Study Questions with Verified
Answers
1. RN is teaching a pt being dx after treatment of TB. which cultural issues
should the RN assess when preparing the pat - ANSWER - native language
- education level
- type of lifestyle
- financial resources
2. incomplete fracture of the humerus - ANSWER - fracture that bends or
splinter part of the bone
3. RN intervention w/ highest priority that should be anticipated by RN after
removal of chest tube - ANSWER prepare pt for chest x-ray at the bedside
4. assessment findings to document that are consistent with diminished
peripheral circulation - ANSWER - diminished hair on legs
- skin cool to touch
5. Muslim male pt. refuses to let female RN listen to breath sounds. How
should the RN respond - ANSWER - request a male RN or HCP to perform
exam
6. RN assess pt who is at risk for interaction w/ OTC decongestant. Which pt
health history should the RN report to the HCP - ANSWER - closed angle
glaucoma
- chronic hypertension
,7. OTC decongestants - ANSWER - can increase IOP
- can Increase HR and BP
8. RN assessing pt who was discharged after management of chronic HTN.
Which equipment should the RN instruct pt to use at home - ANSWER -
sphygmomanometer
9. which statement by pt conveys understanding of etiology of diverticula -
ANSWER chronic constipation causes weakening of colon wall which result
in out pouching sacs
10.sarcoidosis most commonly occurs with which ethnic group of women -
ANSWER African American women
11.sarcoidosis - ANSWER autoimmune inflammatory disease affecting
multiple organs
12.pt with acute asthma attack. beta 2 receptor agonist agent. which client
response should the RN expect - ANSWER - rapid resolution of wheezing
- improved pulse oximetry values
13.cardiac biomarker should RN anticipate to be elevated if pt experienced
myocardial damage - ANSWER serum troponin
14.RN is administering haloperidol to a pt for the first time. What side effects
should RN assess the client for during the initial dose - ANSWER -
dystonia
,15.dystonia - ANSWER -sudden adverse reaction to haloperidol, HCP should
be notified immediately
16.pt w/ SLE (lupus). which symptom should RN instruct the pt to report
immediately - ANSWER - fever related to infection
17.pt with emphysema. Which finding is consistent w/ resp acidosis -
ANSWER - ph: 7.32
- CO2 - 46 mmhg
- HCO3 - 24
18.pt awaking in the middle of the night with SOB (paroxysmal nocturnal
dyspnea). which condition should the RN identify in the pts history -
ANSWER - HF
19.female pt inquires about possible rxn after taking amoxicillin for 5 days.
Vaginal discomfort, itching, white discharge. RN should discuss which
action w/ the pt? - ANSWER consult HCP about another treatment for this
effect
20.[d/t superinfection in the normal flora]
21.RN caring for pt taking atenolol for 2 years. HCP changed medication to
enalapril to manage BP. Which instruction should the RN provide the pt
regarding the new med? - ANSWER - rise slowly when getting out of bed
or chair
22.RN is caring for an older pt who fracture pelvis from a fall. which
assessment finding is most important for the RN to report HCP provider -
ANSWER dyspnea
, - d/t fat embolism to the lungs
23.after liver biopsy is performed at the bedside. which RN intervention is most
imp for RN to implement - ANSWER evaluate vital signs q10 to 20 mins
for 2 after procedure
24.RN caring for pt bedridden for 2 weeks. Which assessment findings indicate
to the RN that pt is developing complication r/t immobility - ANSWER -
stiffness in R ankle joint
25.older pt. admitted w/ severe diarrhea. RN completing assessment and note
dry mucous membrane and poor skin turgor. assessment data should the RN
gather to determine if the pt has fluid volume deficit - ANSWER -
orthostatic hypotension
26.pt. w/ cirrhosis of the liver asks RN how varicose veins can occur in the
esophagus - ANSWER - increased portal pressure causes blood flow
through the liver to be shunted to the esophageal vessels
27.24hrs after surgical gastric bypass. RN observes large amounts of blood in
NGT canister. Which assessment finding should the RN report as early signs
of hypovolemic shock - ANSWER - lethargy
28.RN places ice pack on pt w/ sprained ankle. Which therapeutic response
should the RN anticipate - ANSWER - reduced pain and minimized
bruising
29.which questions most important to ask about bowel patterns - ANSWER -
do you take any OTC meds
- have you noticed any change in stool pattern