UPDATED ACTUAL Exam
Questions and CORRECT Answers
Arcus Senilus - CORRECT ANSWER - Page 371; is a milky white gray ring encircling
periphery of the cornea; cholesterol deposits in peripheral cornea
Nursing priority care for tuberculosis - CORRECT ANSWER - placed on airborne
isolation, receive a medical work up including a chest x-ray, sputum smear & culture;
appropriate drug therapy;teach how to minimize exposure to close contacts in household; home
should be well ventilated; should sleep alone & spend as much time as possible outdoor
Positioning a patient for thoracentesis or thoracotomy - CORRECT ANSWER - Position
patient upright with elbows on an overbed table and feet supported. The patient sits on the
edge of a bed and leans forward over a bedside table.
Positioning unconscious patient - CORRECT ANSWER - Side-lying; maintain airway
Evaluation of treatment for infection - CORRECT ANSWER - Wound is healing; no signs
of infection e.g. Redness, warmth & swelling; no inflammation, no purulent drainage; wound is
healing and granulation is present; skin integrity is impairing
Interventions for infected wounds - CORRECT ANSWER - Observe and report signs of
infection such as redness, warmth, discharge, and increased body temperature; keep wound
clean, encourage fluids and high calorie diets; good hygiene and standard precautions; give
antibiotics as prescribed
Criteria for giving TPA for MI; - CORRECT ANSWER - Page 751; chest pain of acute MI six
hours or less in duration; 12 lead ECG findings consistent with acute MI and no absolute
contraindications
, patient contraindications for TPA - CORRECT ANSWER - Active bleeding; history of cerebral
aneurysm; intracranial neoplasm; cerebral hemorrhage; Ischemic stroke; closed head or facial
trauma; suspected aortic dissection
patient contraindications for TPA - CORRECT ANSWER - Active peptic ulcer disease; use of
anticoagulants; pregnancy; ischemic stroke, dementia; recent surgery or puncture; recent internal
bleeding; terminal cancer, severe liver or kidney disease; uncontrolled hypertension; Traumatic
or prolonged CPR
Risks for tinnitus - CORRECT - Medications such as aspirin, and lasix given
ANSWER too fast I V; Ménière's disease
Risks for AML - CORRECT - Children ages 0-7; increased risk in advancing
ANSWER age over 55
Priority intervention for AML - CORRECT ANSWER - Infection control
Assessment of anemia - CORRECT ANSWER - Pallor, jaundice, pruritus, retinal
hemorrhage, blurred vision, glossitis, smooth tongue, tachycardia, systolic murmurs,
claudication, angina, heart failure, MI, tachypnea, Orthopena, headache, vertigo, depression,
anorexia, dysphagia
Administration of eardrops - CORRECT ANSWER - Place bottle of drops in bowl of warm
water for five minutes; tilt head in the opposite direction of the affected ear and place in drops,
do not touch the ear with the dropper; have patient keep the head tilted to the side for 2 to 3
minutes; do not place a cotton ball in the year
Evaluation for post op pneumonia - CORRECT ANSWER - cough, fever, shaking chills, dyspnea,
tachypnea, and pleuritic chest pain;, Sputum may appear green, yellow, or rust colored; diaphoresis,
anorexia, fatigue, myalgias, headache, & abdominal pain; rhonchi & crackles
prevention of post op pneumonia - CORRECT ANSWER - Encouragement to breathe deeply
at frequent intervals; early mobilization, the use of incentive spirometer and twice daily