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1. You are caring for an older patient who is on complete bedrest. What interventions would you take to
prevent respiratory complications?
A) Instructing the patient to bear down every hour and hold their breath
B) Turning the patient every two hours
C) Decreasing oral fluid intake
D) Monitoring vital signs routinely
2. You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you
that the child might be bleeding?
A) Decreased pulse
B) Complaints of discomfort
C) Elevation in blood pressure
D) Frequent swallowing
3. Your patient stopped drinking abruptly and now complains of feeling wired and being on pins and needles.
What should your next intervention be?
A) Determine the time of last drink, and assess the patient for other signs and symptoms of withdrawal.
B) Monitor the patient for other symptoms.
C) Notify the physician to get an order for stimulate medication.
D) Assess the patient for all current substance use patterns, including time of last usage and withdrawal.
4. You as the nurse are working on the unit. You enter the medication room and find another nurse taking
intravenous medication and administering it to him- or herself. What should your next action be?
A) Call the police.
B) Call the nursing supervisor.
C) Lock the nurse in the medication room.
D) Call security.
5. When caring for a patient what sign would indicate that he might have a basal skull fracture?
A) Epistaxis
B) Periorbital edema
C) The auditory canal has purulent drainage.
D) The auditory canal has bloody or clear drainage.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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