B QUESTIONS PERFECTLY SOLVED
AplnurseplisplassistingplwithpltheplcareplofplaplpatientplwhoplisplreceivingplaplunitplofplpackedplRBC
spl
Theplpatientplhasplmanifestationsplofpl____plasplevidencedplbypltheplpatient'spl_____-pl-plANS--
allergicplreaction,plitching
Aplnurseplinplanplemergencypldepartmentpl(ED)plisplassistingplwithpltheplcareplofplaplpatient.pl
Whatplfindingsplindicatepltheplpatientplmightplbeplmalnourished?pl-plANS---
plpatientplisplcachecticplwithplflaccidplmusclepltonepl
-plskinplispldryplandplscalyplwithplbruisesplonplextremitiespl
-pulseplratepl118/minpl
-plabdomenplispldistendedpl
-plBMIpl17
Aplnurseplisplassistingplinpltheplcareplofplaplpatientplwhoplhasplpancreatitis.pl
Selectpl3pltaskspltheplnurseplshouldpldelegatepltoplanplassistiveplpersonnelpl(AP)pl-plANS--
1.plmeasurepltheplpatient'splintakeplandploutputpl
2.plDocumentpltheplpatient'splvitalplsignspl
3.plTransferpltheplpatientplfromplaplwheelchairpltopltheplbed
Aplnurseplisplcaringplforplaplpatientplwhoplhasplchronicplkidneypldisease.plTheplnurseplshouldplide
ntifyplthatplwhichplofpltheplfollowingplfindingsplispltheplprioritypltoplreportpltopltheplprovider?pl-
plANS--Theplpatient'sploutputplwaspl60plmLplforpltheplpastpl3plhourspl
*thisplrepresentsploliguriaplandplcanplindicateplapldecreaseplinplkidneyplperfusionplorplfunction
AplnurseplisplpreparingpltopladministerplanplenteralplfeedingpltoplaplpatientplwhoplhasplanplNGpltu
beplinplplace.plWhichplofpltheplfollowingplmethodsplshouldpltheplnurseplusepltoplverifyplcorrectplpl
acementplofpltheplNGpltube?pl-plANS--checkpltheplgastricplpHplofpltheplgastricplaspirate
, Aplnurseplisplrepositioningplaplpatientplwhoplhasplquadriplegiaplandplisplinpltheplsupineplposition.p
lWhichplofpltheplfollowingplactionsplshouldpltheplnursepltakepltoplpreventplpatientplmusculoskele
talplinjury?pl-plANS--internallyplrotatepltheplpatient'splhipsplbyplusingplapltrochanterplroll
Aplnurseplisplpreparingpltoplpalpateplaplpatient'splpulse.plTheplnurseplshouldplrecognizeplthatplw
hichplofpltheplfollowingplpulsesplispllocatedplonplthepltopplofpltheplpatient'splfoot?pl-plANS--
dorsalisplpedis
Aplpatientplwhoplisplscheduledpltoplundergoplsurgerypltellspltheplnurseplthatpltheypldoplnotplunder
standpltheplprocedureplandplareplreconsideringpltheirpldecisionpltoplhaveplit.plWhichplofpltheplfoll
owingplactionsplshouldpltheplnursepltake?pl-plANS--
notifypltheplchargeplnurseplofpltheplpatient'splconcerns
Aplnurseplisplreinforcingplpreoperativeplteachingplwithplaplpatientplaboutplhowpltoplturn,plcough,pl
andpldeepplbreathe.plWhichplofpltheplfollowingplstatementsplbypltheplpatientplindicatesplanplund
erstandingplofpltheplteaching?pl-plANS--"thisplcanplhelpplpreventplpneumonia"
Aplnurseplisplpreparingpltopldocumentplinformationplaboutplaplpatient'spllowerpllegs,plwhichplarepl
swollenplwithpl6plmmpledema.plWhichplofpltheplfollowingplinformationplshouldpltheplnursepldocu
ment?pl-plANS--3+plpittingpledema
Aplnurseplisplcheckingplforplaplpatient'splpulsepldeficitplafterpldetectingplanplirregularplheartplrate.
plWhichplofpltheplfollowingplactionsplshouldpltheplnursepltake?pl-plANS--
countpltheplpatient'splradialplandplapicalplpulsesplsimultaneouslyplwithplanotherplnurse
Aplnurseplisplcontributingpltoplaplplanplofplcareplforplaplpatientplwhoplhasplaplnewplprescriptionplforp
laplwristplrestraint.plWhichplofpltheplfollowingplactionsplshouldpltheplnursepltake?pl-plANS--
padplbonyplprominencesplonpltheplwrist
Aplnurseplisplassistingplwithpltheplplanplofplcareplforplfourpladults.plWhichplofpltheplfollowingpltasks
plshouldpltheplnurseplassignpltoplanplassistiveplpersonnel?pl-plANS--
assistplaplpatientpltoplgetploutplofplbedplafterplaplbreathingpltreatment
Aplnurseplisplcollectingpldataplfromplaplpatientplwhoplispl2pldaysplpostopplfollowingplaplcolostomypl
placement.plWhichplofpltheplfollowingplfindingsplshouldpltheplnurseplreportpltopltheplprovider?pl-
plANS--aplpurpleplcoloredplstoma
Aplnurseplisplreviewingpltheplmedicalplrecordplofplaplfemaleplpatientplwhoplhasplheartplfailure.plTh
eplnurseplshouldplidentifyplwhichplofpltheplfollowingpllabplresultsplasplanplindicationplthatpltheplpat
ientplhasplfluidplvolumeplexcess.pl-plANS--BUNpl8plmg/dLpl(10pltopl20plmg/dL)
*withplfluidplvolumeplexcess,pltheplnurseplshouldplexpectpltheplpatient'splBUNpltoplbeplbelowplthe
plexpectedplreferenceplrangeplduepltoplhemodilution