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RNPEDIA, PNLE OVERALL TEST 1 QUESTIONS WITH VERIFIED ANSWER.
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RNPEDIA, PNLE OVERALL TEST 1QUESTIONS WITH VERIFIED ANSWER
1. eA e10 eyear eold ewho ehas esustained ea ehead einjury eis ebrought eto ethe eemergency
edepartment eby ehis emother. eA ediagnosis eof ea emild econcussion eis emade. eAt ethe
etime eof edischarge, enurse eRon eshould einstruct ethe emother eto:
A. eWithhold efood eand efluids efor e24 ehours.
B. eAllow ehim eto eplay eoutdoors ewith ehis efriends.
C. eArrange efor ea efollow eup evisit ewith ethe echild's eprimary ecare eprovider ein eone
eweek.
D. eCheck efor eany echange ein eresponsiveness eevery etwo ehours euntil ethe efollow-up
evisit. e- e✔✔C. eCheck efor eany echange ein eresponsiveness eevery etwo ehours euntil ethe
efollow-up evisit. e
Signs eof ean eepidural ehematoma ein echildren eusually edo enot eappear efor e24 ehours
eor emore ehours; ea efollow-up evisit eusually eis earranged efor eone eto etwo edays eafter
ethe einjury.
2. eA emale eclient ehas esuffered ea emotor eaccident eand eis enow esuffering efrom
ehypovolemic eshock. eNurse eHelen eshould efrequency eassess ethe eclient's evital esigns
eduring ethe ecompensatory estage eof eshock, ebecause:
A. eArteriolar econstriction eoccurs
B. eThe ecardiac eworkload edecreases
C. eDecreased econtractility eof ethe eheart eoccurs
D. eThe eparasympathetic enervous esystem eis etriggered e- e✔✔A. eArteriolar
econstriction eoccurs.
The eearly ecompensation eof eshock eis ecardiovascular eand eis eseen ein echanges ein
epulse, eBP, eand epulse epressure; eblood eis eshunted eto evital ecenters, eparticularly
eheart eand ebrain.
3. eA eparanoid emale eclient ewith eschizophrenia eis elosing eweight, ereluctant eto eeat,
eand evoicing econcerns eabout ebeing epoisoned. eThe ebest eintervention eby enurse
eDina ewould ebe eto:
A. eAllow ethe eclient eto eopen ecanned eor epre-packaged efood
B. eRestrict ethe eclient eto ehis eroom euntil e2 elbs eare egained
C. eHave ea estaff emember epersonally etaste eall eof ethe eclient's efood
D. eTell ethe eclient ethe efood ehas ebeen ex-rayed eby ethe estaff eand eis esafe e- e✔✔A. e
,Allow ethe eclient eto eopen ecanned eor epre-packaged efood. eThe eclient's ecomfort,
esafety, eand enutritional estatus eare ethe epriorities; ethe eclient emay efeel ecomfortable eto
eeat eif ethe efood ehas ebeen esealed ebefore ereaching ethe emental ehealth efacility.
4. eOne eday ethe emother eof ea eyoung eadult econfides eto enurse eFrida ethat eshe eis
every etroubled eby ethe echild's eemotional eillness. eThe enurse's emost etherapeutic einitial
eresponse ewould ebe:
A. e"You emay ebe eable eto elessen eyour efeelings eof eguilt eby eseeking ecounseling"
B. e"It ewould ebe ehelpful eif eyou ebecome einvolved ein evolunteer ework eat ethis etime"
C. e"I erecognize eit's ehard eto edeal ewith ethis, ebut etry eto eremember ethat ethis etoo
eshall epass"
D. e"Joining ea esupport egroup eof eparents ewho eare ecoping ewith ethis eproblem ecan ebe
equite ehelpful" e- e✔✔D. e"Joining ea esupport egroup eof eparents ewho eare ecoping ewith
ethis eproblem ecan ebe equite ehelpful"
Taking ewith eothers ein esimilar ecircumstances eprovides esupport eand eallows efor
esharing eof eexperiences.
5. eTo echeck efor ewound ehemorrhage eafter ea eclient ehas ehad ea esurgery efor ethe
eremoval eof ea etumor ein ethe eneck, enurse egrace eshould:
A. eLoosen ean eedge eof ethe edressing eand elift eit eto esee ethe ewound
B. eObserve ethe edressing eat ethe eback eof ethe eneck efor ethe epresence eof eblood
C. eOutline ethe eblood eas eit eappears eon ethe edressing eto eobserve eany eprogression
D. ePress egently earound ethe eincision eto eexpress eaccumulated eblood efrom ethe
ewound e- e✔✔B. eObserve ethe edressing eat ethe eback eof ethe eneck efor ethe epresence
eof eblood. e
Drainage eflows eby egravity.
