Question

1. A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?

1. Urine dipstick for glucose
2. Hemoglobin A1C
3. Oral glucose tolerance
4. Point of care Glucose (Accucheck)

11. Which assessment finding for a patient who is receiving IV furosemide (Lasix) to treat stage 2 hypertension is most important to report to the health care provider?

1. Blood glucose level of 175 mg/dL
2. Serum potassium level of 3.2 mEq/L
3. Most recent blood pressure (BP) reading of 150/80 mm Hg
4. Orthostatic systolic BP decrease of 12 mm Hg
5. 14.A patient reports a metallic taste in their mouth before experiencing a seizure. The nurse determines that the patient may have just experienced which phase of seizure activity?
6. Post-IctaI
7. Ictal
8. Aura **
9. Pro-dromal

15..A patient who has chest pain has all of the following test ordered. Which test should the nurse arrange to be completed first?

1. CK-MB
2. Chest X-Ray
3. Electrocardiogram (ECG)
4. Troponin level

16.The nurse is preparing to witness the patient signing the operative consent form when the patient says “The Physician was speaking too fast and I wanted to make sure there are no other treatment options” Which action should the nurse take next?

1. Notify the operating room nurse to give a more complete explanation of the procedure
2. Provide a thorough explanation of the planned surgical procedure
3. Give the prescribed preoperative antibiotics and withhold sedative medications
4. Notify the surgeon that the informed consent process cannot be completed

17.What is important for the nurse providing care for a patient with sickle cell crisis to do which of the following?

1. Limit the patient’s intake of oral and IV fluids
2. Encourage the patient to ambulate as much as tolerated
3. Evaluate the effectiveness of opioid analgesics
4. Teach the patient about high protein, high calorie foods

18.After receiving as shift-of-change report on the following four patients, which patient should the nurse see first?

1. A 50-yr old patient who has atrial fibrillation and a new order for warfarin (Coumadin)
2. A 40-yr old patient who experienced a transient ischemic attack yesterday who has a dose of aspirin due
3. A 30-yr old patient with a subarachnoid hemorrhage 2 days ago who has nimodipine scheduled
4. A 60-yr old patient with right sided weakness who has an infusion of tPa prescribed

20.Which menu choice indicates that the patient understands the nurses teaching about recommended dietary choices for iron-deficiency anemia?

1. Cantaloupe and cottage cheese
2. Strawberry and banana fruit plate
3. Pork and legumes
4. Avocado and orange juice

21.While in the holding area, a patient reveals to the nurse that his father has father had dark-cola colored urine, tachycardia, and tachypnea, immediately after his surgery. What action by the nurse is a priority?

1. Place a medical alert sticker on the front of the patient’s chart labeling them as a “High risk” patient.
2. Call the anesthesia care provider (ACP) and inform them that the patients family member had a potential reaction to anesthesia
3. Give 650 mg of acetaminophen (Tylenol) PO per MD orders to combat any potential fever.
4. Reassure the patient that his vital signs will be closely monitored after surgery.

23.The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 55 mg/dL. Fifteen minutes later, the blood glucose is 62 mg/dL. Which action should the nurse take next?

1. Give the patient 4 to 6 oz more orange jucice
2. Administer the PRN glucagon (Glucagon) 1 mg IM
3. Immediately notify the health care provider about the hypoglycemia
4. Perform orthostatic vital signs to see if the patient gets dizzy

24.Which assessment finding should the nurse caring for a patient with aplastic anemia communicate immediately to the health care provider?

1. There are purpura on the oral mucosa
2. There are large bruises on the patients back
3. The platelet count is 52,000/ ml
4. The patient is difficult to arouse
5. 25.A patient who takes a diuretic and a calcium channel blocker to control blood pressure is scheduled for an elective procedure. Which patient information is most important to communicate to the health care provider before surgery?
6. Hematorcrit  37%
7. Serum potassium 3.3 mEq/L
8. Blood pressure 130/75
9. Pulse rate 6p beats/minute

31.You are speaking with your patient ant the patient suddenly stiffens and falls back into bed. They awake 10 seconds after the seizure started and are slow to answer questions. What type of seizure did your patient most likely experience?

