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NCLEX- RN Practice Exam 18 (PM)
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Question 1
A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A
Contact the female’s parents about your observations.
B
Observe the hairline and scalp for possible signs of lice.
C
Contact the student’s physician.
D
Request a private evaluation of the female’s scalp from her parents.
Question 1 Explanation:
Observation of the student’s hair is the next step
Question 2
A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, “I think my son is sexually interested in girls.” The most appropriate course of action of the nurse is to respond by stating:
A
“I will talk to the doctor about it.”
B
“How do you know this?”
C
“Has this been going on for a while?”
D
“Teenagers often exhibit signs of sexual interest in females.”
Question 2 Explanation:
Adolescents exhibiting signs of sexual development and interest are normal.
Question 3
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
A
Secure the restraints to the bed rails on all extremities.
B
Notify the physician that restraints have been placed properly.
C
Communicate with the patient and family the need for restraints.
D
Position the head of the bed at a 45 degree angle.
Question 3 Explanation:
Both the family and the patient should have the need for restraints explained to them.
Question 4
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A
Sputum culture for gram-negative bacteria
B
Breath sounds examination
C
Chest x-ray
D
Mantoux test
Question 4 Explanation:
The Mantoux is the most accurate test to determine the presence of TB.
Question 5
A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?
A
The patient reports, “I didn’t keep my extremity elevated like the doctor asked me to.”
B
The patient reports, “My left leg has really been itching.”
C
The patient reports, “The arthritis in my wrists is flaring up, when I put weight on my crutches.”
D
The patient reports, “I have been having pain in my left calf.”
Question 5 Explanation:
Pain may be indicating neurovascular complication.
Question 6
A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
A
Recommend the patient attempt to walk pushing the w/c for safety
B
Recommend a speech therapy consult to the doctor.
C
Recommend the patient remain in her room at all times.
D
Recommend family members bring pictures to the patient’s room.
Question 6 Explanation:
Stimulation in the form of pictures may decrease signs of confusion.
Question 7
A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?
A
A middle-aged patient reports, ”My knee is still hurting from the TKR.”
B
A young female reports, ”I think I sprained my ankle about 2 weeks ago.”
C
A home health patient reports, “I am starting to have breakdown of my heels.”
D
A patient that received an upper extremity cast yesterday reports, “I can’t feel my fingers in my right hand today.”
Question 7 Explanation:
The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.
Question 8
A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
A
Patient may be in the late phases of CHF.
B
Patient may be experiencing anxiety after surgery.
C
Patient may be exhibiting signs of dermatitis.
D
Patient may have a DVT.
Question 8 Explanation:
All of these factors indicate a DVT
Question 9
A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
A
Encourage the patient to ambulate to reduce lower extremity edema
B
Contact the patient’s physician immediately.
C
Check the intake and output on the patient’s flow sheet.
D
Check the patient’s vitals every 2 hours
Question 9 Explanation:
Check the intake and output prior to making any decisions about patient care.
Question 10
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
A
Take breaks every 10-20 minutes with exercises.
B
Limit exercises based on respiratory acidosis.
C
Teach purse-lip breathing techniques
D
Encourage repetitive heavy lifting exercises that will increase strength.
Question 10 Explanation:
Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways
Question 11
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A
Normal body temperature for 48 hours.
B
Non-productive cough for 72 hours.
C
After 30 days of isolation.
D
Negative culture results.
Question 11 Explanation:
Negative culture results would indicate absence of infection.
Question 12
A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should where which of the following safety equipment?
A
Double gloves, gown, and mask
B
Sterile gloves, mask, and goggles
C
Goggles, mask, gloves, and gown
D
Surgical cap, gloves, mask, and proper shoewear
Question 12 Explanation:
All protective measures must be worn, it is not required to double glove.
Question 13
A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?
A
The patient’s plans for the future have been clarified.
B
The patient’s suicide plan has probably progressed.
C
The patient is excited about being around family again.
D
The patient’s mood is improving.
Question 13 Explanation:
The suicide plan may have been decided.
Question 14
A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren’t going away. Which of the following medications may be necessary?
