Your male patient complaints of discomfort while inflating the balloon during
insertion of a endwelling urinary catheter. What would be the most appropriate
action? – ANSWER- Deflate the balloon, advance the catheter further, then
reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What
times should the patient be taught to be alert for signs of hypoglycemia? –
ANSWER- Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? –
ANSWER- Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st? – ANSWERHyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that
are: – ANSWER- Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with
chronic obstructive pulmonary disease(COPD) – ANSWER- Impaired gas
exchange
Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a
stage 4 pressure injury to his coccyx. You were told in report that he lives at home
with family members. What should you do? – ANSWER- Notify the charge nurse
and social worker of your concerns.
You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? – ANSWER- LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? – ANSWER- Change
in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? – ANSWER- Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? – ANSWER- ?
Your post op patient has a Jackson – Pratt drain in place. how do you ensure
effective drain function? – ANSWER- Compress the drain, then plug the bulb to
establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and
dehydration. What other assessment finding would you anticipate as part of your
physical assessment? – ANSWER- Severe abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of
diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? –
ANSWER- Check the patient’s blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication
would you anticipate administering? – ANSWER- Vitamin K
While in a supine position your patient States” I’m tired and cannot catch my
breath”. Physical assessment reveals juggler vein distention and a 3rd heart
sound(S3). These symptoms are indicative of what condition? – ANSWER- Heart
failure
Upon entry to your patient’s room, you find her sitting in high Fowler’s Position
and complaining of shortness of breath. Her respiratory rate is 34 breaths/minute
And 02 sat is 84%. Which mode of oxygen delivery would most likely reverse the
symptoms? – ANSWER- Non rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal
reminders And increased observation. The nursing assistant recommends using soft
mitt Restraints on the patient. What is your recommendation? – ANSWERRequest and order for soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart
failure? – ANSWER- Edema in the legs and feet
You were hired to work the medical unit and when you arrive at work the charge
nurse has assigned you to the post surgical unit since they are under staffed. Which
is the most appropriate action? – ANSWER- Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a
room for a patient with with C diff? – ANSWER- Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for? – ANSWER- 1
hour before meals and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following
a motor vehicle accident. A NG Tube is in place for decompression, however, you
note during the assessment that the stomach is rigid and hard during palpation.
What condition do you suspect. – ANSWER- Hemorrhage
What is clubbing of the fingers most likely associated with? – ANSWER- Chronic
oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended
abdomen. What procedure would you anticipate being performed by the provider
at the bedside for this patient? – ANSWER- Paracentesis
Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? – ANSWER- Inform
the provider that explaining the procedure is outside the nurse’s scope of practice.
You’re patient Recently had a G Tube Placed and interminent enteral Feedings
have been initiated. What symptoms may indicate intolerance to the feedings? –
ANSWER- Vomiting and diarrhea
Download full pdf here https://learnexams.com/search/study?query=