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Quiz____?
a nurse is conducting an admission assessment on a confused patient brought in by his
son. which of the following would be included in primary sources for information?
choose all that apply
a) physical assessment
b) health history per the patient's son
c) clinical notes in the computer system from a past admission
d) patient's report of physical symptoms -
Answer✓✓
a, d
Quiz____?
a nurse receives a patient at handoff who is experiencing acute changes in
neurological status. Which nursing action should be done first?
a) call the physician
b) perform an in-depth neurologic assessment
c) administer an antihypertensive medication stat
d) move the patient back to bed -
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, Answer✓✓
b
Quiz____?
a nurse is revising a plan of care for a patient with dysphagia (difficulty swallowing)
related to an esophageal mass. The patient's goal was to eat more than 50% of a
blenderized diet, but he is reporting 8/10 pain and shortness of breath when eating.
which phase of the nursing process is impacted when the nurse develops an
intermediate goal of pain less than 4/10 while eating?
a) assessment
b) outcome/planning
c) implementation
d) evaluation -
Answer✓✓
d
Quiz____?
a patient is scheduled to receive metoprolol for blood pressure control at 09:00. The
order reads: "for SBP > 90, 25 mg PO daily." Prior to administration, the nurse
rechecks the blood pressure and finds it to be 90/50 with a heart rate of 68. This is an
example of using what type of nursing skill?
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,a) the nursing process
b) critical thinking
c) the nurse practice act
d) medical simulation -
Answer✓✓
b
Quiz____?
a new nurse is caring for four patients for the first time. One patient is admitted with
respiratory distress, reports no shortness of breath, SpO2 is 95% on 2LNC, RR is 18.
The other patient is admitted for a laparoscopic prostatectomy, complains of 6/10
pain, and has new onset of hematuria in the Foley catheter. The third is an IV drug
user with abscess and pain 3/10 and wants to go outside to smoke. The final patient is
an elderly confused patient admitted with a UTI and is determined to be a fall risk.
Which patient should be the nurse's priority?
a) patient 1
b) patient 2
c) patient 3
d) patient 4 -
Answer✓✓
b
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, Quiz____?
a nurse is conducting a focus assessment of a hospitalized patient who is a fall risk.
which of the following would be most appropriate?
a) "do you have many stairs that you need to navigate at home"
b) "are you more unsteady on your feet when you are out of bed today"
c) "are you feeling any pain in your abdomen"
d) "what is your usual or baseline diet at home" -
Answer✓✓
b
Quiz____?
a nurse is admitting a patient with congestive heart failure. which of the following
describe appropriate aspects of assessment?
a) define patient goals for increasing ability for self-care
b) evaluate current therapeutic regimen at home
c) identify activities that exacerbate symptoms
d) apply oxygen therapy via nasal cannula -
Answer✓✓
c
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