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a) Cardiogenic shock
Intense pain and fear following a burn can cause: a) Cardiogenic shock b) Toxaemic shock c) Anaphylactic shock d) Neurogenic shock
b) Drug elimination is always impaired in the elderly
The older aged client is most likely to be managing polypharmacy with many of the chronic health conditions requiring pharmacological management. Which statement is correct regarding pharmacokinetics in the elderly. a) Age does not affect the absorption of medications b) Drug elimination is always impaired in the elderly c) Increased total body fat may alter drug distribution d) Blood flow to the liver increases as a person ages
b) Anytime
When can mental health clients access a lawyer? a) Only when their psychiatrist gives permission b) Anytime C) During daylight hours d) Once police are notified
d) "You don't feel like living?"
A client with major depression tells the nurse, "Life's just not worth living. I can't stand the pain any longer. The nurse's best response would be: a) "Sometimes when people feel depressed and helpless, they feel like hurting themselves. Do you feel like hurting yourself?" b) "Perhaps you should discuss this in group therapy today" c) "I think you may want to use your p.r.n. lorazepam now" d) "You don't feel like living?"
c) "It must have been frightening to see him so distressed"
Tom's mother exclaims, "I feel sick about what has happened to Tom." An appropriate response for a nurse to offer would be: a) "Let me help you discover where you made your mistakes" b) "Why don't you buy a book on safety in the home?" c) "It must have been frightening to see him so distressed" d) "Why didn't you call us sooner?"
a) Keep it dry
When teaching Mrs Dorman to care for her newborn's umbilical cord, your instructions would be to: a) Keep it dry b) Wash it with soap and water c) Apply petroleum jelly to it daily d) Cover it with dry gauze
b) Prevent maternal D antibody formation
Mrs. Marvin is a woman with an Rh-negative blood type. Following delivery of an infant, you administer her RHIG (D immune globulin). The purpose of this is to: a) Promote maternal D antibody formation b) Prevent maternal D antibody formation c) Stimulate maternal D immune antigens d) Prevent foetal Rh blood formation
b) Eat before she gets out of bed
Mrs. Marvin is concerned because she is nauseated every morning. The best measure you would suggest to relieve this would be: a) Take a teaspoon of baking soda before breakfast b) Eat before she gets out of bed c) Delay breakfast until midmorning d) Take two aspirin on arising
b) 0.6 ml
Tom is prescribed 6 mg of Morphine IM for pain relief. The vial contains 10 mg Morphine in 1 ml. What is the correct dose to administer? a) 0.2 ml b) 0.6 ml c) 0.5 ml d) 4m1
d) Empty the lungs, inhale and then measure how quickly air can be exhaled.
When teaching a client the appropriate use of a peak flow meter the nurse instructs the client to a) Keep a record of the peak flow recordings b) Increase the doses of their long term control medications if the peak flow recordings get worse c) Use the peak flow meter each morning after taking medications d) Empty the lungs, inhale and then measure how quickly air can be exhaled.
