COMPREHENSIVE REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS 2025
EnalaprilSmaleateS(Vasotec)SisSprescribedSforSaShospitalizedSclient.SWhichSassessmentSdoesStheSnurseSperfo
rmSasSaSprioritySbeforeSadministeringStheSmedication?S
A.SCheckingStheSclient'sSbloodSpressureS
B.SCheckingStheSclient'sSperipheralSpulsesS
C.SCheckingStheSmostSrecentSpotassiumSlevelS
D.SCheckingStheSclient'sSintake-and-outputSrecordSforStheSlastS24ShoursS-SCORRECTSANSWERS-
A.SCheckingStheSclient'sSbloodSpressureS
Rationale:SEnalaprilSmaleateSisSanSangiotensin-
convertingSenzymeS(ACE)SinhibitorSusedStoStreatShypertension.SOneScommonSsideSeffectSisSposturalShypote
nsion.SThereforeStheSnurseSwouldScheckStheSclient'sSbloodSpressureSimmediatelySbeforeSadministeringSeac
hSdose.SCheckingStheSclient'sSperipheralSpulses,StheSresultsSofStheSmostSrecentSpotassiumSlevel,SandStheSint
akeSandSoutputSforStheSpreviousS24ShoursSareSnotSspecificallySassociatedSwithSthisSmediation.
ASclientSisSscheduledStoSundergoSanSupperSgastrointestinalS(GI)Sseries,SandStheSlicensedSpracticalSnurseSrein
forcesSinstructionsStoStheSclientSaboutStheStest.SWhichSstatementSbyStheSclientSindicatesSaSneedSforSfurtherS
instruction?S
A.S"TheStestSwillStakeSaboutS30Sminutes."S
B.S"ISneedStoSfastSforS8ShoursSbeforeStheStest."S
C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S
D.S"ISneedStoStakeSaSlaxativeSafterStheStestSisScompleted,SbecauseStheSliquidSthatSI'llShaveStoSdrinkSforStheStes
tScanSbeSconstipating."S-SCORRECTSANSWERS-
C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S
Rationale:SAnSupperSGISseriesSinvolvesSvisualizationSofStheSesophagus,Sduodenum,SandSupperSjejunumSbyS
meansSofStheSuseSofSaScontrastSmedium.SItSinvolvesSswallowingSaScontrastSmediumS(usuallySbarium),Swhich
SisSadministeredSinSaSflavoredSmilkshake.SFilmsSareStakenSatSintervalsSduringStheStest,SwhichStakesSaboutS30S
minutes.SNoSspecialSpreparationSisSnecessarySbeforeSaSGISseries,SexceptSthatSNPOSstatusSmustSbeSmaintain
edSforS8ShoursSbeforeStheStest.SAfterSanSupperSGISseries,StheSclientSisSprescribedSaSlaxativeStoShastenSelimin
ationSofStheSbarium.SBariumSthatSremainsSinStheScolonSmaySbecomeShardSandSdifficultStoSexpel,SleadingStoSf
ecalSimpaction.
,ASnurseSonStheSeveningSshiftSchecksSaSphysician'sSprescriptionsSandSnotesSthatStheSdoseSofSaSprescribedSme
dicationSisShigherSthanStheSnormalSdose.STheSnurseScallsStheSphysician'sSansweringSserviceSandSisStoldSthatS
theSphysicianSisSoffSforStheSnightSandSwillSbeSavailableSinStheSmorning.STheSnurseSshould:S
A.SCallStheSnursingSsupervisorS
B.SAskStheSansweringSserviceStoScontactStheSon-callSphysicianS
C.SWithholdStheSmedicationSuntilStheSphysicianScanSbeSreachedSinStheSmorningS
D.SAdministerStheSmedicationSbutSconsultStheSphysicianSwhenSheSbecomesSavailableS-SCORRECTSANSWERS-
B.SAskStheSansweringSserviceStoScontactStheSon-callSphysician
Rationale:STheSnurseShasSaSdutyStoSprotectStheSclientSfromSharm.SASnurseSwhoSbelievesSthatSaSphysician'sSp
rescriptionSmaySbeSinSerrorSisSresponsibleSforSclarifyingStheSprescriptionSbeforeScarryingSitSout.SThereforeSt
heSnurseSwouldSnotSadministerStheSmedication;Sinstead,StheSnurseSwouldSwithholdStheSmedicationSuntilSth
eSdoseScanSbeSclarified.STheSnurseSwouldSnotSwaitSuntilStheSnextSmorningStoSobtainSclarification.SItSisSprema
tureStoScallStheSnursingSsupervisor.
