NSG 4800 REVIEW EXAM
QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
LATEST 100% GUARANTEED PASS
Which client should the emergency department triage nurse classify as emergent?
A client with a displaced fracture who is crying
A client with a simple laceration and soft tissue injury
A client with crushing substernal pain who is short of breath
A client with a temperature of 101°F (38.3°C) with a productive cough - CORRECT ANSWER-3, A
triage method commonly used in the emergency department consists of 3 categories:
emergent, urgent, and nonurgent. The emergent category implies that a condition exists that
poses an immediate threat to life or limb. An example of a client who fits into this category is
the client experiencing crushing substernal pain who is short of breath. The urgent category
indicates that the client should be treated quickly but that an immediate threat to life does not
exist at the moment. The client with a displaced fracture who is crying and the client with a
temperature of 101°F (38.3°C) and a productive cough would fit into this category. The
nonurgent category indicates that the client can generally tolerate waiting several hours for
health care services without a significant risk of clinical deterioration. The client with a simple
laceration and soft tissue injury would fit into this category.
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask the client
about which sign or symptom?
,1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - CORRECT ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other signs and
symptoms include lethargy, personality changes, generalized edema, impaired memory, slowed
speech, cold intolerance, dry skin, muscle weakness, constipation, weight gain (10-30lbs), heavy
menstrual periods (menorrhagia), and hair loss.
You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected
with vancomycin- resistant S. aureus (VRSA). Which nursing action can you delegate to an
LPN/LVN?
A. Planning ways to improve the client's oral protein intake.
B. Teaching the client about home care of the leg ulcer.
C. Obtaining would cultures during dressing changes.
D. Assessing the risk for further skin breakdown. - CORRECT ANSWER-C. The other options can
only be done by the RN.
A patient is scheduled to have a radiological examination of the large intestine and a barium
enema is prescribed by the physician. What teaching will the nurse provide? Select all that
apply.
Tell the nurse if you have a sensation of flatulence after the exam.
Instruct the patient that stool may be chalky for up to 72 hours after the exam.
Instruct the patient to drink plenty of fluids and take laxatives as prescribed after the exam.
Do not eat or drink for 24hours after the exam. - CORRECT ANSWER-1,2,3
Rationale: Fluids should be promoted after an exam requiring a barium enema to avoid
intestinal obstruction. Appropriate patient teaching for a lower GI series includes instructing the
patient to use laxatives as prescribed by the physician and educating the patient to expect stools
to be chalky white for 24 to 72 hours after the exam. Flatulence is a sign of the return to normal
bowel function.
, Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the location of
obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - CORRECT ANSWER-1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts, and pancreas
to treat problems of the bile and pancreatic ducts.
A 74-year-old male complains of new-onset of headaches. The headaches are described as
bilateral frontal and most severe when arises in the morning; and when coughing. The history is
consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - CORRECT ANSWER-3 secondary headaches caused by IICP- awakening the
brain swelling is the worst.
A patient is diagnosed with oral candidiasis and the physician prescribes nystatin (Mycostatin)
oral suspension for treatment. What instruction should the nurse include in the patient
teaching?
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - CORRECT ANSWER-#2
QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
LATEST 100% GUARANTEED PASS
Which client should the emergency department triage nurse classify as emergent?
A client with a displaced fracture who is crying
A client with a simple laceration and soft tissue injury
A client with crushing substernal pain who is short of breath
A client with a temperature of 101°F (38.3°C) with a productive cough - CORRECT ANSWER-3, A
triage method commonly used in the emergency department consists of 3 categories:
emergent, urgent, and nonurgent. The emergent category implies that a condition exists that
poses an immediate threat to life or limb. An example of a client who fits into this category is
the client experiencing crushing substernal pain who is short of breath. The urgent category
indicates that the client should be treated quickly but that an immediate threat to life does not
exist at the moment. The client with a displaced fracture who is crying and the client with a
temperature of 101°F (38.3°C) and a productive cough would fit into this category. The
nonurgent category indicates that the client can generally tolerate waiting several hours for
health care services without a significant risk of clinical deterioration. The client with a simple
laceration and soft tissue injury would fit into this category.
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask the client
about which sign or symptom?
,1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - CORRECT ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other signs and
symptoms include lethargy, personality changes, generalized edema, impaired memory, slowed
speech, cold intolerance, dry skin, muscle weakness, constipation, weight gain (10-30lbs), heavy
menstrual periods (menorrhagia), and hair loss.
You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected
with vancomycin- resistant S. aureus (VRSA). Which nursing action can you delegate to an
LPN/LVN?
A. Planning ways to improve the client's oral protein intake.
B. Teaching the client about home care of the leg ulcer.
C. Obtaining would cultures during dressing changes.
D. Assessing the risk for further skin breakdown. - CORRECT ANSWER-C. The other options can
only be done by the RN.
A patient is scheduled to have a radiological examination of the large intestine and a barium
enema is prescribed by the physician. What teaching will the nurse provide? Select all that
apply.
Tell the nurse if you have a sensation of flatulence after the exam.
Instruct the patient that stool may be chalky for up to 72 hours after the exam.
Instruct the patient to drink plenty of fluids and take laxatives as prescribed after the exam.
Do not eat or drink for 24hours after the exam. - CORRECT ANSWER-1,2,3
Rationale: Fluids should be promoted after an exam requiring a barium enema to avoid
intestinal obstruction. Appropriate patient teaching for a lower GI series includes instructing the
patient to use laxatives as prescribed by the physician and educating the patient to expect stools
to be chalky white for 24 to 72 hours after the exam. Flatulence is a sign of the return to normal
bowel function.
, Endoscopic retrograde cholangiopancreatography (ERCP) is used to identify the location of
obstruction in which organs? Select all that apply.
Liver.
Gallbladder.
Ilieum.
Bile ducts.
Pancreas. - CORRECT ANSWER-1,2,4,5
Rationale: ERCP is a radiographic examination of the liver, gallbladder, bile ducts, and pancreas
to treat problems of the bile and pancreatic ducts.
A 74-year-old male complains of new-onset of headaches. The headaches are described as
bilateral frontal and most severe when arises in the morning; and when coughing. The history is
consistent with headaches caused by:
tension-type headache
cluster-type headache
increased intracranial pressure
migraine with aura - CORRECT ANSWER-3 secondary headaches caused by IICP- awakening the
brain swelling is the worst.
A patient is diagnosed with oral candidiasis and the physician prescribes nystatin (Mycostatin)
oral suspension for treatment. What instruction should the nurse include in the patient
teaching?
Do not take this medication if your mouth stops hurting.
Swish the medication around in your mouth for several minutes before swallowing.
Take this medication once a day after breakfast.
Spit the medication out after you use it for a few seconds. - CORRECT ANSWER-#2
