QUESTIONS WITH ACCURATE ANSWERS
A 5-year-old patient is being seen at the pediatrician's office with a recently
sprained ankle. What should the nurse take into consideration when applying cold
treatment to the ankle? correct answer Young children are more sensitive to cold.
A female Muslim patient has been assigned to a male nurse. As the nurse enters
the room, the patient becomes very upset. The nurse understands this patient is
upset because of what component of this patient's religious beliefs? correct
answer She prefers to be taken care of by a female.
A head injury patient has been admitted to ICU with dyspnea, tachycardia,
tremors, lethargy, and disorientation. The results of an arterial blood gas showed
pH = 7.28, PaCO2 = 60 mm Hg, HCO3 = 22 mEq/L. What condition is suspected?
correct answer Respiratory acidosis
A Hispanic-American child is brought to the clinic by her mother to be examined
by the physician. Which nursing intervention is most important when gathering
data about the child? correct answer Be sure to touch the child during the
examination.
A Jehovah's Witness patient has been admitted to the medical floor. Which
treatment will this patient most likely refuse based on religious beliefs? correct
answer Blood transfusion
A male patient has his call light on. As the nurse enters the room, the patient is
fully dressed and ready to leave. He begins yelling and asking to remove his IV
because he is going home. What term best describes a patient's intent to leave a
, health care facility without a physician's order? correct answer AMA (against
medical advice)
A patient has arrived at the outpatient surgery department before a scheduled
surgery. What must the nurse accomplish before the patient goes to surgery?
correct answer Ensure the operative consent is signed
A patient has been admitted to the medical floor. Whose responsibility is it to
complete the patient's initial admission nursing history, physical assessment, and
development of the care plan? correct answer RN
A patient has returned from surgery and has a history of smoking. The physician
has orders for the use of incentive spirometry (IS) every 2 hours. The patient asks
why he has to do IS so often. The nurse teaches the patient about the importance
of breathing deeply to clear any secretions and prevent pneumonia. What is this
teaching an example of? correct answer implementation of a nursing intervention
A patient is admitted to the hospital with a sacral wound that has a foul odor,
purulent drainage, and necrotic tissue in the center. It measures 4 cm in
circumference by 2 cm deep. What is the most appropriate nursing diagnosis?
correct answer Impaired skin integrity
A patient is admitted with a diagnosis of dehydration. Which type of IV fluid might
the nurse expect the physician to order to expand the body's fluid volume?
correct answer Isotonic solution
A patient is being discharged home and his peripheral IV site is to be
discontinued. Following the removal of the catheter, what is the minimum length
of time the nurse should hold pressure? correct answer 2 to 3 minutes