PN Medical-Surgical Nursing Final Exam deWit 3rd edition
Which intervention is most important for a person who is in a wheelchair for long periods? A. Reposition self every 2 hours. B. Lift weight on arms of the chair every 15 minutes. C. Massage bony prominences of the buttocks and hips. D. Use a donut device to keep weight off of the buttocks.
Answer: B. Lift weight on arms of the chair every 15 minutes.
The nurse is caring for a patient with sickle cell anemia. Which intervention may best help to prevent sickle cell crisis? A. Taking iron supplements daily B. Maintaining adequate fluid intake C. Engaging in daily exercise D. Eating leafy green vegetables
Answer: B. Maintaining adequate fluid intake
The patient received a preoperative dose of lorazepam (Ativan) 20 minutes ago. Which safety precaution should the nurse take? A. Monitor respiratory status B. Raise the bed rails C. Elevate the head of the bed 30 degrees D. Take seizure precautions
Answer: B. Raise the bed rails
The nurse is caring for a patient with Meniere disease. Which action is most important for the nurse to take? A. Speak loudly and clearly into the affected ear. B. Restrict sodium intake. C. Encourage frequent ambulation. D. Encourage fluid intake.
Answer: B. Restrict sodium intake
The nurse is caring for a blind patient. Which action is most appropriate when entering the patient's room? A. Touch the patient before speaking to allow her to locate the nurse's position. B. Speak to the patient by name when entering the room to avoid startling her. C. Speak to the patient only when at the bedside to increase orientation. D. Walk about the room, carrying on conversation.
Answer: B. Speak to the patient by name when entering the room to avoid startling her.
The patient refuses to take off her diamond wedding band prior to going to the operating room. What action should the nurse take first? A. Document the patient's refusal to remove the jewelry. B. Tape the ring to the finger, covering the ring. C. Request the patient sign a waiver to release the hospital from responsibility. D. Alert the surgery team to the presence of the jewelry.
Answer: B. Tape the ring to the finger, covering the ring.
A 75-year-old patient presents to the emergency department with shortness of breath, fatigue, and a dry cough. What information leads the nurse to suspect this patient should undergo a workup for histoplasmosis? A. The patient reports drinking pond water. B. The patient lives on a farm and raises chickens. C. The patient recently went hunting in a wooded area. D. The patient owns a landscaping company.
Answer: B. The patient lives on a farm and raises chickens.
The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan? A. Liberally apply a lubricating cream 3 times daily. B. Use a humidifier at night. C. Use an alcohol-based cleanser in the morning. D. Take hot baths to reduce skin discomfort.
Answer: B. Use a humidifier at night.
Which teaching point will the nurse include when providing discharge instructions to the patient with a new permanent pacemaker? A. "You will be able to have an MRI for diagnostic purposes." B. "Avoid using microwave ovens." C. "Avoid lifting heavy objects for as long as your physician prescribes." D. "Airport screening devices may cause your pacemaker to fire incorrectly."
Answer: C. "Avoid lifting heavy objects for as long as your physician prescribes."
According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity? A. Working under direct supervision of an RN on the unit. B. Working with the RN in the building. C. Working under general supervision by the RN available on site or by phone. D. Working as an independent vocational nurse.
Answer: C. Working under general supervision by the RN available on site or by the phone.
The nurse is caring for a patient with suspected macular degeneration. During the assessment the patient is asked to focus on an image. Which finding supports the diagnosis? A. The patient only sees disconnected pieces of the image. B. The patient sees a dark spot in the center of what is viewed. C. The patient sees nothing in the peripheral vision. D. The patient sees wavy lines and bright flashing lights.
Answer: B. The patient sees a dark spot in the center of what is viewed.
The nurse is caring for a post-myocardial infarction (MI) patient who has been started on daily simvastatin (Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has been successful? A. "I will need to have blood work every month while taking Zocor." B. "I should take Zocor with grapefruit juice to help absorption." C. " I should call my doctor if I experience unexplained muscle pain." D. "I should take Zocor an hour before my biggest meal of the day."
Answer: C. "I should call my doctor if I experience unexplained muscle pain."
