WITH COMPLETE SOLUTIONS
A client with cirrhosis is at risk for developing complications.
Which condition is most serious and potentially life threatening?
a. Ascites
b. Peripheral edema
c. Esophageal varices
d. Asterixis Correct Answers c
A diabetic patient has the following presentation: unresponsive
to voice or touch, tachycardia, diaphoresis and pallor. Which of
the following actions by the healthcare provider is the priority?
A. Fluid, electrolyte and glucose resuscitation
B. Administer IV lantus insulin per protocol
C. Administer oral glucose
D. Send UAA and CbC to lab stat Correct Answers A
A disturbance in the perception of reality is called:
a. Hallucination
b. Delusion
c. Thought disorganization
d. All of the above Correct Answers d
A false belief in which an individual believes that they are being
watched or tormented by agencies or persons in authority with
whom they have never interacted with is known as a
, a. Persecutory delusion
b. Delusions of thought control
c. Grandiose delusion
d. Delusions of reference Correct Answers a
A group of community nurses sees and plans care for various
clients with different types of problems. Which of the following
clients would they consider the most vulnerable to PTSD?
a. An 8 year old boy with asthma who has recently failed a grade
in school
b. A 20 year old college student who has recently been the
victim of date rape
c. A 40 year old widower who has recently lost his wife to
cancer
d. A wife of an individual with a severe abuse problem Correct
Answers b
A highly agitated patient is pacing the unit and states, "I could
buy and sell this place." The client's mood fluctuates from fits of
laughter to outbursts of anger. What is the most accurate
documentation of this client's behavior?
a. Rates mood 8/10. Exhibiting looseness of association.
Euphoric
b. Mood euthymic. Exhibiting magical thinking. Restless
c. Mood labile. Exhibiting delusions and has some somatic
complaints
d. Agitated and pacing. Exhibiting grandiosity. Mood labile
Correct Answers d