Vsim Exam Questions with 100% Correct Answers

The nurse is caring for an adolescent patient who appears withdrawn and isolated. What strategy should the nurse use to work with this patient? 1.Develop a therapeutic, trusting relationship with the patient. 2.Leave the patient alone as much as possible. 3.Talk to the patient's parents about what is going on with the patient. 4.Tell the patient what the patient needs to do in order to get better. Correct Answer 1.Develop a therapeutic, trusting relationship with the patient. A provider orders a high-fat, high-protein, high-carbohydrate diet for a patient with cystic fibrosis. What is the best rationale for this diet order? 1.Cystic fibrosis is a chronic disease characterized by altered electrolytes. 2.Cystic fibrosis interferes with the digestions of food and absorption of nutrients. 3.Thickened mucus secretions predispose the patient to anemia. 4.The diet was ordered according to the patient's preferred food intake. Correct Answer 2.Cystic fibrosis interferes with the digestions of food and absorption of nutrients. A nurse is creating a care plan for a young adult patient with a chronic illness. Which of the following nursing diagnoses might be included in the care plan? (Select all that apply.) 1.Ineffective health maintenance 2.Social isolation 3.Risk-prone health behavior 4.Caregiver role strain 5.Activity intolerance Correct Answer 1.Ineffective health maintenance 2.Social isolation 3.Risk-prone health behavior 5.Activity intolerance A patient is concerned about a medication the nurse is administering. The patient states that the medication is not normally something that is administered. What is the best response by the nurse? 1.The provider has ordered it for you. 2.It is probably a generic medication for something you normally get. 3.I will hold the medication and find out for you. 4.We should probably update your medical reconciliation forms. Correct Answer 3.I will hold the medication and find out for you. A patient complains of nausea after a tube feeding. What is the priority action of the nurse at this time? 1.Position the patient on left side. 2.Ensure the head of the bed remains elevated. 3.Aspirate the tube feeding contents from the patient's stomach. 4.Flush the tube with 30 to 60 mL water Correct Answer 2.Ensure the head of the bed remains elevated. A patient has just completed a tube feeding that has run throughout the night. What is the best education the nurse can provide to the patient at this time? 1.You should wear your pneumatic compression device when you are in bed. 2.You should remain upright for the next hour. 3.You should lie down to get some sleep. 4.It is important that you ambulate three times today. Correct Answer 2.You should remain upright for the next hour. A nurse is teaching a patient with cystic fibrosis about nutrition in the high-fat, high-carbohydrate diet that has been recommended. Which of the following should be included in this education? 1.It is important to focus on eating calorie-dense foods 2.It is not necessary to monitor dietary intake 3.It is important to only eat high-fat, high-protein and high- carbohydrate foods 4.It is important to select a variety of nutrient-dense foods Correct Answer 4.It is important to select a variety of nutrient-dense foods A nurse is planning patient education about a prescribed medication for a patient. What should the nurse do first? 1.Education the patient about potential allergic reactions to the medication. 2.Find out what the patient already knows about the medication. 3.Review the signs and symptoms of drug toxicity with the patient. 4.Educate the patient about potential drug interactions. Correct Answer 2.Find out what the patient already knows about the medication. A nurse is preparing to admit a patient with cystic fibrosis and altered nutrition status. The nurse plans to implement which precautions to be used in the patient's care? 1.Standard precautions 2.Contact precautions 3.Airborne precautions 4.Droplet precautions Correct Answer 1.Standard precautions