QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Dumping syndrome - ANSWER results from emptying of the stomach into the small intestine after eating,
and manifests as vertigo, tachycardia, syncope, sweating, pallor, palpitations
Normal Respiratory Rate for Newborn - ANSWER 30-60
Normal Heart Rate for a Newborn - ANSWER 120-160
What does abdominal distention mean in a newborn? - ANSWER tumor or abdominal wall defect
What type of precautions is rubella? - ANSWER Droplet
What type of precautions is measles? - ANSWER Airborne
What type of precautions is for Hep A? - ANSWER Standard
What type of precautions for Rocky Mountain spotted Fever? - ANSWER Standard
A nurse is caring for school-age client was diagnosed with sickle cell anemia and has been admitted for
vaso-occlusive crisis. Which of the following findings has the highest priority? - ANSWER Slurred Speech
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine ear drops for pain
relief. Which of following actions by the nurse is appropriate when administering the ear drops? -
ANSWER Warm refrigerated drops to room temp prior to instillation
A nurse is caring for a client who is postoperative following a wedge resection of a lung and has a chest
tube with a water seal chest tube drainage system. A client reports burning pain in his chest. Which of
the following actions by the nurse is appropriate? - ANSWER Assist the client to a side-lying position - to
move the top of the chest tube away from the tissues
,A nurse is caring for a client who is pregnant with a singe fetus and has a BMI of 23. When asked by the
client how much weight she should gain during the pregnancy, which of the following responses by the
nurse is appropriate - ANSWER 25-35 lbs; (average weight gain with an average BMI is 11.5-16kg)
What is the normal levels of lithium? - ANSWER 0.6-1.2
A nurse is caring for a client who is experiencing night sweats and hemoptysis and is suspected to have
active pulmonary tuberculosis. Which of the following tests is used to confirm this diagnosis? - ANSWER
Sputum culture for acid-fast bacillus
What type of medication is Buspirone? - ANSWER an anxiolytic medication to treat anxiety
A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes mellitus. Which of
the following actions by the nurse is appropriate to prepare the child for administration of insulin? -
ANSWER Allow the child to manipulate the medical equipment.
After a supratentorial craniotomy, what position should the patient be in? - ANSWER supine with head
elevated to 30 degrees; promote drainage and prevents hemorrhage by reducing blood flow to the brain
What is symptom of pregnancy-induced hypertension that should be reported to a doctor? - ANSWER
Facial Edema
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago. Which
of the following findings is associated with this diagnosis? - ANSWER Elevated Temperature
A nurse is caring for a neonate who was delivered at weeks of gestation after his mother received two
injections of betamethasone (Celestone). Because of the administration of betamethasone to the client's
mother, the nurse should monitor the neonate for? - ANSWER Hypoglycemia because It is a
corticosteroid (hyperglycemia in mother)
A public health nurse is triaging clients at the site of an explosion. The client with which of the following
injuries should be the nurses' priority concern?
Facial Abrasions
, Penetrating Head Wound
Incomplete amputation of the foot
Tibia fracture requiring open reduction - ANSWER Incomplete amputation of the foot; Should be
assigned to the immediate triage category because injuries are life-threatening, but survivable if
immediate care is received
Penetrating head wounds would be black tag because likelyhood of survival is slim
What are three signs of digoxin toxicity? - ANSWER Vomiting, slow heart rate, and anorexia
What is solifenacin (vesicare) used for? - ANSWER urinary incontinence
A nurse is caring for a todler who has taryngotracheobronchitis and is having difficulty breathing. Which
of the following should be the first action of the nurse?
Administer nebulized epinephrine
Ensure adequate hydration
Obtain an oxygen saturation level
Encourage parents to comfort the client - ANSWER Obtain an oxygen saturation level
ASSESSMENT FIRST
Normal body temperature range - ANSWER 97.6-99.6
Leukorrhea - ANSWER white discharge from the vagina
myasthenia gravis (MG) - ANSWER autoimmune neuromuscular disorder characterized by weakness of
voluntary muscles (common symptoms are loss of bladder and bowel control, diplopia, parethesias)
Normal range for creatinine - ANSWER 0.6-1.2
Normal range for BUN - ANSWER 10-20 mg/dL