A
Loritab
B
Atropine
C
Nystatin
D
Amoxil
Question 14 Explanation:
Thrush may be occurring and the patient may need Nystatin.
Question 15
A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
A
Administer Loritab to the patient for pain relief.
B
Place the patient in right sidelying position for pressure relief.
C
Provide pain reduction techniques without administering medication.
D
Start a Central Line.
Question 15 Explanation:
Do not administer pain medication or start a central line without MD orders.
Question 16
A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
A
Place the cane in the patient’s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
B
Place the cane in the patient’s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
C
Place the cane in the patient’s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
D
Place the cane in the patient’s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Question 16 Explanation:
The cane should be placed in the patient’s strong upper extremity, and left arm/right foot go together, for normal gait.
Question 17
A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A
Perform a neurological screen on the patient.
B
Request the physician on-call assess the patient.
C
Retake vitals including blood pressure.
D
Check the patient’s chest x-ray results.
Question 17 Explanation:
Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
Question 18
A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
A
A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
B
A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
C
A 27 year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.
D
A 75 year-old female who is scheduled for an EGD in 10 hours.
Question 18 Explanation:
The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.
Question 19
A nurse is working in an outpatient orthopedic clinic. During the patient’s history the patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?
A
Infraspinatus
B
Teres major
C
Teres minor
D
Supraspinatus
Question 19 Explanation:
Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.
Question 20
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
A
Educating the patient on monitoring fatigue
B
Ambulating the patient for the first time.
C
Transferring the patient to the shower.
D
Taking the patient’s breath sounds
Question 20 Explanation:
Nursing assistants should be competent on all transfers.
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Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
NCLEX- RN Practice Exam 18 (EM)
Choose the letter of the correct answer. You got 20 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed NCLEX- RN Practice Exam 18 (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
A
Start a Central Line.
B
Provide pain reduction techniques without administering medication.
C
Place the patient in right sidelying position for pressure relief.
D
Administer Loritab to the patient for pain relief.
Question 1 Explanation:
Do not administer pain medication or start a central line without MD orders.
Question 2
A nurse is working in an outpatient orthopedic clinic. During the patient’s history the patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?
A
Teres major
B
Teres minor
C
Infraspinatus
D
Supraspinatus
Question 2 Explanation:
Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.
Question 3
A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
A
Place the cane in the patient’s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
B
Place the cane in the patient’s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
C
Place the cane in the patient’s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
D
Place the cane in the patient’s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Question 3 Explanation:
The cane should be placed in the patient’s strong upper extremity, and left arm/right foot go together, for normal gait.
Question 4
A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
A
A 75 year-old female who is scheduled for an EGD in 10 hours.
B
A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
C
A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
D
A 27 year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.
Question 4 Explanation:
The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.
Question 5
A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should where which of the following safety equipment?
A
Surgical cap, gloves, mask, and proper shoewear
B
Goggles, mask, gloves, and gown
C
Double gloves, gown, and mask
D
Sterile gloves, mask, and goggles
Question 5 Explanation:
All protective measures must be worn, it is not required to double glove.
Question 6
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
A
Transferring the patient to the shower.
B
Taking the patient’s breath sounds
C
Ambulating the patient for the first time.
D
Educating the patient on monitoring fatigue
Question 6 Explanation:
Nursing assistants should be competent on all transfers.
Question 7
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
A
Position the head of the bed at a 45 degree angle.
B
Secure the restraints to the bed rails on all extremities.
C
Communicate with the patient and family the need for restraints.
D
Notify the physician that restraints have been placed properly.
Question 7 Explanation:
Both the family and the patient should have the need for restraints explained to them.
Question 8
A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
A
Recommend a speech therapy consult to the doctor.
B
Recommend the patient remain in her room at all times.
C
Recommend the patient attempt to walk pushing the w/c for safety
D
Recommend family members bring pictures to the patient’s room.
Question 8 Explanation:
Stimulation in the form of pictures may decrease signs of confusion.
Question 9
A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?
A
A home health patient reports, “I am starting to have breakdown of my heels.”
B
A young female reports, ”I think I sprained my ankle about 2 weeks ago.”
C
A middle-aged patient reports, ”My knee is still hurting from the TKR.”
