Complete Real Exam Questions And Correct Answers
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A female client who complains of chest pain is admitted. The
nurse can expect which of the following laboratory tests
ordered by the physician to confirm a myocardial infarction
diagnosis? - ANSWER-Correct Answer: creatine kinase The
physician orders laboratory tests and diagnostic tests to
confirm a diagnosis of myocardial infarction. Creatine kinase is
an enzyme located in the cardiac muscle, brain and skeletal
muscle. As this enzyme rises, there is injury to the muscle
cells. Further, the higher the serum CK, the more the muscle
tissue that is damaged. Electrocardiogram, radionuclide
imaging and hemodynamic monitoring are used to diagnosis a
myocardial infarction. However, these are diagnostic tests and
not laboratory tests.
RN understands that she should instruct the mother to obtain a
rectal specimen by a tape test and that the mother should
obtain the specimen when? - ANSWER-The Correct answer is:
in the morning, when the child awakens Visualization of
pinworms by means of a tape test is necessary for the
diagnosis. Transparent tape is lightly touched to the anus and
then applied to a slide for microscopic examination. The best
,specimen is obtained as the child awakens, before toileting or
bathing.
A 20-year-old patient is admitted to the hospital with respiratory
failure. He's intubated, given oxygen, and is coughing with
copious secretions in his lungs. What should be done first? -
ANSWER-Correct Answer: Suction the lungs
The first priority is to make sure the client's airways are clear
and that he can breathe. The other choices can be addressed
after ensuring the client can breathe.
A high school student is referred to the school nurse for
suspected substance abuse. Following the nurse's assessment
and intervention, what would be the MOST desirable outcome?
- ANSWER-Correct Answer: The student accepts a referral to a
substance abuse counselor. All of the outcomes stated are
desirable; however, the best outcome is that the student would
agree to seek the assistance of a professional substance abuse
counselor.
The RN is preparing an intravenous infusion of phenytoin
(Dilantin) as prescribed by the physician for the client with
seizures. Which of the following solutions will the nurse use to
dilute this medication? - ANSWER-Normal saline (0.9%)
solution. Phenytoin (Dilantin) should be administered by
injection into a large vein by intermittent intravenous infusion.
Normal saline (0.9%) solution is the preferred solution.
Dextrose should be avoided because of medication
precipitation.
,Which of the following terms corresponds with the phrase: a
woman that is pregnant? - ANSWER-Gravida
Gravida is another word for pregnancy. Spermatogonia refers
to male sperm cells. Placenta previa is when the placenta is too
close to the cervix.
A healthy first time pregnant client asks the nurse, "How long
will I stay in the hospital after my baby is born." The client is
scheduled for a Caesarean section. The nurse understands the
average timeframe for the hospital stay for a Caesarean section
is what? - ANSWER-Correct Answer: 72 hours. The hospital
stay for a healthy mother who has delivered an infant varies
depending on the type of delivery. The length of stay in the
hospital for a vaginal birth is typically 24 to 48 hours. The
length of stay in the hospital for a Caesarean section that does
not have any complications is 72 hours.
The community nurse is planning a smoking cessation
program. What would be the first step in developing a health
promotion program? - ANSWER-Correct
Answer: Conducting health risk surveys
First conduct initial assessments to determine if there is a
health risk. Then follow the course of action in place in this
event.
A woman is two months pregnant when her five-year-old child
develops rubella.
, What is most likely to be given to the mother? - ANSWER-
Correct Answer:
Immune serum globulin
Immune serum globulin gives her a passive immunity and helps
keep her from developing rubella, which can have devastating
effect on her unborn child. MMR is a live virus and is not given
to pregnant women. RhoGam prevents anti Rh antibody
development. There is no such thing as rubella antitoxin.
What is the normal value of urine potassium? - ANSWER-25-
120 mEq/24 hr
The normal value for urine potassium is 25-120
mEq/24 hr
Before applying a cord clamp, the nurse assesses the umbilical
cord for the presence of vessels. The findings that are often
associated with genitourinary abnormalities are what? -
ANSWER-Correct Answer: one artery, one vein. Two arteries
and one vein are present in a normal umbilical cord. The
presence of one artery in the umbilical cord is associated with
genitourinary abnormalities.
You are assigned to educate the nursing assistants regarding
caring for the older adult. It is important that the assistants
understand that which of the following situations portrays
ageism? - ANSWER-The Correct answer is: Advising older
adults to forgo aggressive treatment. Ageism is a form of
prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group.