(V3) ALL 160 QUESTIONS & ANSWERS
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• Which information is a priority for the RN to reinforce to an older patient after
intravenouspylegraphy?
• Eat a light diet for the rest of the day
• Rest for the next 24 hours since the preparation and the test is tiring.
• During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
• Measure the urine output for the next day and immediately notify the health care provider
if it should decrease.
The correct answer is D: Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
• A patient has altered renal function and is being treated at home. The nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits is
• difference in the intake and output
• changes in the mucous membranes
• skin turgor
• weekly weight
,The correct answer is D: weekly weight
• A patient has been diagnosed with Zollinger-Ellison syndrome.Which information is
most important for the nurse to reinforce with the patient?
• It is a condition in which one or more tumors called gastrinomas form in the pancreas or
inthe upper part of the small intestine (duodenum)
• It is critical to report promptly to your health care provider any findings of peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of
the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider any findings
of peptic ulcers.
• A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determinesthat the patient’s blood pressure is increasing. Which action should the nurse take
first?
• Check the protein level in urine
• Have the patient turn to the left side
• Take the temperature
• Monitor the urine output
,The correct answer is B: Have the patient turn to the left side
• The nurse is caring for a patient in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
• Diminished bowel sounds
• Loss of appetite
• A cold, pale lower leg
• Tachypnea
The correct answer is C: A cold, pale lower leg
• The patient with infective endocarditis must be assessed frequently by the home health
nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse
immediately to the healthcare provider?
• Nausea and vomiting
• Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
• Diffuse macular rash
• Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
, • A patient who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
ofthese points is most important to be reinforced by the nurse?
• Until the health care provider has determined that your ejaculate doesn't contain sperm,
continue to use another form of contraception.
• This procedure doesn't impede the production of male hormones or the production of
sperm inthe testicles. The sperm can no longer enter your semen and no sperm are in your
ejaculate.
• After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your
work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it.
The stitches generally dissolve in seven to ten days.
• The health care provider at this clinic recommends rest, ice, an athletic supporter or over-
the-counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
• A patient who is to have antineoplastic chemotherapy tells the nurses of a fear of being
sick allthe time and wishes to try acupuncture. Which of these beliefs stated by the patient would
be incorrect about acupuncture?
• Some needles go as deep as 3 inches, depending on where they're placed in the body and
what the treatment is for. The needles usually are left in for 15 to 30 minutes.