x
x
x
x
Hurst Readiness Exam 1 questions and
x x x x x
answers latest top score.
x x x x x
x
x
x
x
x
x
x
x
x
x
x
x
The xnurse xis xteaching xa xgroup xof xpregnant xwomen xabout xhormonal xchanges xduring
xpregnancy. xThe xnurse xrecognizes xthat xteaching xwas xsuccessful xwhen xthe xwomen
xidentify xwhich xhormone xas xcausing xamenorrhea? x x
x
1. xProgesterone x2. xEstrogen x3. xFollicle-stimulating xhormone x(FSH) x4. xHuman
xchorionic xgonadotropin x(hCG) x- x xcorrect xanswer. x xRationale x
1. xCorrect: xProgesterone xcauses xamenorrhea. x2. xIncorrect: xEstrogen xrenders xthe
xfemale xgenital xtract xsuitable xfor xfertilization. x3. xIncorrect: xThis xstimulates xthe xgrowth
xof xthe xgraafian xfollicle xin xthe xovary. x4. xIncorrect: xThis xis xthe xhormone xpresent xin
xurine xfor xpregnancy xtest x
x
The xclient xis xadmitted xto xthe xhospital xfollowing xa xmotor xvehicle xaccident xand xhas
xsustained xa xclosed xchest xwound. xThe xnurse xnotes xparadoxical xchest xwall
xmovement. xWhich xproblem xdoes xthe xnurse xsuspect? x
x
1. xMediastinal xshift x2. xTension xpneumothorax x3. xFlail xchest x4. xPulmonary xcontusion x-
x xcorrect xanswer. x xRationale x
3. xCorrect: xHallmark xof xflail xchest xis xparadoxical xchest xwall xmovement. xThis xis xoften
xdescribed xas xa xsee-saw xeffect xwhen xobserving xthe xrise xand xfall xof xthe xchest. x1.
xIncorrect: xA xclosed xor xopen xtension xpneumothorax xresults xfrom xthe xlung xcollapsing
xand xair xentering xinto xthe xpleural xcavity. xThis xresults xin xpressure xshifting xtoward xthe
xunaffected xpleural xcavity. x2. xIncorrect: xTension xpneumothorax xoccurs xwhen xthere xis
xan xaccumulation xof xair xin xthe xpleural xcavity. xThe xclient xmay xexhibit xdyspnea,
xtachycardia, xor xhypotension. x4. xIncorrect: xA xpulmonary xcontusion xusually xresults
xfrom xblunt xtrauma. xBruising xof xlung xwould xbe xdemonstrated xby xpain xbut xnot
xparadoxical xchest xwall xmovement. x
x
Which xclient xcan xa xnurse xmanager xsafely xtransfer xfrom xthe xtelemetry xunit xto
xthe x
x
obstetrical xunit xin xorder xto xreceive xa xnew
xadmit?
x
1. Client xadmitted xwith xpossible xtuberculosis x(TB) xawaiting xskin xtest xresults. x2.
xClient xdiagnosed xwith xseizure xdisorder. x3. xClient xwith xa xnew xpacemaker xscheduled
,xto xbe xdischarged xin xthe xmorning. x4. xClient xwith xa xhistory xof xmild xheart xfailure
xprescribed xone xunit xof xpacked xred xblood xcells xfor xanemia. x- x xcorrect xanswer. x
xRationale x
2. Correct: xOB xnurses xwould xhave xthe xappropriate xknowledge xneeded xto xcare
xfor xa xclient xwith xa xseizure xdisorders, xbecause xthey xcare xfor xclients xwho xhave
xeclampsia x(seizures). x1. xIncorrect: xThis xclient xmight xhave xtuberculosis x(TB) xand xis
xnot xa xgood xchoice xto xmove xto xthe xOB xfloor, xbecause xof xthe xrisk xfor xtransmission xof
xan xinfectious xdisease. x3. xIncorrect: xThis xclient xis xnot xthe xbest xone xto xbe xtransferred
xto xthe xOB xfloor, xbecause xthese xnurses xdo xnot xroutinely xcare xfor xclients xwith xa xnew
xpacemaker. xThe xclient xis xalso xlikely xto xremain xon xa xcardiac xmonitor xuntil xdischarge.
x4. xIncorrect: xThis xclient xis xat xrisk xfor xfluid xvolume xoverload xsince xthere xis xa xhistory
xof xheart xfailure xand xwould xrequire xclose xmonitoring xwhile xreceiving xa xblood
xtransfusion. x
x
The xnurse xis xteaching xa xgroup xof xclients xwho xhave xreduced xperipheral xcirculation
xhow xto x
x
care xfor xtheir xfeet. xWhat xpoints xshould xthe xnurse
xinclude?
