UPDATE ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS |PRE-EVALUATED A+
A nurse in an emergency department completes an assessment on an adolescent
patient that has conduct disorder. The patient threatened suicide to teacher at
school.
Which of the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule ---SOLUTION>>>c) Tell me how often do you
drink alcohol
A nurse is observing bonding to the patient her newborn. Which of following actions
by the patient requires the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative ---SOLUTION>>>d)
Viewing the newborn's actions to be uncooperative
,A nurse is caring for patient who is taking levothyroxin. Which of the following
findings should indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation ---SOLUTION>>>a) Weight loss
A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days ---SOLUTION>>>c) Keep the cord dry until it
falls off
A nurse is assessing a patient in the PACU. Which of the following findings indicates
decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils ---SOLUTION>>>b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of
the following patient should the nurse identify as the priority?
a) A patient that has massive head trauma
b) A patient has full thickness burns to face and trunk
,c) A patient with indications of hypovolemic shock
d) A patient with open fracture of the lower extremity ---SOLUTION>>>c) A patient with
indications of hypovolemic shock
A nurse is a receiving report on four patients. Which of the following patients should
the nurse assess first?
a) A patient who has illeal conduit and mucus in the pouch
b) Patient pleasant arteriovenous additional vibration palpated
c) A patient whose chronic kidney disease with cloudy diasylate outflow
d) A patient was transurethral resection of the prostate with a red tinged urine in the
bag ---SOLUTION>>>c) A patient whose chronic kidney disease with cloudy
diasylate outflow
A nurse is caring for a patient just received the first dose of lisinopril. The following
is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the patients oxygen saturation level
c) Provide standby assist with the patient from bed
d) Encourage foods high in potassium ---SOLUTION>>>c) Provide standby assist
with the patient from bed
A nurse is caring for a patient who is in labor and his seat is receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression ---SOLUTION>>>d) Head Compression
, A nurse is caring for a patient who has chronic kidney disease. The nurse should
identify which of the following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL ---SOLUTION>>>a) glomerular filtration rate of 14 mL/
minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry.
The following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger ---SOLUTION>>>c) Heat the skin one minute
prior to placing the program
A nurse in a mental health facility receives a change of shift report on for patients.
Which of the following patients should the nurse plan to assess first?
a) Patient placed in restraints to the aggressive behavior
b) A new limited patient pleasures history of 4.5 kg weight loss in the past two months
c) Patient is receiving a PRN dose of health heard all two hours ago for increased
anxiety
d) Applied he'll be receiving his first ECT treatment today ---SOLUTION>>>a) Patient
placed in restraints to the aggressive behavior