1. The nurse is assessing a patient for risk factors of chronic
fatigue syndrome. Which factors
should the nurse identify as placing the patient at risk for
chronic fatigue syndrome? (Select all that apply.)
a. Feeling tired upon awakening
b. Chronic migraines
c. Tenderness under the jaw
d. 5 episodes tonsillitis/past year
e. Swollen, painful knees Correct Answer a. Feeling tired upon
awakening
c. Tenderness under the jaw
d. 5 episodes tonsillitis/past year
e. Swollen, painful knees
A 19-year-old male has sustained a transection of C-7 in a motor
vehicle crash rendering him a quadriplegic. He describes his
pain as burning, sharp, and shooting. What type of pain is this
patient describing?
a. Neuropathic pain
b. Visceral pain
c. Eudynic pain
d. Nociceptive pain Correct Answer a. Neuropathic pain
A 45-year-old female patient, gravida 3 para 3, presents with
complaints of decreased desire to engage in sexual activity with
her husband as it is becoming more painful. What physical
assessment data should the nurse focus on?
a. Urine culture to identify potential STD.
b. Obtain vital signs as a baseline to rule out infection.
,c. Prepare for a vaginal exam.
d. Inspection of the abdomen for pelvic mass. Correct Answer
c. Prepare for a vaginal exam.
A 62-year-old male has fallen while trimming tree branches
sustaining tissue injury. He describes his condition as an aching,
throbbing back. This is characteristic of what type of pain?
a. Neuropathic pain
b. Nociceptive pain
c. Chronic pain
d. Mixed pain syndrome Correct Answer b. Nociceptive pain
A 70-year-old retired patent is interested in nondrug, mind-body
therapies, self-management, and alternative strategies to deal
with joint discomfort from rheumatoid arthritis. What options
should the nurse consider in the plan of care considering the
patient's expressed wishes?
a. Stationary exercise bicycle, free weights, and spinning class
b. Mind-body therapies such as music therapy, distraction
techniques, meditation, prayer, hypnosis, guided imagery,
relaxation techniques, and pet therapy
c. Chamomile tea and IcyHot gel
d. Acupuncture and attending church services Correct Answer
b. Mind-body therapies such as music therapy, distraction
techniques, meditation, prayer, hypnosis, guided imagery,
relaxation techniques, and pet therapy
A diabetic patient is brought into the emergency department
unresponsive. The arterial pH is 7.28. Besides the blood pH,
which clinical manifestation is seen in uncontrolled diabetes
mellitus and ketoacidosis?
,a. Decreased hunger sensation
b. Report of no urine output
c. Increased respiratory rate
d. Decreased thirst Correct Answer c. Increased respiratory rate
A diabetic patient who is hospitalized tells the nurse, I don't
understand why I can keep my blood sugar under control at
home with diet alone, but when I get sick, my blood sugar goes
up. Which response by the nurse is appropriate?
a. It is probably just coincidental that your blood sugar is high
when you are ill.
b. Stressors such as illness cause the release of hormones that
increase blood sugar.
c. Increased blood sugar occurs because the kidneys are not able
to metabolize glucose as well during stressful times.
d. Your diet is different here in the hospital than at home, and
that is the most likely cause of the increased glucose level.
Correct Answer b. Stressors such as illness cause the release of
hormones that increase blood sugar.
A drug-addicted nurse switches a patient's morphine injection
with normal saline so that the nurse can use the morphine. The
nurse is violating which principles of ethics? (Select all that
apply.)
a. Autonomy
b. Utilitarianism
c. Beneficence
d. Dilemmas
e. Veracity Correct Answer a. Autonomy
b. Utilitarianism
c. Beneficence
, e. Veracity
A female college student is planning to become sexually active.
She is considering birth control options and desires a method in
which ovulation will be prevented. To prevent ovulation while
reaching 99% effectiveness in preventing pregnancy, which
option should be given the strongest consideration?
a. Intrauterine device
b. Coitus interruptus
c. Natural family planning
d. Oral contraceptive pills Correct Answer d. Oral
contraceptive pills
A female infertility patient is found to be hypoestrogenic at the
preconceptual clinic visit. She asks the nurse why she has never
been able to get pregnant. Which is the best nursing response?
a. Circulating estrogen contributes to secondary sex
characteristics.
b. Estrogen deficiency prevents the ovum from reaching the
uterus and may be a factor in infertility.
c. Hyperestrogen may be preventing the zona pellucida from
forming an ovum protective layer.
d. The corona radiata is preventing fertilization of the ovum
Correct Answer b. Estrogen deficiency prevents the ovum from
reaching the uterus and may be a factor in infertility.
A female patient comes to the clinic after missing one menstrual
period. She lives in a house beneath electrical power lines which
is located near an oil field. She drinks two caffeinated beverages
a day, is a daily beer drinker, and has not stopped eating sweets.
She takes a multivitamin and exercises daily. She denies drug
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