c) "I respect your preference whether it is to have medication or not"
Mrs. Marvin states that she does not want any medication for pain relief during labour. Her doctor has approved this for her. Your best statement to her concerning this choice would be: a) "That's wonderful. Medication during labour is not good for the baby" b) "Your doctor has never been in labour; he may be underestimating the pain you will have" c) "I respect your preference whether it is to have medication or not" d) "Let me get you something for relaxation if you don't want anything for pain"
b) This is from a normal breakdown of red blood cells
A newborn is noticeably jaundiced on the third day of life. Which of the following would you explain to his mother? a) He may have a blood incompatibility developing b) This is from a normal breakdown of red blood cells c) He will need an evaluation for bile duct disease d) No one understands why newborn jaundice occurs
c) Fluid volume excess secondary to cor pulmonale
During an assessment of a client with severe CORD the nurse notes jugular vein distension and pedal odema. The nurse recognises that these findings indicate the development of a) Acute respiratory failure b) Secondary respiratory failure c) Fluid volume excess secondary to cor pulmonale d) Pulmonary odema caused by left sided heart failure
c) Narrowing of the airway
During assessment of a client with asthma the nurse notes wheezing and dyspnoea, recognising that these symptoms are related to the pathophysiologic feature of a) Laryngospasm b) Pulmonary odema c) Narrowing of the airway d) Over distension of the alveoli
b) Keep noise to a minimum
During the acute stage of meningitis a three year old child is restless and irritable. Which of the following is most appropriate to do a) Limit conversation with the child b) Keep noise to a minimum c) Allow the child to play in the bath d) Perform all treatments quickly
c) Tell the child that they have done the right thing by talking with you
A 12-year-old child in hospital discloses to you that she is being abused in her home. Your best response is to: a) Phone CYPS and inform your supervisor b) Contact the parents and have a discussion c) Tell the child that they have done the right thing by talking with you d) Tell the child not to talk to anyone else about those things
a) "Its ok to cry when something hurts"
A 3-year-old child with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure. Which of the following comments by the nurse would be most appropriate? a) "Its ok to cry when something hurts" b) "That really didn't hurt did it" c) "We're mean to hurt you that way, aren't we" d) "You were so good not to cry with the needle"
d) Ask the client where they have looked for it
A client becomes upset, reporting that an item of clothing is missing from their room. Which of the following actions should the nurse take first a) Tell the client that theft is common in hospital b) Report to the staff that the item is missing c) Suggest the client be more careful with their clothing d) Ask the client where they have looked for it
b) Increase the insulin dosage
A client with insulin dependent diabetes mellitus is admitted for treatment of cellulitis in her left leg. Her white cell count is abnormally high. When planning for this client, the nurse should expect to: a) Administer the usual insulin dosage b) Increase the insulin dosage c) Decrease the insulin dosage d) Withhold all insulin
c) Aged cheese
A client with major depression must take monoamine oxidase (MAO) inhibitor, tranylcypromine sulfate (Parnate). The nurse should teach this client to avoid which food? a) Free-range poultry b) Whole-grain bread c) Aged cheese d) Fresh fish
a) Hopelessness related to long term stress
A client with severe CORD tells the nurse that she wishes to die because she is so disabled with her disease that she cannot do anything for herself. Based on this information the nurse identifies the diagnosis of a) Hopelessness related to long term stress b) Anticipatory grieving related to expected death c) Ineffective coping related to behaviour outcomes of illness d) Self-esteem disturbance related to physical and psychological dependence
c) "It must be hard for you to see her like this"
A visitor apologises to the nurse for his wife's demanding behaviour. Which one of the following possible replies would be best for the nurse to make: a) "I am sure she is doing the best she can" b) "It's all right — we have been treated worse than this" c) "It must be hard for you to see her like this" d) "What happened to set her off like this?"
d) Inability to speak clearly
After a cerebrovascular accident (CVA) a client develops dysphasia. Which assessment finding most typifies dysphasia a) Arm and leg weakness b) Absence of gag reflex c) Difficulty with swallowing d) Inability to speak clearly
b) When depression starts to lift
An attempt to commit suicide is most likely to occur during which of the following phases of hospitalisation: a) Immediately following hospital admission b) When depression starts to lift c) At the point of deepest depression d) Shortly before hospital discharge
b) Akathesia
Another patient in the ward is Mr Rand, who after three days of taking chlorpromazine shows an inability to sit still, motor restlessness and fidgeting. Which of the following extrapyramidal side effects is he showing signs of? a) Dystonia b) Akathesia c) Parkinsonism d) Tardive dyskinesia
c) Talking about suicide
As the school nurse you are required to provide an education evening for parents on youth suicide. There are several signs that can indicate potential suicide attempt. The most significant indicator is: a) Chronically poor school performance b) Increased obvious depression c) Talking about suicide d) Intensified social relationships
b) A signed consent form.
