Answers | Verified Preparation Guide
Long-term substance abuse is commonly suggested by all of the following physical
assessment findings EXCEPT:
A. Nasal irritation and sniffling repeatedly
B. Need tracks on arms
C. Burns on fingers and lips
D. Unequal Pupils -✓✓D. Unequal pupils
With the traditional surgical wound classification system, a surgical wound that enters
into a colonized area of the body, such as the respiratory or urinary tract, is classified
as:
A. Class I
B. Class II
C. Class III
D. Class IV -✓✓B. Class II
The most appropriate nursing diagnosis for a surgical patient with neutropenia and
absolute neutrophil count (ANC) of 900 is:
A. Risk of Injury
B. Risk of Aspiration
C. Risk of infection
D. Ineffective coping -✓✓C. Risk of infection
Medication reconciliation should be completed:
A. Prior to admission
B. During admission assessment
C. On discharge
D. During all phases of care -✓✓D. During all phases of care
A patient's lab reports show a slightly elevated total white blood cell count with equal
elevations of all types of white blood cells, an elevated hemoglobin and hematocrit,
normal creatine but elevated blood urea nitrogen (BUN), increased urine specific
gravity, and increased serum sodium. The most likely nursing diagnosis is:
A. Risk of infection
B. Deficient fluid volume
C. Excessive fluid volume
D. Imbalanced nutrition -✓✓B. Deficient fluid volume
, When doing the preoperative assessment of a Muslim infant from Saudi Arabia, the
father answers the questions and makes decisions and the mother remains silent,
although both speak fluid English. The best nursing action is:
A. Direct questions to the mother by addressing her directly
B. Ask the father to wait outside the room in order to direct questions to the mother
C. Explain to the father that the mother may have information about the child that the
mother does not have
D. Direct the questions to the father and ask the mother for clarification when necessary
-✓✓D. Direct the questions to the father and ask the mother for clarification when
necessary
A directive that promotes discussion regarding end of life decisions and the actions to
take (as opposed to those actions to avoid) is:
A. An allow-natural death (AND) order
B. A do-not-resuscitate order (DNR)
C. A required reconsideration
D. Durable power of attorney -✓✓A. An allow-natural death (AND) order
Moderate daily drinking for an adult male is defined as:
A. Four drinks
B. Three drinks
C. Two drinks
D. One drinks -✓✓C. Two drinks
According to the American Medical Association, informed consent must include all of
the following EXCEPT:
A. A detailed cost analysis
B. Explanation of diagnosis
C. Risk and benefits
D. Alternative options -✓✓A. A detailed cost analysis
A patient with multiple body piercings is scheduled for general anesthesia and states
that all jewelry has been removed. The nurse should:
A. Document that all jewelry has been removed
B. Verify removal and document sites of piercings
C. Ask patient to list piercing sites and document
D. Verify removal and document that all jewelry has been removed -✓✓B. Verify
removal and document sites of piercings