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Examen

EAQ REVIEW FUNDAMENTALS OF NURSING QUESTIONS WITH 100% RATED ANSWERS 2025/2026 LATEST UPDATE/GET A+

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Subido en
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Escrito en
2024/2025

Which patient assessment finding would alert the nurse to substance abuse in an adult? - Reports sleep disturbance and insomnia Visits the emergency department frequently Has a habit of forgetting appointments and schedules Rationale: Patient assessment findings include reports sleep disturbance and insomnia, visits the emergency department frequently, and has a habit of forgetting appointments and schedules. Individuals who have substance-related problems tend to be socially isolated or withdrawn; therefore regularly attending friends' social gatherings does not necessarily indicate substance- related issues. Taking three medications from the same health care provider is not a sign of substance abuse; taking medication from several different health care providers or changing health care providers are suspicious for substance abuse. Which assessment technique will the nurse use when examining a patient's head and neck? - Palpation Inspection Rationale: Both inspection and palpation are used when assessing the head and neck. The nurse would not use olfaction when examining the head and neck, which is a method for recognizing the nature and source of body odors. The nurse would use percussion to locate organs or masses, not while examining the head and neck. Visual acuity is a measurement obtained by assessing the head and neck, not an assessment technique. Which pupil finding would the nurse observe in a patient intoxicated with opioids? - Pinpoint Rationale: Pinpoint pupils are a common sign of opioid intoxication. Cloudy pupils indicate cataracts, not opioid intoxication. Dilated pupils may result from glaucoma, trauma, certain eye medications, and opioid withdrawal, but not from opioid intoxication. Inflammation of the iris or certain drugs (pilocarpine, morphine, or cocaine) causes constricted pupils but not pinpoint pupils. Which color of the lips indicates carbon monoxide poisoning? - Bright Red Rationale: Bright red (cherry-colored) lips indicate carbon monoxide poisoning. Respiratory or cardiovascular conditions (not carbon monoxide poisoning) may cause cyanosis, indicated by blue-colored lips. Very pale pink to white lips can indicate pallor from anemia, not from carbon monoxide poisoning. Pink- to plum-colored lips are normal and are not caused by carbon monoxide poisoning. Which pulse is difficult to palpate in a normal patient? - Popliteal pulse Rationale: The popliteal pulse is difficult to palpate in a normal patient. The femoral pulse is measured by directing the patient to lie down and placing the fingertips of both the hands on the opposite sides of the pulse site. The brachial pulse is measured by placing the fingertips of the first three fingers in the muscle groove. The dorsalis pedis pulse is measured by placing the fingertips between the first and second toes. The emergency department nurse gives a patient a total score of 10, based on the Glasgow Coma Scale. Which statement correctly describes the responses given by the patient during the neurological assessment performed by the nurse? - The patient opens the eyes in response to speech, utters inappropriate words, and exhibits flexion withdrawal. Rationale: According to the Glasgow Coma Scale, a score of 3 is given if the eyes are opened in response to speech. A score of 3 is given if the best verbal response is uttering inappropriate words, and a score of 4 is given if the best motor response is flexion withdrawal. So this patient will have a total score of 3 + 3 + 4 = 10. Exhibiting abnormal flexion is given a score of 3; so the patient who opens the eyes in response to speech, utters inappropriate words, and exhibits abnormal flexion is given a total score of 3 + 3 + 3 = 9. Opening the eyes in response to pain is given a score of 2, and exhibiting abnormal extension is also given a score of 2; so the patient who opens the eyes in response to pain, utters inappropriate words, and exhibits abnormal extension has a total score of 2 + 3 + 2 = 7. A score of 2 is given if the patient's best verbal response is making incomprehensible sounds. So the patient who opens the eyes in response to pain, makes incomprehensible sounds, and exhibits abnormal extension has a total score of 2 + 2 + 2 = 6. Which action would the nurse take first after discovering a medication error has occurred? - Assessing and examining the patient's condition Rationale: When a medication error occurs, the nurse should first assess and examine the patient's condition and report it to the health care provider. Preparing and filing an incident report is appropriate, but not the first action. Reporting the incident to the manager and supervisor are also appropriate, but not the first interventions in this situation.

