Exam (elaborations)
VSIM PRE/POST TEST QUESTIONS
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VSIM PRE/POST TEST QUESTIONS
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VSIM PRE/POST TEST QUESTIONSDuloxetine is prescribed for a patient with chronic pain. Which of the following drug
classifications does this medication fall under? - Answers -Antidepressant
The nurse is providing education to a patient with chronic hip pain about ways to
manage the pain at home. Which of the following recommendations should be included
in this education? (Select all that apply.) - Answers -Relaxation exercises such as deep
breathing can quiet your pain.
A patient with chronic pain has a prescription for hydrocodone 5 mg/acetaminophen 325
mg two tablets every 6 hours for pain. Which of the following information is important to
include when educating this patient about using OTC medications? - Answers -Be sure
to read the label to see if the OTC medication contains acetaminophen.
The nurse is providing education to a patient taking tramadol six times a day for chronic
pain. The patient also take hydrocodone 10 mg as needed for additional pain relief.
Which of the following should be included regarding combining these two medications?
- Answers -Both medication have similar adverse effects.
A patient reports taking two extended-release acetaminophen tablets of 650 mg each
every 4 hours for the last 3 days to manage chronic pain. The nurse calculates the daily
dose of acetaminophen as 7,800 mg/d. Which of the following laboratory tests is a
priority for this patient? - Answers -Liver function tests
Which of the following conditions would most likely be defined as chronic pain? -
Answers -Intermittent muscle pain 6 months after a back strain injury
The nurse is reviewing the medication list for a patient with chronic pain. Which of the
following medications, found on the patient's list, would help the patient manage chronic
pain? (Select all that apply.) - Answers -Acetaminophen
Gabapentin
Duloxetine
Hydrocodone
The nurse is preparing to complete a skin, hair, and nail examination. What equipment
should the nurse gather before beginning the assessment? - Answers -Centimeter
Ruler, Magnifying glass, Penlight
The nurse is interviewing a patient who is reporting itching and a rash. Which questions
would be appropriate for the nurse to include in the nursing health history? - Answers -
What other symptoms occur with it? When did it begin? How much does it bother you?
The nurse is providing patient teaching about prevention of pressure ulcers. Which
statement, if made by the patient, indicates that the teaching was successful? - Answers
-Because I have dry skin, I should avoid cold air and use moisturizers.
, The nurse is checking for skin thickness, texture, and moisture. Which technique would
the nurse use tp preform these assessment? - Answers -Palpation
The nurse is assessing the patients nails. Which techniques should the nurse consider
using when performing this assessment? - Answers -Capillary refill, clubbing, hygiene,
texture
The nurse is assessing a shallow, open ulcer with red-pink wound bed that is located on
a patient's sacrum. How would the nurse document this wound? - Answers -Stage II
Upon inspection of a patient's lower extremity, the nurse suspects venous insufficiency.
Which assessment findings would support this conclusion? - Answers -Moderate leg
edema, thickened, tough skin, reddish-blue discoloration
The nurse has completed a skin assessment and is now documenting using the Braden
Scale. Which area are assessed using this tool? - Answers -Mobility, Nutrition
A patient with a history of skin cancer reports an "itchy mole" on the back. Which
characteristics should the nurse inspect when evaluating the lesion? - Answers -Color,
Asymmetry, Borders
The nurse is inspecting a patient"s cheek and finds a palpable, 0.4-cm mass containing
clear fluid. How would the nurse document this finding? - Answers -Vesicle
The nurse is reviewing Ms. Morrow's nutritional status. Which laboratory value would be
of most concern to the nurse? - Answers -Prealbumin 6 mg/dL
The nurse is inspecting Ms. Morrow's skin. To which areas should the nurse pay extra
attention to during the assessment? - Answers -Under the breasts, limbs, groin
Ms. Morrow asks what the Braden scale is. What is the correct response? - Answers -
This tool will help me determine if you are at risk for developing pressure ulcers.
The nurse is completing a skin assessment of an older adult patient. Which finding
would require immediate attention? - Answers -Reddened flat area on patient's heel
The nurse is assessing a wound on a patient's lower extremity that has a mottled, blush
appearance and localized edema. How should the nurse describe this type of wound? -
Answers -Venous Stasis Ulcer
The nurse is providing teaching to the patient on how to prevent venous stasis ulcers.
Which statements would be appropriate to include in the teaching plan? - Answers -
wear support stocking to help prevent ulcers and heal existing ones, watch for signs and
symptoms of new ulcers.
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