6. eA e16-year-old eprimigravida earrives eat ethe elabor eand ebirthing eunit ein eher e38th
eweek eof egestation eand estates ethat eshe eis elabor. eTo everify ethat ethe eclient eis ein
etrue elabor enurse eTrina eshould:
A. eObtain esides efor ea efern etest
B. eTime eany euterine econtractions
C. ePrepare eher efor ea epelvic eexamination
D. eApply enitrazine epaper eto emoist evaginal etissue e- e✔✔C. ePrepare eher efor ea epelvic
eexamination. e
Pelvic eexamination ewould ereveal edilation eand eeffacement
7. eAs epart eof ethe ediagnostic eworkup efor epulmonic estenosis, ea echild ehas ecardiac
ecatheterization. eNurse eJulius eis eaware ethat echildren ewith epulmonic estenosis ehave
eincreased epressure:
A. eIn ethe epulmonary evein
B. eIn ethe epulmonary eartery
, C. eOn ethe eleft eside eof ethe eheart
D. eOn ethe eright eside eof ethe eheart e- e✔✔D. eOn ethe eright eside eof ethe eheart. e
Pulmonic estenosis eincreases eresistance eto eblood eflow, ecausing eright eventricular
ehypertrophy; ewith eright eventricular efailure ethere eis ean eincrease ein epressure eon ethe
eright eside eof ethe eheart.
8. eAn eobese eclient easks enurse eJulius ehow eto elose eweight. eBefore eanswering, ethe
enurse eshould eremember ethat elong-term eweight eloss eoccurs ebest ewhen:
A. eEating epatterns eare ealtered
B. eFats eare elimited ein ethe ediet
C. eCarbohydrates eare eregulated
D. eExercise eis ea emajor ecomponent e- e✔✔A. eEating epatterns eare ealtered. e
A enew edietary eregimen, ewith ea ebalance eof efoods efrom ethe efood epyramid, emust ebe
eestablished eand econtinued efor eweight ereduction eto eoccur eand ebe emaintained.
9. eAs ea every eanxious efemale eclient eis etalking eto ethe enurse eMay, eshe estarts
ecrying. eShe eappears eto ebe eupset ethat eshe ecannot econtrol eher ecrying. eThe emost
eappropriate eresponse eby ethe enurse ewould ebe:
A. e"Is etalking eabout eyour eproblem eupsetting eyou?"
B. e"It eis eOk eto ecry; eI'll ejust estay ewith eyou efor enow."
C. e"You elook eupset; elet's etalk eabout ewhy eyou eare ecrying."
D. e"Sometimes eit ehelps eto eget eit eout eof eyour esystem." e- e✔✔B. e"It eis eOk eto ecry;
eI'll ejust estay ewith eyou efor enow." e
This eportrays ea enonjudgmental eattitude ethat erecognizes ethe eclient's eneeds.
10. eA epatient ehas epartial-thickness eburns eto eboth elegs eand eportions eof ehis etrunk.
eWhich eof ethe efollowing eI.V. efluids eis egiven efirst?
A. eAlbumin
B. eD5W
C. eLactated eRinger's esolution
D. e0.9% esodium echloride esolution ewith e2 emEq eof epotassium eper e100 eml e- e✔✔C.
eLactated eRinger's esolution. e
Lactated eRinger's esolution ereplaces elost esodium eand ecorrects emetabolic eacidosis,
eboth eof ewhich ecommonly eoccur efollowing ea eburn. eAlbumin eis eused eas eadjunct
etherapy, enot eprimary efluid ereplacement. eDextrose eisn't egiven eto eburn epatients
eduring ethe efirst e24 ehours ebecause eit ecan ecause epseudo-diabetes. eThe epatient eis
ehyperkalemic efrom ethe epotassium eshift efrom ethe eintracellular espace eto ethe
eplasma, eso epotassium ewould ebe edetrimental.
11. eDuring ethe efirst e48 ehours eafter ea esevere eburn eof e40% eof ethe eclients ebody
esurface, ethe enurse's eassessment eshould einclude eobservations efor ewater
eintoxication. eAssociated eadaptations einclude:
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