Study Group Question - Do you think you know it? - page 33

I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study... Read More

  1. by   KAYBDT6
    [quote=2bnurse4life4ever;3783072][quote=kaybdt6;3782793]
    which pt should be assign to cna

    1- pt with stable pulmonary artery pressure after mitral valve replacement.
    2- pt on bed rest with bathroom privileges and negative troponin and ck-mb level
    3- pt with chest pain to rule out a mi
    4- pt with discharge order and wound care teaching after cabg

    a pt with septic have a temp 104* f and unresponsive to antipyretics and the nurse places the pt on hypothermia blanket. what should the nurse instruct the cna to perform?
    1- document dietary intake
    2- turn the pt every 2hrs not related to the hypothermia blanket
    3- wrap the pt hands and feet- to prevent frobite
    4- report the pt skin appearance

    a pt with suprapubic catheter in place for 2 day.what delegation can the nurse give to the cna
    1- change the catheter
    2- clean area around the catheter
    3- determine the urine output adequacy
    4- instruct the pt how to care for the catheter

  2. by   KAYBDT6
    which pt can be delegate to an LPN
    1- pt with diagnosed with psychosis
    2- pt in buck's traction
    3- pt receiving blood transfusion
    4- pt receiving chemotherapy

    A pt on ventilator alarm show high pressure. which of the following action should the nurse take first
    1- notify the respiratory therapist
    2- observe the ventilator tubing for excessive fluid
    3- auscultate breath sound
    4- deactivate the alarm and check the spirometer

    A nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of CVC. which of the following action should the nurse take initially
    1- administer oxygen
    2- notify the physician
    3- position the pt to the left side and lower HOB
    4- instruct the pt to do valsalva maneuver
  3. by   2bNurse4life4ever
    [quote=kaybdt6;3783417]which pt can be delegate to an lpn
    1- pt with diagnosed with psychosis
    2- pt in buck's traction
    3- pt receiving blood transfusion
    4- pt receiving chemotherapy

    a pt on ventilator alarm show high pressure. which of the following action should the nurse take first
    1- notify the respiratory therapist
    2- observe the ventilator tubing for excessive fluid
    3- auscultate breath sound
    4- deactivate the alarm and check the spirometer

    a nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of cvc. which of the following action should the nurse take initially
    1- administer oxygen
    2- notify the physician
    3- position the pt to the left side and lower hob
    4- instruct the pt to do valsalva maneuver
  4. by   KAYBDT6
    [quote=2bnurse4life4ever;3783990][quote=kaybdt6;3783417]which pt can be delegate to an lpn
    1- pt with diagnosed with psychosis
    2- pt in buck's traction
    3- pt receiving blood transfusion
    4- pt receiving chemotherapy

    a pt on ventilator alarm show high pressure. which of the following action should the nurse take first
    1- notify the respiratory therapist
    2- observe the ventilator tubing for excessive fluid
    3- auscultate breath sound
    4- deactivate the alarm and check the spirometeralways check your pt first before the equipment

    a nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of cvc. which of the following action should the nurse take initially
    1- administer oxygen
    2- notify the physician
    3- position the pt to the left side and lower hob
    4- instruct the pt to do valsalva maneuverpt is experiencing air embolism and the pt need to be placed on the left side to prevent air going into the right atrium.
  5. by   KAYBDT6
    which pt should the nurse see first
    1- pt with IV NS infusing @ 125ml/hr with slight swelling @ the insertion site
    2- A pt with right knee replacement c/o right calf pain with movement
    3- A pt with RR 24 and oxygen of 94%
    4- A pt c/o nausea after 12hrs hysterectomy surgery

    A pt has a colorless drainage on his dressing after removal of brain tumor. what action should the nurse take initially
    1- notify the next shift RN bout the findings
    2- document the findings in the pt chart
    3- notify the physician
    4- mark down with pencil on the dressing and continue to monitor for increase drainage

    A pt is taken Lithium carbonate for 2yrs. The nurse check the pt chart and found out the Lithium value is 1.5mEq/L. what action should the nurse take
    1- administer the next dose of lithium carbonate
    2- encourage the pt to increase fluid and salt daily
    3- notify the physician
    4- document the findings

  6. by   2bNurse4life4ever
    which pt should the nurse see first
    1- pt with iv ns infusing @ 125ml/hr with slight swelling @ the insertion site
    2- a pt with right knee replacement c/o right calf pain with movement
    3- a pt with rr 24 and oxygen of 94%
    4- a pt c/o nausea after 12hrs hysterectomy surgery

    a pt has a colorless drainage on his dressing after removal of brain tumor. what action should the nurse take initially
    1- notify the next shift rn bout the findings
    2- document the findings in the pt chart
    3- notify the physician
    4- mark down with pencil on the dressing and continue to monitor for increase drainage

    a pt is taken lithium carbonate for 2yrs. the nurse check the pt chart and found out the lithium value is 1.5meq/l. what action should the nurse take
    1- administer the next dose of lithium carbonate
    2- encourage the pt to increase fluid and salt daily
    3- notify the physician
    4- document the findings
  7. by   KAYBDT6
    [quote=2bnurse4life4ever;3785000]
    which pt should the nurse see first
    1- pt with iv ns infusing @ 125ml/hr with slight swelling @ the insertion site
    2- a pt with right knee replacement c/o right calf pain with movement
    3- a pt with rr 24 and oxygen of 94%
    4- a pt c/o nausea after 12hrs hysterectomy surgery

    a pt has a colorless drainage on his dressing after removal of brain tumor. what action should the nurse take initially
    1- notify the next shift rn bout the findings
    2- document the findings in the pt chart
    3- notify the physician it's indicate csf and the pt need to be monitor for increase icp and meningitis.
    4- mark down with pencil on the dressing and continue to monitor for increase drainage

    a pt is taken lithium carbonate for 2yrs. the nurse check the pt chart and found out the lithium value is 1.5meq/l. what action should the nurse take
    1- administer the next dose of lithium carbonate
    2- encourage the pt to increase fluid and salt daily
    3- notify the physician
    4- document the findings

  8. by   2bNurse4life4ever
    A nurse is preparing a five year old for a scheduled tonselectomy. The parents are anxious and concerned about the child's reaction to impending surgery. What nursing intervention should best prepare the child?

