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Fundamentals of Nursing Practice Exam 2 (PM)
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Question 1
An additional Vitamin C is required during all of the following periods except:
A
Pregnancy
B
Childhood
C
Infancy
D
Young adulthood
Question 1 Explanation:
Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress.
Question 2
Examples of patients suffering from impaired awareness include all of the following except:
A
A patient demonstrating symptoms of drugs or alcohol withdrawal
B
A disoriented or confused patient
C
A patient who cannot care for himself at home
D
A semiconscious or over fatigued patient
Question 2 Explanation:
A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility.
Question 3
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
A
Reporting an APTT above 45 seconds to the physician
B
All of the above
C
Assessing the patient for signs and symptoms of frank and occult bleeding
D
Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
Question 3 Explanation:
All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. All patients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation.
Question 4
A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?
A
Wait until she knows more about the unit
B
Complain to her fellow nurses
C
Inform the staff that they must volunteer to rotate
D
Discuss the problem with her supervisor
Question 4 Explanation:
Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. In this case, the supervisor is the resource person to approach.
Question 5
High-pitched gurgles head over the right lower quadrant are:
A
A sign of decreased bowel motility
B
Normal bowel sounds
C
A sign of abdominal cramping
D
A sign of increased bowel motility
Question 5 Explanation:
Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction.
Question 6
If nurse administers an injection to a patient who refuses that injection, she has committed:
A
None of the above
B
Malpractice
C
Negligence
D
Assault and battery
Question 6 Explanation:
Assault is the unjustifiable attempt or threat to touch or injure another person. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Thus, any act that a nurse performs on the patient against his will is considered assault and battery.
Question 7
The most common deficiency seen in alcoholics is:
A
Riboflavin
B
Pyridoxine
C
Pantothenic acid
D
Thiamine
Question 7 Explanation:
Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition.
Question 8
Which of the following nursing interventions promotes patient safety?
A
Asses the patient’s ability to ambulate and transfer from a bed to a chair
B
All of the above
C
Check to see that the patient is wearing his identification band
D
Demonstrate the signal system to the patient
Question 8 Explanation:
Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patient’s ability to carry out these functions safely. Demonstrating the signal system and providing an opportunity for a return demonstration ensures that the patient knows how to operate the equipment and encourages him to call for assistance when needed. Checking the patient’s identification band verifies the patient’s identity and prevents identification mistakes in drug administration.
Question 9
A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with:
A
Defamation
B
Assault
C
Malpractice
D
Battery
Question 9 Explanation:
Malpractice is defined as injurious or unprofessional actions that harm another. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale.
Question 10
The correct sequence for assessing the abdomen is:
A
Tympanic percussion, measurement of abdominal girth, and inspection
B
Assessment for distention, tenderness, and discoloration around the umbilicus.
C
Percussions, palpation, and auscultation
D
Auscultation, percussion, and palpation
Question 10 Explanation:
Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis.
Question 11
Palpating the midclavicular line is the correct technique for assessing
A
Apical pulse
B
Systolic blood pressure
C
Respiratory rate
D
Baseline vital signs
Question 11 Explanation:
The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration.
Question 12
The nurse’s most important legal responsibility after a patient’s death in a hospital is:
A
Notifying the coroner or medical examiner
B
Ensuring that the attending physician issues the death certification
C
Labeling the corpse appropriately
D
Obtaining a consent of an autopsy
Question 12 Explanation:
The nurse is legally responsible for labeling the corpse when death occurs in the hospital. She may be involved in obtaining consent for an autopsy or notifying the coroner or medical examiner of a patient’s death; however, she is not legally responsible for performing these functions. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it.
Question 13
Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
A
Continuity of patient care promotes efficient, cost-effective nursing care
B
The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.
C
Autonomy and authority for planning are best delegated to a nurse who knows the patient well
D
Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
Question 13 Explanation:
Studies have shown that patients and nurses both respond well to primary nursing care units. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. They also seem to gain a greater sense of achievement and esprit de corps.
Question 14
The most common psychogenic disorder among elderly person is:
A
Inability to concentrate
B
Decreased appetite
C
Sleep disturbances (such as bizarre dreams)
D
Depression
Question 14 Explanation:
Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors
Question 15
A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
A
Consult a physical therapist before allowing the patient to ambulate
B
Encourage the patient to walk in the hall alone
C
Discourage the patient from walking in the hall for a few more days
D
Accompany the patient for his walk.
Question 15 Explanation:
A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Accompanying him will offer moral support, enabling him to face the rest of the world. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Waiting to consult a physical therapist is unnecessary.
Question 16
A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:
A
Ineffective airway clearance related to thick, tenacious secretions.
B
Ineffective individual coping to COPD.
C
Ineffective airway clearance related to dry, hacking cough.
D
Pain related to immobilization of affected leg.
Question 16 Explanation:
Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Ineffective individual coping related to COPD is wrong because the etiology for a nursing diagnosis should not be a medical diagnosis (COPD) and because no data indicate that the patient is coping ineffectively. Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.
Question 17
The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
A
Femoral
B
Radial
C
Pedal
D
Apical
Question 17 Explanation:
Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated.
Question 18
A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract?
A
Guaiac test
B
Complete blood count
C
Abdominal girth
D
Vital signs
Question 18 Explanation:
To assess for GI tract bleeding when frank blood is absent, the nurse has two options: She can test for occult blood in vomitus, if present, or in stool – through guaiac (Hemoccult) test. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Changes in vital signs may be cause by factors other than blood loss. Abdominal girth is unrelated to blood loss.