AnSemergencySdepartmentS(ED)SnurseSisSmonitoringSaSclientSwithSsuspectedSacuteSmyocardialSinfarctionS(
MI)SwhoSisSawaitingStransferStoStheScoronarySintensiveScareSunit.STheSnurseSnotesStheSsuddenSonsetSofSpre
matureSventricularScontractionsS(PVCs)SonStheSmonitor,SchecksStheSclient'sScarotidSpulse,SandSdeterminesSt
hatStheSPVCsSareSnotSresultingSinSperfusion.STheSappropriateSactionSbyStheSnurseSis:S
A.SDocumentingStheSfindingsS
B.SAskingStheSEDSphysicianStoScheckStheSclientS
C.SContinuingStoSmonitorStheSclient'sScardiacSstatusS
D.SInformingStheSclientSthatSPVCsSareSexpectedSafterSanSMIS-SCORRECTSANSWERS-
B.SAskingStheSEDSphysicianStoScheckStheSclient
Rationale:SPVCsSareSaSresultSofSincreasedSirritabilitySofSventricularScells.SPeripheralSpulsesSmaySbeSabsentSor
SdiminishedSwithStheSPVCsSthemselvesSbecauseStheSdecreasedSstrokeSvolumeSofStheSprematureSbeatsSmayS
inSturnSdecreaseSperipheralSperfusion.SBecauseSotherSrhythmsSalsoScauseSwidenedSQRSScomplexes,SitSisSes
sentialSthatStheSnurseSdetermineSwhetherStheSprematureSbeatsSareSresultingSinSperfusionSofStheSextremitie
s.SThisSisSdoneSbySpalpatingStheScarotid,Sbrachial,SorSfemoralSarterySwhileSobservingStheSmonitorSforSwiden
edScomplexesSorSbySauscultatingSforSapicalSheartSsounds.SInStheSsituationSofSacuteSMI,SPVCsSmaySbeSconsid
eredSwarningSdysrhythmias,SpossiblySheraldingStheSonsetSofSventricularStachycardiaSorSventricularSfibrillati
on.SThereforeStheSnurseSwouldSnotStellStheSclientSthatStheSPVCsSareSexpected.SAlthoughStheSnurseSwillSconti
nueStoSmonitorStheSclientSandSdocumentStheSfindings,StheseSareSnotStheSmostSappropriateSactionsSofSthose
Sprovided.STheSmostSappropriateSactionSwouldSbeStoSaskStheSEDSphysicianStoScheckStheSclient.
,NPOSstatusSisSimposedS8ShoursSbeforeStheSprocedureSonSaSclientSscheduledStoSundergoSelectroconvulsiveSt
herapyS(ECT)SatS1Sp.m.SOnStheSmorningSofStheSprocedure,StheSnurseSchecksStheSclient'sSrecordSandSnotesSth
atStheSclientSroutinelyStakesSanSoralSantihypertensiveSmedicationSeachSmorning.STheSnurseSshould:S
A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwaterS
B.SWithholdStheSantihypertensiveSandSadministerSitSatSbedtimeS
C.SAdministerStheSmedicationSbySwaySofStheSintravenousS(IV)SrouteS
D.SHoldStheSantihypertensiveSandSresumeSitsSadministrationSonStheSdaySafterStheSECTS-SCORRECTSANSWERS-
A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwater
Rationale:SGeneralSanesthesiaSisSrequiredSforSECT,SsoSNPOSstatusSisSimposedSforS6StoS8ShoursSbeforeStreatm
entStoShelpSpreventSaspiration.SExceptionsSincludeSclientsSwhoSroutinelySreceiveScardiacSmedications,Santih
ypertensiveSagents,SorShistamineS(H2)Sblockers,SwhichSshouldSbeSadministeredSseveralShoursSbeforeStreat
mentSwithSaSsmallSsipSofSwater.SWithholdingStheSantihypertensiveSandSadministeringSitSatSbedtimeSandSwit
hholdingStheSantihypertensiveSandSresumingSadministrationSonStheSdaySafterStheSECTSareSincorrectSactions
,SbecauseSantihypertensivesSmustSbeSadministeredSonStime;Sotherwise,StheSriskSforSreboundShypertensionS
exists.STheSnurseSwouldSnotSadministerSaSmedicationSbySwaySofSaSrouteSthatShasSnotSbeenSprescribed.
