Up first is.... - correct answer ✔Sensory! :)
A nurse is caring for a patient with a stroke that has altered her ability to see.
The nurse knows which area of the brain was likely impacted by the stroke
that is responsible for visual function?
a. Parietal lobes
b. Frontal lobes
c. Occipital lobes
d. Temporal lobes - correct answer ✔C
The patient who was in a motor vehicle accident tells the nurse "I just can't
decide the direction my life should go since I was in the crash." The nurse
recognizes this is likely because of the injury to what area of brain?
a. Parietal lobes
b. Frontal lobes
c. Occipital lobes
d. Temporal lobes - correct answer ✔B
The nurse is educating the family of a patient in the intensive care unit about
the patient's cognitive status, including the current problem of delirium. Which
statement by the family indicates a need for further education?
a. "The delirium can be caused by sensory overload."
b. "The delirium is reversible."
c. "The delirium is a mood disorder."
d. "The delirium is a state of confusion." - correct answer ✔C
,The nurse is caring for a patient with depression. Which statement by the
patient indicates a need for further education?
a. "Depression is usually reversible."
b. "Depression is always treated with medication."
c. "Depression is a mood disorder."
d. "Depression can have a rapid onset." - correct answer ✔B
The nurse is caring for a patient who is complaining of tingling in the hands
and fingers. The nurse knows this is a sign of what electrolyte imbalance?
a. Hyponatremia
b. Hypernatremia
c. Hypocalcemia
d. Hypercalcemia - correct answer ✔C
The nurse is providing discharge instructions to an older adult who is being
discharged with orthostatic hypotension. Which response by the patient
indicates a need for further education?
a. "I should take my blood pressure once a day at home."
b. "I should get up quickly to avoid my blood pressure dropping."
c. "I should drink plenty of water during the day."
d. "I should get up slowly and carefully." - correct answer ✔B
The nurse is assessing the patient's ability to hear and knows which is the
correct procedure for the doing this?
a. The nurse whispers to the patient while standing on each side of the
patient.
b. The nurse speaks in a normal voice while standing on each side of the
patient.
,c. The nurse speaks in a normal voice while standing directly in front of the
patient.
d. The nurse speaks in a normal voice while standing slightly behind the
patient. - correct answer ✔D
The nurse notices her 50-year-old patient is holding the lunch menu at arm's
length while trying to read the choices. The nurse knows this is an indication
of which condition?
a. Retinopathy
b. Presbyopia
c. Cataracts
d. Macular degeneration - correct answer ✔B
The nurse is providing discharge education to the patient with peripheral
neuropathy. Which statement by the patient indicates a need for further
education?
a. "I can go barefoot outside only in the summer."
b. "I should wear good fitting shoes."
c. "I cannot soak my feet in a hot tub."
d. "I should not use an ice pack on my feet." - correct answer ✔A
The nurse identifies which goal to be most appropriate for the nursing
diagnosis of acute confusion?
a. The patient will use the call light before getting out of bed within 48 hours.
b. The patient will use a calendar to remember the date within 48 hours.
c. The patient will respond appropriately to questions about place within 48
hours.
d. The patient will remain within the unit while in long-term care. - correct
answer ✔C
, The nurse recognizes which goal to be appropriate for the patient with a
nursing diagnosis of social isolation?
a. The patient will participate in cognitive exercises.
b. The patient will interact with other residents during activities.
c. The patient will communicate basic needs through use of photos.
d. The patient will remain within the unit while in long-term care. - correct
answer ✔B
The nurse is educating the family to care for a patient at home with cognitive
alterations. Which statement by the family indicates a need for further
education?
a. "I should keep the home free of scissors."
b. "I should minimize the number of visitors."
c. "I should use push-button door locks."
d. "24-hour supervision may become necessary." - correct answer ✔C
The nurse is delegating care to an unlicensed assistive personnel (UAP) to a
patient who has sensory overload. Which statement by the UAP indicates a
need for further orientation?
a. "I should keep the noise levels low."
b. "I should schedule all the care together."
c. "I should keep the room well lit."
d. "I should allow the family to visit." - correct answer ✔C
The nurse is providing discharge instructions to a patient with visual
alterations. Which statement by the patient indicates a need for further
education?
a. "I should make sure the passageways are wide."