Question 19
A prescribed amount of oxygen s needed for a patient with COPD to prevent:
A
Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
B
Circulatory overload due to hypervolemia
C
Respiratory excitement
D
Inhibition of the respiratory hypoxic stimulus
Question 19 Explanation:
Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Circulatory overload and respiratory excitement have no relevance to the question.
Question 20
The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:
A
Orthopnea
B
Tachypnea
C
Eupnca
D
Hyperventilation
Question 20 Explanation:
Orthopnea is difficulty of breathing except in the upright position. Tachypnea is rapid respiration characterized by quick, shallow breaths. Eupnea is normal respiration – quiet, rhythmic, and without effort.
Question 21
Certain substances increase the amount of urine produced. These include:
A
Beets
B
Urinary analgesics
C
Caffeine-containing drinks, such as coffee and cola.
D
Kaolin with pectin (Kaopectate)
Question 21 Explanation:
Fluids containing caffeine have a diuretic effect. Beets and urinary analgesics, such as pyridium, can color urine red. Kaopectate is an anti diarrheal medication.
Question 22
The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?
A
Encourage them to sign the consent form right away
B
Tell them the body will not be available for a wake or funeral
C
Listen to their concerns and answer their questions honestly
D
Discourage them from making a decision until their grief has eased
Question 22 Explanation:
The brain-dead patient’s family needs support and reassurance in making a decision about organ donation. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. However, the family’s concerns must be addressed before members are asked to sign a consent form. The body of an organ donor is available for burial.
Question 23
If a patient’s blood pressure is 150/96, his pulse pressure is:
A
54
B
246
C
96
D
150
Question 23 Explanation:
The pulse pressure is the difference between the systolic and diastolic blood pressure readings – in this case, 54.
Question 24
Which of the following parameters should be checked when assessing respirations?
A
All of the above
B
Symmetry
C
Rhythm
D
Rate
Question 24 Explanation:
The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations.
Question 25
The most common injury among elderly persons is:
A
Increased incidence of gallbladder disease
B
Atheroscleotic changes in the blood vessels
C
Hip fracture
D
Urinary Tract Infection
Question 25 Explanation:
Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. The other answers are diseases that can occur in the elderly from physiologic changes.
Question 26
The four main concepts common to nursing that appear in each of the current conceptual models are:
A
Person, environment, health, nursing
B
Person, nursing, environment, medicine
C
Person, health, nursing, support systems
D
Person, health, psychology, nursing
Question 26 Explanation:
The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs.
Question 27
Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:
A
“Don’t worry. It’s only temporary”
B
“Your hair is really pretty”
C
“I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”
D
“Why are you crying? I didn’t get to the bad news yet”
Question 27 Explanation:
“I know this will be difficult” acknowledges the problem and suggests a resolution to it. “Don’t worry..” offers some relief but doesn’t recognize the patient’s feelings. “..I didn’t get to the bad news yet” would be inappropriate at any time. “Your hair is really pretty” offers no consolation or alternatives to the patient.
Question 28
In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:
A
Elimination
B
Love
C
Oxygen
D
Nutrition
Question 28 Explanation:
Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. According to this theory, other physiologic needs (including food, water, elimination, shelter, rest and sleep, activity and temperature regulation) must be met before proceeding to the next hierarchical levels on psychosocial needs.
Question 29
After 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder?
A
Muscle weakness
B
Increased pulse rate and blood pressure
C
Lethargy
D
Muscle irritability
Question 29 Explanation:
Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems.
Question 30
The most common deficiency seen in alcoholics is:
A
Riboflavin
B
Pyridoxine
C
Pantothenic acid
D
Thiamine
Question 30 Explanation:
Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition.
Question 31
The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?
A
Continue administering oxygen by high humidity face mask
B
Place a humidifier in the patient’s room.
C
Encourage the patient to increase her fluid intake to 200 ml every 2 hours
D
Perform chest physiotheraphy on a regular schedule
Question 31 Explanation:
Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. High- humidity air and chest physiotherapy help liquefy and mobilize secretions.
Question 32
All of the following can cause tachycardia except:
A
Parasympathetic nervous system stimulation
B
Sympathetic nervous system stimulation
C
Exercise
D
Fever
Question 32 Explanation:
Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Fever, exercise, and sympathetic stimulation all increase the heart rate.
Question 33
The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…
A
Allow a 1 hour rest period between activities
B
Maintain the patient on strict bed rest at all times
C
Administer oxygen by Venturi mask at 24%, as needed
D
Maintain the patient in an orthopneic position as needed
Question 33 Explanation:
When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominal organs from pressing against the diaphragm, thus improving ventilation. Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Allowing for rest periods decreases the possibility of hypoxia.
Question 34
If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for:
A
Respondent superior
B
Libel
C
Assault
D
Slander
Question 34 Explanation:
Oral communication that injures an individual’s reputation is considered slander. Written communication that does the same is considered libel.
Question 35
Which of the following patients is at greatest risk for developing pressure ulcers?
A
An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
B
An alert, chronic arthritic patient treated with steroids and aspirin
C
A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
D
An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
Question 35 Explanation:
Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Age is also a factor. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk.
Question 36
When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:
A
Protect the patient from injury
B
Elevate the head of the bed
C
Withdraw all pain medications
D
Insert an airway
Question 36 Explanation:
Ensuring the patient’s safety is the most essential action at this time. The other nursing actions may be necessary but are not a major priority.
Question 37
A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:
A
Anxiety
B
Dehydration
C
Hypothermia
D
Infection
Question 37 Explanation:
A slightly elevated temperature in the immediate preoperative or post operative period may result from the lack of fluids before surgery rather than from infection. Anxiety will not cause an elevated temperature. Hypothermia is an abnormally low body temperature.
Question 38
Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?