1. Tonic
2. Clonic
3. Atonic
4. Absence

32.The nurse explaining pantoprazole to a patient with recurring heartburn describes that the medication does what?

1. Coats and protects the lining of the stomach and esophagus from gastric acid
2. Reduces gastroesophageal reflux by increasing the rate of gastric emptying
3. Neutralizes stomach acid and provides relief of syptoms in a few minutes
4. Treats gastroesophageal reflux disease by decreasing stomach acid production

33.Which teaching topic Is most important for the nurse to discuss preoperatively with a patient who is scheduled for laparoscopic cholecystectomy?

1. Care for the surgical incision
2. Medications to be used after surgery
3. Oral antibiotic theraphy after they discharge
4. Deep breathing and coughing
5. 41.The nurse interprets blood pressure 127/79 to be what stage of hypertension?
6. Stage II
7. Stage I
8. Pre hypertension
9. Hypertensive crisis

42.After change of shift report, which patient should the nurse asses first?

1. A 28 yr old with a history of a lung transplant and temperature of 99 F
2. A 65 yr old with pneumonia who complains of chest pain when coughing
3. A 40 yr old who is complaining of severe unrelenting stabbing chest pain
4. A 72 yr old with heart failure who has 1+ bilateral edema in his legs and feet

43.A patient has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 10 lb over 2 months. The nurse will plan to educate the patient on which of the following?

1. Activity restrictions to prevent more weight loss
2. Fluid restriction to prevent flare-ups
3. The need for enternal nutrition to maintain adequate weight
4. Importance of adhering to their medication regimen

45.Which discharge instructions will the medical-surgical nurse include for a patient with a sprained ankle?

1. Apply cold pack for during the first 24-48 hours to reduce inflammation
2. Gently move the ankle through range of motion excersises within the first 24 hours to promote healing
3. Apply a heating pad during the first 24 hours to reduce muscle spams
4. Keep the ankle loosely wrapped with gauze to prevent compartment syndrome

Answer 1

1) Type 2 dibetes are dignosed by the test which indicates your average blood sugar levels for the last two to three months . That test is known as Glycated Hemoglobin (A1C) test.

So, Option B is coreect ,Hemoglobin A1C.

11) The  assessment finding for a patient who is receiving IV furosemide (Lasix) to treat stage 2 hypertension is the systolic prssure of 150mmHg which is very higher than normal .

So, option C is correct, Most recent blood pressure (BP) reading of 150/80 mm Hg.

14) Whenever there is the change in the perception, that could be of any visual, oral, auditory or just a feeling, that come just before experencing seizure, so the phase is called seizure aura.

So, the option I is correct , Aura.

15) The patient with the chest pain, firstly diagnosed with  electrocardiographic (ECG) recording.

So, the option C is correct, Electrocardiogram (ECG).

16)  The surgeon is the who is responsible for elaborate the sugery to the patient. After signing the consent form by the patient , surgeon clarifies to the nurse so that the nurse communicate directly to the surgeon to explane the legal surgical procedure.

So, the Option D is correct,Notify the surgeon that the informed consent process cannot be completed.

17) For the patient never use the medicine (mepridine) unless that is the only effective opioid .

So, option C is cirrect ,Evaluate the effectiveness of opioid analgesics.

18) As the shift-of-change report the nurse should see first the patient according to the medical condition , age and severerity of that situation. So, nurse look for the oldest patient that is 60 year old, that needs the tpa infusion which is itself a importan factor in medical.

So, the option D is correct, A 60-yr old patient with right sided weakness who has an infusion of tPa prescribed.

20)The  nurses teaching about recommended dietary choices for iron-deficiency anemia is Avocado and orange juice because they help in absorbing the iron.

So, option D is correct, Avocado and orange juice.