D
A patient that received an upper extremity cast yesterday reports, “I can’t feel my fingers in my right hand today.”
Question 9 Explanation:
The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.
Question 10
A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, “I think my son is sexually interested in girls.” The most appropriate course of action of the nurse is to respond by stating:
A
“How do you know this?”
B
“Teenagers often exhibit signs of sexual interest in females.”
C
“Has this been going on for a while?”
D
“I will talk to the doctor about it.”
Question 10 Explanation:
Adolescents exhibiting signs of sexual development and interest are normal.
Question 11
A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?
A
The patient reports, “I have been having pain in my left calf.”
B
The patient reports, “My left leg has really been itching.”
C
The patient reports, “I didn’t keep my extremity elevated like the doctor asked me to.”
D
The patient reports, “The arthritis in my wrists is flaring up, when I put weight on my crutches.”
Question 11 Explanation:
Pain may be indicating neurovascular complication.
Question 12
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
A
Encourage repetitive heavy lifting exercises that will increase strength.
B
Limit exercises based on respiratory acidosis.
C
Take breaks every 10-20 minutes with exercises.
D
Teach purse-lip breathing techniques
Question 12 Explanation:
Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways
Question 13
A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
A
Patient may be experiencing anxiety after surgery.
B
Patient may be in the late phases of CHF.
C
Patient may have a DVT.
D
Patient may be exhibiting signs of dermatitis.
Question 13 Explanation:
All of these factors indicate a DVT
Question 14
A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?
A
The patient’s mood is improving.
B
The patient’s suicide plan has probably progressed.
C
The patient’s plans for the future have been clarified.
D
The patient is excited about being around family again.
Question 14 Explanation:
The suicide plan may have been decided.
Question 15
A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
A
Check the patient’s chest x-ray results.
B
Retake vitals including blood pressure.
C
Perform a neurological screen on the patient.
D
Request the physician on-call assess the patient.
Question 15 Explanation:
Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
Question 16
A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
A
Encourage the patient to ambulate to reduce lower extremity edema
B
Contact the patient’s physician immediately.
C
Check the patient’s vitals every 2 hours
D
Check the intake and output on the patient’s flow sheet.
Question 16 Explanation:
Check the intake and output prior to making any decisions about patient care.
Question 17
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
A
Mantoux test
B
Chest x-ray
C
Breath sounds examination
D
Sputum culture for gram-negative bacteria
Question 17 Explanation:
The Mantoux is the most accurate test to determine the presence of TB.
Question 18
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
A
Non-productive cough for 72 hours.
B
Negative culture results.
C
Normal body temperature for 48 hours.
D
After 30 days of isolation.
Question 18 Explanation:
Negative culture results would indicate absence of infection.
Question 19
A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A
Request a private evaluation of the female’s scalp from her parents.
B
Contact the student’s physician.
C
Contact the female’s parents about your observations.
D
Observe the hairline and scalp for possible signs of lice.
Question 19 Explanation:
Observation of the student’s hair is the next step
Question 20
A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren’t going away. Which of the following medications may be necessary?
A
Loritab
B
Amoxil
C
Atropine
D
Nystatin
Question 20 Explanation:
Thrush may be occurring and the patient may need Nystatin.
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Text Mode
Text Mode – Text version of the exam
1. A nurse is working in an outpatient orthopedic clinic. During the patient’s history the patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?
Teres minor
Teres major
Supraspinatus
Infraspinatus
2. A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?
A home health patient reports, “I am starting to have breakdown of my heels.”
A patient that received an upper extremity cast yesterday reports, “I can’t feel my fingers in my right hand today.”
A young female reports, ”I think I sprained my ankle about 2 weeks ago.”
A middle-aged patient reports, ”My knee is still hurting from the TKR.”
3. A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?
Patient may have a DVT.
Patient may be exhibiting signs of dermatitis.
Patient may be in the late phases of CHF.
Patient may be experiencing anxiety after surgery.
4. A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?
The patient reports, “I didn’t keep my extremity elevated like the doctor asked me to.”
The patient reports, “I have been having pain in my left calf.”
The patient reports, “My left leg has really been itching.”
