Solutions
"Nurses advancing our profession to improve health for all" is
the mission statement of which professional group? Correct
Answer American Nurses Association
A 72-year-old man presents to the emergency room. The patient
appears diaphoretic and anxious, and has noted peripheral
edema. The patient's vital signs are blood pressure of 100/40,
heart rate of 130 and irregular, and respiratory rate of 26. How
does the nurse interpret these findings? Correct Answer The
patient has impaired central perfusion
A defining characteristic of high reliability organizations
(HROs) is sensitivity to operations. Which of the following is a
manifestation of this characteristic? Correct Answer Process
anomalies and outliers are quickly identified
A patient had a hip replacement 3 days ago. The patient states
that the right leg is swollen below the knee and is warm to the
touch. The patient has the diagnosis of deep vein thrombosis.
Which intervention is appropriate for the patient? Correct
Answer Elevate the right lower leg when the patient is in the
sitting position.
A patient informs the nurse that he is having severe chest pain.
He took two nitroglycerin tablets more than 1 hour ago with no
relief. On further assessment the nurse notices that the patient is
diaphoretic and also complains of feeling dizzy. The nurse
would expect which diagnostic test or tests to be ordered:
, Correct Answer Creatine kinase-myoglobin (CK-MB) and C-
reactive protein (CRP)
A patient is admitted to the medical unit with pneumonia. When
reviewing home medications, which of the following
medications would the nurse recognize as a risk for bleeding?
Correct Answer Warfarin (Coumadin)
A patient is experiencing periods of confusion, and the family is
concerned. The patient's son asks the nurse for an explanation
and recommendation. What is the nurse's best response?
Correct Answer "Your father may be having mini-strokes; I
will notify his physician."
A patient is having the arterial blood gas (ABG) measured.
What would the nurse identify as the parameters to be evaluated
by this test? Correct Answer Status of acid-base balance in
arterial blood
A patient is questioning the nurse about circulation and
perfusion. What is the nurse's best response? Correct Answer
Perfusion assists the cell by delivering oxygen and removing
waste products.
A patient states that everything has been going great; however,
the nurse observe the patient biting his nails and fidgeting. What
type of communication does the nurse recognize from the
patient's actions and statements? Correct Answer
Paralinguistic