and Answers 2023 with complete solution
The nurse observes that Josie's right eye does not close totally. Based on this
finding, which of the following nursing interventions would be most appropriate
a) Making sure josie wears dark glasses to avoid photosensitivity
b) Irrigate her right eye with saline each duty to avoid dryness
c) Instilling neomycin eye drops to prevent conjunctivitis
d) Tape the eyelid down to keep it closed between cares
d) Tape the eyelid down to keep it closed between cares
?
• The nursing goal for performing passive range of motion exercises for an
unconscious client such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility
d) Maintain joint mobility
• When the nurse performs oral hygiene for josie, whilst she is still unconscious,
which of the following actions would be most
a) Use manual instead of mechanical ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves
d) Wear sterile gloves?
• When assessing josies respiratory status, which of the following symptoms may
be an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
a) Cyanosis
A 34 year old Japanese tourist, takayuki hamadi, is admitted to the hospital after
experiencing multiple trauma as a result of an automobile accident. He has three
fractured ribs, a hairline fracture of the pelvis, a compound fracture of his right
tibia and fibula, and soft tissue injuries. He is in severe pain when he arrives on
the unit after emergency surgery
• Takayuki reports severe pain and requests frequent medication. A nursing
assistant expresses her surprise, saying, 'i thought asian people were very stoic
about pain. ' your initial course of action should be
, a) Reprimand her immediately and apologise to takayuk's family
b) Discuss her behaviour with her after you leave the room
c) Do nothing as takayuk's understanding of English is poor
d) Report her to the charge nurse
b) Discuss her behaviour with her after you leave the room?
• Mental status assessment using the 'batomi' formation is a useful nursing
assessment tool because it tells you
a) Whether or not a client has a mental illness
b) Details about an individual's feeling state and cognitive functioning
c) Whether a mental illness is organic or functional in origin
d) The history of a clients symptoms and his response to stress
b) Details about an individual's feeling state and cognitive functioning?
(perhaps from old exam, don't think Batomi Function exists anymore)
Persons with an acute psychotic
illness have most difficulty in
a) Meeting dependency needs
b) Maintaining grooming and personal hygiene
c) Distinguishing between reality and unreality
d) Displaying personal feelings
c) Distinguishing between reality and unreality
People who have a personality disorder
a) Frequently progress to a psychotic illness
b) Become psychotic under severe stress
c) Are known as borderline personalities
d) Have ongoing difficulties in relating to others
d) Have ongoing difficulties in relating to others
Neurotic disorders are associated with
a) Inadequacy and poor stress management
b) Maladaptive behaviour related to anxiety
c) Inability to cope with demands and perceived stress
d) Family patterns of inappropriate behaviour
c) Inability to cope with demands and perceived stress
Which of the following statements about tardive dyskinesia is true
a) Symptoms are often permanent and do not improve with antiparkinsonian
medication
b) Symptoms will diminish as the client adjusts to long term treatment
c) Clients are seldom concerned abut features of tardive dyskinesia
d) Antiparkinsonian medication will suppress the main features of tardive
dyskinsesia