Studyroom2026

A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic visit she reports that since she has been on the drug, she can breathe better and her heart rate has been around 74 beats per minute. The nurse weighs the patient and notices that she has gained 10 pounds since the digoxin therapy was started. The patient is concerned that the additional weight will necessitate an increase in the medication. Which of the following is an appropriate response by the nur...

A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality? a. Life-span statistics are included in the data. b. It explains effectiveness of treatment. c. Cost-effective treatment is detailed for the general population. d. High-risk age groups for certain disorders or hazards are identified. ANS: D Analysis of morbidity and mortality data provides the parents with information a...

A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? a. Increased hospitalization of children b. Decreased number of uninsured children c. An increase in ambulatory care d. Decreased use of managed care ANS: C One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute care setting to the ambulatory setting. The number of hospita...

A 16-year-old girl has enuresis, frequent urination, a white vaginal discharge, and a dark rash around her neck. Her serum glucose level is 250 mg/dL, and her urinalysis is positive for 2+ glucose but is otherwise negative. Which of the following is the most likely diagnosis? Selected Answer: c. Type II diabetes • Question 3 • 1 out of 1 points Mark, age 15, is 5 feet tall andn weighs 85 pounds. You suspect anorexia and know that the best initial approach is to Selected Answer: d. ...

A healthcare professional is caring for a patient who has a delay in electrical activity reaching the ventricle as seen on ECG. What ECG finding would the healthcare professional associate with this problem? Selected Answer: PR interval measuring 0.28 sec  Question 2 1 out of 1 points A healthcare professional is assessing a child whose parents report poor grades in school, trouble paying attention, and naughty behaviors that have become so frequent the child is always in trouble. ...

Which of the following is true? All Progress Monitors are timed just like the quizzes. Once you have started a Progress Monitor or Quiz you are advised not toggle between the assessment and course materials. This could cause the answers to be prematurely submitted and may be lost in the courseware. An internet connection is unnecessary to submit your Progress Monitors or Quizzes to be graded. Quizzes have no time limits in which to complete the assessments once you have begun. Toggling...

A nursing educator is explaining how the best clinical practices are determined. Which statement best explains the purpose of evidence-based practice? a. It ensures that all patients receive holistic care. b. It provides a definite reason for providing care in a specific manner. c. It prevents errors when care is being delivered. d. It guarantees that care delivered is based on research. ANS: B Evidence-based practice is the use of the current best evidence in making patient care decisio...

Chapter 1 Nursing Science and the Foundation of Knowledge The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? 1. Research priorities for nursing informatics include the development of a standard nursing language and the development of databases for clinical information. 2. A formal educational program at the master's level must be completed before a nurse is eligible to sit for the credentialing examination. 3. As a differentia...

A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a. "You should offer your child high-protein meals and snacks throughout the day." b. "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." c. "You should restrict your child's calorie intake to 1,200 per day." d. "You should give your child a multivitamin once weekly." 7) A nurse ...

What will the PMHNP most likely prescribe to a patient with psychotic aggression who needs to manage the top-down cortical control and the excessive drive from striatal hyperactivity? A. Stimulants B. Antidepressants C. Antipsychotics D. SSRIs QUESTION 2 The PMHNP is selecting a medication treatment option for a patient who is exhibiting psychotic behaviors with poor impulse control and aggression. Of the available treatments, which can help temper some of the adverse effects or symptoms t...

An 11-year-old has been diagnosed with mild intermittent asthma. Which of the following is not a routine part of the clinical management? Selected Answer: c. School excuse to not participate in recess and/or physical education activities Question 2 1 out of 1 points A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn's disease? Selected Answer: b. Blood, mucous diarrhea Question 3 1 out of 1 points A ...

What is the most common form of child abuse seen in pediatric primary care? Selected Answer: c. Shaken baby syndrome  Question 2 1 out of 1 points Which of the following conditions requires urgent inpatient admission? Selected Answer: b. Cervical adenitis  Question 3 1 out of 1 points An eye that deviates in when covered but that returns to midline when uncovered is an Selected Answer: b. esophor ia  Question 4 1 out of 1 points All of the following are consisten...

Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior? A. Under no circumstances should the PMHNP approach this patient. B. Prepubertal children typically require medication as they are too young to respond to conversation. C. Children who have a history of repeated, self-limited, severe tantrums require at least a 72-hour admission. D. If the child appears to be calming down in the emergency area, the clinician may...

Which of the following is a true statement with respect to crisis intervention and psychological debriefing as a preventive strategy for post-traumatic stress disorder (PTSD)? A. Crisis intervention and psychologic debriefing is most effective if it occurs within 24 hours of the event B. The focus of crisis intervention and psychologic debriefing is management of emotional reactions C. Psychoeducation is not typically a component of crisis intervention and psychologic debriefing D. No c...

A patient diagnosed with obsessive compulsive disorder has been taking a high-dose SSRI and is participating in therapy twice a week. He reports an inability to carry out responsibilities due to consistent interferences of his obsessions and compulsions. The PMHNP knows that the next step would be which of the following? Selected Answer: B. Decrease his SSRI and add an MAOI.  Question 2 0 out of 1 points Which statement best describes a pharmacological approach to treating patients ...

What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra  Question 2 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above  Question 3 2 out of 2 points Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Selected Answer: b. Premature delivery.  Question 4 2 out of 2...

Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter was inserted intraoperatively and remains in place. His urine output has declined markedly despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a creatinine of 2 mg/dL. A leading differential includes: A. Foley lodged in the urethra causing post-renal failure B. Decreased renal perfusion causing prerenal failure C. Age-related decreased eGFR causing prerenal failure D. Po...

Kelly, your 11-year-old well visit patient, presents to the office with weight loss, polyuria, and polydipsia. Which of the following do you need to rule out? Selected Answer: d. Diabetes mellitus  Question 6 1 out of 1 points Children in child care facilities are at greater risk of being exposed to which of the following infections? Selected Answer: b. HAV  Question 7 1 out of 1 points A 6-year-old boy is left alone for 10 hours, now with hematemesis and pneumomediastinum on c...

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes  Question 2 1 out of 1 points Antibiotic therapy is one of the mainstays of treatment for which of the following causes of wheezing? Selected Answer: c. Epiglottitis  Question 3 1 out of 1 points Dave, age 17, has gynecomastia. You should also assess him for Selected Answer: c. Testicular cancer  Question 4 1 out of ...