Brightwood College
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All courses for Brightwood College
- Lachel Story: Pathophysiology Additional Test Bank- A Practical Approach Lachel Story: Pathophysiology Additional Test Bank 1
- Lachel Story: Pathophysiology Additional Test Bank- A Practical Approach (LACHELSTORY:PATHOPH TestBank 1
- Lewis: Medical-Surgical Nursing, 10th Edition NUR 119 1
- MA R155-BL-MW MA R155-BL-MW 1
- MATERNITY HESI HESI Maternity 3
- Maternity HESI 1 Study Guide 1
- Maternity HESI 1 TESTBANK Maternity HESI 1 TESTBANK 1
- Maternity HESI 1,2 Test Bank |Questions, Answers & Rationale, A+ Guide. 1
- Maternity HESI 1,2 Test Bank Questions, Answers & Rationale, A+ Guide 1
- MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING, 5TH EDITION NURSING220 1
- New Business H431/01: Operating in a local business environment Advanced GCE Mark Scheme for November 2020 1
- NR 242 1
- Nurs 1
- NURS 101: CHAPTER 23: NURSING INFORMATICS NURS101 1
- NURS 220 1
- NURS 220 HESI Maternity 1
- NURSING 119 NURSING119 38
- NURSING 220 NURSING220 31
- NURSING HESI NursingHESI 1
Latest notes & summaries Brightwood College
1. To determine whether there is a delay in impulse conduction through the ventricles, the nurse 
will measure the duration of the patient’s 
a. P wave. c. PR interval. 
b. Q wave. d. QRS complex. 
ANS: D 
The QRS complex represents ventricular depolarization. The P wave represents the 
depolarization of the atria. The PR interval represents depolarization of the atria, 
atrioventricular node, bundle of His, bundle branches, and the Purkinje fibers. The Q wave is 
the first negative deflection...
MULTIPLE CHOICE 
1. Which action will the nurse include in the plan of care for a patient who is being admitted 
with Clostridium difficile? 
a. Teach the patient about proper food storage. 
b. Order a diet without dairy products for the patient. 
c. Place the patient in a private room on contact isolation. 
d. Teach the patient about why antibiotics will not be used. 
ANS: C 
Because C. difficile is highly contagious, the patient should be placed in a private room, and 
contact precautions shou...
1. A 40-yr-old patient with suspected acromegaly is seen at the clinic. To assist in making the 
diagnosis, which question should the nurse ask? 
a. “Have you had a recent head injury?” 
b. “Do you have to wear larger shoes now?” 
c. “Is there a family history of acromegaly?” 
d. “Are you experiencing tremors or anxiety?” 
ANS: B 
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are 
not risk factors for acromegaly. Tremors and anxiety are no...
1. The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which 
assessment data will be of most concern to the nurse? 
a. Urine output is 30 mL/hr. 
b. Blood pressure is 90/40 mm Hg. 
c. Oral fluid intake is 100 mL for the past 8 hours. 
d. There is prolonged skin tenting over the sternum. 
ANS: B 
The blood pressure indicates that the patient may be developing hypovolemic shock as a result 
of intravascular fluid loss because of the burn injury. This finding wil...
MULTIPLE CHOICE 
1. The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness 
and warmth around the incision. Which action by the nurse is appropriate? 
a. Obtain wound cultures. c. Notify the health care provider. 
b. Document the assessment. d. Assess the wound every 2 hours. 
ANS: B 
The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of 
wound healing by primary intention. The nurse should document the wound appe...
TIPLE CHOICE 
1. Which diagnostic test will provide the nurse with the most specific information to evaluate 
the effectiveness of interventions for a patient with ventilatory failure? 
a. Chest x-ray 
b. O2 saturation 
c. Arterial blood gas analysis 
d. Central venous pressure monitoring 
ANS: C 
Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure 
causes problems with CO2 retention, and ABGs provide information about the PaCO2 and pH. 
The other tests m...
. The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask the patient 
about 
a. visual problems caused by ptosis. 
b. triggers leading to facial discomfort. 
c. poor appetite caused by loss of taste. 
d. weakness on the affected side of the face. 
ANS: B 
The major clinical manifestation of trigeminal neuralgia is severe facial pain triggered by 
cutaneous stimulation of the nerve. Ptosis, loss of taste, and facial weakness are not 
characteristics of trigeminal neuralg...
The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, 
if made by the patient, indicates that the teaching was successful? 
a. “My nose will look normal after 24 to 48 hours.” 
b. “I can take 800 mg ibuprofen every 6 hours for pain.” 
c. “I will remove and reapply the nasal packing every day.” 
d. “I will elevate my head for 48 hours to minimize swelling.” 
ANS: D 
Maintaining the head in an elevated position will decrease the amount of na...
MULTIPLE CHOICE 
1. A 34-yr-old patient who is discussing contraceptive options with the nurse says, “I want to 
have children but not for a few years.” Which response by the nurse is accurate? 
a. “If you do not become pregnant within the next few years, you never will.” 
b. “Women often have more difficulty becoming pregnant after about age 35.” 
c. “Stop taking oral contraceptives several years before you want to have a child.” 
d. “You have many more years of fertility left...
1. When admitting an acutely confused patient with a head injury, which action should the nurse 
take? 
a. Ask family members about the patient’s health history. 
b. Ask leading questions to assist in obtaining health data. 
c. Wait until the patient is better oriented to ask questions. 
d. Obtain only the physiologic neurologic assessment data. 
ANS: A 
When admitting a patient who is likely to be a poor historian, the nurse should obtain health 
history information from others who have knowl...