ACTUAL QUESTIONS AND SOLVED VERIFIED
ANSWERS GRADED A+
◉caring for a pt receiving chemotherapy . Answer: report and provide
relief for adverse or toxic effects
encourage adequate nutrition and fluid intake
instruct family on proper use of vascular access devices
◉client teaching to prevent melanoma . Answer: avoid sun exposure
between 1000-1500
apply sun screen near reflective surfaces atleast 30 minutes prior and
reapply every 2 hours
wear protective clothing
avoid indoor tanning
teach ABCDE of melanoma
◉ABCDEs of melanoma . Answer: asymmetry, border, color, diameter,
evolution
◉Stage 1 Alzheimer's . Answer: memory lapses
,losing or misplacing items
difficulty concentrating and organizing
unable to remember material just read
short-term memory loss noticable to close relations
◉Stage 2 Alzheimer's . Answer: forgetting events of one's own history
difficulty preforming task that require planning and organizing
personality and behavioral changes
◉Stage 3 Alzheimer's . Answer: losing ability to converse with others
assistance with ADL
incontinence
progressing difficulty with physical abilities
◉Normal aPTT time . Answer: 30-40 seconds
◉Normal PTT range . Answer: 60-70 seconds
◉Confusion Assessment Method (CAM) . Answer: Tests for delirium
◉neelon/champagne confusion scale ( NEECHAM) . Answer: for
delirium
, ◉Functional Dementia Scale . Answer: give the nurse information
regarding the clients ability to perform self-care, extent of clients
memory loss, mood changes, degree of danger to self and/or others
◉Brief Interview for Mental Status (BIMS) . Answer: used for clients in
long term health care settings
◉Mini-Mental State Examination (MMSE) . Answer: A test that is used
to measure cognitive ability, especially in late adulthood.
◉functional assessment screening tool . Answer: screens the safety of
independent living, the need for home health services, and quality of life
◉Global Deterioration Scale (GDS) . Answer: -used for clients that have
primary of dementia
Stages 1-4: able to live in community without assist
Stage 5: unable to survive w/o mod assist
Stage 6: completely dependent on others
Stage 7: unresponsive to all but simple communication
◉Blessed Dementia Scale . Answer: This tool provides the nurse with
client behavioral information based on an interview with
a secondary source, such as a client's family member