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A practical nurse is employed in an Inuit community. Many adolescent men live on the reserve.
What would be the most important assessment to be aware of in this populations?
A. Risk for suicide
B. Risk for type 2 diabetes
C. Risk for cardiovascular disease
D. Risk for tuberculosis
Risk for suicide
Protocol in the clinic is that every woman is screened for intimate partner violence. How would
the practical nurse best introduce the topic?
A. "Since you have been pregnant, has your partner ever physically hurt you?"
B. "Have you ever been the victim of intimate partner violence?"
C. "It is clinic policy to ask if you are in an abusive relationship"
D. "Because domestic violence is so prevalent in our society, we ask all women about any
experience with abuse."
"Because domestic violence is so prevalent in our society, we ask all women about any
experience with abuse."
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,Which of the following statements is correct about measurement of blood pressure?
A. All older adults have an auscultatory gap
B. Normal pulse pressure, or the difference between systolic and diastolic pressures is 50-
60mmHg
C. Orthostatic hypotension is measured by recording blood pressure and pulse with the client
sitting
D. An auscultatory gap can cause underestimation of systolic blood pressure or overestimation
of diastolic blood pressure
An auscultatory gap can cause underestimation of systolic blood pressure or overestimation of
diastolic blood pressure
Mrs. Lucas, 88 years old, has been febrile for several days due to a severe kidney infection.
Which of the following temperature sites can the nurse use to check a core temperature?
A. Rectal
B. Oral
C. Axillary
D. Skin
Rectal
IV order for 1000mL of NS over 8 hours. The IV started at 1100 and 600mL is left at 1500. What
adjustment in the flow rate must the nurse make to ensure that the solution is infused no
earlier or later than 1900?
A. Regulate to 75mL/hr
B. Regulate to 100mL/hr
C. Regulate to 125mL/hr
D. Regulate to 150mL/hr
Regulate to 150mL/hr
Which of the following statements about transdermal medications is correct?
A. They may be applied to any area of the body, regardless of hair distribution as this does not
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,interfere with absorption
B. Transdermal medications are applied to the skin by patch or disc and stay in place for 7 days
C. Removal of the old patch or disc prior to applying the new medication is recommended but
not mandatory as all medication has been absorbed from the old patch
D. Transdermal medications can be absorbed through the skin of the nurse's hands in the
process of applying the medication
Transdermal medications can be absorbed through the skin of the nurse's hands in the process
of applying the medication
Mrs. Gupta has just returned from surgery. Her vital signs are BP 88/60, pulse 74, RR 16, O2
95%. What is the first priority for the nurse after taking these vital signs?
A. Ask Mrs. Gupta how she is feeling and review health record for baseline vital signs.
B. Call the doctor to report the vital signs
C. Increase the IV rate to 125mL/hr as she is probably dehydrated
D. Position Mrs. Gupta in a modified Trendelenburg
Ask Mrs. Gupta how she is feeling and review health record for baseline vital signs.
Which of the following foods are permitted on a clear fluid diet?
A. Porridge, broth, apple juice
B. Cream soup, ice cream, orange juice
C. Broth, popsicles, orange juice
D. Tea, Jell-o, apple juice
Tea, Jell-o, apple juice
Postoperatively, Mrs. Gupta develops paralytic ileus. What is the most likely reason for the
postoperative complication?
A. She did not ambulate soon enough after surgery
B. She should have eaten a full diet after surgery to stimulate peristalsis
C. She is experiencing the effects of the anaesthetic and the manipulation of the bowel
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, D. She did not receive a rectal suppository to stimulate peristalsis on the first day after her
surgery
She is experiencing the effects of the anaesthetic and the manipulation of the bowel
Nurse removes the elastic TED stockings and notices that one calf is larger than the other. What
should the nurse do next?
A. Examine the calf carefully and ask if the patient has any pain
B. Put the TED stocking back on her leg and elevate her leg
C. Measure the calf with a tape measure and call the doctor immediately
D. Wash her leg and ask her to exercise that leg a bit more to reduce the swelling
Examine the calf carefully and ask if the patient has any pain
Which of the following is correct with regard to insertion of a nasogastric tube?
A. Measure from the tip of the nose to the xiphoid process prior to inserting the tube
B. Have the client swallow as much water as possible during the insertion to close the epiglottis
C. The placement of the nasogastric tube must be confirmed by radiography
D. A reliable method of testing the correct placement of the tube is aspirating gastric contents
and testing pH
A reliable method of testing the correct placement of the tube is aspirating gastric contents and
testing pH
What is the drop rate for IV if 640mL must infuse over the next 8 hours and the drop factor is
15?
A. 80mL/hr
B. 100mL/hr
C. 20gtt/min
D. 25gtt/min
20gtt/min
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