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A 14-year-old with diabetes is admitted for hypoglycemia. The patient admits to
the nurse that he does not take insulin or check is blood sugar at school. Which of
the following should the nurse do?
A. Arrange for the patient to attend a diabetes support group for teenagers
B. Encourage the parents to take disciplinary action
C. Counsel the patient on the long term consequences of not taking insulin
D. Hold a conference with the school nurse regarding the need for monitoring
students with diabetes
- answer-A. Arrange for the patient to attend a diabetes support group for teenagers
A 30-year-old man is admitted to the critical care unit after a motor vehicle
collision. The emergency department nurse reports that he was unconscious at the
scene of the accident but is now alert and oriented. Skull films show a linear
fracture of the right temporal bone. He is a significant risk for _______.
A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma
- answer-C. Epidural hematoma
A 42 y/o woman with a 6 month history of worsening anxiety, heat intolerance,
and weight loss presents to the emergency department. Which of the following are
indicators of hyperthyroidism?
A. Constipation, lower body temperature, and edema
B. High T3 and T4 and low TSH.
C. Depression, dementia, and reflex changes
D. Low T3 and T4 and high TSH
- answer-B. High T3 and T4 and low TSH.
, Rationale: Constipation, lower body temperature, edema, depression, dementia,
reflex changes, low T3, low T4, high TSH are all indicators of hypothyroidism.
A 44-year-old female patient is being suctioned through her endotracheal tube, and
her heart rate drops dramatically. What should you do?
A. Continue suctioning and then administer 100% oxygen
B. Turn the head to the left side
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen
- answer-D. Stop suctioning and administer 100% oxygen
A 46-year-old male developed an epidural hematoma after being in a motor vehicle
collison. He has had a craniotomy to evacuate the clot, and an intraventricular
catheter was placed during surgery. Which of the following is important in caring
for the patient with intracranial pressure (ICP) monitoring?
A. Use a flush system
B. Use a preservative-free isotonic saline
C. Use a pressure bag
D. Use heparin to maintain integrity of the line
- answer-B. Use a preservative-free isotonic saline
A 47-year-old male patient is scheduled for a radical laryngectomy. You are about
to witness your patient signing a surgical consent when he tells you that he does
not really understand what is going to be done. What should you do?
A. Notify the physician that the patient needs additional explanation
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must
sign the consent form now.
- answer-A. Notify the physician that the patient needs additional explanation
A 55 y/o steroid dependent woman with rheumatoid arthritis undergoes a CABG x
4. She was doing well in the ICU 1 day post op, but then has a run of V-Tach and
V-Fibrillation. The nurse recognizes this may be due to the following:
A. Reperfusion after CABG
B. Reocclusion after CABG