EXAM QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
The pt is admitted to the telemetry unit diagnosed with acute exacerbation of CHF. What s/s
would the nurse expect to find when assessing this client?
-apical pulse of 110 and 4+ edema of feet
-thick white sputum/crackles that clear w/coughing
-pt sleeping with no pillow and eupnea
-radial pulse rate of 90 & CRT <3 - correct answer --apical pulse of 110 and 4+ edema of feet
the pt diagnosed w/ an exacerbation of COPD is in respiratory distress. Which intervention
should the nurse implement first?
-assist the pt into a sitting position at 90 degrees
-admin. O2 at 6L via nasal cannula
-monitor VS w/ pt sitting upright
-notify the HCP about pt's status - correct answer --assist the pt into a sitting position at 90
degrees
the pt is diagnosed with OA, which s/s should the nurse expect the pt to exhibit?
-severe bone deformity
-joint stiffness
-waddling gait
-swan neck fingers - correct answer --joint stiffness
, a pt in the ED begins to experience a severe anaphylactic reaction after an initial dose of IV PCN.
Which interventions should the nurse implement? Select all that apply
-prepare to admin solu-medrol
-request a STAT CXR
-initiate the rapid response team
-admin epinephrine SQ then IV continuous
-assess the pts HR/RR - correct answer -a, c, d, e
The nurse is discussing the importance of exercising to a client diagnosed with Type 2diabetes
whose diabetes is well controlled with diet and exercise. Which information should the nurse
include in the teaching about diabetes?
-Eat a simple carbohydrate snack before exercising.
-Carry peanut butter crackers when exercising.
-Encourage the client to walk 20 minutes three (3) times a week.
-Perform warmup and cool down exercises - correct answer --Perform warmup and cool down
exercises
a pt is admitted to a nursing unit from a long term care facility w/ HCT of 56% and serum
sodium level of 152meq/l. Which condition is a cause for these findings?
-overhydration
-anemia
-dehydration
-renal failure - correct answer --dehydration