EXAM CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ A nurse in an emergency department (ED) is assisting with the care of
a patient.
What findings indicate the patient might be malnourished?.
Answer: - patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17
⩥ A nurse is assisting in the care of a patient who has pancreatitis.
Select 3 tasks the nurse should delegate to an assistive personnel (AP).
,Answer: 1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed
⩥ A nurse is caring for a patient who has chronic kidney disease. The
nurse should identify that which of the following findings is the priority
to report to the provider?.
Answer: The patient's output was 60 mL for the past 3 hours
*this represents oliguria and can indicate a decrease in kidney perfusion
or function
⩥ A nurse is preparing to administer an enteral feeding to a patient who
has an NG tube in place. Which of the following methods should the
nurse use to verify correct placement of the NG tube?.
Answer: check the gastric pH of the gastric aspirate
⩥ A nurse is repositioning a patient who has quadriplegia and is in the
supine position. Which of the following actions should the nurse take to
prevent patient musculoskeletal injury?.
Answer: internally rotate the patient's hips by using a trochanter roll
, ⩥ A nurse is preparing to palpate a patient's pulse. The nurse should
recognize that which of the following pulses is located on the top of the
patient's foot?.
Answer: dorsalis pedis
⩥ A patient who is scheduled to undergo surgery tells the nurse that they
do not understand the procedure and are reconsidering their decision to
have it. Which of the following actions should the nurse take?.
Answer: notify the charge nurse of the patient's concerns
⩥ A nurse is reinforcing preoperative teaching with a patient about how
to turn, cough, and deep breathe. Which of the following statements by
the patient indicates an understanding of the teaching?.
Answer: "this can help prevent pneumonia"
⩥ A nurse is preparing to document information about a patient's lower
legs, which are swollen with 6 mm edema. Which of the following
information should the nurse document?.
Answer: 3+ pitting edema
⩥ A nurse is checking for a patient's pulse deficit after detecting an
irregular heart rate. Which of the following actions should the nurse
take?.
Answer: count the patient's radial and apical pulses simultaneously with
another nurse