Before a series of electroconvulsive treatments is begun, which one of the following items should be obtained from the client: a) A skull and jaw x-ray b) A signed consent form. c) A full blood count d) A mid-stream urine
b) May be hearing voices
Billy, aged 17 is diagnosed with paranoid schizophrenia. He periodically looks intently towards the ceiling and cocks his head to one side while tugging at his ear. In assessing this behaviour, the nurse should consider that Billy: a) Has peculiar mannerisms b) May be hearing voices c) Is avoiding the nurse d) Is daydreaming
a) Small decubitus ulcer noted on left leg
For a hospitalised client which statement reflects appropriate objective documentation in the client's medical record? a) Small decubitus ulcer noted on left leg b) Skin moist and cool c) Seems to be mad at doctor d) Client had a good day
b) "Katy's weight loss is life threatening. Anorexia nervosa is an illness that can be treated successfully. Dietary therapy is an important part of the treatment."
Fourteen year old Katy, who has a diagnosis of anorexia nervosa, is adhering to the dietary programme with supervision. A nursing student relieving in the ward asks you, "Why do you make Katy eat and put on weight if she doesn't want to?" What would be your most appropriate response: a) "Katy's brain is not functioning well because of her weight loss. She doesn't know what she is doing, therefore we have to make her eat whether or not she agrees." b) "Katy's weight loss is life threatening. Anorexia nervosa is an illness that can be treated successfully. Dietary therapy is an important part of the treatment." c) "Katy's behaviour is attention seeking. She is being difficult and obstinate. Her condition is life threatening and therefore we have to stop her from further harming herself." d) "Katy's main problem is her manipulative behaviour, and bird eating patterns. The programme is to train her to eat three meals a day."
c) "You must be feeling desperate at the moment — have you made any plans as to how you might take your life?"
Freda tells you one day, "I feel so miserable I just want to end it all." What would be the best response: a) "You're feeling very negative Freda — let's go for a walk and get your mind off your problems for a bit" b) "Your attention seeking behaviour is not going to work today, Freda" c) "You must be feeling desperate at the moment — have you made any plans as to how you might take your life?" d) "I think you'd better tell your doctor about this, Freda"
a) Major depressive episode
Freda's mother died 12 weeks ago. After being found wandering about aimlessly saying she will drown herself. Which of the following is the most likely diagnosis: a) Major depressive episode b) Bi-polar affective disorder c) Anxiety neurosis d) Obsessional neurosis
b) Up to 6 hours
How long can a Registered Nurse detain a person under the Section 111 in the Act that gives "powers of nurse" where urgent assessment is required: a) Up to 4 hours b) Up to 6 hours c) Up to 8 hours d) Up to 12 hours.
c) "What is it about home that you are missing the most"
If a client committed under the act attempts to discharge themselves, the nurses best response is: a) "I'll just check with your doctor" b) "You'll be able to go home at the weekend" c) "What is it about home that you are missing the most" d) "That's not possible until you are better"
b) Increasing fluid intake may be beneficial
If constipation is a problem with Mrs. Marvin, which measure below would be best to recommend? a) Mineral oil is a non-prescription laxative she could use b) Increasing fluid intake may be beneficial c) Reducing her prenatal vitamin to every other day d) Including more meat in her diet will provide fibre
d) 20 — 24%
In a child the critical percentage of burnt body surface area above which life may be threatened is: a) 8 — 12% b) 14 — 18% c) 16 — 20%. d) 20 — 24%
d) The onset of delirium is rapid, while that of dementia is usually insidious
In assessing Mrs Ropata the nurse recognises that delirium differs from dementia in which way a) Memory is impaired in delirium not in dementia b) Awareness is clear in delirium but impaired in dementia c) Delerium usually has an identifiable cause, while dementia does not d) The onset of delirium is rapid, while that of dementia is usually insidious
d) 120m1
In order to rehydrate a 12kg child the doctor has prescribed 600ml of N. Saline. Given that 10m1/kg is the correct required dose, the prescribed volume should be a) 1200m1 b) 400m1 c) 60m1 d) 120m1
b) A contract to eat a prescribed amount of food agreed to by Katy
