exam with answer 100% correct
C
Terms in this set (175)
Low-residue diet Dairy products & eggs, such as custard and yogurt
(Rat) A low-residue diet consists of foods that are
low in fiber and are easy to digest such as eggs,
custard, yogurt and ripe bananas - NOTE Legumes
such as lentils and black beans are high in fiber and
are not considered low in residue.
A RN is caring for a patient who weighs Use the formula (wt. in lbs)/(ht in in^2) multiply by 703
80 kg and is 5 ft 3 in tall. Calculate the to get the BMI.
BMI and determine if the patients BMI
indicates a healthy weight, BMI is 31 (obese)
underweight, overweight, or obese. (Rat) A BMI greater than 30 indicates obesity. A BMI of
25-29.9 indicates overweight. A BMI of 18.5-24.9 is a
normal/healthy BMI. A BMI <18.5 indicates
underweight.
A RN admits a female patient who Use the formula (lbs)/(in^2) multiply by 703
weighs 246 lbs with a height of 5 ft
4 in. Calculate the BMI of the BMI 42 indicates the patient is obese
female patient.
,A RN is reviewing discharge instructions (A, C, E,
G) regarding car seat safety to the parent of a
newborn. Which of the following A. Position the infant rear-facing in the backseat -
(RAT) the instructions will the nurse include in the car seat should never be in the
front seat of a car due to the discharge teaching (SATA) increased risk for injury from the
air bags during a MVA.
C. Be sure the care seat is at a 45 degree angle - (RAT)
the car
A. Position the infant rear-facing in the seat should be at a 45 degree angle.
backseat. E. Position the care seat in the middle of the back seat -
(RAT)
B.Be sure the car seat is at a 90 degree the car seat should be in the middle away from air
bags and angle side impact.
C. Be sure the care seat is at a 45 degree G. Keep infants in rear-facing car seat until 2 yr -
(RAT) keep angle the child in the rear-facing car seat until the child
reaches 2yo
D.Position the car seat behind the or until the child reaches the maximum ht and wt for
the seat. passenger or drivers seat
E. Position the care seat in the middle
of the back seat
F.Keep infants in rear-facing car
seats until age 6 months
G. Keep infants in rear-facing car seat
until 2 yr old or until the child
reaches the maximum ht and wt for
the seat.
A RN is caring for a patient who fell at a
(C,D,E) nursing home. The patient is oriented x
3
(person, place & time) and can follow C. Make sure that the patient's call light is
within reach directions. Which of the following actions
should the RN take to decrease the risk ofD. Provide the patient with nonskid
footwear another fall? (SATA)
E. Complete a fall-risk assessment
A. Place a belt restraint on the patient when
they are sitting on the bedside commode Note- You do not put all the side rails up in the bed
because
this is considered a restraint.
B.Keep the bed in its lowest position
with all side rails up
C. Make sure that the patient's call
light is within reach
D.Provide the patient with nonskid footwear
E.Complete a fall-risk assessment
,A RN is caring for a patient who has a A. Complete a fall-risk assessment
Hx of falls. Which of the following
actions is the RNs priority? (Rat) this is a priority nursing question therefore the
question should direct you to the nursing process. The
A. Complete a fall-risk assessment first action the nurse should take using the nursing
process is to assess or collect data from the patient.
B. Educate the patient and family about
fall risks
C. Eliminate safety hazards from the
patients environment
D. Make sure the patient uses
assistive aids in their possession
A RN discovers a small paper fire in a D. Place wet towels along the base of the door to the
trash in a patients bathroom. The patients room - (RAT) to contain the fire and smoke in
patient has been taken to safety and the room.
the alarm has been activated. Which Note - do not obtain a class C fire extinguisher
of the following actions should the RN but instead obtain a class A fire extinguisher
take? which is used for ordinary combustibles such as
cloth and paper.
A. Open the windows in the patients
room to allow smoke to escape
B. Obtain a class C fire
extinguisher to extinguish the
fire
C. Remove all electrical equipment
from the patient room
D. Place wet towels along the base of
the door to the patients room
A nurse manager is completing an in- R - Rescue and protect the patients who are at or near
service on a group of new nurses in the fire. Patients who can walk are able to do so on
the transition to practice program. command to a safe location.
The nurse manager asks one nurse
student to define the acronym A - Activate the alarm
"RACE". Please indicate what each
letter in the acronym means. C - Contain/confine the fire by closing doors and
windows, by placing a wet towel under the door in
the patients room, and by turning off all oxygen
sources and any electrical devices. Ventilate
patient's who are on life support by using a bag-
valve mask
E - Extinguish the fire with a general/appropriate fire
extinguisher (Class A) for your normal combustables
, A RN discovers that she (A, B, C, D, E)
administered an antihypertensive
medication to a patient in error. A. Call the MD
Identify the appropriate sequence of B.Check the VS
steps that the RN should take using C. Notify the risk manager
the following actions. D.Complete an incident report
E.Instruct the patient to remain in bed until further notice
A. Call the MD
B.Check the VS Note - If the question was a priority question, what
C. Notify the risk manager would the RN do first? First, I would check the VS.
D.Complete an incident report
E. Instruct the patient to remain in bed
until further notice
A RN is discussing disaster planning Medical command physician - (RAT) oversee's the use
with the board members of a hospital. of resources (equipment and personnel)
Which of the following actions should NOTE - the incident commander manages the
the RN take? incident and key leaders within the facility
A. Incident commander NOTE - Expect the triage officer to prioritize the
treatment of patients coming in for treatment
B.Medical command physician
NOTE - Expect the media liaison to
C. Triage officer communicate with members of the media and
press on behalf of the facility
D.Media liaison
A RN prepares the ER to admit Ciprofloxacin (Cipro) will treat and prevent the
patients who were exposed to spread of anthrax
inhalation anthrax during a
bioterrorism attack. Which antibiotic (RAT) Ciprofloxacin and doxycycline IV/PO is used
is used to treat patients who have following exposure. Treatment includes one or two
been exposed to inhalation anthrax? additional antibiotic (vancomycin, penicillin and
anthrax antitoxin)
A RN at a mental health clinic is A patient who was abused as a child describes the
caring for four patients. The RN abuse as if it happened to someone else
should recognize the following
patients is using dissociation as a
defense mechanism?
What are the signs and symptoms He -
of hypoglycemia? Use the Headache I -
mnemonic He IS TIRED! Irritability
S - Sweating
T-
Tachycardia I
- Irritability
R - Restlessness
E - Excessive
Hunger D -
Dizziness