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Nursing Pharmacology
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Institución
Nursing pharmacology
Grado
Nursing pharmacology

Información del documento

Subido en
11 de julio de 2025
Número de páginas
18
Escrito en
2024/2025
Tipo
Examen
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EAQ REVIEW FUNDAMENTALS OF NURSING
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+
Which statement regarding hearing acuity in older adults is accurate? - Ototoxicity is a high risk
of hearing loss


Rationale: The accurate statement is ototoxicity is a high risk of hearing loss. Older adults are at
risk of hearing loss caused by auditory nerve injury, a condition called ototoxicity, which results
from high doses of certain antibiotics, like aminoglycosides. High-frequency sounds are not
heard best; in fact, older adults have trouble hearing high-frequency sounds. Consonant, not
vowel, sounds are harder to hear. Thickening (not thinning) of the tympanic membrane causes
older adults to gradually lose hearing acuity.


Arrange the activities in the correct order for examination of the patient's abdomen. - 1.Consent
from the patient
2.Inspection of abdomen
3.Auscultation of abdomen
4.Palpation of abdomen


Rationale: The correct sequence is as follows: (1) consent from the patient, (2) inspection of
abdomen, (3) auscultation of abdomen, and (4) palpation of abdomen. The nurse must receive
consent before performing any procedure on a patient. Inspection is then completed. During the
abdominal assessment, auscultation of the abdomen would be done before palpation because
manipulation of the abdomen alters the frequency and intensity of bowel sounds.Test-Taking
Tip: Remember that the order of examination techniques moves from least invasive to most
invasive as the examination progresses.


Which patient is at increased risk of cervical cancer? - Patient who has a history of human
papillomavirus (HPV) infection

,Rationale: Patients who have a history of HPV infection are at an increased risk of cervical
cancer. Painful perianal tissues may indicate a sexually transmitted infection or other
pathological condition. Patients who are taking tamoxifen for the treatment of breast cancer are
at an increased risk of endometrial cancer caused by the estrogen-like effects of the drug on the
uterus. Patients who have received postmenopausal estrogen therapy are at increased risk of
endometrial cancer.


Which portion of the hand is used to assess the thickness of skin? - Palmar surface


Rationale: The palmar surface of the hand is used to assess the thickness of skin. Finger pads are
used to assess the tenderness of skin, not the thickness. The dorsum of the hand is used to assess
temperature, not the thickness. Grasping with fingertips is used to measure the turgor and
elasticity of skin, not the thickness.


Which patient assessment finding would alert the nurse to substance abuse in an adult? - Reports
sleep disturbance and insomnia


Visits the emergency department frequently


Has a habit of forgetting appointments and schedules


Rationale: Patient assessment findings include reports sleep disturbance and insomnia, visits the
emergency department frequently, and has a habit of forgetting appointments and schedules.
Individuals who have substance-related problems tend to be socially isolated or withdrawn;
therefore regularly attending friends' social gatherings does not necessarily indicate substance-
related issues. Taking three medications from the same health care provider is not a sign of
substance abuse; taking medication from several different health care providers or changing
health care providers are suspicious for substance abuse.


Which assessment technique will the nurse use when examining a patient's head and neck? -
Palpation

, Inspection


Rationale: Both inspection and palpation are used when assessing the head and neck. The nurse
would not use olfaction when examining the head and neck, which is a method for recognizing
the nature and source of body odors. The nurse would use percussion to locate organs or masses,
not while examining the head and neck. Visual acuity is a measurement obtained by assessing
the head and neck, not an assessment technique.


Which pupil finding would the nurse observe in a patient intoxicated with opioids? - Pinpoint


Rationale: Pinpoint pupils are a common sign of opioid intoxication. Cloudy pupils indicate
cataracts, not opioid intoxication. Dilated pupils may result from glaucoma, trauma, certain eye
medications, and opioid withdrawal, but not from opioid intoxication. Inflammation of the iris or
certain drugs (pilocarpine, morphine, or cocaine) causes constricted pupils but not pinpoint
pupils.


Which color of the lips indicates carbon monoxide poisoning? - Bright Red


Rationale: Bright red (cherry-colored) lips indicate carbon monoxide poisoning. Respiratory or
cardiovascular conditions (not carbon monoxide poisoning) may cause cyanosis, indicated by
blue-colored lips. Very pale pink to white lips can indicate pallor from anemia, not from carbon
monoxide poisoning. Pink- to plum-colored lips are normal and are not caused by carbon
monoxide poisoning.


Which pulse is difficult to palpate in a normal patient? - Popliteal pulse


Rationale: The popliteal pulse is difficult to palpate in a normal patient. The femoral pulse is
measured by directing the patient to lie down and placing the fingertips of both the hands on the
opposite sides of the pulse site. The brachial pulse is measured by placing the fingertips of the
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