In the ward, Katy's refusal to eat would be treated in the first instance by: a) Force feeding through a tube as she won't eat b) A contract to eat a prescribed amount of food agreed to by Katy c) A contract to reach an agreed weight by a certain date d) Ignoring the behaviour so as not to reinforce her attention seeking ploys
d) Set firm limits for Mr. Rand and be consistent in confronting behaviours and enforcing unit rules
Mr. Rand constantly bends rules to meet his needs and then gets angry when other clients and staff confront him on his behaviour. He threatens clients and manipulates staff to get what he wants. Which is the best nursing approach to use with Mr. Rand: a) Administer PRN medication every time Mr. Rand does not follow the rules b) Ignore his behaviour and privately tell the other clients to let Mr. Rand switch the television channels as much as he wants c) Encourage the other staff to take turns watching Mr. Rand d) Set firm limits for Mr. Rand and be consistent in confronting behaviours and enforcing unit rules
a) A chronic, progressive degenerative disorder of the central nervous system (CNS)
Mrs C. has just been diagnosed with multiple sclerosis. Multiple sclerosis is: a) A chronic, progressive degenerative disorder of the central nervous system (CNS) b) A disease that affects the brain in the elderly c) A viral infection of the central nervous system ' d) A condition that affects nerve endings in the hands and feet only
a) Eating a high fibre diet
Mrs C. is also experiencing bowel incontinence and may start a bowel retraining programme. Which strategy is the most appropriate? a) Eating a high fibre diet b) Setting a regular time for elimination c) Using an elevated seat d) Limiting fluid intake to 1000m1 per day
c) Establish a regular toileting schedule
Mrs C. is experiencing urinary incontinence, which of the following interventions would you suggest to help with this? a) Limit fluid intake to 1000 ml per day b) Insert and IDC c) Establish a regular toileting schedule d) Administer prophylactic antibiotics
d) Ask Mrs C. what she knows about the condition and spend time answering her questions supported with written information
Mrs C. is understandably anxious about her diagnosis, as her nurse how can you assist with this? a) Inform her that it is far too soon to be concerned about it all b) Tell her that the doctor will be back later to explain it to her c) Talk to her husband so that he can explain it to her d) Ask Mrs C. what she knows about the condition and spend time answering her questions supported with written information
a) This is a normal finding
Mrs Dorman points out to you that following three meconium stools, her newborn has had a bright green stool. You would explain to her that: a) This is a normal finding b) This is most likely a symptom of diarrhoea c) Her child may be developing an allergy to breast milk d) Her child will be isolated until the stool can be cultured
b) Low protein, low potassium
Mrs Reti who is 70, has been admitted to hospital with amedical diagnosis of chronic renal failure. You expect her to be on which of the following diets a) High protein, low sodium b) Low protein, low potassium c) Low protein, high potassium d) High protein, high sodium
c) Oliguria
Mrs Reti's urinary output is 30mIs in 24hrs. This condition is called a) Diuresis b) Anuria c) Oliguria d) Nocturia
c) Include Mrs. Cannon in a conversation with the nurse and the client's room mate
Mrs. Cannon withdraws from everyone on the unit. She refuses to go to activities because no one will talk to her and she feels she is unable to initiate conversation with others. The nurse would: a) Escort Mrs. Cannon to her activity and leave her there b) Tell the client that she should rest in her room until she feels more comfortable with others c) Include Mrs. Cannon in a conversation with the nurse and the client's room mate d) Suggest to the client that she discuss these difficulties with her doctor
a) Folic acid
Mrs. Marvin asks you if she can take an over-the-counter vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that makes them important for pregnancy nutrition is: a) Folic acid b) Vitamin B12 c) Vitamin C d) Potassium
b) As long as she receives RHIG there is no limit
Mrs. Marvin is RH negative and asks you how many children she will be able to have before RH incompatibility causes them to die in utero. Your best response would be: a) No more than 3 children b) As long as she receives RHIG there is no limit c) Only her next child will be affected d) She will have to ask her physician
a) Decreased cardiac output
On admission your client's vital signs are: Temperature 38.8 degrees celsius, pulse 144bpm and irregular, respiration 26/min. Which nursing diagnosis has the highest priority when planning this client's care? a) Decreased cardiac output b) Ineffective thermoregulation c) Ineffective breathing pattern d) Altered renal tissue perfusion