The nurse is caring for a patient with anemia who has a medical history of diabetes, hypertension, chronic kidney disease, and acid reflux. The nurse is aware the patient's anemia is likely related to which condition? A. Diabetes B. Hypertension C. Chronic kidney disease D. Acid reflux
Answer: C. Chronic kidney disease
A 65-year-old patient complains of leg pain that disappears at rest after having walked a short distance. The nurse recognizes the patient's symptoms are consistent with which problem? A. Muscle spasm B. Deep venous thrombosis C. Claudication D. Angiospasm
Answer: C. Claudication
The nurse is caring for a patient during the immediate post-operative period following a rhinoplasty. Which finding is most concerning to the nurse? A. The patient complains of being cold and chilled. B. The patient complains of nausea. C. The nurse notices the patient is swallowing frequently. D. The nurse notices drainage on the nasal drip pad.
Answer: C. The nurse notices the patient is swallowing frequently.
What is the average life span of a red blood cell (RBC)? A. 30 days B. 90 days C. 100 days D. 120 days
Answer: D. 120 days
The nurse carefully applies suction prior to deflating the cuff on a cuffed tracheostomy in order to prevent which complication? A. Bleeding B. Excessive negative pressure C. Accidental dislodgement of the tube D. Aspiration
Answer: D. Aspiration
The nurse is caring for a patient experiencing epistaxis. What action should the nurse take first? A. Obtain the patient's vital signs B. Firmly pack the nostrils with gauze C. Apply a cold compress D. Instruct the patient to sit forward and pinch the nose below the bone.
Answer: D. Instruct the patient to sit forward and pinch the nose below the bone
The nurse is caring for a patient with C. difficile infection. Which action is most important for the nurse to take? A. Only use alcohol-based hand cleanser for hand hygiene. B. Always wear an impervious mask. C. Don proper eye protection before providing care. D. Put the patient on contact plus isolation.
Answer: D. Put the patient on contact plus isolation
A 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was 65 is still protecting him. Which reply is most accurate? A. "Pneumovax protects you for your lifetime." B. "Immunity afforded you by Pneumovax lasts only 2 years." C. "Pneumovax protection varies according to your risk factors and living situation." D. "After 6 years, you need a repeat dose of Pneumovax for full immunity."
Answer: D. "After 6 years, you need a repeat does of Pneumovax for full immunity."
The nurse is communicating with a patient who voices concern about an upcoming high-risk procedure. Which statement best demonstrates empathy? A. "Would you like to talk about your feelings regarding the procedure?" B. "My mother had the same procedure and did very well." C. I can't imagine how you feel." D. "It must be difficult preparing for the procedure; how are you feeling?"
Answer: D. "It must be difficult preparing for the procedure; how are you feeling?"
The visually impaired person has entered the outpatient clinic with a guide dog. What action is most appropriate for the nurse to take? A. Quietly greet the dog and pat it B. Direct the patient and the dog to an area where the dog will not be distracted. C. Take the harness from the patient, and direct the dog and patient to a seat. D. Refrain from interacting with the patient and dog until the dog leads the patient to a seat.
Answer: D. Refrain from interacting with the patient and dog until the dog leads the patient to a seat.
The LPN/LVN is in the patient's room while the charge nurse is obtaining the patient's signature on the surgical consent form. The patient states, "I didn't really understand what my surgeon explained, but I trust him completely." How should the nurse respond? A. "I need to contact your surgeon so your questions can be answered." B. "I can answer any questions that you might have regarding your surgery." C. "As long as you are comfortable, then you may sign the consent form." D. "Maybe we should call your surgeon to be sure it is okay to sign the consent."
Answer: A. "I need to contact your surgeon so your questions can be answered."
The drug Alteplase (t-PA) is given to the patient with a myocardial infarction (MI). Which statement accurately describes the purpose of this medication? A. "Alteplase (t-PA) dissolves the obstruction in the coronary artery." B. "Alteplase (t-PA) dilates vessels to relieve pain." C. "Alteplase (t-PA) strengthens cardiac contraction." D. "Alteplase (t-PA) increases cardiac output."
Answer: A. "Alteplase (t-PA) dissolves the obstruction in the coronary artery."
The patient asks if it is harmful for him to drink a glass of wine with dinner on a daily basis. Which is the nurses best response? A. "As long as it is okay with your physician, moderate alcohol intake can be beneficial to your cardiovascular health." B. "Drinking wine on a daily basis may lead to you having issues with increased blood pressure." C. "You may want to be careful because drinking wine with dinner may stimulate your appetite significantly." D. "This practice may cause your triglyceride level to rise, so I would discourage it."
