Judgement - Advanced Test Questions
And Answers
A bnurse bis bcaring bfor ba bclient bwho bhas bterminal bpancreatic bcancer. bThe bclient bis bcompetent
band bhas brequested bno bresuscitative bmeasures bbe btaken bin bthe bevent bof brespiratory bor bcardiac
barrest. bWhich bof bthe bfollowing bis bnecessary bto blegally bchange bthe bclient's bcode bstatus bto bdo-
not-resuscitate b(DNR)? b- bAnswer b- bA bwritten bprescription bfrom bthe bprovider
A bDNR bis btypically binstituted bat bthe brequest bof ba bclient bor bfamily bmember band bshould bbe ba
bwritten border binstead bof ba bverbal bprescription. bUntil ba bDNR bprescription bexists. bevery battempts
bto brevive bthe bclient bshould bbe bmade bin bthe bevent bof brespiratory bor bcardiac barrest. bA bwritten
bprescription bfrom bthe bprovider bis bnecessary bto blegally bchange bthe bclient's bcode bstatus bto ba
bDNR
A bnurse bis bcaring bfor ba btoddler bwho bhas bacute botitis bmedia band bis bprescribed bbenzocaine
b(Americaine) bear bdrops bfor bpain brelief. bWhich bof bthe bfollowing bactions bby bthe bnurse bis
bappropriate bwhen badministering bthe bear bdrops? b- bAnswer b- bWarm brefrigerated bdrops bto broom
btemperature bprior bto binstillation.
Because bof bthe banatomy bof binternal bear bstructures, bit bis bimportant bto bremember bthat bthe bear
bis bsensitive bto bextremes bin btemp. bEar bdrops bshould bbe bwarmed bto broom btemp bprior bto
binstillation bto breduce bthe brisk bof bpainful bstimuli
A bnurse bis bcaring bfor ba bclient bwho bhas ba bnew bcolostomy. bThe bclient bis bbeing bdischarged band
bplans bto blive bwith bher bdaughter. bWhich bof bthe bfollowing bresponses bby bthe bnurse bis
bappropriate bwhen bthe bdaughter bstates bthat bshe bdoesn't bknow bhow bshe bis bgoing bto bcare bfor
bher bmother's bcolostomy? b- bAnswer b- b"What bpart bof byour bmother's bcare bconcerns byou?"
A bnurse bis bcaring bfor ba bclient bwho bis bdiagnosed bwith bbipolar bdisorder band bis btaking blithium
b(Lithane). bWhich bof bthe bfollowing bserum blithium blevels bindicates bthe bclient's bdosage bis
bappropriate bfor bmaintenance btherapy? b- bAnswer b- b0.75 bmEq/L
, Lithium bis ba bmood-stabilizing bmedication bused bin bthe btreatment bof bbipolar bI bacute band
brecurrent bmanic band bdepressive bepisodes. bTo bachieve ba btherapeutic brange, bgive b300 bmg bto
b600 bmg bof blithium bduring bthe bactive bphase. bThe btherapeutic bserum blithium blevel bis bbetween
b0.8 bmEq/L band b1.4 bmEq/L. bMaintenance blevels bof b0.4 bto b1.3 bmEq/L bare bthen bachieved bfor
bclients bwho bare bprescribed blithium bfor blong-term btherapy. bBecause bsmall bincrements bof bdosage
bseparate btherapeutic, bmaintenance, band btoxic blevels bof blithium, bknowledge bof bthese blevels bis
bessential bto bensure bsafe, bquality bcare. bThis bserum blithium blevel bindicates bthe bclient's bdosage bis
bappropriate bfor bmaintenance btherapy.
A bnurse bis bcaring bfor ba bclient bwho bis bscheduled bfor ba blumbar bpuncture. bThe bnurse bshould
bteach bthe bclient bthat bwhich bof bthe bfollowing bis ba bpost-procedure bcomplication? b- bAnswer b-
bHeadache
A bheadache bis ba bmanifestation bexperienced bby b15 bto b30% bof bclients bfollowing ba blumbar
bpuncture bthat bresults bfrom bcerebrospinal bfluid bleakage bat bthe bpuncture bsite. bThese bheadaches
bare bmanaged bprimarily bwith banalgesics, bhydration, band bbed brest
A bnurse bis breinforcing bteaching babout ba bnew bprescription bfor bcromolyn bsodium b(Intal) bmetered-
dose binhaler b(MDI) bto ba bschool-age bchild bwho bhas basthma. bWhich bof bthe bfollowing bstatements
bshould bindicate bto bthe bnurse bthat bthe bchild bneeds bfurther bteaching? b- bAnswer b- b"I bwill buse
bmy bcromolyn binhaler bbefore busing bmy balbuterol binhaler."
When bboth bcromolyn band balbuterol bare bprescribed, balbuterol bshould bbe binhaled bfirst bto bopen
bthe bairways bbecause bit bis ba bbronchodilator. bAfter bwaiting ba bfew bminutes, bthe bcromolyn bcan
bthen bbe binhaled band bwill breach bfurther binto bthe blungs bbecause bof bthe bdilatory beffects bof
balbuterol.
A bnurse bis bplanning bto bobtain bblood bpressure bon bfour bclients. bOn bwhich bof bthe bfollowing
bclients bshould bthe bnurse bperform ban belectronic bblood bpressure bmeasurement? b- bAnswer b- bA
bclient bwho bis brecovering bfrom ba bcardiac bcatheterization
Electronic bblood bpressure bmeasurement bis battained bthrough ba bsensor bthat bdetects bvibrations
bcaused bby bblood brushing bthrough bthe barteyr, bis bappropriate bfor buse bwhen bthe bblood bpressure
bmust bbe bmonitored bfrequently, band bshould bnot bbe btaken bon bclients bwith bconditions bthat bcan
bresult bin ban binaccurate breading. bA bclient bwho bis brecovering bfrom ba bcardiac bcath brequires