NRSG 1520 EXAM 2 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
A 17-year-old girl is hospitalized for appendicitis, and her mother
asks the nurse why she is so needy and acting like a child. The
best response of the nurse is that in the hospital, adolescents
a. ave separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything. - correct answer- C
Regression to an earlier stage of development is a common
response to stress. Separation anxiety is most common in infants
and toddlers. Rebellion against hospital rules is usually not an
issue if the adolescent understands the rules and would not
create childlike behaviors. An adolescent may want to "know
everything" with their logical thinking and deductive reasoning,
but that would not explain why they would act like a child.
,A 19-yr-old patient is brought to the emergency department
(ED) with multiple lacerations and tissue avulsion of the left
hand. When asked about tetanus immunization, the patient
denies having any previous vaccinations. The nurse will
anticipate giving
a. tetanus immunoglobulin (TIG) only.
b. TIG and tetanus-diphtheria toxoid (Td).
c. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
d. TIG and tetanus-diphtheria toxoid and pertussis vaccine
(Tdap). - correct answer- ANS: D
For an adult with no previous tetanus immunizations, TIG and
Tdap are recommended. The other immunizations are not
sufficient for this patient.
A 22-yr-old patient who experienced a drowning accident in a
local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most
important for the nurse to take during the observation period?
a. Auscultate heart sounds. c. Auscultate breath sounds.
b. Palpate peripheral pulses. d. Check mental orientation. -
correct answer- ANS: C
Because pulmonary edema is a common complication after
drowning, the nurse should assess the breath sounds frequently.
,The other information also will be obtained by the nurse, but it
is not as pertinent to the patient's admission diagnosis.
A 25-year-old patient is brought to the hospital by police after
crashing his car in a high-speed chase when trying to avoid
arrest for spousal abuse. What should the nurse do?
a.
Question the patient about drug use.
b.
Offer the patient a cup of coffee to calm his nerves.
c.
Be aware that substance abuse is usually obvious.
d.
, Deal with the issue at hand, and put off asking about previous
illnesses. - correct answer- A
Reports of arrests because of driving while intoxicated, wife or
child abuse, or disorderly conduct are reasons for the nurse to
investigate the possibility of drug abuse more carefully. Caffeine
is a naturally occurring legal stimulant that stimulates the central
nervous system and is not the choice for calming nerves.
Substance abuse is not always diagnosable, particularly in its
early stages. The nurse may obtain important information by
making specific inquiries about past medical problems, changes
in food intake or sleep patterns, and problems of emotional
lability.
A 55-year-old female presents to the outpatient clinic describing
irregular menstrual periods and hot flashes. What should the
nurse explain?
a.
Those symptoms are normal when a woman undergoes the
climacteric.
b.
DETAILED VERIFIED ANSWERS
A 17-year-old girl is hospitalized for appendicitis, and her mother
asks the nurse why she is so needy and acting like a child. The
best response of the nurse is that in the hospital, adolescents
a. ave separation anxiety.
b. rebel against rules.
c. regress because of stress.
d. want to know everything. - correct answer- C
Regression to an earlier stage of development is a common
response to stress. Separation anxiety is most common in infants
and toddlers. Rebellion against hospital rules is usually not an
issue if the adolescent understands the rules and would not
create childlike behaviors. An adolescent may want to "know
everything" with their logical thinking and deductive reasoning,
but that would not explain why they would act like a child.
,A 19-yr-old patient is brought to the emergency department
(ED) with multiple lacerations and tissue avulsion of the left
hand. When asked about tetanus immunization, the patient
denies having any previous vaccinations. The nurse will
anticipate giving
a. tetanus immunoglobulin (TIG) only.
b. TIG and tetanus-diphtheria toxoid (Td).
c. tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
d. TIG and tetanus-diphtheria toxoid and pertussis vaccine
(Tdap). - correct answer- ANS: D
For an adult with no previous tetanus immunizations, TIG and
Tdap are recommended. The other immunizations are not
sufficient for this patient.
A 22-yr-old patient who experienced a drowning accident in a
local pool, but now is awake and breathing spontaneously, is
admitted for observation. Which assessment will be most
important for the nurse to take during the observation period?
a. Auscultate heart sounds. c. Auscultate breath sounds.
b. Palpate peripheral pulses. d. Check mental orientation. -
correct answer- ANS: C
Because pulmonary edema is a common complication after
drowning, the nurse should assess the breath sounds frequently.
,The other information also will be obtained by the nurse, but it
is not as pertinent to the patient's admission diagnosis.
A 25-year-old patient is brought to the hospital by police after
crashing his car in a high-speed chase when trying to avoid
arrest for spousal abuse. What should the nurse do?
a.
Question the patient about drug use.
b.
Offer the patient a cup of coffee to calm his nerves.
c.
Be aware that substance abuse is usually obvious.
d.
, Deal with the issue at hand, and put off asking about previous
illnesses. - correct answer- A
Reports of arrests because of driving while intoxicated, wife or
child abuse, or disorderly conduct are reasons for the nurse to
investigate the possibility of drug abuse more carefully. Caffeine
is a naturally occurring legal stimulant that stimulates the central
nervous system and is not the choice for calming nerves.
Substance abuse is not always diagnosable, particularly in its
early stages. The nurse may obtain important information by
making specific inquiries about past medical problems, changes
in food intake or sleep patterns, and problems of emotional
lability.
A 55-year-old female presents to the outpatient clinic describing
irregular menstrual periods and hot flashes. What should the
nurse explain?
a.
Those symptoms are normal when a woman undergoes the
climacteric.
b.