The patient reports, “The arthritis in my wrists is flaring up, when I put weight on my crutches.”
5. A 93 year-old female with a history of Alzheimer’s Disease gets admitted to an Alzheimer’s unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
Recommend the patient remain in her room at all times.
Recommend family members bring pictures to the patient’s room.
Recommend a speech therapy consult to the doctor.
Recommend the patient attempt to walk pushing the w/c for safety.
6. A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, “I think my son is sexually interested in girls.” The most appropriate course of action of the nurse is to respond by stating:
“I will talk to the doctor about it.”
“Has this been going on for a while?”
“How do you know this?”
“Teenagers often exhibit signs of sexual interest in females.”
7. A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
Request a private evaluation of the female’s scalp from her parents.
Contact the female’s parents about your observations.
Observe the hairline and scalp for possible signs of lice.
Contact the student’s physician.
8. A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
Transferring the patient to the shower.
Ambulating the patient for the first time.
Taking the patient’s breath sounds
Educating the patient on monitoring fatigue
9. A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should where which of the following safety equipment?
Sterile gloves, mask, and goggles
Surgical cap, gloves, mask, and proper shoewear
Double gloves, gown, and mask
Goggles, mask, gloves, and gown
10. A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
Place the cane in the patient’s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Place the cane in the patient’s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
Place the cane in the patient’s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Place the cane in the patient’s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
11. A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
A 75 year-old female who is scheduled for an EGD in 10 hours.
A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
A 27 year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.
12. A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
Secure the restraints to the bed rails on all extremities.
Notify the physician that restraints have been placed properly.
Communicate with the patient and family the need for restraints.
Position the head of the bed at a 45 degree angle.
13. A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?
The patient is excited about being around family again.
The patient’s suicide plan has probably progressed.
The patient’s plans for the future have been clarified.
The patient’s mood is improving.
14. A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren’t going away. Which of the following medications may be necessary?
Nystatin
Atropine
Amoxil
Loritab
15. A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
Administer Loritab to the patient for pain relief.
Place the patient in right sidelying position for pressure relief.
Start a Central Line.
Provide pain reduction techniques without administering medication.
16. A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
Contact the patient’s physician immediately.
Check the intake and output on the patient’s flow sheet.
Encourage the patient to ambulate to reduce lower extremity edema.
Check the patient’s vitals every 2 hours.
17. A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?
Check the patient’s chest x-ray results.
Retake vitals including blood pressure.
Perform a neurological screen on the patient.
Request the physician on-call assess the patient.
18. A patient that has TB can be taken off restrictions after which of the following parameters have been met?
Negative culture results.
After 30 days of isolation.
Normal body temperature for 48 hours.
Non-productive cough for 72 hours.
19. A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
Teach purse-lip breathing techniques.
Encourage repetitive heavy lifting exercises that will increase strength.
Limit exercises based on respiratory acidosis.
Take breaks every 10-20 minutes with exercises.
20. A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
Chest x-ray
Mantoux test
Breath sounds examination
Sputum culture for gram-negative bacteria
Answers and Rationales
(B) Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.
(B) The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.
(A) All of these factors indicate a DVT.
(B) Pain may be indicating neurovascular complication.
(B) Stimulation in the form of pictures may decrease signs of confusion.
(D) Adolescents exhibiting signs of sexual development and interest are normal.
(C) Observation of the student’s hair is the next step.
(A) Nursing assistants should be competent on all transfers.
(D) All protective measures must be worn, it is not required to double glove.
(A) The cane should be placed in the patient’s strong upper extremity, and left arm/right foot go together, for normal gait.
(B) The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.
(C) Both the family and the patient should have the need for restraints explained to them.
(B) The suicide plan may have been decided.
(A) Thrush may be occurring and the patient may need Nystatin.
(D) Do not administer pain medication or start a central line without MD orders.
(B) Check the intake and output prior to making any decisions about patient care.
(B) Dizziness can be a sign of hypotension, that may a contraindication with Morphine.
(A) Negative culture results would indicate absence of infection.
(A) Purse lip breathing will help decrease the volume of air expelled by increased bronchial airways.
(B) The Mantoux is the most accurate test to determine the presence of TB.