x
1. xCheck xshoes xfor xrough xspots xin xthe xlining. x2. xFile xtoenails xstraight xacross. x3.
xCover xfeet xand xbetween xtoes xwith xcreams xto xmoisten xthe xskin. x4. xBreak xin xnew
xshoes xgradually. x5. xUse xpumice xstones xto xtreat xcalluses. x- x xcorrect xanswer. x
xRationale x1., x2., x& x4. xCorrect: xRubbing xfrom xrough xspots xin xthe xshoe xcan xlead xto
xcorns xor xcalluses. xFile xthe xtoenails xrather xthan xcutting xto xavoid xskin xinjury. xFile xnails
xstraight xacross xthe xends xof xthe xtoes. xIf xthe xnails xare xtoo xthick xor xmisshapen xto xfile,
xconsult xpodiatrist. xBreak xin xnew xshoes xgradually xby xincreasing xthe xwearing xtime x30-
60 xminutes xeach xday. x3. xIncorrect: xCover xthe xfeet, xexcept xbetween xthe xtoes, xwith
xcreams xor xlotions xto xmoisten xthe xskin. xLotion xwill xalso xsoften xcalluses. xA xlotion xthat
xreduces xdryness xeffectively xis xa xmixture xof xlanolin xand xmineral xoil. x5. xIncorrect:
xAvoid xself-treatment xof xcorns xor xcalluses. xPumice xstones xand xsome xcallus xand xcorn
xapplications xare xinjurious xto xthe xskin. xDo xnot xcut xcalluses xor xcorns. xConsult xa
xpodiatrist xor xprimary xhealthcare xprovider xfirst. x
x
When xcaring xfor xyoung xadult xclients, xwhich xdevelopmental xtasks xwould xthe xnurse
xexpect x
x
to
xsee?
x
1. xSatisfying xand xsupporting xthe xnext xgeneration. x2. xReflecting xon xlife
xaccomplishments. x3. xDeveloping xmeaningful xand xintimate xrelationships. x4. xGiving
xand xsharing xwith xan xindividual xwithout xasking xwhat xwill xbe xgiven xor xshared xin
xreturn. x5. xDeveloping xsense xof xfulfillment xby xvolunteering xin xthe xcommunity. x- x
xcorrect xanswer. x xRationale x
3. x& x4. xCorrect: xIn xyoung xadulthood, xthe xdevelopmental xtasks xinvolve xintimacy
xversus xisolation. xIntimacy xrelates xmore xto xsharing xthan xto xsex. xIntimacy xproduces
xfeelings xof xsafety, xcloseness, xand xtrust. x1. xIncorrect: xParenting xis xa xprimary xtask xof
,xmiddle xadulthood. xThis xis xthe xmiddle xadulthood xstage xof xGenerativity xversus
xStagnation, xwhere xeach xadult xmust xfind xsome xway xto xsatisfy xand xsupport xthe xnext
xgeneration. x2. xIncorrect: xDuring xlate xadulthood, xthere xis xrefection xon xlife
xaccomplishments. xThis xis xthe xmaturity xstage xof xEgo xIntegrity xversus xDespair, xwhere
xthere xis xa xreflection xof xone's xlife. x5. xIncorrect: xDuring xmiddle xage, xa xsense xof
xfulfillment xcan xbe xfound xby xvolunteering xin xthe xcommunity. xThis xis xpart xof xmiddle
xage, xwhere xthe xadult xis xfinding xways xto xsupport xothers. x
x
What xsymptoms xdoes xthe xnurse xexpect xto xsee xin xa xclient xwith xbulimia xnervosa? x
1. xAmenorrhea x2. xFeelings xof xself-worth xunduly xinfluenced xby xweight x3. xRecurrent
xepisodes xof xbinge xeating x4. xRecurrent xinappropriate xcompensatory xbehavior xto
xprevent xweight xgain x5. xLack xof xexercise x- x xcorrect xanswer. x xRationale x
2., x3. x& x4. xCorrect: xDiagnostic xcriteria xfor xbulimia xnervosa xare xrecurrent xepisodes xof
xbinge xeating: xrecurrent xinappropriate xcompensatory xbehavior xto xprevent xweight xgain
xsuch xas xlaxative, xdiuretic, xor xenema xuse, xinduced xvomiting, xfasting, xand xexcessive
xexercise; xand xfeeling xof xself-worth xunduly xinfluenced xby xweight. xAmenorrhea xis
xfound xin xanorexia xnervosa. x1. xIncorrect: xAmenorrhea xis xfound xin xanorexia xnervosa.
