ARCHER CAT EXAM
ComprehensiveQuestions
(Frequently Tested) and
Complete Solutions Graded A+
1. The nurse observes that an 85-year-old man at an adult daycare center
fondly shares stories about traveling on the “orphan trains’ prior to being
adopted. The nurse should perform which intervention?
a. Refer him for a geriatric psychiatric evaluation.
b. Listen and ask him questions about his life. RATIONALE: Taking the time
to listen and ask the client questions about his life shows that the nurse is
interested in the patient. It also helps increase his self-concept.
Reminiscence about past life events, doing a life review, especially if the
experiences were positive, is considered to be a regular psychosocial
activity for older adults. It helps them to focus on past accomplishments
and contributions to society, thus increasing their self-concept. c.
Distract him and change the conversation.
d. Involve him in more social activities.
2. Parents bring their 2-year-old daughter into the emergency department
after picking her up from her aunt’s house. They are concerned that she has
an upper respiratory infection. The nurse notices bruises on the patient’s
posterior thigh, wrists, and upper back. They appear to be in different stages
of healing. Once the patient is stable after administering a bronchodilator and
steroid, what should the nurse do? a.Question the parents.
b. Call the department of child and family services (DCFS) RATIONALE: This
patient has bruises on her thigh, wrists, and upper back that are in different
, stages of healing, which is a reliable indicator of abuse. Bruising on these parts
of the body is not a common area for 2-yearolds to injure. Typical areas of injury
are the knees, elbows, and chin. Thigh, wrist, and upper back injuries can be due
to grabbing, burning, or pushing. The department of child and family services
(DCFS) needs to be contacted by the nurse because nurses are mandated
reporters. Recognizing signs of abuse is extremely important. c. Call poison
control
d. Obtain an arterial blood gas (ABG)
3. A client presents to the clinic asking the nurse about emergency
contraception. The nurse anticipates that the primary healthcare provider
(PHCP) will prescribe which medication?
a. Levonorgestrel RATIONALE: Levonorgestrel (LNG) is available over the
counter for emergency contraception. This medication is indicated to be used
up to 72 hours following unprotected intercourse, where pregnancy could be
possible. It may be used off-label up to 120 hours following the event. This
medication work by postponing (or inhibiting ovulation. b. Tamoxifen
c. Finasteride
d. Methotrexate
4. While caring for a patient who is suspected of having appendicitis, the
nurse overhears his conversation with a loved one. Which of the following
statement would prompt immediate intervention?
a. “The pain doesn’t feel as bad now. I think it was just a stomachache.”
RATIONALE: A patient who is suspected of having appendicitis who suddenly
feels better has likely experienced a rupture of the appendix. This situation
warrants immediate attention, as surgery will be necessary. b. “Would you mind
getting me an ice pack?”
c. “I know I’m not supposed to eat anything right now, but I’m hungry.”
d. “I wonder if I can play in the basketball game on Monday.”
ComprehensiveQuestions
(Frequently Tested) and
Complete Solutions Graded A+
1. The nurse observes that an 85-year-old man at an adult daycare center
fondly shares stories about traveling on the “orphan trains’ prior to being
adopted. The nurse should perform which intervention?
a. Refer him for a geriatric psychiatric evaluation.
b. Listen and ask him questions about his life. RATIONALE: Taking the time
to listen and ask the client questions about his life shows that the nurse is
interested in the patient. It also helps increase his self-concept.
Reminiscence about past life events, doing a life review, especially if the
experiences were positive, is considered to be a regular psychosocial
activity for older adults. It helps them to focus on past accomplishments
and contributions to society, thus increasing their self-concept. c.
Distract him and change the conversation.
d. Involve him in more social activities.
2. Parents bring their 2-year-old daughter into the emergency department
after picking her up from her aunt’s house. They are concerned that she has
an upper respiratory infection. The nurse notices bruises on the patient’s
posterior thigh, wrists, and upper back. They appear to be in different stages
of healing. Once the patient is stable after administering a bronchodilator and
steroid, what should the nurse do? a.Question the parents.
b. Call the department of child and family services (DCFS) RATIONALE: This
patient has bruises on her thigh, wrists, and upper back that are in different
, stages of healing, which is a reliable indicator of abuse. Bruising on these parts
of the body is not a common area for 2-yearolds to injure. Typical areas of injury
are the knees, elbows, and chin. Thigh, wrist, and upper back injuries can be due
to grabbing, burning, or pushing. The department of child and family services
(DCFS) needs to be contacted by the nurse because nurses are mandated
reporters. Recognizing signs of abuse is extremely important. c. Call poison
control
d. Obtain an arterial blood gas (ABG)
3. A client presents to the clinic asking the nurse about emergency
contraception. The nurse anticipates that the primary healthcare provider
(PHCP) will prescribe which medication?
a. Levonorgestrel RATIONALE: Levonorgestrel (LNG) is available over the
counter for emergency contraception. This medication is indicated to be used
up to 72 hours following unprotected intercourse, where pregnancy could be
possible. It may be used off-label up to 120 hours following the event. This
medication work by postponing (or inhibiting ovulation. b. Tamoxifen
c. Finasteride
d. Methotrexate
4. While caring for a patient who is suspected of having appendicitis, the
nurse overhears his conversation with a loved one. Which of the following
statement would prompt immediate intervention?
a. “The pain doesn’t feel as bad now. I think it was just a stomachache.”
RATIONALE: A patient who is suspected of having appendicitis who suddenly
feels better has likely experienced a rupture of the appendix. This situation
warrants immediate attention, as surgery will be necessary. b. “Would you mind
getting me an ice pack?”
c. “I know I’m not supposed to eat anything right now, but I’m hungry.”
d. “I wonder if I can play in the basketball game on Monday.”