ASclientSwhoSrecentlySunderwentScoronarySarterySbypassSgraftSsurgeryScomesStoStheSphysician'sSofficeSforSa
Sfollow-
upSvisit.SOnSassessment,StheSclientStellsStheSnurseSthatSheSisSfeelingSdepressed.SWhichSresponseSbyStheSnur
seSisStherapeutic?S
A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."S
B.S"That'sSaSnormalSresponseSafterSthisStypeSofSsurgery."S
C.S"ItSwillStakeStime,Sbut,SISpromiseSyou,SyouSwillSgetSoverSthisSdepression."S
D.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth."S-SCORRECTSANSWERS-
A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."
Rationale:SWhenSaSclientSexpressesSfeelingsSofSdepression,SitSisSextremelySimportantSforStheSnurseStoSfurth
erSexploreStheseSfeelingsSwithStheSclient.SInSstating,S"ThisSisSaSnormalSresponseSafterSthisStypeSofSsurgery"St
heSnurseSprovidesSfalseSreassuranceSandSavoidsSaddressingStheSclient'sSfeelings.S"ItSwillStakeStime,Sbut,SISpr
omiseSyou,SyouSwillSgetSoverStheSdepression"SisSalsoSaSfalseSreassurance,SandSitSdoesSnotSencourageStheSex
pressionSofSfeelings.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth"SisSaSgeneral
izationSthatSavoidsStheSclient'sSfeelings.
, ASclientSinSlaborSexperiencesSspontaneousSruptureSofStheSmembranes.STheSnurseSimmediatelyScountsStheSf
etalSheartSrateS(FHR)SforS1SfullSminuteSandSthenSchecksStheSamnioticSfluid.STheSnurseSnotesSthatStheSfluidSisS
yellowSandShasSaSstrongSodor.SWhichSofStheSfollowingSactionsSshouldSbeStheSnurse'sSpriority?S
A.SContactingStheSphysicianS
B.SDocumentingStheSfindingsS
C.SCheckingStheSfluidSforSproteinS
D.SContinuingStoSmonitorStheSclientSandStheSFHRS-SCORRECTSANSWERS-A.SContactingStheSphysicianS
Rationale:STheSFHRSisSassessedSforSatSleastS1SminuteSwhenStheSmembranesSrupture.STheSnurseSalsoSchecksS
theSquantity,Scolor,SandSodorSofStheSamnioticSfluid.STheSfluidSshouldSbeSclearS(oftenSwithSbitsSofSvernix)SandS
haveSaSmildSodor.SFluidSwithSaSfoulSorSstrongSodor,ScloudySappearance,SorSyellowScolorationSsuggestsSchorio
amnionitisSandSwarrantsSnotifyingStheSphysician.SASlargeSamountSofSvernixSinStheSfluidSsuggestsSthatStheSfet
usSisSpreterm.SGreenish,Smeconium-
stainedSfluidSmaySbeSseenSinScasesSofSposttermSgestationSorSplacentalSinsufficiency.SCheckingStheSfluidSforSp
roteinSisSnotSassociatedSwithStheSdataSinStheSquestion.SAlthoughStheSnurseSwouldScontinueStoSmonitorStheS
clientSandStheSFHRSandSwouldSdocumentStheSfindings,ScontactingStheSphysicianSisStheSpriority.