A
Changing position every 2 hours
B
Quiet crying
C
Immobility, diaphoresis, and avoidance of deep breathing or coughing
D
Decreased blood pressure and heart rate and shallow respirations
Question 38 Explanation:
An Asian patient is likely to hide his pain. Consequently, the nurse must observe for objective signs. In an abdominal surgery patient, these might include immobility, diaphoresis, and avoidance of deep breathing or coughing, as well as increased heart rate, shallow respirations (stemming from pain upon moving the diaphragm and respiratory muscles), and guarding or rigidity of the abdominal wall. Such a patient is unlikely to display emotion, such as crying.
Question 39
The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
A
Writing the order for this test
B
Instructing the patient about this diagnostic test
C
All of the above
D
Giving the patient breakfast
Question 39 Explanation:
A platelet count evaluates the number of platelets in the circulating blood volume. The nurse is responsible for giving the patient breakfast at the scheduled time. The physician is responsible for instructing the patient about the test and for writing the order for the test.
Question 40
During a Romberg test, the nurse asks the patient to assume which position?
A
Genupectoral
B
Trendelenburg
C
Standing
D
Sitting
Question 40 Explanation:
During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sides—first with eyes open, then with eyes closed. The need to move the feet apart to maintain this stance is an abnormal finding.
Question 41
Which of the following is the most common cause of dementia among elderly persons?
Alzheimer;s disease, sometimes known as senile dementia of the Alzheimer’s type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. Parkinson’s disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Amyotrophic lateral sclerosis, a disease marked by progressive degeneration of the neurons, eventually results in atrophy of all the muscles; including those necessary for respiration.
Question 42
A patient about to undergo abdominal inspection is best placed in which of the following positions?
A
Trendelenburg
B
Side-lying
C
Supine
D
Prone
Question 42 Explanation:
The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. In the prone position, the patient lies on his abdomen with his face turned to the side. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. In the lateral position, the patient lies on his side.
Question 43
For a rectal examination, the patient can be directed to assume which of the following positions?
A
All of the above
B
Genupecterol
C
Sims
D
Horizontal recumbent
Question 43 Explanation:
All of these positions are appropriate for a rectal examination. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. In Sims’ position, the patient lies on his left side with the left arm behind the body and his right leg flexed. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward.
Question 44
To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is:
A
Less than 30 ml/hour
B
90 ml in 3 hours
C
64 ml in 2 hours
D
125 ml in 4 hours
Question 44 Explanation:
A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake.
Question 45
Which of the following is an example of nursing malpractice?
A
The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.
B
The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
C
The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
D
The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
Question 45 Explanation:
The three elements necessary to establish a nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). Applying a hot water bottle or heating pad to a patient without a physician’s order does not include the three required components. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Administering an incorrect medication is a nursing error; however, if such action resulted in a serious illness or chronic problem, the nurse could be sued for malpractice.
Question 46
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
A
Mashed potatoes and broiled chicken
B
A tossed salad with oil and vinegar and olives
C
A ham and Swiss cheese sandwich on whole wheat bread
D
Chicken bouillon
Question 46 Explanation:
Mashed potatoes and broiled chicken are low in natural sodium chloride. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet.
Question 47
Before rigor mortis occurs, the nurse is responsible for:
A
Placing one pillow under the body’s head and shoulders
B
Allowing the body to relax normally
C
Removing the body’s clothing and wrapping the body in a shroud
D
Providing a complete bath and dressing change
Question 47 Explanation:
The nurse must place a pillow under the decreased person’s head and shoulders to prevent blood from settling in the face and discoloring it. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth.
Question 48
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
A
Side rails are a reminder to a patient not to get out of bed
B
Side rails are a deterrent that prevent a patient from falling out of bed.
C
Side rails are ineffective
D
Side rails should not be used
Question 48 Explanation:
Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. The other answers are incorrect interpretations of the statistical data.
Question 49
Which of the following vascular system changes results from aging?
A
Increased peripheral resistance of the blood vessels
B
Increased work load of the left ventricle
C
All of the above
D
Decreased blood flow
Question 49 Explanation:
Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. These changes, in turn, increase the work load of the left ventricle.
Question 50
A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?
A
Temperature only
B
Temperature and respiratory rate
C
Respiratory rate only
D
Pulse rate and temperature
Question 50 Explanation:
Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Thus, a respiratory rate of 30 would be abnormal. A normal adult body temperature, as measured on an oral thermometer, ranges between 97° and 100°F (36.1° and 37.8°C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Thus, an axillary temperature of 99.6°F (37.6°C) would be considered abnormal. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal.
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Fundamentals of Nursing Practice Exam 2 (EM)
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Question 1
All of the following can cause tachycardia except:
A
Parasympathetic nervous system stimulation
B
Exercise
C
Fever
D
Sympathetic nervous system stimulation
Question 1 Explanation:
Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Fever, exercise, and sympathetic stimulation all increase the heart rate.
Question 2
A prescribed amount of oxygen s needed for a patient with COPD to prevent:
A
Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
B
Respiratory excitement
C
Circulatory overload due to hypervolemia
D
Inhibition of the respiratory hypoxic stimulus
Question 2 Explanation:
Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Circulatory overload and respiratory excitement have no relevance to the question.
Question 3
Which of the following parameters should be checked when assessing respirations?
A
Rhythm
B
Rate
C
Symmetry
D
All of the above
Question 3 Explanation:
The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations.
Question 4
A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
A
Encourage the patient to walk in the hall alone
B
Consult a physical therapist before allowing the patient to ambulate
C
Accompany the patient for his walk.
D
Discourage the patient from walking in the hall for a few more days
Question 4 Explanation:
A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Accompanying him will offer moral support, enabling him to face the rest of the world. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Waiting to consult a physical therapist is unnecessary.
