QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED A+ 2025 NEW
UPDATE
1 day post op following ilioconduit. What do you need to report to the RN immediately? -
CORRECT ANSWER: Abdominal pain and rigidity, Low abd. Discomfort with 26 ml/hr
urinary output.
Aware that elderly patient is at risk for falls. What do you implement? - CORRECT
ANSWER: Bed rails up at all times.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at
hosp. when this occurred. Wife appears angry and states "What have you all done to
him?" What would be your response as a nurse? - CORRECT ANSWER: Explain to the
patient why the patient had to be intubated, continue to update patient's wife on
condition and plan of care, I'm sorry that you walked in on him like that, I understand
this must have been very frightening.
Caring for patient at outpatient. Hgb 10.1 c/o abdominal pain. Occult blood test at home.
What would you educate on in patient plan of care? - CORRECT ANSWER: Educate
patient on high fiber diet and no red meat before test.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them. Which to
report potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? - CORRECT ANSWER: HgB
Caring for patient with IBS. Last 4 hours pt. had 6 liquid bowel movements. Requesting
the lomotial. Vitals are 98.9 pul 98 resp 20 bp 164-96. Med given. What should be
highest priority. - CORRECT ANSWER: Monitor BP and urinary output.
, Caring for pt. who is intubated and receiving mechanical ventilation. What action by the
nurse would decrease the patient's incidence of developing ventilator associated
pneumonia? - CORRECT ANSWER: Put head of bed at 30-45 degrees.
Confused patient trying to remove all their lines. Apply wrist restraints. What action will
you take? - CORRECT ANSWER: Assess patient at least once every hour.
Discharging patient with Vicodin. Recognize further teaching is needed when patient
states what? - CORRECT ANSWER: I can continue to drive my son to work everyday.
DOPE - CORRECT ANSWER: Displaced
Obstruction
Pulmonary
Equipment
Elderly patient with new colostomy starting home care instructions. What should you
take into consideration for this patient? - CORRECT ANSWER: Cost of the supplies,
evaluation of the patient's visual ability to care for the colostomy, evaluation of patient's
ability to understand the instructions for the colostomy.
HH nurse visiting patient with diabetes. What situation requires the nurse to implement
safety intervention? - CORRECT ANSWER: Grandchildren fold laundry and place
baskets by the bedroom door.
Important strategy you should implement that promoted healing with pressure ulcers? -
CORRECT ANSWER: Increase protein.
Lomotil - CORRECT ANSWER: mix of 2 different drugs (atropine-can dry up fluids or for
bradycardia & diphenoxylate can raise the BP/HR and lower the urinary output). Monitor
BP and HR. Monitor urinary output.