ASnurseShelpsSprovideSanSeducationalSsessionStoScommunitySmembersSaboutScancerSofStheScervix.STheSnur
seSinformsStheSgroupSmembersSthatSanSearlySsignSofSthisStypeSofScancerSis:S
A.SDark,Sfoul-smellingSvaginalSdrainageS
B.SAbdominalSpainS
C.SConstant,SprofuseSbleedingS
D.SIrregularSvaginalSbleedingSorSspottingS-SCORRECTSANSWERS-D.SIrregularSvaginalSbleedingSorSspotting
Rationale:SEarlyScancerSofStheScervixSisSusuallySasymptomatic.STheStwoSchiefSsymptomsSareSleukorrheaS(va
ginalSdischarge)SandSirregularSvaginalSbleedingSorSspotting.STheSvaginalSdischargeSincreasesSgraduallySinSa
mountSandSbecomesSwaterySandSfinallySdarkSandSfoulSsmellingSbecauseSofSnecrosisSandSinfectionSofStheStu
morSmass.SAsStheSdiseaseSprogresses,StheSbleedingSmaySbecomeSconstantSandSincreaseSinSamount.
ASsurvivorSofSsexualSassaultSbeingStreatedSinStheSemergencySdepartmentSsaysStoStheSnurse,S"I'mSreallySworr
iedSthatSI'veSgotSHIVSnow."SWhatSisStheSappropriateSresponseSbyStheSnurse?S
A.S"HIVSisSrarelySanSissueSinSsurvivorsSofSsexualSassault."S
B.S"EverySsurvivorSofSsexualSassaultSisSconcernedSaboutSHIV."S
WITH CORRECT ANSWERS 2025
EnalaprilSmaleateS(Vasotec)SisSprescribedSforSaShospitalizedSclient.SWhichSassessmentSdoesStheSnurseSperfo
rmSasSaSprioritySbeforeSadministeringStheSmedication?S
A.SCheckingStheSclient'sSbloodSpressureS
B.SCheckingStheSclient'sSperipheralSpulsesS
C.SCheckingStheSmostSrecentSpotassiumSlevelS
D.SCheckingStheSclient'sSintake-and-outputSrecordSforStheSlastS24ShoursS-SCORRECTSANSWERS-
A.SCheckingStheSclient'sSbloodSpressureS
Rationale:SEnalaprilSmaleateSisSanSangiotensin-
convertingSenzymeS(ACE)SinhibitorSusedStoStreatShypertension.SOneScommonSsideSeffectSisSposturalShypote
nsion.SThereforeStheSnurseSwouldScheckStheSclient'sSbloodSpressureSimmediatelySbeforeSadministeringSeac
hSdose.SCheckingStheSclient'sSperipheralSpulses,StheSresultsSofStheSmostSrecentSpotassiumSlevel,SandStheSint
akeSandSoutputSforStheSpreviousS24ShoursSareSnotSspecificallySassociatedSwithSthisSmediation.
