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Exam (elaborations) staff nurse exam

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Questions and answers for the staff nurse exam 2020

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  • January 12, 2021
  • 11
  • 2020/2021
  • Exam (elaborations)
  • Questions & answers
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Elantsys
STAFF NURSE EXAM
1. A lumbar puncture is performed on a child suspected of having bacterial meningitis
and CSF is obtained for analysis. The nurse confirms the diagnosis with which of the
following result?
(a) Clear CSF, elevated protein and decreased glucose levels
(b) Clear CSF, decreased pressure and elevated protein levels
(c) Cloudy CSF, elevated protein and decreased glucose levels
(d) Cloudy CSF, decreased protein and decreased glucose levels


2. Furosemide is administered intravenously to a client with heart failure. How noon
after administration should the nurse begin to monitor the evidence of the drug’s effect?
(a) 5-10 minutes
(b) 30-60 minutes
(c) 2-4 hours
(d) 6-8 hours


3. A 40 year old man is diagnosed with essential hypertension whose blood pressure
levels are consistently at or above which of the following
(a) 120/90 mm Hg
(b) 130/90 mm Hg
(c) 140/90 mm Hg
(d) 140/70 mm Hg


4. A client with pernicious anemia asks why she must take vitamin B12 injections for the
rest of her life. What is the nurse’s best response?
(a) “The reason for your vitamin deficiency is inability to absorb vitamin because
stomach is not producing sufficient acid”.
(b) “The reason for your vitamin deficiency is inability to absorb vitamin because
stomach is not producing sufficient intrinsic factor”.
(c) “The reason for your vitamin deficiency is inability to absorb vitamin because of
excessive excretion by kidney”.

, (d) “The reason for your vitamins deficiency is increased requirement for the vitamins
due to rapid RBC production”.
5. Aspirin is administered to a client experiencing MI because of its
(a) Antipyretic action
(b) Antithrombotic action
(c) Antiplatelet action
(d) Analgesic action


6. The most significant thing observed for a client admitted immediately after fracture
of femur.
(a) Compartment syndrome
(b) PO2 level
(c) Risk of infection
(d) Associated nerve injuries


7. A client with pneumonia has a temperature ranging between 101o and 102o F and
periods of diaphoresis. Based on this information which of the following nursing
interventions would be a priority?
(a) Maintain complete bed rest
(b) Administer oxygen
(c) Provide frequent lines changes
(d) Provide fluid intake adequately


8. A 40 year old woman with history of asthma is admitted to emergency department.
The nurse notes that the client is dyspneic, with a respiratory rate of 35
breaths/minute, nasal flaring and use of accessory muscles. Auscultation of lungs
reveals greatly diminished breath sounds. Based on there findings which should be a
priority action?
(a) Initiate O2 therapy and reassess after 10 minutes
(b) Draw blood for ABG analysis and obtain chest X-ray
(c) Administer bronchodilators
(d) Encourage the client to relax and breath through mouth.

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