Durham College Consolidation exam Questions With
Complete Solutions
A post of abdominal surgery patient who is NPO has an IV of
ringer locate at 124ml/h via gravity, you have had a busy start to
your shift and when you assess this patient at 0100 you find
150ml has been infuse since 0700. What is your initial course of
action?
Check tubing and infusion for obstruction.
Mr. Campion 73 years old is new diagnosed with CVA. When
the nurse feeds him, she notices that he is coughs after every
swallow. What is the nurse's best course of action?
Request a swallowing assessment from a person who is certified
to do it
Which of the following should the nurse report immediately if
noted during initial assessment of newborn?
Head circumference of 33cm
The PSW reports to the nurse that her 97-year-old patient is
breathing shallowly and that she feels cold and clammy and her
feet look blue. The patient has an advance directive that states
comfort care only and is designed as a DNR (do not resuscitate).
What should the nurse do?
Instruct the PSW to make the patient comfortable as outline in
the plan of care
,MRS. oviskan 62 years old has an NG tub and requires liquid
potassium (k) to be administered. What should the nurse do
first?
Check clients electrolytes result
Which statement indicate that the client understands the
expected effects of benzodiazepine?
I should not take this medication routinely because it will
become a habit for me.
MR. cola 75 years old tells the RPN in urgent care that he was
vomiting horribly all night long and he couldn't keep anything
down. What would be the nurse best initial question?
How many time and how much did you vomit?
What changes the brain's biochemical function is most
associated with suicidal behaviour
serotonin deficiency
Lisa 19 years old has been admitted with hep b, she wants a
cigarette but doesn't have money to buy any. Lisa is getting
agitated and ask the nurse if she can go outside the hospital for a
few mins. What should the nurse say?
You are expected to stay on the unit as long as you are in
isolation.
Ollie is 14 years old is a quadriplegic (paralyze in arms and legs)
as a result of gymnastic injury, several years ago, she is
hospitalized for UTI. Which access will help her to get assist
from nursing staff?
,Provide Ollie appropriate call bell
MRS. SIA 83 years old has to be sent back to long term care
facility after replacement of her left hip, on the day of discharge
she complained of pain. On assessment the nurse found that the
left leg was shorter and foot was turned Inward. What should the
nurse do?
Call physician and request discharge to be cancelled.
The charge nurse tells nursing student that the woman
contraction is 10 mins apart, how is the frequency of laboring
woman contraction be determined.
The time between the end of one contraction and the beginning
of the next
The client is concern that his pain secondary to (open reduction
and internal fixation) ORIF of the left hip 2 day ago will never
go away. Which of the following is a appropriate short-term
goal for the client?
Client will have a pain score of 2, 30 mins after 2 tablets of per
were given.
A client is refusing to eat his breakfast. His current blood sugar
is 3.1 he is not yet to receive his AM insulin.What should the
nurse do?
Give her orange juice to drink
During a problem history, a client reports having difficulty
swallowing, based on his information, how does the nurse asses
the appropriate cranial nerve?
, Observe the rising of the soft palate when the patients says
"ahh"
What knowledge is necessary in order to teach the use of
medication in client with chronic kidney disease?
The illness may cause the accumulation of the drug resulting
toxicity.
You are admitting Mr. howls 47-year-old to surgical unit from
the recovery room after surgery, he has a order of IV ringer
lactate 100ml/hr., O2 4 liters via nasal cannular, a mediated with
a narcotic one hour ago and is reporting nausea, which of the
following is a priority assessment for the nurse as she awaits
him to the unit?
Check that the O2 is connected and check the flow rate
Which of the following teaching point should be in the discharge
planning for a client who has heart failure?
Weigh yourself every day.
When auscultating the lungs, RPN heard a grating sound on
inspiration, she asks the client to cough but the sound persist and
is louder over the lower later anterior surface. Which of the
following would best explain what the RPN is hearing?
A peripheral friction rub.
A nurse is administering an antibiotic to a competent elderly
client at mid night. The client refuses to take meds stating "I
already took my pills before I went to sleep"? what is the PRN
best action?
