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advanced-adult-healthcare-prepost-test-review-guide
Advanced Adult Healthcare Pre/Post Test
1. A patient has been brought to the emergency department with multiple traumas after a motor
vehicle accident. After immediate threats to life have been corrected in a patient with multiple traumas,
which action would the nurse perform?
C. perform a rapid physical assessment
2. A patient is admitted to the hospital with a head injury resulting from an automobile accident
on admission the patient vital signs are temp 98.6, BP 128/68, pulse 110, and respirations 26. Once hour
after admission, the nurse notes the presence of the Cushing’s triad, when the patient’s vital signs are:
A. BP 140/60, pulse 60, respirations 12
3. The nurse is caring for a female patient who sustained a closed head injury 8 days ago due to a
motor vehicle accident. Which s/s would alert the nurse to a complication of the head injury?
B. patient complains of extreme thirst and has an increased urine output.
4. A patient diagnosed with alcoholism is admitted to a substance abuse unit complaining of
decreased exercise tolerance, lower extremity edema, arrhythmias, and dyspnea. Which nursing
intervention would be appropriate for this patient?
D. Administering digoxin and furosemide
5. The RN has just received change of shift report on the med surg unit. Which patient will need to
be assessed first?
B. a 40-year-old patient with a parathyroidectomy yesterday and has muscle twitching.
6. A patient who underwent a lobectomy and has a water seal chest drainage system is breathing
with a little more effort and at a faster rate than 1 hour ago the clients pulse rate is also increased. The
nurse should:
D. check on the tubing to ensure that the client is not lying on it or kinking it.
7. the ale patient with a c6 spinal cord injury tells the home health nurse he has had a severe
pounding headache for the last 2 hours. Which intervention should the home health implement?
C. check the patient’s Respiratory rate immediately
8. what is the rational for administering tissue plasminogen activator (tPA) within 4.5 hours of a
thrombotic stroke?
D. To cause fibrinolysis of the clot
9. A patient with mitral valve stenosis is admitted to your unit. She is schedule for surgery to repair
her valve. What procedure is usually performed to open the mitral valve?
B. Commissurotomy
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