NUR 304 Test 6

NUR 304 Test 6
1. The nurse is working triage in the ED when three (3) patients arrive to be seen.The nurse
will need to prioritize the patients according to their situations with the highest priority or firstlevel priority problems receiving immediate attention. Match the following patient situations
with their correct priority level.
Answer
A patient newly diagnosed with type 2 diabetes mellitus that does not know how to check his
own blood glucose levels with a glucometer.
A teenager who was stung by a bee during a soccer match is having trouble breathing.
An older adult with a urinary tract infection is also showing signs of confusion and agitation.
2. When planning a cultural assessment, the nurse should include which component?
Answer
Health-related beliefs
3. The nurse is asking an adolescent about illicit substance abuse. The ado- lescent answers,
"Yes, I've used marijuana at parties with my friends." What is the next question the nurse should
ask?
Answer
"When was the last time you used marijuana?"
4. The nurse is caring for several patients on a pediatric unit. Which patient should the nurse be
most concerned about possible abuse?
Answer
A 4-month-old with bruises on the arms
5. During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded
and firm to the touch. During percussion, the nurse notes a drum-like quality of the sounds across
the quadrants. How should the nurse interpret this type of sound?
Answer
Air-filled areas.

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