EXAM|ACTUAL EXAM WITH CORRECT EXPLAINED
ANSWERS. GUARANTEED EXAM EXCELLENCE
During their emergency department clinical rotation, two student nurses are discussing the impact of
interpersonal violence. They recognize that a common risk factor for most interpersonal violence
incidents is related to:
a. alcohol use
b. financial stressors
c. poor working conditions
d. poor self-esteem
A.) Alcohol use
Factors associated with increased violence in youths include which of the following? (Choose all that
apply.)
a. Lack of physical punishment by parents
b. Living in an environment with gangs, guns and drugs
c. Low levels of achievement
d. Low number of siblings
e. Poor parental supervision
B.) Living in an environment with gangs, guns, and drugs
C.) Low levels of achievement
E.) Poor parental supervision
,The nurse has completed the assessment for a patient who was abused by a partner. The nurse is
conflicted because the patient has asked the nurse not to report the incident. The nurse follows the
organization's guidelines and
a. contacts the patient's sister to arrange for a ride and a place to live
b. offers the patient an overnight voucher so the patient can stay at a local safe hotel
c. provides the patient with the names of shelters
d. reports the abuse to the appropriate legal authorities
d.) reports the abuse to the appropriate legal authorities
The nurse is assessing a patient who is entering an outpatient rehab for their substance addiction. The
nurse recognizes the following symptoms which correlate with a substance use disorder: (Choose all
that apply)
a. Weight gain
b. Complaints of sleeplessness
c. Frequent job changes
d. Improved mood
e. Lethargy
b.) Complaints of sleeplessness
c.) Frequent job changes
e.) Lethargy
The nurse is completing an alcohol screening using the CAGE questionnaire. The client exhibits
characteristics of alcohol abuse with a score of 3. The tool asks questions r/t a client's: (Choose all that
apply)
a. perception of the amount of their drinking
b. feelings of guilt concerning their drinking
,c. total number of drinks that are consumed in a day
d. use of a drink to calm their nerves or get rid of symptoms following heavy drinking
e. average use of alcohol during a 7 day period
a.) perception of the amount of their drinking
b.) feelings of guilt concerning their drinking
d.) use of a drink to calm their nerves or get rid of symptoms following heavy drinking
A patient with COPD is experiencing fatigue, weakness, and dyspnea, Which position would be most
beneficial for this patient?
a. high fowler
b. prone
c. standing
d. supine
a.) high fowler
The nurse is caring for a patient with COPD. The patient tells the nurse he is having a "hard time
breathing". His respiratory rate is 32 breaths per minute, his pulse is 120 beats per minute, and oxygen
saturation is 90%. What objective terminology is this situation?
a. dyspnea, bradycardia, hypoxemia
b. impaired breathing, increased cardiac output, poor oxygen
c. SOB, poor cardiac output, sluggish exchange.
d. tachypnea, tachycardia, hypoxia
d. tachypnea, tachycardia, hypoxia
, a student nurse is performing vital signs for a patient who has just returned to the unit after a simple
surgical procedure under general anesthetic. The patient did not require any oxygen delivery via a nasal
cannula. A pulse ox on the index finger shows a SaO2 of 89% on room air. While applying the blood
pressure cuff, the student makes some general observations. Which of the following observations leads
the students to believe the patient may be experiencing breathing difficulties? (Choose all that apply)
a. respirations of 28
b. nail clubbing
c. pursed-lip breathing
d. restlessness and agitation
e. lower extremity cyanosis
d. SaO2 of 89%
a. respirations of 28
c. pursed-lip breathing
d. restlessness and agitation
d. SaO2 of 89%
which of the following assessment finders indicate adequate ventilation? (choose all that apply)
a. anteroposterior (AP) diameter of the chest 1:1 ratio of AP to lateral diameterqa
b. breath sounds are clear bilaterally
c. breathing is quiet and effortless
d. oxygen saturation is between 89% and 93%
e. thorax is symmetric with equal thoracic expansion bilaterally.
b. breath sounds are clear bilaterally
c. breathing is quiet and effortless
e. thorax is symmetric with equal thoracic expansion bilaterally.