Question 5
A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:
A
Pain related to immobilization of affected leg.
B
Ineffective airway clearance related to dry, hacking cough.
C
Ineffective individual coping to COPD.
D
Ineffective airway clearance related to thick, tenacious secretions.
Question 5 Explanation:
Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Ineffective individual coping related to COPD is wrong because the etiology for a nursing diagnosis should not be a medical diagnosis (COPD) and because no data indicate that the patient is coping ineffectively. Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.
Question 6
The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?
A
Discourage them from making a decision until their grief has eased
B
Listen to their concerns and answer their questions honestly
C
Encourage them to sign the consent form right away
D
Tell them the body will not be available for a wake or funeral
Question 6 Explanation:
The brain-dead patient’s family needs support and reassurance in making a decision about organ donation. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. However, the family’s concerns must be addressed before members are asked to sign a consent form. The body of an organ donor is available for burial.
Question 7
The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:
A
Orthopnea
B
Tachypnea
C
Eupnca
D
Hyperventilation
Question 7 Explanation:
Orthopnea is difficulty of breathing except in the upright position. Tachypnea is rapid respiration characterized by quick, shallow breaths. Eupnea is normal respiration – quiet, rhythmic, and without effort.
Question 8
A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract?
A
Guaiac test
B
Abdominal girth
C
Complete blood count
D
Vital signs
Question 8 Explanation:
To assess for GI tract bleeding when frank blood is absent, the nurse has two options: She can test for occult blood in vomitus, if present, or in stool – through guaiac (Hemoccult) test. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Changes in vital signs may be cause by factors other than blood loss. Abdominal girth is unrelated to blood loss.
Question 9
The most common injury among elderly persons is:
A
Urinary Tract Infection
B
Hip fracture
C
Atheroscleotic changes in the blood vessels
D
Increased incidence of gallbladder disease
Question 9 Explanation:
Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. The other answers are diseases that can occur in the elderly from physiologic changes.
Question 10
Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:
A
“I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”
B
“Your hair is really pretty”
C
“Don’t worry. It’s only temporary”
D
“Why are you crying? I didn’t get to the bad news yet”
Question 10 Explanation:
“I know this will be difficult” acknowledges the problem and suggests a resolution to it. “Don’t worry..” offers some relief but doesn’t recognize the patient’s feelings. “..I didn’t get to the bad news yet” would be inappropriate at any time. “Your hair is really pretty” offers no consolation or alternatives to the patient.
Question 11
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
A
A ham and Swiss cheese sandwich on whole wheat bread
B
A tossed salad with oil and vinegar and olives
C
Chicken bouillon
D
Mashed potatoes and broiled chicken
Question 11 Explanation:
Mashed potatoes and broiled chicken are low in natural sodium chloride. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet.
Question 12
Palpating the midclavicular line is the correct technique for assessing
A
Apical pulse
B
Systolic blood pressure
C
Baseline vital signs
D
Respiratory rate
Question 12 Explanation:
The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration.
Question 13
If nurse administers an injection to a patient who refuses that injection, she has committed:
A
Assault and battery
B
Malpractice
C
None of the above
D
Negligence
Question 13 Explanation:
Assault is the unjustifiable attempt or threat to touch or injure another person. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Thus, any act that a nurse performs on the patient against his will is considered assault and battery.
Question 14
Which of the following is the most common cause of dementia among elderly persons?
Alzheimer;s disease, sometimes known as senile dementia of the Alzheimer’s type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. Parkinson’s disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Amyotrophic lateral sclerosis, a disease marked by progressive degeneration of the neurons, eventually results in atrophy of all the muscles; including those necessary for respiration.
Question 15
A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with:
A
Assault
B
Defamation
C
Battery
D
Malpractice
Question 15 Explanation:
Malpractice is defined as injurious or unprofessional actions that harm another. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale.
Question 16
A patient about to undergo abdominal inspection is best placed in which of the following positions?
A
Supine
B
Side-lying
C
Trendelenburg
D
Prone
Question 16 Explanation:
The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. In the prone position, the patient lies on his abdomen with his face turned to the side. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. In the lateral position, the patient lies on his side.
Question 17
For a rectal examination, the patient can be directed to assume which of the following positions?
A
Horizontal recumbent
B
Genupecterol
C
All of the above
D
Sims
Question 17 Explanation:
All of these positions are appropriate for a rectal examination. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. In Sims’ position, the patient lies on his left side with the left arm behind the body and his right leg flexed. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward.
Question 18
The nurse’s most important legal responsibility after a patient’s death in a hospital is:
A
Notifying the coroner or medical examiner
B
Obtaining a consent of an autopsy
C
Ensuring that the attending physician issues the death certification
D
Labeling the corpse appropriately
Question 18 Explanation:
The nurse is legally responsible for labeling the corpse when death occurs in the hospital. She may be involved in obtaining consent for an autopsy or notifying the coroner or medical examiner of a patient’s death; however, she is not legally responsible for performing these functions. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it.
Question 19
To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is:
A
90 ml in 3 hours
B
125 ml in 4 hours
C
64 ml in 2 hours
D
Less than 30 ml/hour
Question 19 Explanation:
A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake.
Question 20
Examples of patients suffering from impaired awareness include all of the following except:
A
A semiconscious or over fatigued patient
B
A disoriented or confused patient
C
A patient demonstrating symptoms of drugs or alcohol withdrawal
D
A patient who cannot care for himself at home
Question 20 Explanation:
A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility.
Question 21
Which of the following nursing interventions promotes patient safety?