ASclientSisSscheduledStoSundergoSanSupperSgastrointestinalS(GI)Sseries,SandStheSlicensedSpracticalSnurseSrein
forcesSinstructionsStoStheSclientSaboutStheStest.SWhichSstatementSbyStheSclientSindicatesSaSneedSforSfurtherS
instruction?S
A.S"TheStestSwillStakeSaboutS30Sminutes."S
B.S"ISneedStoSfastSforS8ShoursSbeforeStheStest."S
C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S
D.S"ISneedStoStakeSaSlaxativeSafterStheStestSisScompleted,SbecauseStheSliquidSthatSI'llShaveStoSdrinkSforStheStes
tScanSbeSconstipating."S-SCORRECTSANSWERS-
C.S"ISneedStoSdrinkScitrateSofSmagnesiaStheSnightSbeforeStheStestSandSgiveSmyselfSaSFleetSenemaSonStheSmor
ningSofStheStest."S
Rationale:SAnSupperSGISseriesSinvolvesSvisualizationSofStheSesophagus,Sduodenum,SandSupperSjejunumSbyS
meansSofStheSuseSofSaScontrastSmedium.SItSinvolvesSswallowingSaScontrastSmediumS(usuallySbarium),Swhich
SisSadministeredSinSaSflavoredSmilkshake.SFilmsSareStakenSatSintervalsSduringStheStest,SwhichStakesSaboutS30S
minutes.SNoSspecialSpreparationSisSnecessarySbeforeSaSGISseries,SexceptSthatSNPOSstatusSmustSbeSmaintain
edSforS8ShoursSbeforeStheStest.SAfterSanSupperSGISseries,StheSclientSisSprescribedSaSlaxativeStoShastenSelimin
ationSofStheSbarium.SBariumSthatSremainsSinStheScolonSmaySbecomeShardSandSdifficultStoSexpel,SleadingStoSf
ecalSimpaction.
,ASnurseSonStheSeveningSshiftSchecksSaSphysician'sSprescriptionsSandSnotesSthatStheSdoseSofSaSprescribedSme
dicationSisShigherSthanStheSnormalSdose.STheSnurseScallsStheSphysician'sSansweringSserviceSandSisStoldSthatS
theSphysicianSisSoffSforStheSnightSandSwillSbeSavailableSinStheSmorning.STheSnurseSshould:S
A.SCallStheSnursingSsupervisorS
B.SAskStheSansweringSserviceStoScontactStheSon-callSphysicianS
C.SWithholdStheSmedicationSuntilStheSphysicianScanSbeSreachedSinStheSmorningS
D.SAdministerStheSmedicationSbutSconsultStheSphysicianSwhenSheSbecomesSavailableS-SCORRECTSANSWERS-
B.SAskStheSansweringSserviceStoScontactStheSon-callSphysician
Rationale:STheSnurseShasSaSdutyStoSprotectStheSclientSfromSharm.SASnurseSwhoSbelievesSthatSaSphysician'sSp
rescriptionSmaySbeSinSerrorSisSresponsibleSforSclarifyingStheSprescriptionSbeforeScarryingSitSout.SThereforeSt
heSnurseSwouldSnotSadministerStheSmedication;Sinstead,StheSnurseSwouldSwithholdStheSmedicationSuntilSth
eSdoseScanSbeSclarified.STheSnurseSwouldSnotSwaitSuntilStheSnextSmorningStoSobtainSclarification.SItSisSprema
tureStoScallStheSnursingSsupervisor.
AnSemergencySdepartmentS(ED)SnurseSisSmonitoringSaSclientSwithSsuspectedSacuteSmyocardialSinfarctionS(
MI)SwhoSisSawaitingStransferStoStheScoronarySintensiveScareSunit.STheSnurseSnotesStheSsuddenSonsetSofSpre
matureSventricularScontractionsS(PVCs)SonStheSmonitor,SchecksStheSclient'sScarotidSpulse,SandSdeterminesSt
hatStheSPVCsSareSnotSresultingSinSperfusion.STheSappropriateSactionSbyStheSnurseSis:S
A.SDocumentingStheSfindingsS
B.SAskingStheSEDSphysicianStoScheckStheSclientS
C.SContinuingStoSmonitorStheSclient'sScardiacSstatusS
D.SInformingStheSclientSthatSPVCsSareSexpectedSafterSanSMIS-SCORRECTSANSWERS-
B.SAskingStheSEDSphysicianStoScheckStheSclient
Rationale:SPVCsSareSaSresultSofSincreasedSirritabilitySofSventricularScells.SPeripheralSpulsesSmaySbeSabsentSor
SdiminishedSwithStheSPVCsSthemselvesSbecauseStheSdecreasedSstrokeSvolumeSofStheSprematureSbeatsSmayS
inSturnSdecreaseSperipheralSperfusion.SBecauseSotherSrhythmsSalsoScauseSwidenedSQRSScomplexes,SitSisSes
sentialSthatStheSnurseSdetermineSwhetherStheSprematureSbeatsSareSresultingSinSperfusionSofStheSextremitie
s.SThisSisSdoneSbySpalpatingStheScarotid,Sbrachial,SorSfemoralSarterySwhileSobservingStheSmonitorSforSwiden
edScomplexesSorSbySauscultatingSforSapicalSheartSsounds.SInStheSsituationSofSacuteSMI,SPVCsSmaySbeSconsid
eredSwarningSdysrhythmias,SpossiblySheraldingStheSonsetSofSventricularStachycardiaSorSventricularSfibrillati
on.SThereforeStheSnurseSwouldSnotStellStheSclientSthatStheSPVCsSareSexpected.SAlthoughStheSnurseSwillSconti
nueStoSmonitorStheSclientSandSdocumentStheSfindings,StheseSareSnotStheSmostSappropriateSactionsSofSthose
Sprovided.STheSmostSappropriateSactionSwouldSbeStoSaskStheSEDSphysicianStoScheckStheSclient.
