WELL DETAILED ANSWERS (100% CORRECT) | LATEST EXAM
UPDATE
List six lifestyle factors which are known to increase the risk of cardiovascular
disease. - CORRECT ANSWER - 1. Lack of physical Activity
2. Smoking
3. Stress
4. Excessive Alcohol Consumption
5. Body Weight
6. Dietary intake
What is the temperature (hot/cold) of the skin with insufficient ARTERIAL
Circulation - CORRECT ANSWER - Cold
What is the temperature (Hot/Cold) of the skin with insufficient VENOUS
Circulation - CORRECT ANSWER - Hot
What is the pulses (present/Absent) of the skin with insufficient ARTERIAL
Circulation - CORRECT ANSWER - Absent
What is the pulses (present/Absent) of the skin with insufficient VENOUS
Circulation - CORRECT ANSWER - Present
The nurse uses the Braden Scale in the extended care facility to determine a
patient's risk for pressure ulcer development. Based on this scale which one of the
,following scores, places the older patient at the highest level of risk? - CORRECT
ANSWER - 12.
Which test would be most appropriate for the nurse to perform when assessing eye
muscle strength and cranial nerve function? - CORRECT ANSWER - Extra
ocular movement test.
An hallucination is a disorder of - CORRECT ANSWER - perception.
What is the name given to the condition where the patient has an acute confusional
stemming from an infection? - CORRECT ANSWER - Delirium.
What is the name given to the progressive deteriorating organic mental disorder
that is associated with the ageing process? - CORRECT ANSWER - Dementia
A false fixed belief that is out of keeping with a person's knowledge and culture is
known as a - CORRECT ANSWER - delusion.
Pressure injuries form primarily as a result of - CORRECT ANSWER - poor
nutrition
A nurse is preparing to assess an adult patient's body temperature. At which time of
the day would the nurse expect to obtain the lowest body temperature? -
CORRECT ANSWER - Early morning.
A patient complains of headaches each morning that disappear after getting out of
bed. Which of the following would be the most appropriate for the nurse to do
, next? - CORRECT ANSWER - Use an appropriate framework to find out more
information about the headaches.
Elderly patients who are experiencing confusion are best managed by -
CORRECT ANSWER - Providing simple directions with physical assistance if
necessary.
When a patient fabricates events to fill in memory gaps this is called - CORRECT
ANSWER - confabulation.
Which of these is incorrect in relation to delirium? - CORRECT ANSWER -
There is no available treatment.
For which patient condition would the nurse most likely expect a capillary refill
time longer than two seconds? - CORRECT ANSWER - Peripheral vascular
disease.
Nurses should be aware of the verbal and non-verbal ways patients communicate
discomfort. What would be an appropriate assessment tool to use with young
children? - CORRECT ANSWER - A faces pain scale.
A nursing student who cares for patients should be aware of which of the following
as the most important way of reducing disease transmission? - CORRECT
ANSWER - Hand hygiene.
During an assessment of a patient with a severe asthma attack, which part of the
body would the nurse assess for central cyanosis? - CORRECT ANSWER - Oral
mucosa.