2024 MILESTONE 2 PRACTICE
EXAM QUESTIONS WITH CORRECT
ANSWERS
A client is admitted to the mental health unit and reports taking extra
anxiety medication because "I'm so stressed out. I just want to go to sleep.
The RN should plan one-on-one observation of the client based on which
statement? - CORRECT-ANSWERS- I don't want to walk. Nothing matters
anymore
What is the most important goal for a client diagnosed with major
depression who has been receiving an antidepressant medication for two
weeks? - CORRECT-ANSWERSNot attempt to commit suicide
The schizophrenic client insists that he is returning to his apartment,
although the healthcare provider informed him he will be moving to a
boarding home. What is the most important nursing diagnosis for discharge
planning? - CORRECT-ANSWERS- Ineffective denial related to situational
anxiety
100. Guillain barre assessment: - CORRECT-ANSWERS- watch for shallow
- rapid breathing
- ask if cold/stomach flu in last month
A male client with schizophrenia is admitted to the mental health unit after
abruptly stopping his prescription for ziprasidone(Geodon) one month ago.
Which question is most important for the RN to ask? - CORRECT-ANSWERS-
Do you hear sounds or voices that others do not hear
101. CVA expressive aphasia nsg assessment: - CORRECT-ANSWERSinability
to speak/understand language (Left Side = Language)
102. A patient is admitted to the ER with expressive aphasia. To further
assess the patient, the nurse should include which of the following
techniques: - CORRECT-ANSWERS- Give them picture charts to communicate
103. A client sustains a complex comminuted fracture of the tibia with soft
tissue injuries after being hit by a car while riding a bicycle. Surgical
, placement of an external fixator is performed to maintain the bone in
alignment. Postoperatively it is most essential for the nurse to: - CORRECT-
ANSWERS- Perform a neurovascular assessment of both lower extremities
104. One day following an open reduction and internal fixation of a
compound fracture of the leg, a male client complains of "a tingly sensation"
in his left foot. The nurse determines the client's left pedal pulses are
diminished. Based on these findings, what is the client's greatest risk? -
CORRECT-ANSWERS- Neurovascular and circulation compromise related to
compartment syndrome
105. The nurse is caring for a client with a fractured right elbow. Which
assessment finding has the highest priority and requires immediate
intervention? - CORRECT-ANSWERS- Deep unrelenting pain in the right arm
106. Stroke in Broca's area of left cerebral cortex? - CORRECT-ANSWERS-
Listen patiently
- expressive aphasia usually occurs
- paralyzed on right side
107. A patient has Broca's aphasia. Which lobe of the brain does the nurse
anticipate to have been affected by a stroke? - CORRECT-ANSWERS- The
frontal lobe of the brain is related to reasoning, planning, parts of speech,
movement, emotions, and problem solving
108. A nurse is caring for a client with acute pancreatitis. Which elevated
laboratory test result is most indicative of acute pancreatitis? - CORRECT-
ANSWERSSerum amylase
109. When providing dietary teaching to the client with hepatitis, the nurse
includes which information? - CORRECT-ANSWERS- 4-6 small meal per day
- High carbohydrate and moderate protein diet, fats may cause dyspepsia
- Fluids are restricted with ascites
- Abstention from alcohol
110. Cirrhosis ascites dyspnea: - CORRECT-ANSWERSas the ascites
increases, the client is likely to experience dyspnea because the fluid build-
up puts pressure on the diaphragm.
111. A female pt was in an MVC and admitted with a fractured L femur.
Nurse assessment include diminished pulses. What should the nurse do
next? SATA - CORRECT-ANSWERS- Verify pedal pulses with a Doppler
- Monitor for leg pain, pulseless , pallor,paralysis
- Evaluate the app of the splint to the l leg
EXAM QUESTIONS WITH CORRECT
ANSWERS
A client is admitted to the mental health unit and reports taking extra
anxiety medication because "I'm so stressed out. I just want to go to sleep.
The RN should plan one-on-one observation of the client based on which
statement? - CORRECT-ANSWERS- I don't want to walk. Nothing matters
anymore
What is the most important goal for a client diagnosed with major
depression who has been receiving an antidepressant medication for two
weeks? - CORRECT-ANSWERSNot attempt to commit suicide
The schizophrenic client insists that he is returning to his apartment,
although the healthcare provider informed him he will be moving to a
boarding home. What is the most important nursing diagnosis for discharge
planning? - CORRECT-ANSWERS- Ineffective denial related to situational
anxiety
100. Guillain barre assessment: - CORRECT-ANSWERS- watch for shallow
- rapid breathing
- ask if cold/stomach flu in last month
A male client with schizophrenia is admitted to the mental health unit after
abruptly stopping his prescription for ziprasidone(Geodon) one month ago.
Which question is most important for the RN to ask? - CORRECT-ANSWERS-
Do you hear sounds or voices that others do not hear
101. CVA expressive aphasia nsg assessment: - CORRECT-ANSWERSinability
to speak/understand language (Left Side = Language)
102. A patient is admitted to the ER with expressive aphasia. To further
assess the patient, the nurse should include which of the following
techniques: - CORRECT-ANSWERS- Give them picture charts to communicate
103. A client sustains a complex comminuted fracture of the tibia with soft
tissue injuries after being hit by a car while riding a bicycle. Surgical
, placement of an external fixator is performed to maintain the bone in
alignment. Postoperatively it is most essential for the nurse to: - CORRECT-
ANSWERS- Perform a neurovascular assessment of both lower extremities
104. One day following an open reduction and internal fixation of a
compound fracture of the leg, a male client complains of "a tingly sensation"
in his left foot. The nurse determines the client's left pedal pulses are
diminished. Based on these findings, what is the client's greatest risk? -
CORRECT-ANSWERS- Neurovascular and circulation compromise related to
compartment syndrome
105. The nurse is caring for a client with a fractured right elbow. Which
assessment finding has the highest priority and requires immediate
intervention? - CORRECT-ANSWERS- Deep unrelenting pain in the right arm
106. Stroke in Broca's area of left cerebral cortex? - CORRECT-ANSWERS-
Listen patiently
- expressive aphasia usually occurs
- paralyzed on right side
107. A patient has Broca's aphasia. Which lobe of the brain does the nurse
anticipate to have been affected by a stroke? - CORRECT-ANSWERS- The
frontal lobe of the brain is related to reasoning, planning, parts of speech,
movement, emotions, and problem solving
108. A nurse is caring for a client with acute pancreatitis. Which elevated
laboratory test result is most indicative of acute pancreatitis? - CORRECT-
ANSWERSSerum amylase
109. When providing dietary teaching to the client with hepatitis, the nurse
includes which information? - CORRECT-ANSWERS- 4-6 small meal per day
- High carbohydrate and moderate protein diet, fats may cause dyspepsia
- Fluids are restricted with ascites
- Abstention from alcohol
110. Cirrhosis ascites dyspnea: - CORRECT-ANSWERSas the ascites
increases, the client is likely to experience dyspnea because the fluid build-
up puts pressure on the diaphragm.
111. A female pt was in an MVC and admitted with a fractured L femur.
Nurse assessment include diminished pulses. What should the nurse do
next? SATA - CORRECT-ANSWERS- Verify pedal pulses with a Doppler
- Monitor for leg pain, pulseless , pallor,paralysis
- Evaluate the app of the splint to the l leg