Answer: A. "As long as it is okay with your physician, moderate alcohol intake can be beneficial to your cardiovascular health."
An 86-year-old patient asks why her ankles have a brownish discoloration and the skin looks thick. Which response best addresses the patient's concern? A. "The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thickening of your skin." B. "You probably aren't getting enough iron in your diet. We should talk to your doctor about adding an iron supplement." C. "How many years have you smoked? Nicotine will cause these changes in your skin." D. "These are just normal changes seen in most older people."
Answer: A. "The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thickening of your skin."
What is the average life span of a platelet cell? A. 10 days B. 14 days C. 30 days D. 45 days
Answer: A. 10 days
The home health nurse is caring for a patient with congestive heart failure (CHF). Which assessment finding should the nurse report immediately to the physician? A. Moderate shortness of breath after walking down the hall. B. A 3 pound weight gain over the course of a week. C. Heart rate of 104 beats/min after ambulating to the bathroom. D. Increase urinary output to 50 mL in the last hour.
Answer: A. Shortness of breath after walking down the hall.
The nurse is caring for a patient with a history of hypertension. Which information is most important for the nurse to obtain? A. "Do you take a multivitamin?" B. "Do you use over-the-counter decongestants or diet pills?" C. "How often do you use laxatives?" D. "How often do you use antacids?"
Answer: B. "Do you use over-the-counter decongestants or diet pills?"
When the nurse notes a rise in the eosinophil count, which problem does she suspect? A. Bacterial infection B. Allergy C. Viral infection D. Blood dyscrasia
Answer: B. Allergy
A 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The patient's temperature is 100 F, and his pulse, blood pressure, and respirations are elevated since the last assessment 6 hours ago. What action should the nurse take first? A. Auscultate the patient's lungs B. Assess the patient's oxygen saturation C. Administer the mild sedative as ordered D. Administer an ordered analgesic for discomfort
Answer: B. Assess the patient's oxygen saturation
The nurse is preparing to write a care plan for the patient with fibromyalgia. Which problem/nursing diagnosis best addresses this disorder? A. Fatigue B. Pain, chronic C. Impaired physical mobility D. Activity intolerance
Answer: B. Pain, chronic
The nurse discusses and demonstrates proper hand hygiene to an immunocompromised patient and his wife. Which statement indicates a need for additional teaching? A. "It's okay for my wife to wear artificial nails as long as she washes her hands properly." B. "I should always wash my hands before I eat." C. "Hand gels work as well as handwashing under most circumstances." D. "I should use friction and wash my hands for about 20 seconds if I am using soap and water."
Answer: A. "It's okay for my wife to wear artificial nails as long as she washes her hands properly."
The nurse is educating a patient with lymphoma. Which statement indicates the patient correctly differentiates Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL)? A. "Non-Hodgkin lymphoma is less predictable and can spread faster." B. "The first signs of Hodgkin lymphoma is that a single lymph node on one side of the body gets bigger." C. "People who are older than 60 years are at risk than younger people." D. "I will have to have a lot of blood work drawn."
Answer: A. "Non-Hodgkin lymphoma is less predictable and can spread faster."
The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer? A. A crater-like lesion B. Skin that does not blanch with fingertip pressure C. Presence of molted skin D. Excoriation around the lesion
Answer: A. A crater-like lesion
The nurse is caring for a burn patient. Which action best prevents contractures? A. Assist the patient with ambulation as soon as fluid shifts stabilize. B. Medicate the patient approximately 30 minutes prior to dressing changes. C. Ensure adequate hydration. D. Ensure adequate nutritional intake.
Answer: A. Assist the patient with ambulation as soon as fluid shifts stabilize.
When the nurse places the diaphragm of the stethoscope over one of the main bronchi, which expected normal breath sound should the nurse hear? A. Bronchovesicular sounds B. Bronchial sounds C. Sonorous sounds D. Vesicular sounds
Answer: A. Bronchovesicular sounds
The nurse is caring for a patient who states, "You are the only nurse who understands about my pain. Can't you give me an extra dose of pain medication?" How should the nurse respond to the patient's request? A. Explain that dosage schedules are by physician's orders. B. Ignore the request. C. Tell the patient that his behavior is manipulative. D. Agree to give an extra dose of pain medication.
