questions with complete answers latest
update 2024 - 2025
allergic reaction, itching - ✔✔-A nurse is assisting with the care of a
patient who is receiving a unit of packed RBCs
The patient has manifestations of ____ as evidenced by the patient's
_____-
- patient is cachectic with flaccid muscle tone
- skin is dry and scaly with bruises on extremities
-pulse rate 118/min
- abdomen is distended
- BMI 17 - ✔✔-A nurse in an emergency department (ED) is assisting with
the care of a patient.
What findings indicate the patient might be malnourished?
1. measure the patient's intake and output
2. Document the patient's vital signs
3. Transfer the patient from a wheelchair to the bed - ✔✔-A nurse is
assisting in the care of a patient who has pancreatitis.
, Select 3 tasks the nurse should delegate to an assistive personnel (AP)
The patient's output was 60 mL for the past 3 hours
*this represents oliguria and can indicate a decrease in kidney perfusion or
function - ✔✔-A nurse is caring for a patient who has chronic kidney
disease. The nurse should identify that which of the following findings is the
priority to report to the provider?
check the gastric pH of the gastric aspirate - ✔✔-A nurse is preparing to
administer an enteral feeding to a patient who has an NG tube in place.
Which of the following methods should the nurse use to verify correct
placement of the NG tube?
internally rotate the patient's hips by using a trochanter roll - ✔✔-A nurse
is repositioning a patient who has quadriplegia and is in the supine position.
Which of the following actions should the nurse take to prevent patient
musculoskeletal injury?
dorsalis pedis - ✔✔-A nurse is preparing to palpate a patient's pulse. The
nurse should recognize that which of the following pulses is located on the
top of the patient's foot?
notify the charge nurse of the patient's concerns - ✔✔-A patient who is
scheduled to undergo surgery tells the nurse that they do not understand
the procedure and are reconsidering their decision to have it. Which of the
following actions should the nurse take?
"this can help prevent pneumonia" - ✔✔-A nurse is reinforcing preoperative
teaching with a patient about how to turn, cough, and deep breathe. Which