COMPLETE QUESTION SET VERIFIED
ANSWERS TOP SCORE MATERIAL
◉ A RN is reviewing the medical record of a patient who has
anorexia nervosa. Which of the following findings should the RN
identify as an indication the patient requires hospitalization?
A. Total body fat 8.7%
B. Potassium 3.6 mEq/L
C. Temperature 36.1° C (96.9° F)
D. Heart rate 54/min.
Answer: A. Total body fat 8.7%
(RAT) The nurse should recognize that criteria for hospitalization
includes having a weight less than 75% of ideal body weight, or less
than 10% body fat. The nurse should report this finding to the
provider.
,(NOTE) Criteria for hospitalization is a heart rate less than 50/min
during the daytime - (D) is incorrect
◉ A charge nurse is preparing an educational session for a group of
new nurses to review patient rights under the law. Which of the
following statements should the RN make?
A. "Information regarding clients should remain confidential until
after their death."
B. "Failure to report suspected maltreatment or neglect of a disabled
adult is a felony in all states."
C. "As long as client identity is disguised, their health information
can be shared between professionals on the internet."
D. "In the event a client threatens harm to others, medications can
be administered without consent.".
Answer: D. "In the event a client threatens harm to others,
medications can be administered without consent."
(RAT) The charge nurse should inform the participants that their
primary commitment is to the client and their priority is always to
advocate for and protect their health and safety. During an
emergency situation, if the client is threatening harm to self or
,others, medications can be administered without the client's
consent and without a court order.
(NOTE) Because laws vary from state to state, nurses should become
familiar with the requirements as it relates to reporting neglect or
maltreatment of clients. The nurse should inform the participants
that in most states failure to report the suspected neglect, physical
maltreatment, or exploitation of a disabled adult results in a
misdemeanor charge - (B) is incorrect.
◉ A RN in a community health center is teaching families of patients
who have PTSD about expected clinical manifestations. Which of the
following manifestations should the RN include?
A. Repeatedly talks about the traumatic incident
B. Sleeps excessively
C. Experiences feelings of isolation
D. Uses repetitive speech.
Answer: C. Experiences feelings of isolation
, (RAT) The nurse should expect clients who have PTSD to feel
estranged and detached from others.
(NOTE) The nurse should identify difficulty sleeping and
hypervigilance as expected manifestations of PTSD - so (B) is
incorrect
◉ A RN is caring for a patient who has alcoholic cardiomyopathy.
Which of the following lab findings should the RN expect?
A. Increased creatine phosphokinase (CPK)
B. Increased low-density lipoproteins (LDL)
C. Decreased fasting blood glucose
D. Decreased aspartate aminotransferase (AST).
Answer: A. Increased creatine phosphokinase (CPK)
(RAT) An increase in CPK, a muscle enzyme released when muscle
tissue is damaged, occurs with cardiomyopathy.