QUESTION NO: 1
What clinical manifestations would you see if your patient had cataracts?
What clinical manifestations would you see if your patient had cataracts?
Correct Answer: A
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QUESTION NO: 2
You have received reports on the patients that you are assigned to. After assessing each of your patients,
which would you want to provide care for first?
You have received reports on the patients that you are assigned to. After assessing each of your patients,
which would you want to provide care for first?
Correct Answer: C
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QUESTION NO: 3
You are caring for a patient who has been assaulted. The patient is agitated, trembling, and
hyperventilating. What would be the priority nursing intervention?
You are caring for a patient who has been assaulted. The patient is agitated, trembling, and
hyperventilating. What would be the priority nursing intervention?
Correct Answer: A
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QUESTION NO: 4
Your patient has come into the emergency department with a self-inflicted wrist laceration that has severe
bleeding. You have begun to apply pressure to the wound. What would your immediate priority be?
Your patient has come into the emergency department with a self-inflicted wrist laceration that has severe
bleeding. You have begun to apply pressure to the wound. What would your immediate priority be?
Correct Answer: B
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QUESTION NO: 5
You have assisted the physician with insertion of a chest tube. As you monitor the fluid level in the water
seal chamber you notice fluctuations in the fluid. What is the appropriate action?
You have assisted the physician with insertion of a chest tube. As you monitor the fluid level in the water
seal chamber you notice fluctuations in the fluid. What is the appropriate action?
Correct Answer: A
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QUESTION NO: 6
You are caring for a patient in shock. Which parameter would you want to monitor to determine if
treatment is effective?
You are caring for a patient in shock. Which parameter would you want to monitor to determine if
treatment is effective?
Correct Answer: A
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QUESTION NO: 7
You are caring for a patient who came into the emergency department in a severe state of anxiety
following a care accident. What would be appropriate nursing intervention for the patient?
You are caring for a patient who came into the emergency department in a severe state of anxiety
following a care accident. What would be appropriate nursing intervention for the patient?
Correct Answer: A
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QUESTION NO: 8
You are caring for an alcoholic in withdrawal. Which symptoms would alert the nurse to delirium tremors?
You are caring for an alcoholic in withdrawal. Which symptoms would alert the nurse to delirium tremors?
Correct Answer: C
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QUESTION NO: 9
You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH
7 .45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?
You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH
7 .45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?
Correct Answer: C
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QUESTION NO: 10
Which of the following patients would the nurse want to delegate to unlicensed assistive personnel?
Which of the following patients would the nurse want to delegate to unlicensed assistive personnel?
Correct Answer: C
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QUESTION NO: 11
Which of the following would not encourage effective communication between a dying patient and his
family?
Which of the following would not encourage effective communication between a dying patient and his
family?
Correct Answer: C
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QUESTION NO: 12
You are caring for a patient who demands to be released from the hospital immediately. The patient was
admitted voluntary for an anxiety disorder. What actions should the nurse take next?
You are caring for a patient who demands to be released from the hospital immediately. The patient was
admitted voluntary for an anxiety disorder. What actions should the nurse take next?
Correct Answer: B
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QUESTION NO: 13
You are caring for an older patient who is on complete bedrest. What interventions would you take to
prevent respiratory complications?
You are caring for an older patient who is on complete bedrest. What interventions would you take to
prevent respiratory complications?
Correct Answer: D
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QUESTION NO: 14
You are caring for a postpartum mother who is in hypovalemic shock from hemorrhage. What would you
expect to be the priority for this patient?
You are caring for a postpartum mother who is in hypovalemic shock from hemorrhage. What would you
expect to be the priority for this patient?
Correct Answer: B
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QUESTION NO: 15
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing
assistant assess skin integrity for this patient?
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing
assistant assess skin integrity for this patient?
Correct Answer: C
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