FREE AND STUDY GAMES ABOUT WEEK 3 FOND OF NURSE

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FREE AND STUDY GAMES ABOUT WEEK 3 FOND OF NURSE

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

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-Guarantee passing score -57 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Which factor would the nurse suspect is causing the blood pressure to fall when a patient who experienced a myocardial infarction (heart attack) is becoming cool and clammy?

Answer:

Decreased cardiac output Decreased cardiac output is a physiologic factor of hypotension and is caused by a myocardial infarction.Question 2: Which patient cue would the nurse identify as relevant for blood pressure?

Answer:

Reports blurred vision Question 3: Which information would the nurse share with a team member about the pathophysiology of hypertension?

Answer:

Overstimulation of angiotensin and aldosterone causes the blood pressure to increase.Overstimulation of angiotensin and aldosterone causes the blood pressure to increase from neurohormonal dysfunction, leading to hypertension.

Question 4: Which instruction would the nurse share with a male patient who calls the clinic and tells the nurse that over a 24-hour period he has taken two extra strength acetaminophen tablets (1000 mg) every 4 hours for a fever?

Answer:

This is too much acetaminophen.The nurse would share this information because the patient is exceeding the maximum dose (4 grams/day).Question 5: Which action would the nurse take when measuring the tympanic temperature of a 5-year-old?

Answer:

Pull the pinna up and back.For patients 4 years to adult, the pinna is pulled up and back to straighten the ear canal for a tympanic reading.Question 6: Which pulse site would the nurse check when an infant appears lifeless?

Answer:

Brachial The brachial pulse in the arm is the best choice as it is easily accessible on an infant.Question 7: Which interventions would the nurse implement to help an obese adult patient who smokes cigarettes successfully manage hypertension?

Answer:

Arranging for nutritional support, Encouraging cessation of smoking, Monitoring responses to prescribed antihypertensive medications Question 8: Which statements indicate the nurse understands possible errors in blood pressure assessment?

Answer:

*A noisy environment can cause a false low reading."

*"If pressure is released too slowly, a false high reading is possible."

*"Reinflating the cuff bladder before it has completely deflated can cause a false high measurement."

Question 9: Which expected outcome would the nurse develop for a patient suffering with acute pain?

Answer:

Patient will report a pain level of less than 3/10 within 45 minutes of receiving pain medication.This is an appropriate patient outcome because it provides reasonable outcome criteria within a reasonable amount of time.Question 10: Which patient would the nurse monitor closely for alterations in temperature control?

Answer:

One who was admitted to the hospital after experiencing a cerebrovascular accident (stroke) Question 11: Which cues would a nurse closely monitor to determine a patient's pain level who is intubated and can have nothing by mouth?

Answer:

pulse, blood pressure, restlessness Question 12: Which action would the nurse take to obtain a patient's apical pulse?

Answer:

Count "lub-dub" as one beat."Lub-dub" counts as one beat because one apical heartbeat has two sounds.Question 13: Which conditions would prompt the nurse to consider a hypothesis of Bradycardia?

Answer:

Hypothermia, Beta blocker administration, ncreased intracranial pressure Question 14: Which action would the nurse take immediately after assessing a patient's temperature to determine whether the patient has heat exhaustion or heatstroke?

Answer:

Touch the patient's skin.The nurse would touch the patient's skin because heatstroke causes hot, dry skin (a key finding), whereas heat exhaustion causes hot, wet skin.

Question 15: Which information to help decrease the pain would the nurse share with a postoperative abdominal patient who states that it is hard to move because the incision hurts?

Answer:

each the patient about splinting.Splinting (supporting the painful area with a pillow or blanket) will help decrease the pain when moving.Question 16: Which statement from the nurse indicates a correct interpretation of a higher temperature at 1830 when compared to the temperature at 1600?

Answer:

"This is a typical response based on circadian rhythms." Body temperature is affected by the circadian rhythm, so, for most people, their temperature is lowest around 3:00 a.m. (0300) and highest around 6:00 p.m. (1800).Question 17: Which factors would decrease an anxious patient's pain when fatigue is present and the patient's partner rubs the painful area and talks about events happening at home?

Answer:

emotional support, distraction, rubbing the painful area Question 18: Which hypothesis would the nurse select for a postoperative patient who has increasing abdominal pain, a blood pressure of 142/92, and pulse of 110?

Answer:

Acute Pain Increasing abdominal pain postoperatively, elevated blood pressure, and pulse rate indicate Acute Pain.Question 19: Which action would the nurse likely take for a patient with a hip fracture who has advanced dementia, does not answer appropriately, and is disoriented?

Answer:

Closely monitor the patient's vital signs, as well as level of agitation, irritation, and restlessness.Question 20: Which actions would the nurse take for a patient with tachycardia and atrial fibrillation whose pulse continues to increase?

Answer:

Notify health care provider., Assist with electrical cardioversion., Transfer to intensive care unit., Suggest a consult with a cardiologist.