Answer: A. Explain that dosage schedules are by physician orders.
The nurse is caring for a patient with general sepsis. Which finding should first alert the nurse to a potential complication that warrants immediate attention? A. Increased lethargy B. Sudden coughing C. Elevated blood pressure D. Cloudy urine
Answer: A. Increased lethargy
The patient with angina asks the nurse how a daily dose of 81 mg of aspirin is helpful. Which reply is best? A. Low-dose aspirin helps reduce clotting. B. Low-dose aspirin helps dilate coronary vessels. C. Low-dose aspirin helps alleviate pain associated with angina. D. Low-dose aspirin helps lower cholesterol.
Answer: A. Low-dose aspirin helps reduce clotting.
A patient who presented to the emergency room with a myocardial infarction (MI) becomes pale, diaphoretic, and hypotensive. What action should the nurse take first? A. Notify the physician immediately. B. Ensure the patient has patent IV access. C. Request assistance from respiratory therapy. D. Inform the patient's family of the change in status.
Answer: A. Notify the physician immediately
The patient reports to the nurse the physician has ordered a Wood light examination. The nurse correctly recognizes the physician is concerned the patient may have which condition? A. Tinea corpus B. Scabies C. Herpes simplex D. Dermatitis
Answer: A. Tinea corpus
For which patient would the nurse question an order for isotretinoin (Accutane)? A. A 20-year-old epileptic man with nodular acne and epilepsy. B. A 22-year-old pregnant woman with severe acne. C. A 46-year-old woman on oral contraceptive pills with cystic acne. D. A 50-year-old hypertensive man with cystic acne.
Answer: B. A 22-year-old pregnant woman with severe acne.
Which foundational behavior is necessary for effective critical thinking? A. Unshakable beliefs and values B. An open attitude C. An ability to disregard evidence inconsistent with set goals D. An ability to recognize the perfect solution
Answer: B. An open attitude
The nurse is assessing the patient with influenza. The patient reports having general malaise and aching muscles over the past 2 weeks. The nurse suspects the patient may have developed which complication of influenza? A. Bronchitis B. Bacterial pneumonia C. Urinary infection D. Encephalitis
Answer: B. Bacterial pneumonia
Which assessment finding on a patient who had a right total knee replacement this morning should be reported to the charge nurse immediately? A. Pain level of 8/10 at operative site. B. Capillary refill of right toe of 7 seconds C. Right foot warm to the touch D. Swelling right knee
Answer: B. Capillary refill of right toe of 7 seconds
Which manifestation is the classic early warning symptom of a detached retina? A. Tearing and swelling of the eye. B. Flashing colored lights in the eye. C. Bleeding into the anterior chamber. D. Intense brow pain.
Answer: B. Flashing colored lights in the eye
The nurse is caring for a patient with suspected sinusitis. Which assessment finding supports this diagnosis? A. Maxillary sinuses nontender on percussion. B. Generalized pain in the upper teeth. C. Clear drainage from the ear. D. Ear pain when lying down.
Answer: B. Generalized pain in the upper teeth.
The home health nurse is caring for a patient with a blood pressure reading of 200/160. The patient denies any discomfort. The nurse should immediately contact the health care provider to report that the patient is experiencing which problem? A. Primary hypertension B. Hypertensive crisis C. Essential hypertension D. Secondary hypertension
Answer: B. Hypertension crisis
The nurse is caring for a patient who has a new prescription for a loop diuretic. Which nutritional intervention is most important for the nurse to add to the care plan? A. Increase intake of leafy green vegetables. B. Increase intake of bananas and potatoes. C. Avoid foods like canned soups and hot dogs. D. Limit caffeine intake.
Answer: B. Increase intake of bananas and potatoes
A 75-year-old patient questions the nurse about vaccination to prevent shingles. What response is most appropriate? A. "The incidence of shingles in people your age is not overly common, so vaccination is unnecessary." B. "The vaccination has not yet been approved for use in the older adult." C. "Because of the incidence of shingles in your age group, you should consider taking the vaccination." D. "The vaccination is expensive but will provide lifelong immunity."
Answer: C. "Because of the incidence of shingles in your age group, you should consider taking the vaccination."
