VSIM QUIZ QUESTIONS VERNON RUSSEL
QUESTIONS AND ANSWERS GRADED A+
Mr. Russell has been placed on fall precautions. what actions should the nurse take to
keep the patient safe? (select all that apply)
a. provide non-skid socks for ambulation
b. instruct patient to call for assistance when out of bed
c. place the call bell within reach
d. maintain be in low position at all times
e. keep side rails up x4 at all times - correct answer -a. provide non-skid socks for
ambulation
b. instruct patient to call for assistance when out of bed
c. place the call bell within reach
d. maintain be in low position at all times
a patient has been admitted with a diagnosis of stroke, and the nurse has received
orders to hold warfarin until lab results are received. what lab results does the nurse
anticipate reviewing prior to administering this medication?
a. platelets
b. d-dimer
c. hemoglobin and hematocrit
d. PT/INR - correct answer -d. PT/INR
the nurse is caring for a patient who has experienced a sudden change in level of
consciousness and has difficulty speaking. what is the priority action of the nurse?
a. notify the charge nurse
, b. assess the patent
c. document the findings
d. wait 15 minutes to see if the problem resolves - correct answer -b. assess the patent
Mr. Russell experienced dysphagia and mild left-sided weakness following his stroke.
for which additional symptoms of stroke should the nurse assess? (select all that apply)
a. urinary incontinence
b. communication difficulties
c. hearing loss
d. sensory deficits
e. decreased peristalsis - correct answer -a. urinary incontinence
b. communication difficulties
d. sensory deficits
the nurse is assessing a patient using the Glasgow Coma Scale. which of the following
are components of that scale? (select all that apply)
a. motor response
b. eye opening
c. respiration
d. brain stem reflexes
e. verbal response - correct answer -a. motor response
b. eye opening
e. verbal response
Mr. Russell has an order for vital signs and neurochecks every four hours. which
assessment findings, if made by the nurse, would indicate potential neurologic
compromise? (select all that apply.)
QUESTIONS AND ANSWERS GRADED A+
Mr. Russell has been placed on fall precautions. what actions should the nurse take to
keep the patient safe? (select all that apply)
a. provide non-skid socks for ambulation
b. instruct patient to call for assistance when out of bed
c. place the call bell within reach
d. maintain be in low position at all times
e. keep side rails up x4 at all times - correct answer -a. provide non-skid socks for
ambulation
b. instruct patient to call for assistance when out of bed
c. place the call bell within reach
d. maintain be in low position at all times
a patient has been admitted with a diagnosis of stroke, and the nurse has received
orders to hold warfarin until lab results are received. what lab results does the nurse
anticipate reviewing prior to administering this medication?
a. platelets
b. d-dimer
c. hemoglobin and hematocrit
d. PT/INR - correct answer -d. PT/INR
the nurse is caring for a patient who has experienced a sudden change in level of
consciousness and has difficulty speaking. what is the priority action of the nurse?
a. notify the charge nurse
, b. assess the patent
c. document the findings
d. wait 15 minutes to see if the problem resolves - correct answer -b. assess the patent
Mr. Russell experienced dysphagia and mild left-sided weakness following his stroke.
for which additional symptoms of stroke should the nurse assess? (select all that apply)
a. urinary incontinence
b. communication difficulties
c. hearing loss
d. sensory deficits
e. decreased peristalsis - correct answer -a. urinary incontinence
b. communication difficulties
d. sensory deficits
the nurse is assessing a patient using the Glasgow Coma Scale. which of the following
are components of that scale? (select all that apply)
a. motor response
b. eye opening
c. respiration
d. brain stem reflexes
e. verbal response - correct answer -a. motor response
b. eye opening
e. verbal response
Mr. Russell has an order for vital signs and neurochecks every four hours. which
assessment findings, if made by the nurse, would indicate potential neurologic
compromise? (select all that apply.)
