Cardiac
Medical treatment of coronary artery disease includes which of the following procedures?
A. Cardiac catherization
B. Coronary artery bypass surgery
C. Oral med therapy
D. Percutaneous transluminal coronary angioplasty
C. Oral med therapy
A patient with cancer has a nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation. Which nursing action is most appropriate?
a. Add strained baby meats to foods such as casseroles.
b. Teach the patient about foods that are high in nutrition.
c. Avoid giving the patient foods that are strongly disliked.
d. Add extra spice to enhance the flavor of foods that are served.
c. Avoid giving the patient foods that are strongly disliked.
When a home health nurse visits a family for the first time, what is the nurses primary goal?
A. Complete physical examinations on as many family members as time allows.
B. Have the family complete as many assessment tools as time allows.
C. Make sure all records, including third-party payer information, are accurate.
D. Observe and interview the family to identify family strengths and needs.
D. Observe and interview the family to identify family strengths and needs.
A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?
A. A client with a cast for a fractured femur and who has numbness and discoloration of the toes
B. A client with balanced skeletal traction and who needs assistance with morning care
C. A client who had an above-the-knee amputation yesterday and has a temperature of 101.4F
D. A client who had a total hip replacement 2 days ago and needs blood glucose monitoring
D. A client who had a total hip replacement 2 days ago and needs blood glucose monitoring
Which of the following is the most common symptom of myocardial infarction (MI)?
A. Chest pain
B. Dyspnea
C. Edema
D. Palpitations
A. Chest pain
Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy?
a. Care for the surgical incision
b. Medications used during surgery
c. Deep breathing and coughing techniques
d. Oral antibiotic therapy after discharge home
c. Deep breathing and coughing techniques
Why would a family strenuously resist the nurses efforts to be helpful?
A. People have the tendency to want to stay the same.
B. The family as a system operates on the principle of equifinality.
C. The nurse crossed the familys coping boundary.
D. The family system is trying to achieve entropy.
A. People have the tendency to want to stay the same.
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
A. Practical nurse (PN)
B. Registered Nurse (RN)
C. Certified Nursing Assistant (CNA or NA)
D. Volunteer
C. Certified Nursing Assistant (CNA or NA)
Which of the following is a compensatory response to decreased cardiac output?
A. Decreased BP
B. Alteration in LOC
C. Decreased BP & diuresis
D. Increased BP & fluid retention
D. Increased BP & fluid retention
The nasogastric (NG) tube is removed on the second postoperative day, and the patient is placed on a clear liquid diet. Four hours later, the patient complains of sharp, cramping gas pains. What action by the nurse is the most appropriate?
a. Reinsert the NG tube.
b. Give the PRN IV opioid.
c. Assist the patient to ambulate.
d. Place the patient on NPO status.
c. Assist the patient to ambulate.
After completing an assessment and discussing the plan of care with the family, upon which member would the nurse focus effort?
An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
A. A newly diagnosed client with type 2 diabetes mellitus who is learning foot care
B. A client from a motor vehicle accident with an external fixation device on the leg
C. A client admitted for a barium swallow after a transient ischemic attack
D. A newly admitted client with a diagnosis of pancreatic cancer
B. A client from a motor vehicle accident with an external fixation device on the leg
When developing a teaching plan for a pt with endocarditis, which of the following points is most essential for the nurse to include?
A. "Report fever, anorexia, & night sweats to the physician."
B. "Take prophylactic antibiotics after dental work & invasive procedures."
C. "Include potassium rich foods in your diet."
D. "Monitor your pulse regularly."
A. "Report fever, anorexia, & night sweats to the physician."
A patient is admitted for hypovolemia associated with multiple draining wounds. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?
a. Skin turgor
b. Daily weight
c. Presence of edema
d. Hourly urine output
b. Daily weight
The nurse is caring for a family who is very anxious and tense. Which of the following would be the most appropriate nursing intervention?
Which one of these tasks can be safely delegated to a licensed practical nurse (LPN)?
A. Assess the function of a newly created ileostomy
B. Care for a client with a recent complicated double barrel colostomy
C. Provide stoma care for a client with a well functioning ostomy
D. Teach ostomy care to a client and their family members
C. Provide stoma care for a client with a well functioning ostomy