NP IV QUESTIONS AND CORRECT ANSWERS

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NP IV QUESTIONS AND CORRECT ANSWERS

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NP IV QUESTIONS AND CORRECT
ANSWERS
"SituationA21:A2NurseA2AlonaA2caresA2forA2aA2terminallyA2illA2clientA2withA2cancer.
1.A2NurseA2AlonaA2assessesA2theA2clientA2forA2depression.A2WhichA2ofA2theA2followingA2isA
2aA2keyA2indicatorA2forA2clinicalA2depression?
A.A2AngerA2dueA2toA2painA2experience
B.A2FeelingA2ofA2excessiveA2guilt
C.A2AnorexiaA2andA2weightA2loss
D.A2InabilityA2toA2careA2forA2one'sA2physicalA2selfA2-A2Ans--
D.A2InabilityA2toA2careA2forA2one'sA2physicalA2self

"SituationA21:A2NurseA2AlonaA2caresA2forA2aA2terminallyA2illA2clientA2withA2cancer.
2.A2TheA2clientA2hasA2difficultyA2sleeping.A2WhichA2ofA2theA2followingA2interventionsA2isA2L
EASTA2helpfulA2forA2NurseA2AlonatoA2incorporateA2inA2herA2careA2plan?
A.A2InstructA2theA2clientA2toA2drinkA2herbalA2tea
B.A2FiveA2warmA2milkA2atA2bedtime
C.A2PerformA2relaxationA2routineA2suchA2asA2massage,A2imageryA2orA2music
D.A2InstructA2theA2clientA2toA2drinkA2blackA2teaA2-A2Ans--B.A2FiveA2warmA2milkA2atA2bedtime

"SituationA21:A2NurseA2AlonaA2caresA2forA2aA2terminallyA2illA2clientA2withA2cancer.
3.A2TheA2careA2planA2forA2theA2clientA2includesA2familyA2support.A2WhichA2ofA2theA2followin
gA2isA2mostA2appropriateA2forA2theA2familyA2toA2establishA2aA2relationshipA2withA2theA2healt
hA2careA2team?A2NurseA2AlonaA2should:
A.A2GiveA2permissionA2toA2theA2familyA2toA2takeA2timeA2toA2maintainA2friendshipA2withA2the
A2healthA2careA2team
B.A2DiscussA2theA2rolesA2ofA2theA2familyA2membersA2toA2theA2healthA2careA2team
C.A2ExplainA2theA2rolesA2ofA2allA2membersA2ofA2theA2interdisciplinaryA2team
D.A2ProvideA2aA2briefA2explanationA2toA2theA2familyA2memberA2aboutA2theA2careA2beingA2d
eliveredA2toA2theA2clientA2-A2Ans--
B.A2DiscussA2theA2rolesA2ofA2theA2familyA2membersA2toA2theA2healthA2careA2team

"SituationA21:A2NurseA2AlonaA2caresA2forA2aA2terminallyA2illA2clientA2withA2cancer.
4.A2TheA2clientA2appearsA2toA2beA2dehydrated.A2TheA2familyA2membersA2areA2discussingA2
whetherA2theirA2lovedA2oneA2shouldA2beA2givenA2intravenousA2fluid.A2WhichA2ofA2theA2follo
wingA2conceptsA2aboutA2dehydrationA2inA2terminallyA2illA2clientsA2shouldA2guideA2NurseA2A
lona?
A.A2PeripheralA2edemaA2occursA2becauseA2ofA2fluidA2overload
B.A2ThirstA2isA2anA2indicationA2ofA2dehydration
C.A2TerminallyA2illA2clientsA2areA2hydratedA2throughA2oralA2andA2intravenousA2routes
D.A2AllA2interventionsA2forA2terminallyA2illA2clientA2shouldA2beA2directedA2towardsA2comfortA
2andA2reductionA2ofA2symptomsA2-A2Ans--

,D.A2AllA2interventionsA2forA2terminallyA2illA2clientA2shouldA2beA2directedA2towardsA2comfortA
2andA2reductionA2ofA2symptoms

