WITH ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALLES GRADED A+
The nurse suspects that a patient is experiencing the effects of
peripheral atherosclerosis. What did the nurse most likely assess
in this patient?
A) Rubor w/ extremity elevation
B) Normal hair distribution bilaterally over lower extremities
C) Complaints of leg pain upon rest
D) Peripheral pulses present on unaffected side Correct Answer
C) Complaints of leg pain upon rest
Manifestations of peripheral atherosclerosis include intermittent
claudication; pain at rest; paresthesias; diminished or absent
peripheral pulses; pallor with extremity elevation; rubor with
,extremities in dependent position; thin, shiny, hairless skin;
thickened toenails; and areas of skin discoloration or skin
breakdown.
The nurse is conducting a health interview w/ a female patient.
What should the nurse ask this patient that focuses on the
endocrine system?
A) "Is your menstrual cycle regular?"
B) "Do you have children?"
C) "Are you able to provide for your children?"
D) "How old were you when your menses first began?" Correct
Answer A) "Is your menstrual cycle regular?"
The patient who has a change in her menstrual cycle might be
experiencing an endocrine disorder such as increased androgen
production or decreased estrogen levels. Having children is not a
function of the endocrine system. Asking how the patient is able to
provide for her children provides psychosocial information. Asking
when menses first began might provide information about cancer
risk but not about endocrine function.
,for her children provides psychosocial information. Asking when
menses first began might provide information about cancer risk
but not about endocrine function.
A patient is diagnosed w/ a middle ear infection. The nurse
realizes which portion of the patient's airway is affected?
A) Nares
B) Oropharynx
C) Laryngopharynx
D) Nasopharynx Correct Answer D) Nasopharynx
The eustachian tubes also open into the nasopharynx, and
connect it with the middle ear. This is the opening from the nasal
passages to the back of the throat. The oropharynx is the mouth-
to-throat location. Nares are the openings that enter the nose.
The laryngopharynx is the area from the back of the throat to the
deeper part of the throat.
17. Caspofungin is an anti-fungal medication prescribed for the
HIV-positive client. The nurse is aware that one of the nursing
implications for this medication is ___________.
, A) Many drug to drug interactions
B) Monitor liver function tests
C) Monitor for lactic acidosis
D) Enhances the effect of hypoglycemics Correct Answer A) Many
drug to drug interactions
Rationale: HIV Anti-fungal have many drug-drug interactions;
Vesicant: Monitor IV site closely, pre-medicate with antipyretic
give slowly; Swish as long as possible before swallowing PO
form. per chart
18. The nurse determines that the diagnosis of "ineffective health
maintenance" is appropriate for her client w/ CAD. Nursing
intervention for this client includes the following.
A) Encourage specific goals for weight loss
B) Discuss the benefits of regular exercise
C) Promote small, frequent meals