A++ GRADED EXAMS QUESTIONS AND ANSWERS
EXPERT VERIFIED EXPLANATIONS
CONTENTS
1.A patient's surgical wound has become swollen, red, and tender.You note that the pati
O
Q OQ OQ OQ OQ OQ OQ OQ OQ OQ O
Q OQ OQ OQ O Q
ent has a new fever and leukocytosis.What is the best immediate intervention? [28]
OQ OQ OQ OQ OQ OQ O
Q OQ OQ OQ OQ OQ O Q
1. Notify the health care provider and use surgical technique to change the dre
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O Q
ssing
2. Reassure the patient and check the wound later OQ OQ OQ OQ OQ OQ OQ
3. Notifythehealthcareproviderandsupportthepatient'sfluidandnutritional needs
O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q OQ
4. Alert the patient and caregivers to the presence of an infection to ensure care aft
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O Q
er discharge Correct Answer(s) 3
OQ OQ OQ OQ
2.A nurse assesses a patient who comes to the pulmonary clinic."I see that it's bee
O
Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O
Q OQ OQ OQ O Q
n over 6 months since you've been in, but your appointment was
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
for every 2 months.Tell me about that. Also, I see from your last visit that the doctor reco
OQ OQ OQ O
Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O Q
mmended routine exercise. Can you tell me how successful youhave been following his
OQ OQ OQ OQ OQ OQ OQ OQ OQ O
Q OQ O Q OQ OQ
1/33 O
Q O
Q
,plan?"The nurse's assessment covers which of Gordon's functional health patterns? [16
O
Q OQ OQ OQ OQ OQ OQ OQ O Q OQ OQ
]
1. Value-beliefpattern O
Q
2. Cognitive-perceptualpattern O
Q
3. Coping-stress-tolerancepattern O
Q
4. Health perception-health management pattern Correct Answer(s)4
OQ OQ OQ OQ OQ O
Q
3.The nurse asks a patient,"Describe for me your typical diet over a 24-
O
Q OQ OQ OQ OQ O
Q OQ OQ OQ OQ OQ OQ OQ OQ
hour day. What foods do you prefer? Have you noticed a change in your weight recently?
OQ O Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
"This series of questions would likely occur during which phase of a patient-
O
Q O Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
centered interview?[16] O Q O
Q
1. Setting the stage OQ OQ
2/33
O
Q O
Q
,2. Gather information about a patient's chief concerns
OQ OQ OQ OQ OQ OQ
3. Collecting the assessment OQ OQ
4. TerminationCorrectAnswer(s)3 O
Q O
Q O
Q
4. What type of interview techiniques does the nurse use when asking these questio
O
Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q
ns, "Do you have pain or cramping?" "Does the pain get worse when you walk
O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q O Q
?" (Select all that apply) [16]
OQ OQ OQ OQ OQ
1. Active listening OQ
2. Open-endedquestioning O
Q
3. Closed-endedquestioning O
Q
4. Problem-oriented listening Correct Answer(s)3, 4 OQ OQ OQ O
Q OQ
5. What technique(s) best encourage(s) a patient to tell his or her full story? (Select all t
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O Q OQ
hat apply) [16]
OQ OQ
1. Active listening OQ
2. Backchanneling
O
Q
3/33
O
Q O
Q
, 3. Validating
4. Use of open-ended questions OQ OQ OQ
5. Use of closed-ended questions Correct Answer(s) 1, 2, 4
OQ OQ OQ OQ OQ O
Q OQ OQ
6. Anursegathersthefollowingassessmentdata.Whichofthefollowingcues form(s) a p
O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q OQ O Q OQ
attern suggesting a problem? (Select all that apply) [16]
OQ OQ OQ OQ OQ OQ OQ OQ
1. The skin around the wound is tender to touch OQ OQ OQ OQ OQ OQ OQ OQ
2. Fluid intake for 8 hours is 800 mL OQ OQ OQ OQ OQ OQ OQ
3. Patient has a heart rate of 78 and regular OQ OQ OQ OQ OQ OQ OQ OQ
4. Patient has drainage from surgical wound OQ OQ OQ OQ OQ
5. Body temperature is 101F (38.3 C) OQ OQ OQ OQ OQ
6. Patient asks,"I'm worried that I won't return to work when I planned." Correct Ans
OQ O
Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O Q
wer(s)1, 4, 5 O
Q OQ OQ
7. The nurse makes the following statement during a change of shift report to another nur
OQ OQ OQ OQ OQ O
Q OQ OQ OQ OQ OQ OQ OQ O Q
se."I assessed Mr.Diaz,my 61-year-
O
Q OQ OQ O
Q O
Q OQ
old patient from Chile.He fell at home and hurt his back 3 days ago. He has some difficult
OQ OQ OQ O
Q OQ OQ OQ OQ O Q OQ OQ OQ OQ OQ OQ OQ OQ OQ
y turning in bed, and he says that he has pain that radiates down his leg. He rates his pain
OQ OQ OQ OQ OQ OQ OQ OQ O Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
OQ at a 6, but I don't think it's that severe.You know that back patients often have chronic pa
OQ OQ OQ OQ OQ OQ OQ OQ O Q O
Q OQ OQ OQ OQ OQ OQ OQ OQ
in. He seems fine when talking with his family. Have you cared for him before?" What doe
OQ OQ OQ OQ O Q OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
s the nurse's conclusion suggest? [16]
OQ OQ O Q OQ OQ
1. The nurse is making an accurate clinical inference OQ OQ OQ OQ OQ OQ OQ
2. The nurse has gathered cues to identify a potential problem area
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ
3. The nurse has allowed stereotyping to influence her assessment
OQ OQ OQ OQ OQ OQ OQ OQ
4. The nurse wants to validate her information with the other nurse Correct Answer(s)3
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O
Q
8. A nurse check a patient's IV line in his right arm and sees inflammation wherethe cat
OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ OQ O
Q O Q
heterenterstheskin.Sheusesherfingertoapplylightpressure (i.e., palpation)
O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q O
Q OQ OQ
4/33 O
Q O
Q