REVIEWED QUESTIONS
AND CORRECT ANSWERS
GRADED A+ 2025-2026
What criteria must be met in order for a patient to qualify for Medicaid? - ANS-Must
meet state eligibility requirements (Medicaid was initiated under Title XIX of the Social
Security Act of 1965 and provides federal grants to states for medical assistance. Each
state sets its own eligibility requirements)
What symptom should a pt taking Digoxin be instructed to report to the physician? -
ANS-Anorexia (Anorexia can be a sign of Digoxin toxicity. Other signs could be nausea,
vomiting, diarrhea, and visual disturbances).
The nurse is monitoring a pt for s/s of autonomic dysreflexia. Which symptom would
indicate a need for further assessment of the pt? - ANS-Blood pressure of 130/60
(range has been 110-125/60-70), a blood pressure of 20-40 mm above the pt's baseline
may indicate autonomic dysreflexia)
Which of the following are facilitated within the nursing team by the use of the nursing
process? - ANS-Continuity of care (The nursing process is a sequence of problem
identification, data gathering, options assessment, decision-making, actions, and
reassessment. The nurse provides care and makes decisions in collaboration with pt's
and fellow team members. This process facilitates continuity of the patient's care)
Pt w/ diabetes and stroke wants his wife to bring his ginseng mixture from home. The
patient also drinks coffee with each meal. What potential problems should the nurse
monitor for? - ANS-Monitor for hypoglycemia and increased effects of caffeine.(Asian
Ginseng has been noted to lower blodd sugar and should be used cautiously in pt's
being treated for diabetes. It is also noted to increase the effects of caffeine)
, The nurse is proactive in teaching the pt self-care activities each shift, communicating
and coordinating with other team members. She tells the pt "On rehab, every day
counts!" What moral principle is she demonstrating? - ANS-Fiduciary Responsibility
CM is discussing options for care with a pt who received a traumatic amputation in the
course of work. The pt is self-employed. What may be a significant barrier for this pt? -
ANS-Lack of insurance (due to self-employment)
Prosthetic devices are costly and must be custom-fitted to the pt.
What is the purpose of pressure-reduction mattresses? - ANS-To protect the pt from
bottoming out or excessive pressure on conventional mattresses.
Position is important to adequate bowel emptying. Which pt response in bed indicates
the need for upright positioning during elimination? - ANS-Bowel emptying takes 40
minutes and includes use of suppositories, digital stimulation, and manual evacuation.
(Bowel emptying that takes a long period of time and a great deal of effort will likely
be improved by upright positioning)
What is the most common cause in vertical compression spinal injuries? - ANS-A high-
velocity blow to the top of the head (such as occurs in diving accidents, these injuries
most often impact the cervical spine area)
Which term is defined as the situation that occurs when a person knows the right thing
to do, but institutional constraints make it nearly impossible to pursue the right
course of action. - ANS-Moral distress
The nurse is counseling a pt, who has had a stroke, and her sexual partner. Which
comment by the nurse is MOST accurate? - ANS-Future sexual activity is best predicted
by their pre-injury sexual activity.
Newly-admitted pt w/ stroke to home health services has a history of CRPS (Complex
Regional Pain Syndrome- also known as reflex sympathetic dystrophy or shoulder-
hand syndrome). What does the nurse expect in caring for this pt? - ANS-The pt will
have continuous, intense burning pain that may worsen over time.