The nurse is caring for a patient with severe congestive heart failure (CHF) who denies pain and is fearful of taking prescribed morphine. Which explanation best works to alleviate the patient's anxiety about risk of addiction? A. "Many people with CHF use morphine for pain control." B. "We can treat your pain with aspirin and ibuprofen." C. "Morphine has properties that help relieve air hunger in CHF patients." D. "You can refuse to take it."
Answer: C. "Morphine has properties that help relieve air hunger in CHF patients."
The nurse is discussing the post-operative period with a patient scheduled for a corneal transplant. Which statement indicates that the patient displays realistic expectations about vision improvement? A. "I will have my full vision restored within 48 to 72 hours." B. "It will take about 24 hours before I see improvement in my vision." C. "My vision will show improvement in about 2 weeks." D. "It may take about a month before my vision shows improvement."
Answer: C. "My vision will show improvement in about 2 weeks."
Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve the health of Americans in the second decade of the century? A. Research funding B. Health information distribution C. Healthy lifestyle encouragement D. Health improvement program designs
Answer: C. Healthy lifestyle encouragement
The nurse is teaching a patient who takes warfarin (Coumadin) about a coagulation monitoring device. Which blood clotting time should the device monitor? A. PT B. PTT C. INR D. ACT
Answer: C. INR
An 85-year-old patient with a newly diagnosed heart murmur expresses concern that he has never been notified of this finding before. What is the most likely cause of this patient's heart murmur? A. Hypertension B. Atherosclerosis C. Insufficient heart valve D. Weakened pacemaker
Answer: C. Insufficient heart valve
When caring for a 10-hour post-abdominal surgery patient, which finding should the nurse report to the charge nurse? A. 20mL of clear-green emesis B. Pain level of 5/10 C. No urine output since surgery D. A weak cough ability
Answer: C. No urine output since surgery
The nurse is caring for a male patient with angina who has a new prescription for sublingual nitroglycerin. What information is most important for the nurse to include in the teaching plan? A. Nitroglycerin tablets expire 3 months after the bottle is open. B. Take a second tablet 15 minutes after the first dose and call the physician if pain persists. C. Store nitroglycerin tablets in a cool, dark location. D. Nitroglycerin may cause an unsafe drop in heart rate when combined with certain medications for erectile dysfunction.
Answer: C. Store nitroglycerin tablets in a cool, dark place.
The nurse is caring for a patient with a compression dressing. Which action indicates appropriate wound care? A. The nurse changes the compression dressing daily. B. The nurse uses an alcohol-based cleanser before applying the compression dressing. C. The nurse places a compression dressing over the wound dressing. D. The nurse dons a face mask before applying a compression dressing.
Answer: C. The nurse places a compression dressing over the wound dressing.
The nurse is performing deep tracheal suctioning of a patient with a respiratory disorder. Which action demonstrates appropriate technique? A. The nurse maintains clean technique. B. The nurse places the patient in a side-lying position. C. The nurse suctions the patient for 10 to 15 seconds. D. The nurse reassures the patient that he will feel no discomfort.
Answer: C. The nurse suctions the patient for 10 to 15 seconds.
Which example shows the nursing student demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA)? A. The student uses the patient's full name only on clinical assignments submitted to the instructor. B. The student uses a facility printer to copy laboratory reports on an assigned patient. C. The student shreds any documents that contain identifying patient information before leaving the clinical facility. D. The student asks the patient for permission to copy laboratory and diagnostic reports for educational purposes.
Answer: C. The student shreds any documents that contain identifying patient information before leaving the clinical facility.
Which statement accurately describes the purpose of a Doppler flow study? A. To detect a clot in a coronary artery. B. To visualize obstructions in leg vessels. C. To assess efficiency of blood flow through heart chambers. D. To detect a defective heart valve.
Answer: C. To assess efficiency of blood flow through heart chambers.
The nurse is caring for a patient with a deep vein thrombosis (DVT). Which medication would likely be used for initial inpatient treatment? A. Dabigatran (Pradaxa) B. Heparin C. Warfarin (Coumadin) D. Edoxaban (Lixiana)
Answer: C. Warfarin (Coumadin)
The home health nurse is educating the family of a child with head lice. Which instructions are most important for the nurse to include? A. Lice cannot be transmitted to pets. B. Insects must be moving across the scalp to confirm diagnosis of head lice. C. Wash and dry all linens on the hottest setting. D. Apply a dime-sized amount of alcohol-based lotion to hair.
