WITH DETAILED VERIFIED ANSWERS
37 year old male client presented to the emergency room with
complaints of nasal, facial pain and bloody discharge. He states
the symptoms started approx. 3 mon ago has gotten worse. He
states that he feels like his nose is blocked up all the time. Based
on symptoms which of the following diagnosis test would the
nurse anticipate to provide?
A. CT scan of the face
B. Liver function test
C. complete blood counts
D, Tumor mapping - correct answer- A. CT scan of the
face
A 27yr old male presents to the E.R with difficulty breathing,
respiratory rate is 36 bpm, O2 is 85% on RA. Breaths are
diminished bilaterally. Which of the following is a nursing
intervention priority?
A. Complete patient history
B. Secure the airway
C. Draw labs
D. Starts IV - correct answer- B. Secure the airway
,a 32 yr old male presented to the E.R. status post motor vehicle
accident. He was the unrestrained driver who hit. He has
lacerations on face and blood coming from his nose. Based on
the events and assessment findings, which of the following
disorders is the client exhibiting?
A. Epistaxis
B. Head cancer
C. Sinus Cancer
D. Nasal fracture - correct answer- D. Nasal fracture
A 64 yr old male, has been admitted to your unit with difficulty
breathing. Jo has a history of COPD. upon arrival, he appears to
be SOB is on 4L of O2. All of the following should be priority to
monitor except
A. Blood pressure
B. Cardiac Rhythm
C. Pulse oximetry
D. Respiratory rate - correct answer- A. Blood pressure
A 68 yr old male presents to the E.R department with fatigue.
His RR is 36 bpm and labored. O2 is 88% RA. Patient has a history
of hypertension, diabetes and smoking. Based on his current
,condition which of the following test would you not anticipate
the physician to order?
A.Chest x-ray
B. EKG
C. ABG's
D. Sputum culture - correct answer- D. Sputum culture
A client admitted with asthma, which assessment findings are
most like to indicate that the clients condition is deteriorating
toward respiratory failure
A. Rales, rhonchi and productive cough with yellow sputum
B. Tachypnea, thick sputum, hemoptysis
C. inaudible breath sounds, wheezing and using accessory
muscles
D. Respiratory alkalosis, slow and shallow respirations -
correct answer- C. inaudible breath sounds, wheezing and
using accessory muscles
A client arrived in the E.R with epistaxis. What is the nurses
priority intervention?
A. Position the client upright with head forward
B. Apply an ice pack to the nose
, C. Monitor the color and amount of blood
D. Place nasal packing - correct answer- A. Position the
client upright with head forward
A client has been taking isoniazid (INH) for TB for 3 weeks. What
information gathered by the public health nurse needs to be
reported to the healthcare provider immediately.
A. client has been taking isoniazid daily as prescribed
B. client smokes 1.5 packs of cigarettes per day
C. client is is drinking 4-6 alcoholic beverages per day
D. client was recently started on chantix to quit smoking -
correct answer- C. client is is drinking 4-6 alcoholic
beverages per day
A client is experiencing a sudden asthma attack. Which
assessment finding does the nurse expect for patient?
A. Slow, deep, pursed-lip respiration
B. Breathlessness and difficulty completing sentences
C. clubbing of the fingers and cyanosis of the nail beds
D. Bradycardia an irregular pulse - correct answer- B.
Breathlessness and difficulty completing sentences