication from being given, what type of error is prevented? - Treatment error Exercise and activity are included in a cardiac rehabilitation program for which purposes - Increase Cardiac output, Increase blood flow to the arteries, increase muscle mass and increase flexibility In an agency with a culture of safety, when an error or patient safety issue is identified, the individual who reports the problem knows which information? - Near misses in healthcare are used to improve care In which way is the relationship between sexuality and functional ability most similar to or most different from that between culture and functional ability? - Functional ability is a significant determinant of sexuality Instruments such as the Functional Activities Questionnaire (FAQ) for postoperative patients who are at home, the Minimum Data Set for Nursing Facility Resident Assessment and Care Screening (MDS) for nursing home patients, the Functional Status Scale (FSS) for children, and the Edmonton Functional Assessment Tool for cancer patients are used to assess activities of daily living (ADLs). The nurse needs to remember that a disadvantage of these instruments includes: - the variations in assessments and responses may be subjective because of self-reporting of functional activities. On which basis is an alteration in functional ability categorized as a primary problem? - Absence as opposed to loss of function Professionalism exemplars related to leadership include which attribute? - InfluentialThe ability to receive and interpret stimuli has nursing implications that are a priority in what human need? - Safety The nurse in the burn unit notes that the patient's skin is dry, pale, and hard. The patient denies pain. What term would the nurse use to document the burn depth? - Full-thickness skin destruction The nurse is administering oral glucocorticoids to a patient with asthma. What assessment finding would the nurse identify as a therapeutic response to this medication? - No observable respiratory difficulty or shortness of breath over the last 24 hours "Nurses advancing our profession to improve health for all" is the mission statement of which professional group? - American Nurses Association The nurse is assessing a female patient at the neighborhood clinic. The patient is complaining of "feeling tired all the time." The nurse knows that fatigue may be an underlying symptom of which condition? - Myocardial infarction The nurse is assessing a patient for sleep patterns. The patient reports that he has trouble sleeping when lying flat. The best response from the nurse is - use pillows to prop yourself up while sleeping