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1.

The nurse calls together an interdisciplinary team with members


from medicine, social service, the clergy, and nutritional services to
care for a patient with a terminal illness. Which of the following
types of care would the team MOST likely be providing?
a- Palliative
b- Curative
c- Respite
d- Preventive

9. A 22 year – old man presented to the Mental Health Clinic with a


low - mood, a general loss of interest in activities and inability to
experience pleasure. He admitted to suicidal thoughts and extreme
lack of energy. He was prescribed a
Selective serotonin reuptake inhibitor to be taken daily. One month
later, he presented to the clinic and reports feeling more energetic,
but still has a low- mood. What is the patient's level of risk
committing suicide at this time?
a- None
b- High
c- Low
d- Medium

12. A 30 year – old married man presents to the clinic with


complaints of feeling sad for the past three months. He is unable to
maintain a regular sleep routine, has lost his appetite and has
difficulty concentrating. He is prescribed a medication which
prevents the reuptake of specific neurotransmitters that could
Contribute to his mental health problem. Which side effects would be
most important for the nurse to advise the patient of?
a- Polyuria
b- Photophobia
c- Fluid retention

d- Sexual dysfunction
18. A co-worker informs that the nurse about experiencing increased
level of stress associated with daily responsibilities to help cope with
professional stress, the nurse should encourage the co-worker to ;
a. Make a list of unfinished tasks
b. complete complex mental task before physical tasks
c. Acknowledge daily accomplishments
d. Spend time with colleague away from work

20. The nurse receives an order to obtain an arterial blood gas (ABG)
specimen on a patient. The nurse will use the radial artery to obtain
the specimen. Which of the following will the nurse assess before
puncturing the radial artery?
a. Allen test
b. Partial pressure of arterial oxygen
c. Partial carbon dioxide
d. Prothrombin time

25. During surgery, the patient has the following intake and output:
intravenous fluid 650cc, intravenous antibiotic 50cc, I unit of packed
red blood cells (PRBC) 350cc,nasogastric output 120cc, estimated
blood loss 80cc, and urine in the Foley catheter 240cc. What is the
patient’s total output

a. 120cc
b. 200cc
c. 240cc
d. 440cc

28. A patient report difficulty sleeping through the night since the
death of spouse 6 months ago which of the following is an
appropriate LONG term goal?

a. Feeling well rested each morning


b. Not feeling tired each afternoon
c. Taking brief nap in the middle of the day
d. Using sleep aid on a nightly basis
3. A nurse is caring for an 8 year-old male with cystic fibrosis. Based
on the nurse’s understanding of the disease. What nursing
intervention should the nurse expect to perform?
a. Restrict sodium and fluid intake
b. Give antidiarrheal medications
c. Discourage coughing after postural drainage
d. Administer pancreatic enzymes with each meal

13. A 12 year-old child who has been diagnosed with insulin


dependent mellitus (IDDM) since age 3 . Comes to the clinic for a
routine visit. The patient has begun to self-manage care with parental
supervision. The patient injects 28 units of NPH insulin every
morning and 8units at bedtime. The patient checks blood sugar 4
times every day. The patient’s weight is stable and diet is unchanged.
However, the patient reports several hypoglycemic reactions every
week. The nurse knows the MOST likely cause is that:
a. The patient is not eating the adequate number of calories reported
b. The dosages of insulin may need to be decreased as the patient
continues to grow
c. There may be changes in exercise or stress levels or the beginning
of a growth Spurt
d. The patient may not be competent in techniques of drawing up and
injecting insulin

50. A 9-month-old child who has had four ear infections in the past 6
months is being discharged. Which statement by the parent indicates
the need for further discharge teaching?
a. I should never put my baby to bed with bottle
b. My child should not use a pacifier after age 6 months
c. My child should drink his bottle while lying flat in my lap
d. My child should not be around people who smoke
229. A patient required long-term antibiotic has a central line
catheter inserted into the right subclavian vein by the physician .
Which of the following must be verified prior to the first use of the
catheter?
a. Blood return
b. X-ray
c. Catheter potency
d. Length of catheter

270. A patient is being prepared for a right breast biopsy under


general anesthesia. The patient asks the nurse about the surgical scar
and possible postoperative complications. Which of the following
actions would be appropriate for the nurse to take?
a. Review the post operative risks with the patient
b. Notify surgeon about the patient’s questions
c. Complete the patient’s preoperative check list
d. Show the patient photos of breast surgical scars

381. A patient is being followed in the clinic for hypertension, adult


onset diabetes, and obesity. The patient is apathetic about learning
nutritional guide lines to reach the goals of weight loss and
consumption of a healthy diet. The patient admitted to eating
“whatever is put in front of me”. Which of the following actions
would the nurse take?
a. Collaborate with the patient to set goals
b. Add a nursing diagnosis of non-compliance
c. Refer for Psychiatric screening for depression
d. Discuss nutritional interventions with the spouse

437. The home care nurse observe that the asthmatic patient has a
cough wheezing . The nurse administers an albuterol (Proventil)
nebulizer treatment as ordered. Which type of implementation is
this?
a. Discharge planning
b. Instruct
c. Monitoring and surveillance
d. Therapeutic interventions

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