c) Discuss with Freda what is bothering her, asking what she does at home when she can't sleep, and use prescribed sedation if necessary
On her first night in hospital, Freda states she cannot sleep. Which of the following is the most appropriate action to take: a) Look up her prescribed medication on the prescription sheet and administer it with a glass of hot milk b) Ring up the duty medical officer because you feel Freda is suicidal c) Discuss with Freda what is bothering her, asking what she does at home when she can't sleep, and use prescribed sedation if necessary d) Ensure that Freda cannot leave the ward and let her wander about as she likes
d) "Feeling sad when you know you shouldn't must be very confusing"
On the third day postpartum, you discover Mrs Dorman sitting by her bed crying. She states nothing is wrong; she just "feels sad". Which of the following would be your response to her? a) "I'll keep confidential any problem you want to discuss with me" b) "You have a beautiful boy; you shouldn't feel sad about that" c) "Do you wish you'd had a girl instead of a boy?" d) "Feeling sad when you know you shouldn't must be very confusing"
c) Reduced Sensitivity, charred or opaque area
Soon after the injury, a third degree or full thickness burn is usually characterised by: a) Intense pain, blisters, a charred or opaque area b) Blisters, reduced sensitivity, a charred or opaque area c) Reduced Sensitivity, charred or opaque area d) Intense pain scarring, a charred or opaque area
b) Stop the infusion
The IV infusion tissues. Your first action is a) Call a doctor b) Stop the infusion c) Explain to the patient what is occurring d) Tell the child they will need another drip
d) Ask her to describe her intake for the last 24 hours
The Marvin's are a family you meet in an antenatal clinic. What is the most effective way to assess Mrs. Marvin's usual food intake during her pregnancy? a) Assess a list she makes describing a good diet b) Ask her to describe her total intake for a week c) Assess her skin for hydration and colour d) Ask her to describe her intake for the last 24 hours
a) Hospitalisation for most older adults
The nurse caring for Mrs Ropata recognises that an acute confusional state is most common in what situation a) Hospitalisation for most older adults b) Elderly clients who experience unscheduled surgery c) Elderly clients with no history of dementia d) Clients who have suffered a hip
c) Vesicular breath sounds decrease
The nurse evaluates the effectiveness of therapy for a client with an acute exacerbation of asthma. The finding that indicates to the nurse that the client's respiratory function is improving is a) Wheezing becomes louder b) The cough remains unproductive c) Vesicular breath sounds decrease d) Aerosol bronchodilators stimulate coughing
c) Provide play situations that allow disclosure
The nurse is caring for a four year old child who has been hospitalised because of sexual abuse. For this child, what is the best nursing intervention? a) Avoid touching the child b) Prevent the abuser from visiting the child c) Provide play situations that allow disclosure d) Discourage the child from talking about what happened
a) A medication indicated to treat one illness or symptom may result in a cascade of health problems as it affects other functions
The nurse recognises that the health of an older person with multiple health problems may be complicated by a) A medication indicated to treat one illness or symptom may result in a cascade of health problems as it affects other functions b) Elderly clients focus on their symptoms and frequently use unnecessary health resources c) Elderly men have fewer health resources and as a result tend to under report symptoms of illness d) Since most elderly develop cognitive impairment, they are not capable of carrying out the care required to manage problems
d) To maintain the infants "normal" routine with regard to hygiene cares/meals etc
The single most important factor to reduce separation anxiety in a child who is hospitalised is: a) For the parent or significant other to "room-in" with the child b) To ensure that the same group of nurses are responsible for the care of the infant over a 24 hour period c) To place the infant in a cubicle with children of his/her own age group d) To maintain the infants "normal" routine with regard to hygiene cares/meals etc
c) Stay with her and gently orient her to time, place and person
To protect Mrs Ropata from injury during her confusion, the most appropriate nursing action is a) Secure her with a soft chest restraint to prevent her from falling out of bed b) Notify the doctor of the client's condition and request a tranquilliser c) Stay with her and gently orient her to time, place and person d) Call the family to hire an attendant to sit with Mrs Ropata
