WELL DETAILED ANSWERS LASTEST
EXAM
Which patient to the nurse assess first?
a) patent who is sneezing after subs immunotherapy
b) patient with multiple chemical sensitivities with muscle stiffness
c) patient who has graft-versus-host disease and severe diarrhea
d) patient with urticaria after receiving an IV antibiotic - ANS✔✔-a
what task can the RN not delegate to the technical partner?
a) checking a manual BP
b) providing discharge instruction
c) getting set of vital signs
d) drawing a peripheral CBC - ANS✔✔-b
the nurse taking a health history learns that the patient, who has
worked in rubber tire manufacturing, has allergic rhinitis and multiple
food allergies. Which action by the nurse is correct?
,a) document the patient's history and teach about clinical
manifestations of a type I latex allergy
b) tell the patient to use oil based Hand creams to decrease contact
with natural proteins in latex gloves
c) encourage the patient to carry an epinephrine kit in case a type IV
allergic reaction to latex develops
d) Recommend that the patient use latex gloves in preventing blood-
borne pathogen contact - ANS✔✔-a
a young adult patient receiving antibiotics for an infected leg wound
has a temperature of 101.8 degrees F. The patient denies any
discomfort. Which action by the nurse is appropriate?
a) apply a cooling blanket
b) check the patients temperature again in 4 hours
c) give acetaminophen prescribed as-needed for pain
d) notify the health care provider - ANS✔✔-b
which of the following cardiac meds is an ACE inhibitor?
a) lopressor
b)simvistatin
c)diltiazem
d) lisinopril - ANS✔✔-d
Which statement by a patient would alert the nurse to a risk for
decreased immune function?
a) "I had a chest x-ray 6 months ago."
b) "I had my spleen removed after a car accident."
c) "I take one baby aspirin every day to prevent stroke."
d) "I usually eat eggs or meat for at least two meals a day." - ANS✔✔-b
the cardiac classification of metoprolol (loppressor) is
a) calcium channel blocker
b) ACE inhibitor
c) beta antagonist
, d) beta blocker - ANS✔✔-d
before giving Digoxin, the priority nursing action would be to check
a) the patients SBP is above 90
b) the patients SBP is above 100
c) the patients HR is above 60
d) the patient is voiding appropriately - ANS✔✔-c
the nurse is caring for a patient with diabetes who had abdominal
surgery 3 days ago. which finding is most important for the nurse to
report to the health care provider?
a) Blood glucose 136 mg/dL
b) Oral temperature 101° F (38.3° C)
c) Patient complaint of increased incisional pain
d) Separation of the proximal wound edges by 1 cm - ANS✔✔-D
what task can the RN not delegate to the technical partner?
a) checking a manual BP
b) providing discharge instruction
c) getting set of vital signs
d) drawing a peripheral CBC - ANS✔✔-b
what instructions about plasmapheresis should the nurse include in
the teaching plan for a patient diagnosed with systemic lupus
erythematous (SLE)?
a) plasmapheresis removes eosinophils and basophils from the blood
b) plasmapheresis counteracts recovery of IgG production
c) plasmapheresis prevents inflammatory mediators from injuring
tissues
d) plasmapheresis decreases the damage to organs from T
lymphocytes - ANS✔✔-c