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1. Jessica, a 29-year-old mother, tells the nurse that her youngest son who is just 7-months-old can already
sit without any support. The nurse should tell the mother that this:
A) is a developmental milestone that is just expected at his age.
B) is an activity that shows the upper 10% of physical development.
C) is a behavior which indicates that he is going to walk in the next 3 months.
D) could be a developmental delay which needs further evaluation.
2. The nurse has been called to the desk to take a phone call from a patient's mother. The mother has
several questions about the patient's condition and plan of care. What is the nurse's most appropriate
response?
A) "Can you verify the patient's birth date?"
B) "I'm sorry; I cannot give you any information about the patient."
C) "Let me put you through to the patient's room so you can speak to her directly."
D) "I only discuss plan of care when I can see you to verify your identity."
3. Andrea, a clinical nurse specialist, is caring for a patient who sustained serious facial and neck burns. To
which nursing diagnosis would Andrea give first priority in caring for this patient?
A) Fluid volume deficit
B) Body image disturbance
C) Ineffective airway clearance
D) Ineffective thermoregulation
4. The nurse plans to teach a patient who has been receiving hemodialysis for a couple of months to be alert
for signs and symptoms of gastrointestinal bleeding. Bleeding into the gastrointestinal tract is of particular
significance to a patient with chronic renal failure because:
A) Hypovolemia can compromise renal function
B) Blood is digested, thus increasing the kidney's protein load
C) Clotting problems make diagnosis of the bleeding site difficult
D) A patient with renal failure will not manifest usual signs of blood loss
5. Your colleague at the emergency department asks for help to triage the following patients. Which patient
should be attended immediately?
A) An infant with rectal temperature of 99.4oF
B) An infant with cardiac rate of 57 beats per minute
C) An infant with blood pressure of 74/85 mmHg
D) An infant with respiratory rate of 30 beats per minute
Solutions:
Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
Lillian
Murray
Roberta
Valentina
Algernon
Ben
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