"SituationA21:A2NurseA2AlonaA2caresA2forA2aA2terminallyA2illA2clientA2withA2cancer.
5.A2TheA2clientA2showsA2signsA2ofA2imminentA2death.A2NurseA2AlonaA2recognizesA2cardiov
ascularA2indicatorsA2ofA2imminentA2deathA2whichA2areA2theA2followingA2EXCEPT:
A2A.A2Bradycardia
B.A2IrregularA2heartA2rate
C.A2Tachycardia
D.A2LoweredA2bloodA2pressureA2-A2Ans--D.A2LoweredA2bloodA2pressure

"SituationA22:A2AA265-
yearA2oldA2maleA2isA2admittedA2forA2prostateA2cancer.A2OnA2assessment,A2theA2nurseA2det
erminesA2thatA2theA2patientA2hasA2experiencedA2incontinence.A2TheA2nurseA2knowsA2thatA
2incontinenceA2isA2theA2firstA2mostA2commonA2symptomsA2ofA2prostateA2cancer.
6.A2BasedA2onA2informationA2gathered,A2theA2nurseA2writesA2aA2nursingA2diagnosis.A2Whic
hA2ofA2theA2followingA2diagnosesA2isA2mostA2appropriate?
A.A2KnowledgeA2deficitA2relatedA2toA2self-careA2andA2riskA2prevention
B.A2FearA2secondaryA2toA2theA2diagnosisA2ofA2cancer
C.A2RiskA2ofA2urinaryA2infection
D.A2RiskA2forA2impairedA2urinaryA2eliminationA2-A2Ans--
B.A2FearA2secondaryA2toA2theA2diagnosisA2ofA2cancer

"SituationA22:A2AA265-
yearA2oldA2maleA2isA2admittedA2forA2prostateA2cancer.A2OnA2assessment,A2theA2nurseA2det
erminesA2thatA2theA2patientA2hasA2experiencedA2incontinence.A2TheA2nurseA2knowsA2thatA
2incontinenceA2isA2theA2firstA2mostA2commonA2symptomsA2ofA2prostateA2cancer.
7.A2ToA2helpA2manageA2incontinence,A2theA2nurseA2instructsA2theA2patientA2toA2doA2whichA
2ofA2theA2following?
A.A2EatA2foodsA2richA2inA2fiber
B.A2IncreaseA2fluidA2intake
C.A2TakeA2inA2medicationsA2toA2manageA2pain
D.A2PerformA2perinealA2muscleA2exercisesA2-A2Ans--
D.A2PerformA2perinealA2muscleA2exercises

"SituationA22:A2AA265-
yearA2oldA2maleA2isA2admittedA2forA2prostateA2cancer.A2OnA2assessment,A2theA2nurseA2det
erminesA2thatA2theA2patientA2hasA2experiencedA2incontinence.A2TheA2nurseA2knowsA2thatA
2incontinenceA2isA2theA2firstA2mostA2commonA2symptomsA2ofA2prostateA2cancer.
8.A2TheA2patientA2asksA2forA2treatmentA2optionsA2forA2hisA2condition.A2TheA2nurseA2explain
sA2thatA2treatmentA2optionsA2areA2basedA2onA2whichA2ofA2theA2following:
A.A2Gender
B.A2AbilityA2ofA2theA2patientA2toA2manageA2physicalA2andA2emotionalA2implicationsA2ofA2inc
ontinence
C.A2Socio-economicA2status

, D.A2GradeA2andA2stageA2ofA2theA2diseaseA2-A2Ans--
D.A2GradeA2andA2stageA2ofA2theA2disease