c) Decreased LOC
What is the most common sign of Insulin shock? a) Nervousness b) Palpitations c) Decreased LOC d) Sweaty
d) Incompatibility between the history and the injury
What is the most important criterion for the nurse to consider when deciding to report suspected child abuse? a) Inappropriate parental concern for the degree of injury b) Absence of caregivers for questioning about the injury c) Inappropriate response of the child to the injury d) Incompatibility between the history and the injury
a) Give glucose drink
What should you do first if someone has a BSL of 1.5 mmols? a) Give glucose drink b) Increase insulin by 50% c) Give patient a sandwich for lunch d) Give five (5) barley sugars
d) Assess for responsiveness
When assessing a client who has suddenly lost consciousness what should the nurse do first? a) Call for assistance b) Palpate for a carotid pulse c) Check pupil response d) Assess for responsiveness
b) Middle ear infection
When interviewing the parents of a two year old child, a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis a) Bladder infection b) Middle ear infection c) Fractured clavicle d) Septic arthritis
d) Evidence of little concern about the extent of the injury
When obtaining a nursing history from parents who are suspected of abusing their child, which of the following characteristics about parents would the nurse typically find? a) Attentive to the child's needs b) Self-blame for the injury to the child c) Ability to relate to child's development achievements d) Evidence of little concern about the extent of the injury
a) Developing trust in a therapeutic relationship
When planning care for a client with paranoid tendencies priority should be given to: a) Developing trust in a therapeutic relationship b) Preventing suicidal behaviour c) Assisting the client to express anger d) Providing a low stimulus environment,
d) To try to maintain the usual lifestyle to promote normal development
When teaching the caregiver of a toddler with a congenital heart defect, the nurse should explain all medical treatments. The most important instruction would be: a) To reduce the caloric intake to decrease cardiac demand b) To relax discipline and limit setting to prevent crying c) To avoid contact with small children to reduce over stimulation d) To try to maintain the usual lifestyle to promote normal development
d) Acid-base imbalance
When used with the elderly, antiarrhythmics agents can cause a) Confusion and slurred speech b) Hypoglycemia c) Jaundice d) Acid-base imbalance
b) Diuretics
Which medication category can potentially cause dehydration and hypotesion a) Antihisamines b) Diuretics c) Corticosteroids d) Digitalis glycosides
d) Use clear, simple explanations when making requests
Which nursing approach is most appropriate for a client with a paranoid personality disorder: a) Involve the client in groups as much as possible b) Use a light-hearted manner in interacting with the client c) Confront the client's use of projection and need to control d) Use clear, simple explanations when making requests
c) Double vision, weakness in the extremities, muscle tremors
Which of the following are typical manifestations of multiple sclerosis? a) Sudden burst of energy, cough, tremor b) Double vision, cognitive changes, mood swings c) Double vision, weakness in the extremities, muscle tremors d) Weakness in the extremities, muscle tremors, sudden burst of energy
a) Increases the availability of serotonin
Which of the following best describes the action of selective Serotonin reuptake inhibitors (SSRI) a) Increases the availability of serotonin b) Block the re-uptake of norepinephrine and serotonin c) Increase the availability of dopamine d) Decrease the availability of norepinephrine whilst increasing the availability of serotonin
c) Females are more likely to attempt suicide unsuccessfully
Which of the following is an accurate statement concerning adolescent suicide? a) More females kill themselves than do male b) Males have a higher rate of parasuicide than females - c) Females are more likely to attempt suicide unsuccessfully d) Males have fewer opportunities to commit suicide
c) Maintain continuous unobtrusive observation of her
Which of the following is the nurse's principal task when caring for Freda during this suicidal risk period: a) Ensure adequate food and drink b) Encourage her to participate in interesting activities c) Maintain continuous unobtrusive observation of her d) Ensure that she takes and swallows her medication regularly
c) The child is underdeveloped for his age
