RPN Integrated Actual Exam 195 Questions and Answers. Graded A+

RPN Integrated Actual Exam 195 Questions and Answers. Graded A+ Case 1 Mr. Robertson, 30 years old, was diagnosed 5years ago with rapidlyprogressing multiple sclerosis. He has been married for 8ye ars and has two children, aged 7 and 5. He hasrecently been admitted to a long term care facility because his wife can no longer care for him at him. Questions 1 to 3 refer to this case 1. What behaviour would indicate to the PN that the disease hasprogressed beyond its early stages? a. Choking on solid foods – weakness of muscles is one of the late signs of MS b. Ataxic gait c. Report of tingling in extremities d. Having periodic tremors in extremities 2. Mr. Robertson’s two sons visit frequently. Which one of thefollowing responses should the PN give when the 7-year old son asks what is wrong with dad? a. “Your dad has a diseasecalled multiple sclerosis which is a disease of the nervous system” b. “Your dad has problems withthe way messages are sent from his brain to different parts of the body” c. “ That is a very goodquestion. You should ask your dad” d. “Can you tell me what yourmom or dad has told you about the illness?” – first is assessment of the amount of knowledge the person hasabout the required info 3. Which response by the PN would be the most encouraging when Mr.Robertson indicates his desire to be more involved in his care a. “Would you like to wash and shave yourself daily?”- this response is concrete and attainable b. “We can help you with the goals that you set for yourself” c. “You can decide how long you would like to stay up in thewheelchair” d. “I am glad you want to participate in your care” Independent Questions 4. Mr. DB, 66 years old, has anemia and congestive heart failure.He is receiving three units of packed cells over 8 hours. Which of the following assessment wouldindicate that a complication related to the rate of transfusion for Mr. DB has occurred? a. Visible pulsations of theaorta in the lower abdomen – this is not related to blood transfusion b. Urticaria on lower legs andacross anterior chest – this is a sign of transfusion reaction (the issue is rate of transfusion) c. Generalized fatigue andnausea verbalized – these are not related to rate of transfusion d. Crackles noted onauscultation of lungs – thiscould be rate related 5. Mary, 12 months old, hasbeen admitted to a pediatric unit with an acute asthma attack. Upon assessment, the PN notes bruises in various stages of healing.What should the PN do next? a. Inform thenurse-in-charge – when suspecting child abuse, the PN is obliged to report the findings; the physician is eventuallyinformed to confirm the diagnosis b. Notify child protection services c. Discuss in shift report d. Talk with a co-worker 6. Mrs. C, 91 years old, suffered a stroke many years ago andrequires a geriatric chair when out of bed. How should the PN position Mrs. C in this chair? a. In lateral position, supported with a pillow against her back b. In semi-Fowler’s position with her affected side supported bypillows –this prevents frozen shoulder and or subluxation of the shoulder