Complete Solutions
A post of abdominal surgery patient who is NPO has an IV of
ringer locate at 124ml/h via gravity, you have had a busy start to
your shift and when you assess this patient at 0100 you find
150ml has been infuse since 0700. What is your initial course of
action?
Check tubing and infusion for obstruction.
Mr. Campion 73 years old is new diagnosed with CVA. When
the nurse feeds him, she notices that he is coughs after every
swallow. What is the nurse's best course of action?
Request a swallowing assessment from a person who is certified
to do it
Which of the following should the nurse report immediately if
noted during initial assessment of newborn?
Head circumference of 33cm
The PSW reports to the nurse that her 97-year-old patient is
breathing shallowly and that she feels cold and clammy and her
feet look blue. The patient has an advance directive that states
comfort care only and is designed as a DNR (do not resuscitate).
What should the nurse do?
Instruct the PSW to make the patient comfortable as outline in
the plan of care
,MRS. oviskan 62 years old has an NG tub and requires liquid
potassium (k) to be administered. What should the nurse do
first?
Check clients electrolytes result
Which statement indicate that the client understands the
expected effects of benzodiazepine?
I should not take this medication routinely because it will
become a habit for me.
MR. cola 75 years old tells the RPN in urgent care that he was
vomiting horribly all night long and he couldn't keep anything
down. What would be the nurse best initial question?
How many time and how much did you vomit?
What changes the brain's biochemical function is most
associated with suicidal behaviour
serotonin deficiency
Lisa 19 years old has been admitted with hep b, she wants a
cigarette but doesn't have money to buy any. Lisa is getting
agitated and ask the nurse if she can go outside the hospital for a
few mins. What should the nurse say?
You are expected to stay on the unit as long as you are in
isolation.
Ollie is 14 years old is a quadriplegic (paralyze in arms and legs)
as a result of gymnastic injury, several years ago, she is
hospitalized for UTI. Which access will help her to get assist
from nursing staff?
,Provide Ollie appropriate call bell
MRS. SIA 83 years old has to be sent back to long term care
facility after replacement of her left hip, on the day of discharge
she complained of pain. On assessment the nurse found that the
left leg was shorter and foot was turned Inward. What should the
nurse do?
Call physician and request discharge to be cancelled.
The charge nurse tells nursing student that the woman
contraction is 10 mins apart, how is the frequency of laboring
woman contraction be determined.
The time between the end of one contraction and the beginning
of the next
The client is concern that his pain secondary to (open reduction
and internal fixation) ORIF of the left hip 2 day ago will never
go away. Which of the following is a appropriate short-term
goal for the client?
Client will have a pain score of 2, 30 mins after 2 tablets of per
were given.
A client is refusing to eat his breakfast. His current blood sugar
is 3.1 he is not yet to receive his AM insulin.What should the
nurse do?
Give her orange juice to drink
During a problem history, a client reports having difficulty
swallowing, based on his information, how does the nurse asses
the appropriate cranial nerve?
, Observe the rising of the soft palate when the patients says
"ahh"
What knowledge is necessary in order to teach the use of
medication in client with chronic kidney disease?
The illness may cause the accumulation of the drug resulting
toxicity.
You are admitting Mr. howls 47-year-old to surgical unit from
the recovery room after surgery, he has a order of IV ringer
lactate 100ml/hr., O2 4 liters via nasal cannular, a mediated with
a narcotic one hour ago and is reporting nausea, which of the
following is a priority assessment for the nurse as she awaits
him to the unit?
Check that the O2 is connected and check the flow rate
Which of the following teaching point should be in the discharge
planning for a client who has heart failure?
Weigh yourself every day.
When auscultating the lungs, RPN heard a grating sound on
inspiration, she asks the client to cough but the sound persist and
is louder over the lower later anterior surface. Which of the
following would best explain what the RPN is hearing?
A peripheral friction rub.
A nurse is administering an antibiotic to a competent elderly
client at mid night. The client refuses to take meds stating "I
already took my pills before I went to sleep"? what is the PRN
best action?