Answer: C. Wash and dry all linens on the hottest setting.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture of the patient. What is the nurses first action? A. Immediately begin taking the two- to three-drug regimen. B. Report the stick to the charge nurse immediately so follow-up can be initiated. C. Wash the punctured area with soap and water. D. Complete an incident report so immediate testing of the patient and nurse can begin.
Answer: C. Wash the punctured area with soap and water.
The clinic nurse offers suggestions to a patient who is planning a trip to Mexico that will help prevent a protozoan infection. Which suggestion is most helpful? A. "Ask the doctor for a prophylactic prescription for an antiviral drug." B. "Broad-spectrum antibiotics will be most helpful if you contract a protozoan infection." C. "Be sure to practice good hand hygiene while on your trip." D. "It would be best if you drank bottled water while on your trip."
Answer: D. "It would be best if you drank bottled water while on your trip."
The nurse is caring for a patient following abdominal surgery. The patient asks the nurse when he will be able to eat a normal diet. Which response is best? A. "It will depend on how well you tolerate advancing from a clear liquid diet." B. "We will have to wait until your surgeon orders a regular diet for you." C. "Most patients are able to eat regular foods within 2-3 days following abdominal surgery." D. "Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance."
Answer: D. "Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance."
The nurse reading a tuberculin skin test (PPD) on a new employee who lives in the Midwest, is 20-years-old, and has no known history of contact with any people with tuberculosis (TB). The nurse should interpret the reading as positive if the area around the injection site has an induration of how many millimeters? A. 0 mm B. 5 mm C. 10 mm D. 15 mm
Answer: D. 15 mm
The nurse is caring for multiple patients. After reviewing the patients' histories, the nurse determines that which patient possesses the highest risk of throat cancer? A. A male patient who drink four cups of coffee per day. B. A female patient who smokes a pack of cigarettes weekly. C. A female patient who drinks three carbonated drinks per day. D. A male patient who drinks four vodka tonics per day.
Answer: D. A male patient who drinks four vodka tonics per day.
The nurse caring for a patient with advanced AIDS. While collecting data, the nurse notes a weight loss of several pounds, poor food consumption, and complaint of no appetite. Based on these findings , the nurse should carefully monitor the patient for development of which problem? A. Lymphedema B. Hyperglycemia C. Hypertension D. Anasarca
Answer: D. Anasarca
The nurse is caring for a 20-year-old patient who recently underwent a tonsillectomy. The patient is fully awake and clearing his throat frequently but denies pain. Which action is most important for the nurse to take first? A. Place the patient in a side-lying position. B. Look in the patient's mouth. C. Offer the patient a grape popsicle. D. Remove the straw from the patient's tray.
Answer: D. Remove the straw from the patient's tray.
The post-operative patient complains of pain only 1 hour after having been medicated with an opioid, which cannot be repeated for 3 more hours. What action should the nurse take? A. Give one-half of the prescribed dose now. B. Contact the prescriber. C. Ambulate the patient in the hall. D. Reposition the patient.
Answer: D. Reposition the patient
The nurse is teaching a patient about the purpose of his telemetry. Which statement indicates the nurse's teaching has been successful? A. "I will need to stay in bed when the monitor is reading my heart waves." B. "This test will help determine if I have a blockage in my arteries." C. "If there is a problem with my heart valves, it will show up with telemetry." D. "The nurses will be able to monitor my heart rate and rhythm."
Answer: D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is explaining the difference between exertional angina and unstable angina. Which statement about unstable angina is accurate? A. Unstable angina occurs with moderate exercise. B. Unstable angina occurs when blood pressure increases sharply. C. Unstable angina occurs when the body reacts to high stress levels. D. Unstable angina occurs unpredictably, even in sleep.
Answer: D. Unstable angina occurs unpredictably, even in sleep.
The nurse is providing infection control teaching to a patient. Which patient statement warrants patient teaching? A. "It is important that I get my whooping cough vaccination as directed by my health care provider." B. "Getting plenty of sleep each night will help my immune system." C. "I should wash my hands before preparing my food." D. "It is important that I take my antibiotic until my symptoms have completely resolved."
Answer: D: "It is important that I take my antibiotic until my symptoms have completely resolved."
