NURS 495 MULTIPLE CHOICE REVIEW
QUESTIONS AND ANSWERS CORRECT
AND VERIFIED.
Which assessment data should be collected first from the patient admitted to the
emergency room with a lacerated artery?
a
Information about the next of kin
b
History of current medications
c
History of tobacco use
d
Events that resulted in the patient's condition
b
The nurse assesses the patient with advanced cirrhosis of the liver for signs of
hepatic encephalopathy. Which finding should the nurse consider an indication
of progressive hepatic encephalopathy?
a
An increase in abdominal girth.
b
Hypertension and a bounding pulse.
c
Decreased bowel sounds.
d
Difficulty in handwriting
d
A patient is admitted to the emergency department with severe abdominal pain.
A radiograph reveals a large abdominal aortic aneurysm. What is the nurse's
,primary goal at this time?
a
Maintain circulation
b
Manage pain
c
Prepare the patient for emergency surgery
Your answer
d
Teach postoperative breathing exercises
c
TPN is prescribed for a patient with Crohn's disease. What indicates to the nurse
that the TPN has been effective?
a
Has met nutritional needs
b
Is not in metabolic acidosis
c
Is hydrated
d
has a weight decrease
a
A nurse is providing information to a group of clients at a local community
center about tuberculosis. Which clinical manifestations should be included in
the teaching? (Select all that apply)
a
Persistent cough
b
Weight gain
c
Fatigue
d
,Night sweats
e
Purulent sputum
a, c, d, and e
Which actions should the nurse take for the patient arriving to the clinic with a
newly acquired sprain of the lower extremity? Select all that apply.
a
Rest
b
Heat application
c
Compression
d
Elevation
a, c, and d
Three days after successful resuscitation after a myocardial infarction (MI), the
patient states to the nurse, "I'm all washed up. I don't think I'll ever be the same
person again." Which is the most appropriate response by the nurse?
a
"Most patients who have been as ill as you feel that way."
b
"How do you feel you have changed from before your illness?"
c
"Getting depressed won't help you get better."
d
"Maybe not, but tell me more how you feel."
b
A patient is brought to the emergency department with chest pain, diaphoresis,
elevated pulse, respiration and blood pressure, dry mouth and nausea. The
patient refuses to lie down, paces and says, "I am going to die." After testing,
the client is diagnosed with an anxiety reaction. The nurse planning care for this
patient should give priority to which nursing action?
, a
Offer support and reassurance until his anxiety level is reduced.
b
Educate the patient and family members on means to prevent anxiety attacks in
the future.
c
Encourage the patient to verbalize the concerns that set off the attack.
d
Teach the patient and family members to use relaxation to ward off future
attacks.
a
A patient has been admitted to the psychiatric unit with a diagnosis of
obsessive compulsive disorder. The patient's hands are cracked and peeling due
to frequently washing hands. Which is a realistic short term goal for this
patient?
a
The patient will describe how anxiety precipitates obsessive handwashing.
b
The patient will limit handwashing to before meals and after toileting.
c
The patient will recognize that handwashing is excessive and irrational
d
The patient will use appropriate lotions to protect skin from further trauma.
d
A patient with a known history of panic disorder comes to the emergency
department and states to the nurse, "Please help me. I think I'm having a heart
attack." What is the priority nursing action?
a
Check the client's vital signs.
b
Encourage the patient to use relaxation techniques.
c
QUESTIONS AND ANSWERS CORRECT
AND VERIFIED.
Which assessment data should be collected first from the patient admitted to the
emergency room with a lacerated artery?
a
Information about the next of kin
b
History of current medications
c
History of tobacco use
d
Events that resulted in the patient's condition
b
The nurse assesses the patient with advanced cirrhosis of the liver for signs of
hepatic encephalopathy. Which finding should the nurse consider an indication
of progressive hepatic encephalopathy?
a
An increase in abdominal girth.
b
Hypertension and a bounding pulse.
c
Decreased bowel sounds.
d
Difficulty in handwriting
d
A patient is admitted to the emergency department with severe abdominal pain.
A radiograph reveals a large abdominal aortic aneurysm. What is the nurse's
,primary goal at this time?
a
Maintain circulation
b
Manage pain
c
Prepare the patient for emergency surgery
Your answer
d
Teach postoperative breathing exercises
c
TPN is prescribed for a patient with Crohn's disease. What indicates to the nurse
that the TPN has been effective?
a
Has met nutritional needs
b
Is not in metabolic acidosis
c
Is hydrated
d
has a weight decrease
a
A nurse is providing information to a group of clients at a local community
center about tuberculosis. Which clinical manifestations should be included in
the teaching? (Select all that apply)
a
Persistent cough
b
Weight gain
c
Fatigue
d
,Night sweats
e
Purulent sputum
a, c, d, and e
Which actions should the nurse take for the patient arriving to the clinic with a
newly acquired sprain of the lower extremity? Select all that apply.
a
Rest
b
Heat application
c
Compression
d
Elevation
a, c, and d
Three days after successful resuscitation after a myocardial infarction (MI), the
patient states to the nurse, "I'm all washed up. I don't think I'll ever be the same
person again." Which is the most appropriate response by the nurse?
a
"Most patients who have been as ill as you feel that way."
b
"How do you feel you have changed from before your illness?"
c
"Getting depressed won't help you get better."
d
"Maybe not, but tell me more how you feel."
b
A patient is brought to the emergency department with chest pain, diaphoresis,
elevated pulse, respiration and blood pressure, dry mouth and nausea. The
patient refuses to lie down, paces and says, "I am going to die." After testing,
the client is diagnosed with an anxiety reaction. The nurse planning care for this
patient should give priority to which nursing action?
, a
Offer support and reassurance until his anxiety level is reduced.
b
Educate the patient and family members on means to prevent anxiety attacks in
the future.
c
Encourage the patient to verbalize the concerns that set off the attack.
d
Teach the patient and family members to use relaxation to ward off future
attacks.
a
A patient has been admitted to the psychiatric unit with a diagnosis of
obsessive compulsive disorder. The patient's hands are cracked and peeling due
to frequently washing hands. Which is a realistic short term goal for this
patient?
a
The patient will describe how anxiety precipitates obsessive handwashing.
b
The patient will limit handwashing to before meals and after toileting.
c
The patient will recognize that handwashing is excessive and irrational
d
The patient will use appropriate lotions to protect skin from further trauma.
d
A patient with a known history of panic disorder comes to the emergency
department and states to the nurse, "Please help me. I think I'm having a heart
attack." What is the priority nursing action?
a
Check the client's vital signs.
b
Encourage the patient to use relaxation techniques.
c