A
Check to see that the patient is wearing his identification band
B
Demonstrate the signal system to the patient
C
All of the above
D
Asses the patient’s ability to ambulate and transfer from a bed to a chair
Question 21 Explanation:
Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patient’s ability to carry out these functions safely. Demonstrating the signal system and providing an opportunity for a return demonstration ensures that the patient knows how to operate the equipment and encourages him to call for assistance when needed. Checking the patient’s identification band verifies the patient’s identity and prevents identification mistakes in drug administration.
Question 22
When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:
A
Protect the patient from injury
B
Elevate the head of the bed
C
Insert an airway
D
Withdraw all pain medications
Question 22 Explanation:
Ensuring the patient’s safety is the most essential action at this time. The other nursing actions may be necessary but are not a major priority.
Question 23
Certain substances increase the amount of urine produced. These include:
A
Beets
B
Urinary analgesics
C
Kaolin with pectin (Kaopectate)
D
Caffeine-containing drinks, such as coffee and cola.
Question 23 Explanation:
Fluids containing caffeine have a diuretic effect. Beets and urinary analgesics, such as pyridium, can color urine red. Kaopectate is an anti diarrheal medication.
Question 24
Which of the following is an example of nursing malpractice?
A
The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
B
The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
C
The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.
D
The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
Question 24 Explanation:
The three elements necessary to establish a nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). Applying a hot water bottle or heating pad to a patient without a physician’s order does not include the three required components. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Administering an incorrect medication is a nursing error; however, if such action resulted in a serious illness or chronic problem, the nurse could be sued for malpractice.
Question 25
During a Romberg test, the nurse asks the patient to assume which position?
A
Sitting
B
Genupectoral
C
Standing
D
Trendelenburg
Question 25 Explanation:
During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sides—first with eyes open, then with eyes closed. The need to move the feet apart to maintain this stance is an abnormal finding.
Question 26
The most common psychogenic disorder among elderly person is:
A
Sleep disturbances (such as bizarre dreams)
B
Depression
C
Inability to concentrate
D
Decreased appetite
Question 26 Explanation:
Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors
Question 27
Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?
A
Quiet crying
B
Immobility, diaphoresis, and avoidance of deep breathing or coughing
C
Changing position every 2 hours
D
Decreased blood pressure and heart rate and shallow respirations
Question 27 Explanation:
An Asian patient is likely to hide his pain. Consequently, the nurse must observe for objective signs. In an abdominal surgery patient, these might include immobility, diaphoresis, and avoidance of deep breathing or coughing, as well as increased heart rate, shallow respirations (stemming from pain upon moving the diaphragm and respiratory muscles), and guarding or rigidity of the abdominal wall. Such a patient is unlikely to display emotion, such as crying.
Question 28
An additional Vitamin C is required during all of the following periods except:
A
Childhood
B
Pregnancy
C
Young adulthood
D
Infancy
Question 28 Explanation:
Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress.
Question 29
The most common deficiency seen in alcoholics is:
A
Pantothenic acid
B
Riboflavin
C
Thiamine
D
Pyridoxine
Question 29 Explanation:
Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition.
Question 30
If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for:
A
Assault
B
Slander
C
Libel
D
Respondent superior
Question 30 Explanation:
Oral communication that injures an individual’s reputation is considered slander. Written communication that does the same is considered libel.
Question 31
A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:
A
Infection
B
Dehydration
C
Hypothermia
D
Anxiety
Question 31 Explanation:
A slightly elevated temperature in the immediate preoperative or post operative period may result from the lack of fluids before surgery rather than from infection. Anxiety will not cause an elevated temperature. Hypothermia is an abnormally low body temperature.
Question 32
The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…
A
Administer oxygen by Venturi mask at 24%, as needed
B
Maintain the patient on strict bed rest at all times
C
Allow a 1 hour rest period between activities
D
Maintain the patient in an orthopneic position as needed
Question 32 Explanation:
When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominal organs from pressing against the diaphragm, thus improving ventilation. Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Allowing for rest periods decreases the possibility of hypoxia.
Question 33
In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:
A
Love
B
Elimination
C
Nutrition
D
Oxygen
Question 33 Explanation:
Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. According to this theory, other physiologic needs (including food, water, elimination, shelter, rest and sleep, activity and temperature regulation) must be met before proceeding to the next hierarchical levels on psychosocial needs.
Question 34
If a patient’s blood pressure is 150/96, his pulse pressure is:
A
96
B
54
C
150
D
246
Question 34 Explanation:
The pulse pressure is the difference between the systolic and diastolic blood pressure readings – in this case, 54.
Question 35
A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?
A
Wait until she knows more about the unit
B
Complain to her fellow nurses
C
Discuss the problem with her supervisor
D
Inform the staff that they must volunteer to rotate
Question 35 Explanation:
Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. In this case, the supervisor is the resource person to approach.
Question 36
The four main concepts common to nursing that appear in each of the current conceptual models are:
A
Person, health, nursing, support systems
B
Person, health, psychology, nursing
C
Person, environment, health, nursing
D
Person, nursing, environment, medicine
Question 36 Explanation:
The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs.
Question 37
High-pitched gurgles head over the right lower quadrant are:
A
A sign of abdominal cramping
B
A sign of decreased bowel motility
C
Normal bowel sounds
D
A sign of increased bowel motility
Question 37 Explanation:
Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction.
Question 38
A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?
A
Temperature only
B
Temperature and respiratory rate
C
Respiratory rate only
D
Pulse rate and temperature
Question 38 Explanation:
Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Thus, a respiratory rate of 30 would be abnormal. A normal adult body temperature, as measured on an oral thermometer, ranges between 97° and 100°F (36.1° and 37.8°C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Thus, an axillary temperature of 99.6°F (37.6°C) would be considered abnormal. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal.
