Exam 3: NUR 2214 Exam 3: Questions & Answers: Guaranteed A Plus Score

A patient is suspected of having a basal cell carcinoma. What diagnostic test is the HCP most likely to order? A. MRI scan B. Punch biopsy C. Complete blood count (CBC) D. A full body scan assessment (Ans- B. Punch biopsy A nurse is instructed to monitor a patient who has been placed in restraints. What is the first sign that indicates the restraints are too tight? A. Cyanosis B. The patient states there is a tingling feeling in their hand C. The patient complains about the restraints D. The patient starts crying (Ans- B. The patient states there is a tingling feeling in their hand A 4-year-old child with Leukemia receives chemotherapy. Which vaccine is the nurse most concerned with child receiving? A. DTAP (pertussis) B. IPV (polio) C. Hib vaccine (Flu) D. MMR (mumps, measles, rubella) (Ans- D. MMR (mumps, measles, rubella) Rationale: The rubella might be contraindicated A patient enters the ED with severe angioedema. What are some important questions the nurse should immediately ask the patient? Select all that apply: A. "What medications have you taken recently?" B. "Are you sexually active?" C. "Do you have any known allergies?" D. "Do you have any family members with cancer?" E. "Are you having trouble breathing?" F. "Can you swallow?" (Ans- A. "What medications have you taken recently?" C. "Do you have any known allergies?" E. "Are you having trouble breathing?" F. "Can you swallow?" A 25-year-old female patient requested an HIV blood test because she has had multiple, consensual sexual partners and does not use protection. Her test comes back negative and the patient is both relieved and excited. What should the nurse include in the patient's care? A. Ask the patient why she has so many different partners B. Inform the patient that the test will have to repeated before her negative status can be confirmed C. Educate the patient to start using protection during future sexual encounters D. Assess the patient for depression (Ans- C. Educate the patient to start using protection during future sexual encounters Rationale: The nurse should discuss primary preventions for this patient. The patient is not the victim of a sex crime and therefore does not need to be assessed for depression. It is not appropriate to inquire about the number of sexual partners she has had and the ELISA does not have to be repeated A nurse cares for a 7-year-old female patient who has sickle cell anemia disease. Upon her admission to the clinic, the patient rated her pain as a 4 on the Faces Scale. Two hours later, she rates her pain as a 7 on the "Faces Scale." Her input/output includes 40 mL and her O2 status is 94%. The nurse suspects the patient is experiencing a sickle cell crisis. What action should the nurse take first? A. Notify the physician B. Administer IV fluids (standing order) C. Reassess the patient's pain level D. Order a STAT MRI (Ans- B. Administer IV fluids (standing order)