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Exam (elaborations)

Nursing Test QUIZ

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Nursing Test QUIZ 1. The side - effect of nitroglycerin is: (1 point) ◯ Vomiting ◯ Diarrhea ⚫Headache ◯ Constipation ◯ Radiation of aortic regurgitation murmur Carotid artery bruit ◯ Carotid artery dissection ◯ Venous hum 3. Identify picture given below (1 Episiotomy scissor ◯ Skin stapler remover Cord cutting scissor ◯ None of the above 4. What is the most common complication for which a nurse must monitor preterm (1 point) infant? ◯ Hemorrhage ◯ Brain damage Respiratory distress ◯ Aspiration of mucus 5. The appropriate needle size for insulin injection is: (1 point) ◯ 18 G, 1 and 1/2" long ◯ 22 G, 1"long ◯ 22G,1 and 1/2"long 25G,5/8"long 6. Q.Identity the technique?? (1 point) ◯ Gastric levage ◯ NG insertion ◯ Endotracheal Intubation Naso-tracheal Intubation 7. Which clinical manifestation would the nurse assess in the client with a T-12 spinal (1 point) cord injury (SCI) who is experiencing spinal shock? Flaccid paralysis below the waist. ◯ Lower extremity muscle spasticity ◯ Complaints of a pounding headache. ◯ Hypertension and bradycardia. Explanation: Spinal shock is associated with an SCI. It is a sudden depression of reflex activity, a loss of sensation, and flaccid paralysis below the level of the injury. T-12 is just above the waist. 8. site for bone marrow aspiration is (1 point) ◯ Iliac crest ◯ Sternum Both A and B ◯ None of the above 9. Which statement indicates to the nurse the client understands a modifiable risk factor (1 point) for atherosclerosis? ◯ “As I get older my chance of having a heart attack increases.” ◯ “My father and grandfather both died of heart disease.” “I listen to relaxation tapes to help decrease my high stress level.” ◯ “I will take saw palmetto every day to help decrease my blood pressure.” Explanation: A modifiable risk factor is a risk factor that can possibly be altered by modifying or changing behavior, such as developing new ways to deal with stress. Age and family history are nonmodifiable risk factors. Saw palmetto helps treat benign prostatic hypertrophy, not high blood pressure. 10. In a mental health unit nurse is showing under concern and kindness towards a (1 point) patient, this can be identified as......... ◯ Transference Counter transference ◯ Emotional attachment ◯ Sympathy 11. The client diagnosed with type 1 diabetes is complaining of being jittery and nervous (1 point) and has a headache. Which action should the nurse implement first? ◯ Check the client's serum glucose level. ◯ Determine the last time the client received insulin. Give the client one glass of orange juice ◯ Assess the client's vital signs. Explanation:

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