x5. xIncorrect: xExcessive xexercise xis xfound xin xbulimia xnervosa xas xa xmeans xto
xcompensate xfor xthe xbinge xeating. x
x
A xclient xwho xhas xhad xa xlaparoscopic xcholecystectomy xdevelops xpain xin xthe xleft
xshoulder. xVital xsigns, xlaboratory xstudies, xand xan xelectrocardiogram xare xwithin xnormal
xlimits. xWhat xdoes xthe xnurse xrecognize xas xa xcontributing xcause xof xthe xpain? x
x
1. Surgical xcannulation xof xthe xbile xduct xis xcausing xspasm xand xpain. x2. xCarbon
xdioxide xused xintraperitoneally xis xirritating xthe xphrenic xnerve. x3. xLarge xabdominal
xretractors xused xin xthe xprocedure xcompressed xa xnerve. x4. xSide xlying xposition xin xthe
xoperating xroom xgenerated xpressure xdamage. x- x xcorrect xanswer. x xRationale x
2. Correct: xPhrenic xnerve xirritation xcan xresult xin xreferred xpain xto xthe xleft
xshoulder. xCarbon xdioxide x(CO2) xis xused xto xinflate xthe xabdominal/chest xwall xduring
xthe xprocedure xfor xbetter xvisualization xof xthe xinternal xorgans. xIf xthe xCO2 xirritates xthe
xphrenic xnerve, xit xradiates xto xthe xshoulder. x1. xIncorrect: xSurgical xcannulation xof xthe
xbile xduct xis xnot xperformed xduring xa xlaparoscopic xcholecystectomy. x3. xIncorrect:
xLarge xabdominal xretractors xare xnot xused xduring xthis xprocedure. xThis xis xdone xvia xa
xsmall xincision xto xaccommodate xa xscope. x4. xIncorrect: xThe xclient xis xturned xin xseveral
xdirections xduring xthe xprocedure xto xprevent xdamage xto xthe xabdominal xviscera. x
x
A xclient xis xadmitted xto xthe xmedical xunit xwith xan xacute xonset xof xfever, xchills xand xRUQ
xpain. x
Vital xsigns xare: xT x99.8°F x(37.7°C), xP x132, xRR x34, xB/P x142/82. xABG xresults xare: xpH-
7.53, x
x
PaCO2 x30, xHCO3 x22. xThe xnurse xdetermines xthat xthis xclient xis xin xwhat
xacid/base
x
imbalance?
x
, 1. Respiratory xacidosis x2. xRespiratory xalkalosis x3. xMetabolic xacidosis x4.
xMetabolic xalkalosis x- x xcorrect xanswer. x xRationale x
2. Correct: xThis xclient xhas xa xsevere xinfection. xHyperventilation xdue xto xanxiety,
xpain, xshock, xsevere xinfection, xfever, xand xliver xfailure xcan xlead xto xrespiratory
xalkalosis. xpH x> x7.45, xPCO2 x< x35, xHCO3 xnormal. x1. xIncorrect: xNot xacidosis xwith
xhyperventilation xand xpH xof x7.53. x3. xIncorrect: xNot xa xmetabolic xrelated xacid/base
ximbalance xsince xthe xHCO3 xis xin xnormal xrange xand xis xnot xacidosis. x4. xIncorrect: xNot
xa xmetabolic xrelated xacid/base ximbalance xsince xthe xHCO3 xis xin xnormal xrange. x
x
An xunlicensed xassistive xpersonnel x(UAP) xhas xexplained xhow xto xprevent xthe
xspread xof x
x
infection xto xthe xcharge xnurse. xWhich xstatement xby xthe xUAP xindicates xthat
xfurther
x x
teaching xis
xneeded?
x
1. x"Soap xand xwater xshould xbe xused xfor xhand xwashing xwhen xour xhands xare xvisibly
xsoiled." x2. x"Gloves xdo xnot xhave xto xbe xworn xwhen xtaking xa xclient's xvital xsigns xor
xpassing xout xmeal xtrays." x3. x"Standard xprecautions xshould xbe xused xon xall xclients." x4.
x"When xcaring xfor xa xclient xwho xhas xa xsuppressed ximmune xresponse, xa xN95 xmask
xshould xbe xworn." x- x xcorrect xanswer. x xRationale x
4. xCorrect: xStandard xprecautions xare xneeded. xIf xthere xis xa xrisk xfor xcoming xin xcontact
xwith xclient xsecretions xor xexcretions, xa xstandard xmask xmay xbe xworn. xRoutine xnursing
xcare xdoes xnot xwarrant xthe xuse xof xan xN95 xmask. xThis xtype xmask xis xneeded xfor
xclient's xwho xare xplaced xon xAirborne xPrecautions xsuch xas xfor xtuberculosis x(TB). x1.