,NPOSstatusSisSimposedS8ShoursSbeforeStheSprocedureSonSaSclientSscheduledStoSundergoSelectroconvulsiveSt
herapyS(ECT)SatS1Sp.m.SOnStheSmorningSofStheSprocedure,StheSnurseSchecksStheSclient'sSrecordSandSnotesSth
atStheSclientSroutinelyStakesSanSoralSantihypertensiveSmedicationSeachSmorning.STheSnurseSshould:S
A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwaterS
B.SWithholdStheSantihypertensiveSandSadministerSitSatSbedtimeS
C.SAdministerStheSmedicationSbySwaySofStheSintravenousS(IV)SrouteS
D.SHoldStheSantihypertensiveSandSresumeSitsSadministrationSonStheSdaySafterStheSECTS-SCORRECTSANSWERS-
A.SAdministerStheSantihypertensiveSwithSaSsmallSsipSofSwater
Rationale:SGeneralSanesthesiaSisSrequiredSforSECT,SsoSNPOSstatusSisSimposedSforS6StoS8ShoursSbeforeStreatm
entStoShelpSpreventSaspiration.SExceptionsSincludeSclientsSwhoSroutinelySreceiveScardiacSmedications,Santih
ypertensiveSagents,SorShistamineS(H2)Sblockers,SwhichSshouldSbeSadministeredSseveralShoursSbeforeStreat
mentSwithSaSsmallSsipSofSwater.SWithholdingStheSantihypertensiveSandSadministeringSitSatSbedtimeSandSwit
hholdingStheSantihypertensiveSandSresumingSadministrationSonStheSdaySafterStheSECTSareSincorrectSactions
,SbecauseSantihypertensivesSmustSbeSadministeredSonStime;Sotherwise,StheSriskSforSreboundShypertensionS
exists.STheSnurseSwouldSnotSadministerSaSmedicationSbySwaySofSaSrouteSthatShasSnotSbeenSprescribed.
ASclientSwhoSrecentlySunderwentScoronarySarterySbypassSgraftSsurgeryScomesStoStheSphysician'sSofficeSforSa
Sfollow-
upSvisit.SOnSassessment,StheSclientStellsStheSnurseSthatSheSisSfeelingSdepressed.SWhichSresponseSbyStheSnur
seSisStherapeutic?S
A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."S
B.S"That'sSaSnormalSresponseSafterSthisStypeSofSsurgery."S
C.S"ItSwillStakeStime,Sbut,SISpromiseSyou,SyouSwillSgetSoverSthisSdepression."S
D.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth."S-SCORRECTSANSWERS-
A.S"TellSmeSmoreSaboutSwhatSyou'reSfeeling."
