Geri (Exam 2)
A patient has been treated for obstructive sleep apnea. Which patient statement should
indicate to the nurse that interventions have been effective?
A. I have increased energy and am not tired during the day
B. Im not gasping for breath when I wake up
C. I tend to fall asleep during the day when I sit down to relax
D. My husband says that I still snore occasionally - ANS-A (B)
A patient who fell arrives at the emergency department with an obvious hip fracture and
complaining of sever pain. What action should the nurse take first?
A. Determine presence of distal pulses and sensation
B. Obtain intravenous access and an x-ray of the hip
C. Assist the physician with immobilization of the hip
D. Prepare to administer intramuscular morphine - ANS-A
A patient who is actively dying is experiencing shortness of breath and air hunger. All of
these interventions are ordered as pen measures. Which actions should the nurse
perform first?
A. Administer sublingual morphine
B. Administer oral anti-anxiety agents
C. Administer a nebulized bronchodilator
D. Administer an oral expectorant - ANS-A
A patient with Alzheimer's disease is expressing frustration because of difficulty
verbalizing needs. Which communication strategy should the nurse choose?
A. Finish the patient's sentences so as to minimize anxiety
B. Ask open-ended questions to allow adequate time for answers
C. Ask simple questions, focusing on one topic at a time
D. Adapt the communication to the apparent age represented by the patient's behavior -
ANS-C
A patient with Alzheimer's Disease stated she saw her grandmother through a window.
After the nurse told her that this person was not her grandmother, the patients became
upset and attempted to leave the unit. How should the nurse respond?
A. You are an older person and your grandmother couldn't still be living!
B. If you leaven you will miss seeing your grandmother who is in your room
C. You are not permitted ti get on the elevator
D. Let's go in your room and you can tell me about your grandmother. - ANS-D
, A patient with early stage Alzheimer's disease has been receiving donepezil (Aricept)
for 2 months. What data indicates that the expected outcome has been achieved?
A. Increased muscle strength and tone
B. Maintained ability to solve simple problems.
C. Improved sense of well-being and happiness
D. Decreased episodes of urinary incontinence. - ANS-B
A patient with early-stage Alzheimer's disease is admitted to the surgical unit for a skin
biopsy. Which nursing diagnosis is the priority?
A. Risk for Impaired Physical Mobility r/t progression of disability.
B. Impaired Skin Integrity r/t immobility and impaired nutrition
C. Potential for Injury r/t chronic confusion and physical deficits
D. Social Isolation r/t personality and behavior changes - ANS-C
A patient with osteoporosis is recovering from a hip fracture and complaining of hunger
between meals. Which food items should the nurse provide?
A. Toast with grape jelly and hot tea.
B. Peanut butter crackers and orange juice
C. Apple juice and graham crackers
D. Yogurt with strawberries and milk - ANS-D
A terminally ill patient is unresponsive and has Cheyne-Strokes respiration. The
patient's husband and two grown children are arguing at the bedside about where the
funeral should be held. Which action by the nurse is appropriate?
A. Instruct the family members to ask the patient's opinion if she regains consciousness.
B. Tell the family that this decision is premature because the patient has not yet died
C. Take the family members aside and explain that the patients may be able to hear
them
D. Ask the family members to leave the room if they are going to argue - ANS-C
An actively dying patient exhibits irregular rapid, shallow breathing. Which pen
medication should the nurse use to reduce respiratory distress?
A. Haloperidal (Haldol)
B. Hydroxyzine hydrochloride (Vistaril)
C. Morphine sulfate (Roxanol)
D. Hydrocodone bitartrate and acetaminophen (Vicodin) - ANS-C
A patient has been treated for obstructive sleep apnea. Which patient statement should
indicate to the nurse that interventions have been effective?
A. I have increased energy and am not tired during the day
B. Im not gasping for breath when I wake up
C. I tend to fall asleep during the day when I sit down to relax
D. My husband says that I still snore occasionally - ANS-A (B)
A patient who fell arrives at the emergency department with an obvious hip fracture and
complaining of sever pain. What action should the nurse take first?
A. Determine presence of distal pulses and sensation
B. Obtain intravenous access and an x-ray of the hip
C. Assist the physician with immobilization of the hip
D. Prepare to administer intramuscular morphine - ANS-A
A patient who is actively dying is experiencing shortness of breath and air hunger. All of
these interventions are ordered as pen measures. Which actions should the nurse
perform first?
A. Administer sublingual morphine
B. Administer oral anti-anxiety agents
C. Administer a nebulized bronchodilator
D. Administer an oral expectorant - ANS-A
A patient with Alzheimer's disease is expressing frustration because of difficulty
verbalizing needs. Which communication strategy should the nurse choose?
A. Finish the patient's sentences so as to minimize anxiety
B. Ask open-ended questions to allow adequate time for answers
C. Ask simple questions, focusing on one topic at a time
D. Adapt the communication to the apparent age represented by the patient's behavior -
ANS-C
A patient with Alzheimer's Disease stated she saw her grandmother through a window.
After the nurse told her that this person was not her grandmother, the patients became
upset and attempted to leave the unit. How should the nurse respond?
A. You are an older person and your grandmother couldn't still be living!
B. If you leaven you will miss seeing your grandmother who is in your room
C. You are not permitted ti get on the elevator
D. Let's go in your room and you can tell me about your grandmother. - ANS-D
, A patient with early stage Alzheimer's disease has been receiving donepezil (Aricept)
for 2 months. What data indicates that the expected outcome has been achieved?
A. Increased muscle strength and tone
B. Maintained ability to solve simple problems.
C. Improved sense of well-being and happiness
D. Decreased episodes of urinary incontinence. - ANS-B
A patient with early-stage Alzheimer's disease is admitted to the surgical unit for a skin
biopsy. Which nursing diagnosis is the priority?
A. Risk for Impaired Physical Mobility r/t progression of disability.
B. Impaired Skin Integrity r/t immobility and impaired nutrition
C. Potential for Injury r/t chronic confusion and physical deficits
D. Social Isolation r/t personality and behavior changes - ANS-C
A patient with osteoporosis is recovering from a hip fracture and complaining of hunger
between meals. Which food items should the nurse provide?
A. Toast with grape jelly and hot tea.
B. Peanut butter crackers and orange juice
C. Apple juice and graham crackers
D. Yogurt with strawberries and milk - ANS-D
A terminally ill patient is unresponsive and has Cheyne-Strokes respiration. The
patient's husband and two grown children are arguing at the bedside about where the
funeral should be held. Which action by the nurse is appropriate?
A. Instruct the family members to ask the patient's opinion if she regains consciousness.
B. Tell the family that this decision is premature because the patient has not yet died
C. Take the family members aside and explain that the patients may be able to hear
them
D. Ask the family members to leave the room if they are going to argue - ANS-C
An actively dying patient exhibits irregular rapid, shallow breathing. Which pen
medication should the nurse use to reduce respiratory distress?
A. Haloperidal (Haldol)
B. Hydroxyzine hydrochloride (Vistaril)
C. Morphine sulfate (Roxanol)
D. Hydrocodone bitartrate and acetaminophen (Vicodin) - ANS-C
