ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
AmnursemonmamMedicalmSurgicalmunitmismcaringmformamgroupmofmclients.mThemnursemshouldmnotifymth
emrapidmresponsemteammformwhichmofmthemfollowingmclients?
A.mClientmwhomhasmampressureminjurymofmthemrightmheelmwhosembloodmglucosemism300mg/dL
B.mClientmwhomreportsmrightmcalfmpainmandmshortnessmofmbreath
C.mClientmwhomhasmbloodmonmampressuremdressingminmthemfemoralmareamfollowingmamcardiacmcathe
terization
D.mClientmwhomhasmdarkmredmcolorationmofmleftmtoesmandmabsentmpedalmpulsem-
mCORRECTmANSWERmB.mClientmwhomreportsmrightmcalfmpainmandmshortnessmofmbreath
Rational:mSOBmcouldmbemfrommamPE
Amnursemismcaringmformamclientmwhomhasmingestedmamtoxicmagent.mWhichmofmthemfollowingmactionsm
shouldmthemnursemplanmtomtake?m(Selectmallmthatmapply)
A.mInducemvomitting
B.mInstillmactivatedmcharcoal
C.mPerformmamgastricmlavagemwithmaspiration
D.mAdministermsyrupmofmipecac
D.mInfusemIVmfluidsm-mCORRECTmANSWERmB.mInstillmactivatedmcharcoal
C.mPerformmamgastricmlavagemwithmaspiration
D.madministermIVmfluids
,Amnurseminmthememergencymdepartmentmismcaringmformamclientmwhomfellmthroughmthemicemonmampo
ndmandmismunresponsivemandmbreathingmslowly.mWhichmofmthemfollowingmactionsmshouldmthemnurs
emtake?m(Selectmallmthatmapply)
A.mRemovemwetmclothing
B.mMaintainmnormalmroommtemperature
C.mApplymwarmmblankets
D.mUsemamrapidmrewarmingmwatermofm40mtom42
E.mInfusemwarmedmIVmfluidsm-mCORRECTmANSWERmA.mRemovemwetmclothing
C.mApplymwarmmblankets
D.mUsemamrapidmrewarmingmwatermofm40mtom42
E.mInfusemwarmedmIVmfluids
Amnurseminmthememergencymdepartmentmismassessingmamclientmwhomismunresponsive.mThemclientsm
partnermstates,m"Hemwasmpullingmweedsminmthemyardmandmslumpedmtomthemground."mWhichmofmthe
mfollowingmtechniquesmshouldmthemnursemusemtomopenmthemclientsmairway?
A.mHeadmtilt,mchinmlift
B.mModifiedmJawmthrust
C.mHyperextensionmofmthemhead
D.mFlexionmofmthemheadm-mCORRECTmANSWERmA.mHeadmtilt,mchinmlift
Amnursemismreviewingmthemcommonmemergencymmanagementmprotocolmformclientsmwhomhavemasy
stole.mWhichmofmthemfollowingmactionsmshouldmthemnursemplanmtomtakemduringmthismcardiacmemerg
ency?
A.mPerformmDefibrillation
B.mPreparemformtranscutaneousmpacing
C.mAdministermepinephrine
D.mElevatemthemclientsmlowermextremitiesm-mCORRECTmANSWERmC.mAdministermepinephrine
, Amnursemismcaringmformamclientmwhomhasmamnewmdiagnosismofmtypem2mdiabetesmmellitusmandmreport
smdifficultymfollowingmthemdietmandmrememberingmtomtakemthemprescribedmmedication.mWhichmofm
themfollowingmactionsmshouldmthemnursemtakemtompromotemclientmcompliance?mSelectmallmthatmap
ply
A.mAskmthemdietitianmtomassistmwithmmealmplanning
B.mContactmthemclientsmsupportmsystem
C.mAssessmformagemrelatedmcognitivemawareness
D.mEncouragemthemusemofmdailymmedicationmdispenser
E.mProvidemeducationalmmaterialsmformhomemusem-
mCORRECTmANSWERmA.mAskmthemdietitianmtomassistmwithmmealmplanning
B.mContactmthemclientsmsupportmsystem
D.mEncouragemthemusemofmdailymmedicationmdispenser
E.mProvidemeducationalmmaterialsmformhomemuse
Amnurseminmamhealthmcaremclinicmismevaluatingmthemlevelmofmwellnessmformclientsmusingmthemillnessm
wellnessmcontinuummtool.mThemnursemshouldmidentifymwhichmofmthemfollowingmclientsmasmbeingmat
mthemcentermofmthemcontinuum?
A.mAmcollegemstudentmwhomhasminfluenza
B.mAnmoldermadultmwhomhasmamnewmdiagnosismofmtypem2mdiabetesmmellitus
C.mAmnewmmothermwhomhasmamurinarymtractminfection
D.mAmyoungmmalemclientmwhomhasmamlongmhistorymofmwellmcontrolledmrheumatoidmarthritism-
mCORRECTmANSWERmD.mAmyoungmmalemclientmwhomhasmamlongmhistorymofmwellmcontrolledmrheuma
toidmarthritis
Rational:mthemcentermofmthemcontinuummismthemclientsmnormalmstatemofmhealth
Amnursemismevaluatingmclientsmatmamhealthmfairmformmodifiablemvariablesmaffectingmhealthmandmwell
ness.mThemnursemshouldmidentifymwhichmofmthemfollowingmvariablesmasmmodifiable?mSelectmallmthat
mapply