Rationale:SWhenSaSclientSexpressesSfeelingsSofSdepression,SitSisSextremelySimportantSforStheSnurseStoSfurth
erSexploreStheseSfeelingsSwithStheSclient.SInSstating,S"ThisSisSaSnormalSresponseSafterSthisStypeSofSsurgery"St
heSnurseSprovidesSfalseSreassuranceSandSavoidsSaddressingStheSclient'sSfeelings.S"ItSwillStakeStime,Sbut,SISpr
omiseSyou,SyouSwillSgetSoverStheSdepression"SisSalsoSaSfalseSreassurance,SandSitSdoesSnotSencourageStheSex
pressionSofSfeelings.S"EverySclientSwhoShasSthisSsurgerySfeelsStheSsameSwaySforSaboutSaSmonth"SisSaSgeneral
izationSthatSavoidsStheSclient'sSfeelings.
, ASclientSinSlaborSexperiencesSspontaneousSruptureSofStheSmembranes.STheSnurseSimmediatelyScountsStheSf
etalSheartSrateS(FHR)SforS1SfullSminuteSandSthenSchecksStheSamnioticSfluid.STheSnurseSnotesSthatStheSfluidSisS
yellowSandShasSaSstrongSodor.SWhichSofStheSfollowingSactionsSshouldSbeStheSnurse'sSpriority?S
A.SContactingStheSphysicianS
B.SDocumentingStheSfindingsS
C.SCheckingStheSfluidSforSproteinS
D.SContinuingStoSmonitorStheSclientSandStheSFHRS-SCORRECTSANSWERS-A.SContactingStheSphysicianS
Rationale:STheSFHRSisSassessedSforSatSleastS1SminuteSwhenStheSmembranesSrupture.STheSnurseSalsoSchecksS
theSquantity,Scolor,SandSodorSofStheSamnioticSfluid.STheSfluidSshouldSbeSclearS(oftenSwithSbitsSofSvernix)SandS
haveSaSmildSodor.SFluidSwithSaSfoulSorSstrongSodor,ScloudySappearance,SorSyellowScolorationSsuggestsSchorio
amnionitisSandSwarrantsSnotifyingStheSphysician.SASlargeSamountSofSvernixSinStheSfluidSsuggestsSthatStheSfet
usSisSpreterm.SGreenish,Smeconium-
stainedSfluidSmaySbeSseenSinScasesSofSposttermSgestationSorSplacentalSinsufficiency.SCheckingStheSfluidSforSp
roteinSisSnotSassociatedSwithStheSdataSinStheSquestion.SAlthoughStheSnurseSwouldScontinueStoSmonitorStheS
clientSandStheSFHRSandSwouldSdocumentStheSfindings,ScontactingStheSphysicianSisStheSpriority.
ASnurseShelpsSprovideSanSeducationalSsessionStoScommunitySmembersSaboutScancerSofStheScervix.STheSnur
seSinformsStheSgroupSmembersSthatSanSearlySsignSofSthisStypeSofScancerSis:S
A.SDark,Sfoul-smellingSvaginalSdrainageS
B.SAbdominalSpainS
C.SConstant,SprofuseSbleedingS
D.SIrregularSvaginalSbleedingSorSspottingS-SCORRECTSANSWERS-D.SIrregularSvaginalSbleedingSorSspotting
Rationale:SEarlyScancerSofStheScervixSisSusuallySasymptomatic.STheStwoSchiefSsymptomsSareSleukorrheaS(va
ginalSdischarge)SandSirregularSvaginalSbleedingSorSspotting.STheSvaginalSdischargeSincreasesSgraduallySinSa
mountSandSbecomesSwaterySandSfinallySdarkSandSfoulSsmellingSbecauseSofSnecrosisSandSinfectionSofStheStu
morSmass.SAsStheSdiseaseSprogresses,StheSbleedingSmaySbecomeSconstantSandSincreaseSinSamount.
ASsurvivorSofSsexualSassaultSbeingStreatedSinStheSemergencySdepartmentSsaysStoStheSnurse,S"I'mSreallySworr
iedSthatSI'veSgotSHIVSnow."SWhatSisStheSappropriateSresponseSbyStheSnurse?S
A.S"HIVSisSrarelySanSissueSinSsurvivorsSofSsexualSassault."S
B.S"EverySsurvivorSofSsexualSassaultSisSconcernedSaboutSHIV."S