Question 39
The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
A
Giving the patient breakfast
B
Writing the order for this test
C
Instructing the patient about this diagnostic test
D
All of the above
Question 39 Explanation:
A platelet count evaluates the number of platelets in the circulating blood volume. The nurse is responsible for giving the patient breakfast at the scheduled time. The physician is responsible for instructing the patient about the test and for writing the order for the test.
Question 40
Which of the following patients is at greatest risk for developing pressure ulcers?
A
An alert, chronic arthritic patient treated with steroids and aspirin
B
A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
C
An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
D
An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
Question 40 Explanation:
Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Age is also a factor. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk.
Question 41
After 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder?
A
Muscle irritability
B
Increased pulse rate and blood pressure
C
Lethargy
D
Muscle weakness
Question 41 Explanation:
Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems.
Question 42
The most common deficiency seen in alcoholics is:
A
Thiamine
B
Pyridoxine
C
Pantothenic acid
D
Riboflavin
Question 42 Explanation:
Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition.
Question 43
Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
A
Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
B
Autonomy and authority for planning are best delegated to a nurse who knows the patient well
C
The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.
D
Continuity of patient care promotes efficient, cost-effective nursing care
Question 43 Explanation:
Studies have shown that patients and nurses both respond well to primary nursing care units. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. They also seem to gain a greater sense of achievement and esprit de corps.
Question 44
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
A
All of the above
B
Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
C
Assessing the patient for signs and symptoms of frank and occult bleeding
D
Reporting an APTT above 45 seconds to the physician
Question 44 Explanation:
All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. All patients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation.
Question 45
The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
A
Pedal
B
Radial
C
Apical
D
Femoral
Question 45 Explanation:
Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated.
Question 46
Before rigor mortis occurs, the nurse is responsible for:
A
Providing a complete bath and dressing change
B
Allowing the body to relax normally
C
Placing one pillow under the body’s head and shoulders
D
Removing the body’s clothing and wrapping the body in a shroud
Question 46 Explanation:
The nurse must place a pillow under the decreased person’s head and shoulders to prevent blood from settling in the face and discoloring it. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth.
Question 47
Which of the following vascular system changes results from aging?
A
Increased peripheral resistance of the blood vessels
B
Decreased blood flow
C
All of the above
D
Increased work load of the left ventricle
Question 47 Explanation:
Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. These changes, in turn, increase the work load of the left ventricle.
Question 48
The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?
A
Perform chest physiotheraphy on a regular schedule
B
Encourage the patient to increase her fluid intake to 200 ml every 2 hours
C
Continue administering oxygen by high humidity face mask
D
Place a humidifier in the patient’s room.
Question 48 Explanation:
Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. High- humidity air and chest physiotherapy help liquefy and mobilize secretions.
Question 49
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
A
Side rails are a reminder to a patient not to get out of bed
B
Side rails are ineffective
C
Side rails are a deterrent that prevent a patient from falling out of bed.
D
Side rails should not be used
Question 49 Explanation:
Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. The other answers are incorrect interpretations of the statistical data.
Question 50
The correct sequence for assessing the abdomen is:
A
Percussions, palpation, and auscultation
B
Auscultation, percussion, and palpation
C
Assessment for distention, tenderness, and discoloration around the umbilicus.
D
Tympanic percussion, measurement of abdominal girth, and inspection
Question 50 Explanation:
Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis.
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Text Mode – Text version of the exam
1. The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…
Maintain the patient on strict bed rest at all times
Maintain the patient in an orthopneic position as needed
Administer oxygen by Venturi mask at 24%, as needed
Allow a 1 hour rest period between activities
2. The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:
Tachypnea
Eupnca
Orthopnea
Hyperventilation
3. The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
Instructing the patient about this diagnostic test
Writing the order for this test
Giving the patient breakfast
All of the above
4. Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
A ham and Swiss cheese sandwich on whole wheat bread
Mashed potatoes and broiled chicken
A tossed salad with oil and vinegar and olives
Chicken bouillon
5. The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
Reporting an APTT above 45 seconds to the physician
Assessing the patient for signs and symptoms of frank and occult bleeding
All of the above
6. The four main concepts common to nursing that appear in each of the current conceptual models are:
Person, nursing, environment, medicine
Person, health, nursing, support systems
Person, health, psychology, nursing
Person, environment, health, nursing
7. In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:
Love
Elimination
Nutrition
Oxygen
8. The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?
Discourage them from making a decision until their grief has eased
Listen to their concerns and answer their questions honestly
Encourage them to sign the consent form right away
Tell them the body will not be available for a wake or funeral
9. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?
Complain to her fellow nurses
Wait until she knows more about the unit
Discuss the problem with her supervisor
Inform the staff that they must volunteer to rotate
10. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
Continuity of patient care promotes efficient, cost-effective nursing care
Autonomy and authority for planning are best delegated to a nurse who knows the patient well
Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.
11. If nurse administers an injection to a patient who refuses that injection, she has committed:
Assault and battery
Negligence
Malpractice
None of the above
12. If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for:
Slander
Libel
Assault
Respondent superior
13. A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with:
Defamation
Assault
Battery
Malpractice
14. Which of the following is an example of nursing malpractice?
The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.
15. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?
Decreased blood pressure and heart rate and shallow respirations
Quiet crying
Immobility, diaphoresis, and avoidance of deep breathing or coughing
Changing position every 2 hours
16. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract?
Complete blood count
Guaiac test
Vital signs
Abdominal girth
17. The correct sequence for assessing the abdomen is:
Tympanic percussion, measurement of abdominal girth, and inspection
Assessment for distention, tenderness, and discoloration around the umbilicus.
