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700 Students Passed

96% Average Score

92% Same Questions
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Viewing questions 21-30 out of questions
Questions # 21:

During balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:

Options:

A.

Continue the procedure and assure the patient

B.

Aspirate the fluid and remove the catheter

C.

Withdraw the fluid and reinsert the catheter

D.

Decrease the amount of injected fluid and secure

Questions # 22:

The mother of a child with nephrotic syndrome asks why her child must be weighed each morning. The nurse's response should be based on the fact that this is important to determine the:

Options:

A.

Nutritional status

B.

Water retention

C.

Medication doses

D.

Blood volume

Questions # 23:

The nurse knows that the greatest risk for a patient with a ruptured ectopic pregnancy is:

Options:

A.

Hemorrhage leading to hypovolemic shock

B.

Strictures and scarring of the fallopian tube

C.

Adhesions and scarring from blood in the abdomen

D.

Infertility resulting from treatment with a salpingectomy

Questions # 24:

Pain management for terminally ill patients is most effective when analgesics are given:

Options:

A.

Around the clock

B.

Only when clearly needed

C.

After non-pharmacological methods fail

D.

As the patient requests them

Questions # 25:

The patient did not sleep well last night and is anxious about having a bronchoscopy later this morning. The priority nursing intervention would be to:

Options:

A.

Reassure and encourage expression of feelings

B.

Administer the premedication a little earlier

C.

Keep the patient occupied until the procedure

D.

Explain the purpose of the bronchoscopy

Questions # 26:

When preparing an eye medication, the nurse reads the order "OS". Medication is given into:

Options:

A.

Both eyes

B.

Left eye

C.

Right eye

D.

Infected eye

Questions # 27:

Which of the following interventions should the nurse implement if a patient complains of cramps while irrigating the colostomy?

Options:

A.

Reduce the flow of solution

B.

Have the patient sit up in bed

C.

Remove the irrigation tube

D.

Insert the tube further into the colon

Questions # 28:

A patient with a central venous line develops sudden clinical manifestations that include a decrease in blood pressure, an elevated heart rate, cyanosis, tachypnea, and changes in mental status. Which of the following is the most likely cause of these symptoms?

Options:

A.

An air embolism

B.

Circulatory overload

C.

Venous thrombosis

D.

Developing bacteremia

Questions # 29:

To remove soft contact lenses from the eyes of an unconscious patient the nurse should:

Options:

A.

Uses a small suction cup placed on the lenses

B.

Pinches the lens off the eye then slides it off the cornea

C.

Lifts the lenses with a dry cotton ball that adheres to the lenses

D.

Tenses the lateral canthus while stimulating a blink reflex by the patient

Questions # 30:

During the acute phase of a cerebrovascular accident (CVA) the nurse should maintain the patient in which of the following positions?

Options:

A.

Semi-prone with the head of the bed elevated 60-90 degrees

B.

Lateral, with the head of the bed flat

C.

Prone, with the head of the bed flat

D.

Supine, with the head of the bed elevated 30-45 degrees

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