    1. introduce child to staff day before surgery
    2. explain the surgery one week prior to procedure
    3. arrange a tour of operating room and recovery room
    4. encourage the child to bring a toy to the hospital

    A nurse enters a two year old child's hospital room in order to give a oral medication. When the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . What should be an appropriate next action by the nurse?

    1. leave the room and return five minutes later and give medication
    2. explain to the child that the medication must be taken now
    3. give the medication the parent and ask the parent to give it
    4. mix the medication with ice cream or apple sauce

    The nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?

    1. dress the child warmly to avoid chilling when in or outdoors
    2. keep the child away from other children for the duration of the rash
    3. clean the affected areas with tepid water and anti bacterial soap
    4. wrap the child's hands in mittens or socks to prevent scratching

    A schoold nurse suspects that a third grade child might have ADHD (attention deficit hyperactivity disorder). Prior to refering the child for futher evalulation the nurse should

    1. observe child's behavior on atleast two occasions
    2. consult with teacher on how to control impulsivity
    3. complete a hx of behavior patterns and developmental accomplishments
    4. compare the child's behaviour with classic signs and symptoms
  9. by   NewAggieGrad09
    A nurse is preparing a five year old for a scheduled tonselectomy. The parents are anxious and concerned about the child's reaction to impending surgery. What nursing intervention should best prepare the child?

    1. introduce child to staff day before surgery
    2. explain the surgery one week prior to procedure
    3. arrange a tour of operating room and recovery room
    4. encourage the child to bring a toy to the hospital

    A nurse enters a two year old child's hospital room in order to give a oral medication. When the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . What should be an appropriate next action by the nurse?

    1. leave the room and return five minutes later and give medication
    2. explain to the child that the medication must be taken now
    3. give the medication the parent and ask the parent to give it
    4. mix the medication with ice cream or apple sauce

    The nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?

    1. dress the child warmly to avoid chilling when in or outdoors
    2. keep the child away from other children for the duration of the rash
    3. clean the affected areas with tepid water and anti bacterial soap
    4. wrap the child's hands in mittens or socks to prevent scratching

    A schoold nurse suspects that a third grade child might have ADHD (attention deficit hyperactivity disorder). Prior to refering the child for futher evalulation the nurse should

    1. observe child's behavior on atleast two occasions
    2. consult with teacher on how to control impulsivity
    3. complete a hx of behavior patterns and developmental accomplishments
    4. compare the child's behaviour with classic signs and symptoms
  10. by   2bNurse4life4ever
    [quote=newaggiegrad09;3785919]a nurse is preparing a five year old for a scheduled tonselectomy. the parents are anxious and concerned about the child's reaction to impending surgery. what nursing intervention should best prepare the child?

    1. introduce child to staff day before surgery
    2. explain the surgery one week prior to procedure five year olds can understand surgery and should be well prepared before. most procedures on "same day" surgeries and do not require over night stay.
    3. arrange a tour of operating room and recovery room
    4. encourage the child to bring a toy to the hospital

    a nurse enters a two year old child's hospital room in order to give a oral medication. when the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . what should be an appropriate next action by the nurse?

    1. leave the room and return five minutes later and give medicationsince the nurse gave the child a choice about taking the medication, the nust must comply with the child's reponse in order to build trust. since toddlers do not have sense of time, leaving the room and coming back later is another episode to the toddler.
    2. explain to the child that the medication must be taken now
    3. give the medication the parent and ask the parent to give it
    4. mix the medication with ice cream or apple sauce

    the nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?

    1. dress the child warmly to avoid chilling when in or outdoors
    2. keep the child away from other children for the duration of the rash
    3. clean the affected areas with tepid water and anti bacterial soap
    4. wrap the child's hands in mittens or socks to prevent scratching shouldnt itch, finger nails should be cut short and covered.

    a schoold nurse suspects that a third grade child might have adhd (attention deficit hyperactivity disorder). prior to refering the child for futher evalulation the nurse should

    1. observe child's behavior on atleast two occasions
    2. consult with teacher on how to control impulsivity
    3. complete a hx of behavior patterns and developmental accomplishments
    4. compare the child's behaviour with classic signs and symptoms
  11. by   NewAggieGrad09
    Well at least I got one right lol
  12. by   2bNurse4life4ever
    Quote from NewAggieGrad09
    Well at least I got one right lol
    lol yes, practice makes perfect.. actually i also got these questions wrong when i initially answered them.. .. therefore i found them a bit difficult and thought i would share them on this site.. i picked that the child should bring a toy to the hospital lol, and ther answer i picked was that the nurse should have the parents give the med lol the other i asnwer i picked the same one as u did.. for washing with soap and water.. ill post more if i find any good ones
  13. by   NewAggieGrad09
    Thanks

close