Percussions, palpation, and auscultation
Auscultation, percussion, and palpation
18. High-pitched gurgles head over the right lower quadrant are:
A sign of increased bowel motility
A sign of decreased bowel motility
Normal bowel sounds
A sign of abdominal cramping
19. A patient about to undergo abdominal inspection is best placed in which of the following positions?
Prone
Trendelenburg
Supine
Side-lying
20. For a rectal examination, the patient can be directed to assume which of the following positions?
Genupecterol
Sims
Horizontal recumbent
All of the above
21. During a Romberg test, the nurse asks the patient to assume which position?
Sitting
Standing
Genupectoral
Trendelenburg
22. If a patient’s blood pressure is 150/96, his pulse pressure is:
54
96
150
246
23. A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:
Infection
Hypothermia
Anxiety
Dehydration
24. Which of the following parameters should be checked when assessing respirations?
Rate
Rhythm
Symmetry
All of the above
25. A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?
Respiratory rate only
Temperature only
Pulse rate and temperature
Temperature and respiratory rate
26. All of the following can cause tachycardia except:
Fever
Exercise
Sympathetic nervous system stimulation
Parasympathetic nervous system stimulation
27. Palpating the midclavicular line is the correct technique for assessing
Baseline vital signs
Systolic blood pressure
Respiratory rate
Apical pulse
28. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
Apical
Radial
Pedal
Femoral
29. Which of the following patients is at greatest risk for developing pressure ulcers?
An alert, chronic arthritic patient treated with steroids and aspirin
An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
30. The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?
Encourage the patient to increase her fluid intake to 200 ml every 2 hours
Place a humidifier in the patient’s room.
Continue administering oxygen by high humidity face mask
Perform chest physiotheraphy on a regular schedule
31. The most common deficiency seen in alcoholics is:
Thiamine
Riboflavin
Pyridoxine
Pantothenic acid
32. Which of the following statement is incorrect about a patient with dysphagia?
The patient will find pureed or soft foods, such as custards, easier to swallow than water
Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
The patient should always feed himself
The nurse should perform oral hygiene before assisting with feeding.
33. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is:
Less than 30 ml/hour
64 ml in 2 hours
90 ml in 3 hours
125 ml in 4 hours
34. Certain substances increase the amount of urine produced. These include:
Caffeine-containing drinks, such as coffee and cola.
Beets
Urinary analgesics
Kaolin with pectin (Kaopectate)
35. A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
Encourage the patient to walk in the hall alone
Discourage the patient from walking in the hall for a few more days
Accompany the patient for his walk.
Consuit a physical therapist before allowing the patient to ambulate
36. A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:
Ineffective airway clearance related to thick, tenacious secretions.
Ineffective airway clearance related to dry, hacking cough.
Ineffective individual coping to COPD.
Pain related to immobilization of affected leg.
37. Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:
“Don’t worry. It’s only temporary”
“Why are you crying? I didn’t get to the bad news yet”
“Your hair is really pretty”
“I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”
38. An additional Vitamin C is required during all of the following periods except:
Infancy
Young adulthood
Childhood
Pregnancy
39. A prescribed amount of oxygen s needed for a patient with COPD to prevent:
Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
Circulatory overload due to hypervolemia
Respiratory excitement
Inhibition of the respiratory hypoxic stimulus
40. After 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder?
Lethargy
Increased pulse rate and blood pressure
Muscle weakness
Muscle irritability
41. Which of the following nursing interventions promotes patient safety?
Asses the patient’s ability to ambulate and transfer from a bed to a chair
Demonstrate the signal system to the patient
Check to see that the patient is wearing his identification band
All of the above
42. Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
Side rails are ineffective
Side rails should not be used
Side rails are a deterrent that prevent a patient from falling out of bed.
Side rails are a reminder to a patient not to get out of bed
43. Examples of patients suffering from impaired awareness include all of the following except:
A semiconscious or over fatigued patient
A disoriented or confused patient
A patient who cannot care for himself at home
A patient demonstrating symptoms of drugs or alcohol withdrawal
44. The most common injury among elderly persons is:
Atheroscleotic changes in the blood vessels
Increased incidence of gallbladder disease
Urinary Tract Infection
Hip fracture
45. The most common psychogenic disorder among elderly person is:
Depression
Sleep disturbances (such as bizarre dreams)
Inability to concentrate
Decreased appetite
46. Which of the following vascular system changes results from aging?
Increased peripheral resistance of the blood vessels
Decreased blood flow
Increased work load of the left ventricle
All of the above
47. Which of the following is the most common cause of dementia among elderly persons?
48. The nurse’s most important legal responsibility after a patient’s death in a hospital is:
Obtaining a consent of an autopsy
Notifying the coroner or medical examiner
Labeling the corpse appropriately
Ensuring that the attending physician issues the death certification
49. Before rigor mortis occurs, the nurse is responsible for:
Providing a complete bath and dressing change
Placing one pillow under the body’s head and shoulders
Removing the body’s clothing and wrapping the body in a shroud
Allowing the body to relax normally
50. When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:
Protect the patient from injury
Insert an airway
Elevate the head of the bed
Withdraw all pain medications
Answers and Rationales
B. When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominalorgans from pressing against the diaphragm, thus improving ventilation. Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Allowing for rest periods decreases the possibility of hypoxia.
C. Orthopnea is difficulty of breathing except in the upright position. Tachypnea is rapid respiration characterized by quick, shallow breaths. Eupnea is normal respiration – quiet, rhythmic, and without effort.
C.A platelet count evaluates the number of platelets in the circulating blood volume. The nurse is responsible for giving the patient breakfast at the scheduled time. The physician is responsible for instructing the patient about the test and for writing the order for the test.