"SituationA22:A2AA265-
yearA2oldA2maleA2isA2admittedA2forA2prostateA2cancer.A2OnA2assessment,A2theA2nurseA2det
erminesA2thatA2theA2patientA2hasA2experiencedA2incontinence.A2TheA2nurseA2knowsA2thatA
2incontinenceA2isA2theA2firstA2mostA2commonA2symptomsA2ofA2prostateA2cancer.
9.A2TheA2patientA2asksA2theA2nurseA2whatA2theA2physicianA2meantA2aboutA2hisA2prostateA2
cancerA2asA2StageA2CA2orA2T3.A2TheA2nurseA2explainsA2thatA2theA2tumorA2is:
A.A2PalpableA2andA2hasA2spreadA2toA2otherA2organsA2andA2oftenA2toA2distantA2sitesA2suchA
2asA2bonesA2orA2lymphA2nodes
B.A2PalpableA2andA2hasA2spreadA2beyondA2theA2prostateA2butA2notA2toA2otherA2organs
C.A2ConfinedA2toA2theA2prostateA2andA2isA2palpableA2duringA2digitalA2rectalA2examination
D.A2ConfinedA2toA2theA2prostateA2andA2isA2notA2palpableA2duringA2digitalA2rectalA2examinat
ionA2-A2Ans--
B.A2PalpableA2andA2hasA2spreadA2beyondA2theA2prostateA2butA2notA2toA2otherA2organs

"SituationA22:A2AA265-
yearA2oldA2maleA2isA2admittedA2forA2prostateA2cancer.A2OnA2assessment,A2theA2nurseA2det
erminesA2thatA2theA2patientA2hasA2experiencedA2incontinence.A2TheA2nurseA2knowsA2thatA
2incontinenceA2isA2theA2firstA2mostA2commonA2symptomsA2ofA2prostateA2cancer.
10.A2TheA2nurseA2recallsA2theA2stagingA2andA2classificationA2ofA2prostateA2cancer.A2Which
A2ofA2theA2followingA2statementA2isA2TRUE?
A.A2TheA2GleasonA2gradingA2systemA2isA2usuallyA2usedA2forA2hematologicalA2cancersA2but
A2notA2prostateA2cancer
B.A2TheA2normalA2ProstateA2SpecificA2AntigenA2(PSA)A2rangeA2forA2underA240A2yearsA2ofA2
ageA2isA2lessA2thanA24A2toA26A2ng/mL.
C.A2AtA2leastA2twoA2separateA2biopsyA2specimensA2areA2gradedA2basedA2onA2theirA2differe
ntiationA2fromA2normalA2prostateA2cells.
D.A2AA2scoreA2ofA2DA2isA2lessA2invasiveA2thanA2aA2scoreA2ofA2BA2inA2theA2cancerA2stagingA2
systemA2-A2Ans--
B.A2TheA2normalA2ProstateA2SpecificA2AntigenA2(PSA)A2rangeA2forA2underA240A2yearsA2ofA2
ageA2isA2lessA2thanA24A2toA26A2ng/mL.

"SituationA23:A2YouA2areA2aA2newlyA2promotedA2chargeA2nurseA2ofA2aA2departmentA2inA2aA2
tertiaryA2hospital.A2YouA2reviewA2managementA2conceptsA2toA2prepareA2youA2forA2theA2po
sition.A2TheA2followingA2questionsA2pertainA2toA2managementA2ofA2resources.
11.A2YouA2areA2orientedA2onA2healthA2careA2economics.A2TheA2studyA2ofA2economicsA2foc
usesA2onA2howA2choicesA2areA2madeA2toA2overcomeA2aA2scarcityA2ofA2resources.A2WhichA
2ofA2theA2followingA2statementsA2BESTA2illustratesA2healthA2careA2economics:A21.A2Providi
ngA2lessA2healthA2careA2servicesA2thatA2isA2optimalA2inA2orderA2toA2containA2costsA22.A2Usi
ngA2individualsA2withA2lessA2knowledgeA2andA2skillsA2toA2performA2healthA2careA2servicesA
2usuallyA2performedA2byA2peopleA2withA2advancedA2knowledgeA2andA2training.A23.A2Takin
gA2economicA2risksA2asA2aA2healthA2careA2providerA24.A2ProvidingA2adequateA2orA2appropr
iateA2careA2minimizeA2riskA2ofA2expensiveA2utilization
A2A.A21A2andA22

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Number of pages: 27
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