QUESTIONS AND VERIFIED ANSWERS || ALREADY GRADED A+
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Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the bed
to the chair? - CORRECT ANSWER ✔✔- Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - CORRECT ANSWER ✔✔- PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced
dementia. You note he is extremely underweight, appears unbathed for some
time, and has a stage 4 pressure injury to his coccyx. You were told in report that
he lives at home with family members. What should you do? - CORRECT ANSWER
✔✔- Notify the charge nurse and social worker of your concerns.
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice
she has been having several episodes of acute confusion since being admitted to
your unit. What is the MOST important order you should anticipate from the
provider? - CORRECT ANSWER ✔✔- Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the
indwelling urinary catheter in the last 2 hours. What is your patient MOST likely
experiencing. - CORRECT ANSWER ✔✔- Sepsis
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,What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - CORRECT ANSWER ✔✔- Gown and gloves
Your patient continues to pull at their IV site located in their left forearm despite
verbal reminders and increased observation. The nursing assistant recommends
using soft mitt restraints on the patient. What is your recommendation? -
CORRECT ANSWER ✔✔- Request an order for soft mitts as they are the least
restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized day,
you notice he is more anxious and restless than his baseline. What would be your
FIRST nursing intervention? - CORRECT ANSWER ✔✔- Ask the patient when his
last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - CORRECT
ANSWER ✔✔- Change in level of consciousness
While in a supine position your patient states, "I'm tired and cannot catch my
breath." Physical assessment reveals jugular vein distention and a third heart
sound (S3). These symptoms are indicative of what condition? - CORRECT
ANSWER ✔✔- Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any? - CORRECT ANSWER ✔✔- Airborne precautions
Patients with diabetes are at high risk for complications from damage to what
body areas? - CORRECT ANSWER ✔✔- Nerve and kidney damage
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, If your patient with a known history of diabetes is displaying symptoms of
diaphoresis, cool skin, lethargy, and shakiness. What is your first action? -
CORRECT ANSWER ✔✔- Check the patient's blood glucose level.
Your patient tells you, "I hope I don't die, but if I do I don't want to be brought
back.? You notice on her chart and wrist band that she is a full code. What would
be the MOST appropriate action? - CORRECT ANSWER ✔✔- Discuss code status
with the patient and follow up with provider to ensure the medical record reflects
her wishes.
Your coworker posted photos on social media from a birthday party they had for
her in the unit breakroom. What should be your NEXT course of action? -
CORRECT ANSWER ✔✔- No action is necessary because no PHI was displayed.
Your new patient understands very limited English. How should you communicate
with them when completing the admission assessment? - CORRECT ANSWER ✔✔-
Use the organization's interpreter services.
You are caring for a patient with a history of diabetes mellitus. You walk into the
room and find the patient lethargic and diaphoretic. What is your first action? -
CORRECT ANSWER ✔✔- Obtain capillary blood glucose level.
Your patient is 4 hours post open appendectomy and has not voided yet. You note
his lower abdomen is distended. What should you do NEXT? - CORRECT ANSWER
✔✔- Perform a bladder scan
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