B.Mashed potatoes and broiled chicken are low in natural sodium chloride. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet.
D.All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. Allpatients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation.
D.The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs.
D.Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. According to this theory, other physiologic needs (including food, water, elimination, shelter, rest and sleep, activity and temperature regulation) must be met before proceeding to the next hierarchical levels on psychosocial needs.
B.The brain-dead patient’s family needs support and reassurance in making a decision about organ donation. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. However, the family’s concerns must be addressed before members are asked to sign a consent form. The body of an organ donor is available for burial.
C.Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. In this case, the supervisor is the resource person to approach.
D.Studies have shown that patients and nurses both respond well to primary nursing care units. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. They also seem to gain a greater sense of achievement and esprit de corps.
A.Assault is the unjustifiable attempt or threat to touch or injure another person. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Thus, any act that a nurse performs on the patient against his will is considered assault and battery.
A.Oral communication that injures an individual’s reputation is considered slander. Written communication that does the same is considered libel.
D.Malpractice is defined as injurious or unprofessional actions that harm another. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale.
A.The three elements necessary to establish a nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). Applying a hot water bottle orheating pad to a patient without a physician’s order does not include the three required components. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Administering an incorrect medication is a nursing error; however, if such action resulted in a serious illness or chronic problem, the nurse could be sued for malpractice.
C.An Asian patient is likely to hide his pain. Consequently, the nurse must observe for objective signs. In an abdominal surgery patient, these might include immobility, diaphoresis, and avoidance of deep breathing or coughing, as well as increased heart rate, shallow respirations (stemming from pain upon moving the diaphragm and respiratory muscles), and guarding or rigidity of the abdominal wall. Such a patient is unlikely to display emotion, such as crying.
B.To assess for GI tract bleeding when frank blood is absent, the nurse has two options: She can test for occult blood in vomitus, if present, or in stool – through guaiac (Hemoccult) test. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Changes in vital signs may be cause by factors other than blood loss. Abdominal girth is unrelated to blood loss.
D.Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis.
C.Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction.
C.The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. In the prone position, the patient lies on his abdomen with his face turned to the side. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. In the lateral position, the patient lies on his side.
D.All of these positions are appropriate for a rectal examination. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. In Sims’ position, the patient lies on his left side with the left arm behind the body and his right leg flexed. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward.
B.During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sides—first with eyes open, then with eyes closed. The need to move the feet apart to maintain this stance is an abnormal finding.
A.The pulse pressure is the difference between the systolic and diastolic blood pressure readings – in this case, 54.
D.A slightly elevated temperature in the immediate preoperative or post operative period may result from the lack of fluids before surgery rather than from infection. Anxiety will not cause an elevated temperature. Hypothermia is an abnormally low body temperature.
D.The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations.
D.Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Thus, a respiratory rate of 30 would be abnormal. A normal adult body temperature, as measured on an oral thermometer, ranges between 97° and 100°F (36.1° and 37.8°C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Thus, an axillary temperature of 99.6°F (37.6°C) would be considered abnormal. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal.
D.Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Fever, exercise, and sympathetic stimulation all increase the heart rate.
D.The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration.
C.Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated.
B.Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Age is also a factor. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk.
A.Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. High- humidity air and chest physiotherapy help liquefy and mobilize secretions.
A. Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition.
C.A patient with dysphagia (difficulty swallowing) requires assistance with feeding. Feeding himself is a long-range expected outcome. Soft foods, Fowler’s or semi-Fowler’s position, and oral hygiene before eating should be part of the feeding regimen.
A.A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake.
A. Fluids containing caffeine have a diuretic effect. Beets and urinary analgesics, such as pyridium, can color urine red. Kaopectate is an anti diarrheal medication.
C.A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Accompanying him will offer moral support, enabling him to face the rest of the world. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Waiting to consult a physical therapist is unnecessary.
A.Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Ineffective individual coping related to COPD is wrong because the etiology for a nursing diagnosis should not be a medical diagnosis (COPD) and because no data indicate that the patient is coping ineffectively. Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.
D.“I know this will be difficult” acknowledges the problem and suggests a resolution to it. “Don’t worry..” offers some relief but doesn’t recognize the patient’s feelings. “..I didn’t get to the bad news yet” would be inappropriate at any time. “Your hair is really pretty” offers no consolation or alternatives to the patient.
B.Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress.
D.Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Circulatory overload and respiratory excitement have no relevance to the question.
C.Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems.
D.Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patient’s ability to carry out these functions safely. Demonstrating the signal system and providing an opportunity for a return demonstration ensures that the patient knows how to operate the equipment and encourages him to call for assistance when needed. Checking the patient’s identification band verifies the patient’s identity and prevents identification mistakes in drug administration.
D.Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. The other answers are incorrect interpretations of the statistical data.
C.A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility.
D.Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. The other answers are diseases that can occur in the elderly from physiologic changes.
A.Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors
D.Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. These changes, in turn, increase the work load of the left ventricle.
D. Alzheimer;s disease, sometimes known as senile dementia of the Alzheimer’s type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. Parkinson’s disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Amyotrophic lateral sclerosis, a disease marked by progressive degeneration of the neurons, eventually results in atrophy of all the muscles; including those necessary for respiration.
C.The nurse is legally responsible for labeling the corpse when death occurs in the hospital. She may be involved in obtaining consent for an autopsy or notifying the coroner or medical examiner of a patient’s death; however, she is not legally responsible for performing these functions. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it.
B.The nurse must place a pillow under the decreased person’s head and shoulders to prevent blood from settling in the face and discoloring it. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth.
A.Ensuring the patient’s safety is the most essential action at this time. The other nursing actions may be necessary but are not a major priority.