QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
theDnurseDisDcaringDforDaDclientDscheduledDforDremovalDofDaDpituitaryDtumorDusingDtheDtranssphenoidalDap
proach.DtheDnurseDshouldDbeDparticularlyDalertDto:
A.DNasalDcongestion
B.DAbdominalDTenderness
C.DMuscleDTetany
D.DOliguriaD-DANSWERDA.DNasalDcongestion
why?
removalDofDtheDpituitaryDglandDisDusuallyDdoneDbyDtranssphernoidalDapproachDthroughDtheDnose.DNasalDco
ngestionDfurtherDinterferesDwithDtheDairway.
ADclientDwithDcancerDisDa,DadmittedDtoDtheDoncologyDunit.DStatDlabDvaluesDrevelDHgbD12.6,DWBCD6500,DK+1.
9,DuricDacidD7.0,DNa+136,DandDplateletsD178,000.DTheDnurseDevaluatesDthatDtheDclientDisDexperiencingDwhic
hDofDtheDfollowing?
A.DHypernatremia
B.DHypokalemia
C.DMyelosuppression
D.DLeukocytosisD-DANSWERDB.DHypokalemia
why?
HypokalemiaDisDevidentDfromDtheDlabDvaluesDlisted.DTheDotherDlaboratoryDfindingsDareDwithinDnormalDlimit
s.DmakingDanswersDA,CDandDDDincorrect
AD24Dyear-
oldDfemaleDclientDisDscheduledDforDsurgeryDinDtheDmorning.DWhichDofDtheDfollowingDisDtheDprimaryDrespon
sibilityDofDtheDnurse?
,A.DtakingDtheDvitalDsigns
B.DobtainingDtheDpermit
C.DexplainingDtheDprocedure
D.DCheckingDtheDlabDworkD-DANSWERDA.DtakingDtheDvitalDsigns
why?
theDprimaryDresponisblityDofDtheDnurseDisDtoDtakeDtheDvitalDsignsDbeforeDanyDsurgery.
answersDB,CDandDDDareDtheDresponsibilityDofDtheDdoctor.
TheDnurseDisDworkingDinDtheDemergencyDroomDwhenDaDclientDarrivesDwithDsevereDburnsDofDtheDleftDarm,Dh
ands,Dface,DandDneck.DwhichDactionDshouldDreceiveDpriority?
A.DstartingDanDIV?
B.DApplyingDoxygen
C.ObtainingDbloodDgasD
D.DMedicatingDtheDclientDfoeDpainD-DANSWERDB.DApplyingDoxygen
why?
theDclientDwithDburnsDtoDtheDneckDneedsDairwayDassessmentsDandDsupplementalDoxygen,DsoDapplyingDoxy
genDisDpriority.DtheDnextDactionDshouldDbeDtoDstartDanDIVDandDmedicateDforDpain.
TheDnurseDisDvisitingDaDhomeDhealthDclientDwithDosteoporosis.DTheDclientDhasDaDnewDprescriptionDforDalen
dronateD(Fosamax).DWhichDinstructionsDshouldDbeDgivenDtoDtheDclient
A.DrestDinDbedDafterDtakingDtheDmedicationDforDatDleastD30Dmins
B.DAvoidDrapidDmovementsDafterDtakingDtheDmedication
C.DTakeDmedicationDwithDwaterDonly
,D.DAllowDatDleastD1DhourDbetweenDtakingDtheDmedicineDandDtakingDotherDmedicationsD-
DANSWERDC.DTakeDmedicationDwithDwaterDonly
why?
FosmaxDshouldDbeDtakenDwithDwaterDonly.DTheDclientDshouldDalsoDremainDuprightDforDatDleastD30DminsDafte
rDtakingDtheDmedication.
TheDnurseDisDmakingDinitialDroundsDonDaDclientDwithDaDC5DfractureDandDcrutchfieldDthongs.DWhichDequipm
entDshouldDbeDkeptDatDtheDbedside?
A.DADpairDofDforceps
B.DADtorqueDwrench
C.DADpairDorDwireDcutters
D.DADscrewdriverD-DANSWERDB.DADtorqueDwrench
why?
ADtourqueDwrenchDisDkeptDatDtheDbedsideDtoDtightenDandDloosenDtheDscrewsDofDcrutchfieldDtongs.DThisDwr
enchDcontrolsDtheDamountDofDpressureDthatDisDplacedDonDtheDscrews.
AnDinfantDweighsD7DpoundsDatDbirth.DTheDexcpectdDweightDbyD1DyearDshouldDbe:
A.D10Dpounds
B.12Dpounds
C.D18Dpounds
D.D21DpoundsD-DANSWERDD.D21Dpounds
why?
, ADbirthDweightDofD7DpoundsDwouldDindicateD21DpoundsDinD1DyearDorDtripleDtheDhisDbirthDweight.
ADclientDisDadmittedDwithDaDEwing'sDsacroma.DwhichDsymptomsDwouldDbeDexpectedDdueDtoDthisDtumor'sDlo
cation?
A.DHemiplegia
B.DAphasia
C.DNausea
D.DBoneDPainD-DANSWERDD.DBoneDPain
why?
SacromaDisDaDtypeDofDboneDcancer,Dtherefor,DboneDpainDwouldDbeDexpected
TheDnurseDisDcaringDforDaDclientDwithDepilepsyDwhoDisDbeingDtreatedDwithDcarbamazepineD(Tegretol).DWhic
hDlabatoryDvalueDmightDbeDaDindicateDaDseriousDsideDeffectDofDthisDdrug?
A.DUricDacidDofD5mg/dL
B.DHematoccritDofD33%
C.DWBCD2,000DperDcubicDmillimeter
D.DPlateletsD150,000DperDcubicDmillimeterD-DANSWERDC.DWBCD2,000DperDcubicDmillimeter
why?
TegratolDcanDsuppressDtheDboneDmarrowDandDdecreaseDtheDwhiteDbloodDcellsDcount;Dthus,DaDlabDvalueDofD
WBCD2,000DperDcubicDmillimeterDindicatesDsideDeffectsDofDtheDdrug.
AD6-month-
oldDclientDisDadmittedDwithDpossibleDintussuception.DWhichDquestionDduringDtheDnursingDhistoryDisDleastDh
elpfulDinDobtainingDinformationDregardingDthisDdiagnosis?