NU-404 Exam #1 questions With Complete Solutions
1."I ran out of my blood pressure medicine, and my doctor is on
vacation. Can someone here write me a prescription?" requests a
56-year-old male with a history of HTN. Vital signs: BP 128/84,
HR 76, RR 16, T 97°F. Correct Answers level 5
1."I slipped on the ice, and I hurt my wrist," reports a 58-year-
old female with a history of migraines. There is no obvious
deformity. Vital signs are within normal limits, and she rates her
pain as 5/10. Correct Answers level 4
needs an xray, uses one resource
1."I was taking my contacts out last night, and I think I
scratched my cornea," reports a 27-year-old female. "I'm
wearing these sunglasses because the light really bothers my
eyes." Her right eye is red and tearing. She rates her pain as
6/10. Vital signs are within normal limits. Correct Answers
level 5
1.A 32-year-old female presents to the emergency department
complaining of shortness of breath for several hours. No past
medical history, +smoker. Vital signs: RR 32, HR 96, BP
126/80, SpO2 93% on room air, T 98.6°F. No allergies, current
medications include vitamins and birth control pills. Correct
Answers level 2
potential PE because smoker and takes birth control pills
1.EMS arrived with an unresponsive 19-year-old male with a
single self-inflicted gunshot wound to the head. Prior to
,intubation, his Glasgow Coma Scale score was 3. Correct
Answers level 1
1.EMS presents to the ED with an 18-year-old female with a
suspected medication overdose. Her college roommates found
her lethargic and "not acting right," so they called 911. The
patient has a history of depression. On exam, you notice
multiple superficial lacerations to both wrists. Her respiratory
rate is 10, and her SpO2 on room air is 86 percent. Correct
Answers level 1
A client has an advance health care directive on file at a hospital
that identifies a friend as the legal healthcare agent. A nurse is to
witness the informed consent for the client to have an
exploratory laparotomy. Because of sedation, the client is unable
to sign the form or give verbal consent. Who should provide
consent for this client?
a.
The client's oldest adult child.
b.
Since the client is unable to give consent, the surgery cannot be
performed.
c.
The client's spouse.
d.
The client's durable power of attorney (DPA) for health care.
Correct Answers d
,A client informs a nurse that a physician is recommending a
kidney biopsy. The client fears the result will be cancer and
would not want treatment. The client feels it would be better just
"not to know." Which action should be taken by the nurse to
determine if the client understands his/her client's rights?
a.
Explain to the client that the physician is doing what is best for
the client.
b.
Inform the client of his/her right to make decisions based on
personal values and beliefs.
c.
Encourage the client to talk with family and let the family
decide.
d.
Talk with the physician about the client's fear of having the
biopsy. Correct Answers b
A client presents to an emergency department following a
motorcycle crash. A nurse assesses the client and notes
uncoordinated or paradoxical chest rise and fall as well as
multiple bruises across the client's chest and torso, crepitus, and
tachypnea. Based on this assessment, the nurse should:
, a.
assist in the placement of a cervical collar.
b.
anticipate the need to intubate the client.
c.
provide chest compressions
d.
tape the chest wall. Correct Answers b
A community health nurse is providing teaching to the family of
a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
a.
Decreased auditory and visual acuity
b.
Decreased display of emotions
c.
Personality traits that are opposite of original traits
d.
Forgetfulness gradually progressing to disorientation Correct
Answers d
A normally healthy client has a 5-mm skin induration 72 hours
after receiving a tuberculin skin test. Which conclusions should
the nurse make regarding the test results?
a.
This is negative for a normally healthy person.
b.
This indicates that active tuberculosis is present and treatment is
needed.
1."I ran out of my blood pressure medicine, and my doctor is on
vacation. Can someone here write me a prescription?" requests a
56-year-old male with a history of HTN. Vital signs: BP 128/84,
HR 76, RR 16, T 97°F. Correct Answers level 5
1."I slipped on the ice, and I hurt my wrist," reports a 58-year-
old female with a history of migraines. There is no obvious
deformity. Vital signs are within normal limits, and she rates her
pain as 5/10. Correct Answers level 4
needs an xray, uses one resource
1."I was taking my contacts out last night, and I think I
scratched my cornea," reports a 27-year-old female. "I'm
wearing these sunglasses because the light really bothers my
eyes." Her right eye is red and tearing. She rates her pain as
6/10. Vital signs are within normal limits. Correct Answers
level 5
1.A 32-year-old female presents to the emergency department
complaining of shortness of breath for several hours. No past
medical history, +smoker. Vital signs: RR 32, HR 96, BP
126/80, SpO2 93% on room air, T 98.6°F. No allergies, current
medications include vitamins and birth control pills. Correct
Answers level 2
potential PE because smoker and takes birth control pills
1.EMS arrived with an unresponsive 19-year-old male with a
single self-inflicted gunshot wound to the head. Prior to
,intubation, his Glasgow Coma Scale score was 3. Correct
Answers level 1
1.EMS presents to the ED with an 18-year-old female with a
suspected medication overdose. Her college roommates found
her lethargic and "not acting right," so they called 911. The
patient has a history of depression. On exam, you notice
multiple superficial lacerations to both wrists. Her respiratory
rate is 10, and her SpO2 on room air is 86 percent. Correct
Answers level 1
A client has an advance health care directive on file at a hospital
that identifies a friend as the legal healthcare agent. A nurse is to
witness the informed consent for the client to have an
exploratory laparotomy. Because of sedation, the client is unable
to sign the form or give verbal consent. Who should provide
consent for this client?
a.
The client's oldest adult child.
b.
Since the client is unable to give consent, the surgery cannot be
performed.
c.
The client's spouse.
d.
The client's durable power of attorney (DPA) for health care.
Correct Answers d
,A client informs a nurse that a physician is recommending a
kidney biopsy. The client fears the result will be cancer and
would not want treatment. The client feels it would be better just
"not to know." Which action should be taken by the nurse to
determine if the client understands his/her client's rights?
a.
Explain to the client that the physician is doing what is best for
the client.
b.
Inform the client of his/her right to make decisions based on
personal values and beliefs.
c.
Encourage the client to talk with family and let the family
decide.
d.
Talk with the physician about the client's fear of having the
biopsy. Correct Answers b
A client presents to an emergency department following a
motorcycle crash. A nurse assesses the client and notes
uncoordinated or paradoxical chest rise and fall as well as
multiple bruises across the client's chest and torso, crepitus, and
tachypnea. Based on this assessment, the nurse should:
, a.
assist in the placement of a cervical collar.
b.
anticipate the need to intubate the client.
c.
provide chest compressions
d.
tape the chest wall. Correct Answers b
A community health nurse is providing teaching to the family of
a client who has primary dementia. Which of the following
manifestations should the nurse tell the family to expect?
a.
Decreased auditory and visual acuity
b.
Decreased display of emotions
c.
Personality traits that are opposite of original traits
d.
Forgetfulness gradually progressing to disorientation Correct
Answers d
A normally healthy client has a 5-mm skin induration 72 hours
after receiving a tuberculin skin test. Which conclusions should
the nurse make regarding the test results?
a.
This is negative for a normally healthy person.
b.
This indicates that active tuberculosis is present and treatment is
needed.