Which of the following observations by the nurse would strongly suggest that 15-month-old toddler has been abused? a) The child appears happy when personnel work with him b) The child plays alongside others contentedly c) The child is underdeveloped for his age d) The child sucks his thumb
a) Pulse and blood pressure
Which of the following observations should be recorded to prevent complications when the doctor prescribes 100 mg chlorpromazine three times a day: a) Pulse and blood pressure b) Urinary output c) Reaction of the pupils d) Regularity of the bowel action
b) A woman with a 1-year-old son
Which of the following women are most likely to be at risk for nutritional deficiency in a pregnancy? a) A woman who never worries about dieting b) A woman with a 1-year-old son c) A woman with ten-year-old twins d) A woman who rarely eats fruit
d) Comment to him that whilst his thinking is real to him that it is not shared by yourself and suggest that talking about his feelings might be more beneficial for him
Which of the following would be the most appropriate action for the nurse to take when a good rapport has been established with Billy and he is voicing his delusions on more than one occasion: a) Enter into discussion with the client about his delusions b) Listen patiently c) Suggest he ought to discuss his feelings with his doctor d) Comment to him that whilst his thinking is real to him that it is not shared by yourself and suggest that talking about his feelings might be more beneficial for him
a) Abnormal state of mind and poses a serious threat to self or others
Which of the options below best describes "mentally disordered" under the amendment to the MHA (Mental Health Act). a) Abnormal state of mind and poses a serious threat to self or others b) Abnormal state of mind and is a substance abuser c) Serious threat to others and is intellectually handicapped d) A danger to oneself and others
b) Benztropine mesylate (cogentin)
Which one of the following medications can the nurse anticipate the physician will order to treat Mr. Rand's extrapyramidal side effects: a) Chlordiazepoxide (librium) b) Benztropine mesylate (cogentin) c) lmipramine hydrochloride (tofranil) d) Thioridazine hydrochloride (melleril)
b) What were you doing when the pain started?
Which question by a nurse would be most helpful when obtaining a health history from a client admitted with acute chest pain? a) Do you need anything now? b) What were you doing when the pain started? C) Why do you think you had a heart attack? d) Has anyone in your family been sick lately?
b) Applying cold water for ten minutes
While attempting to reach for a biscuit Tom, a pre-school child spills a pot of hot tea and burns his right arm and leg. Before bringing him to hospital what First Aid could help? a) Spraying the burn with an antiseptic spray b) Applying cold water for ten minutes c) Applying ice to the burn d) Breaking the blisters to release the accumulated fluid
b) Tell the client that this must seem frightening for him, but that you believe he is safe here
While talking with the nurse the client states the FBI is monitoring and recording his every movement and that microphones have been implanted in the wall units for this purpose. Which of the following nursing actions would be most therapeutic in response to this revelation a) Confront the delusional material directly by telling the client that simply is not so b) Tell the client that this must seem frightening for him, but that you believe he is safe here c) Tell the client to wait and talk about these beliefs in his one-to-one counselling sessions d) Isolate the client when he begins to talk about these beliefs
d) High glucose levels makes clients prone to infections
Why do diabetics have an increased risk of urinary tract infections? a) Diabetes require increased amounts of fluids b) The loop of Henle is associated with the production of insulin in the body c) Diabetics have altered urine output d) High glucose levels makes clients prone to infections
a) Gastric Juices kill insulin
Why is insulin given as an injection? a) Gastric Juices kill insulin b) Mucous membranes are sensitive to insulin c) It is slower acting d) Easiest way to administer
a) Lochia rubra
You assess Mrs Dorman's perineum and notice that her lochial discharge is moderate in amount and red in colour. You would record this as what type of lochia? a) Lochia rubra b) Lochia serosa. c) Lochia fireum. d) Lochia alba.
c) A boiled or fried egg
You encourage Mrs. Marvin to eat a diet high in complete protein. Assuming she likes all of the following foods, which of them would you recommend as a source of this for her? a) Apple sauce or a whole apple b) A slice of whole grain toast c) A boiled or fried egg d) Green leafy vegetables