xIncorrect: xThis xis xa xcorrect xstatement xregarding xthe xprevention xof xinfection. xHand
xwashing xwith xsoap xand xwater xis xpart xof xstandard xprecautions. x2. xIncorrect: xThis xis xa
xcorrect xstatement. xGloves xare xneeded xwhen xcoming xinto xcontact xwith xbody xfluids. x3.
xIncorrect: xThis xis xa xcorrect xstatement. xStandard xprecautions xis xpart xof xthe xfirst xline
xof xdefense xagainst xthe xspread xof xinfection. x
x
The xnurse xis xpreparing xto xdischarge xa xclient xwho xhas xbeen xplaced xon
xtranylcypromine. xThe xnurse xteaches xthe xclient xabout xfood xto xavoid xwhile xtaking xthis
xmedication. xWhat xfood xchoice xby xthe xclient xconfirms xappropriate xunderstanding xof
xthe xteaching? x
x
1. xCottage xcheese x2. xSalami x3. xBaked xchicken x4. xPotatoes x- x xcorrect xanswer. x
xRationale x2. xCorrect: xThe xclient xtaking xa xmonoamine xoxidase xinhibitor x(MAOI) xsuch
xas xtranylcypromine xshould xavoid xfoods xrich xin xtyramine xor xtryptophan. xThese
xinclude: xcured xfoods, xthose xthat xhave xbeen xaged, xpickled, xfermented, xor xsmoked.
xThese xcan xprecipitate xa xhypertensive xcrisis. x1. xIncorrect: xClients xtaking xMAOIs xcan
xeat xcottage xcheese xin xreasonable xamounts. x3. xIncorrect: xClients xtaking xMAOIs xcan
xeat xbaked xchicken. x4. xIncorrect: xClients xtaking xMAOIs xcan xeat xpotatoes. x
x
Which xnurse xis xproviding xcost xeffective xcare xto xa xclient? x x
x
x
x
x
Hurst Readiness Exam 1 questions and
x x x x x
answers latest top score.
x x x x x
x
x
x
x
x
x
x
x
x
x
x
x
The xnurse xis xteaching xa xgroup xof xpregnant xwomen xabout xhormonal xchanges xduring
xpregnancy. xThe xnurse xrecognizes xthat xteaching xwas xsuccessful xwhen xthe xwomen
xidentify xwhich xhormone xas xcausing xamenorrhea? x x
x
1. xProgesterone x2. xEstrogen x3. xFollicle-stimulating xhormone x(FSH) x4. xHuman
xchorionic xgonadotropin x(hCG) x- x xcorrect xanswer. x xRationale x
1. xCorrect: xProgesterone xcauses xamenorrhea. x2. xIncorrect: xEstrogen xrenders xthe
xfemale xgenital xtract xsuitable xfor xfertilization. x3. xIncorrect: xThis xstimulates xthe xgrowth
xof xthe xgraafian xfollicle xin xthe xovary. x4. xIncorrect: xThis xis xthe xhormone xpresent xin
xurine xfor xpregnancy xtest x
x
The xclient xis xadmitted xto xthe xhospital xfollowing xa xmotor xvehicle xaccident xand xhas
xsustained xa xclosed xchest xwound. xThe xnurse xnotes xparadoxical xchest xwall
xmovement. xWhich xproblem xdoes xthe xnurse xsuspect? x
x
1. xMediastinal xshift x2. xTension xpneumothorax x3. xFlail xchest x4. xPulmonary xcontusion x-
x xcorrect xanswer. x xRationale x
3. xCorrect: xHallmark xof xflail xchest xis xparadoxical xchest xwall xmovement. xThis xis xoften
xdescribed xas xa xsee-saw xeffect xwhen xobserving xthe xrise xand xfall xof xthe xchest. x1.
xIncorrect: xA xclosed xor xopen xtension xpneumothorax xresults xfrom xthe xlung xcollapsing
xand xair xentering xinto xthe xpleural xcavity. xThis xresults xin xpressure xshifting xtoward xthe
xunaffected xpleural xcavity. x2. xIncorrect: xTension xpneumothorax xoccurs xwhen xthere xis
xan xaccumulation xof xair xin xthe xpleural xcavity. xThe xclient xmay xexhibit xdyspnea,
xtachycardia, xor xhypotension. x4. xIncorrect: xA xpulmonary xcontusion xusually xresults
xfrom xblunt xtrauma. xBruising xof xlung xwould xbe xdemonstrated xby xpain xbut xnot
xparadoxical xchest xwall xmovement. x
x
Which xclient xcan xa xnurse xmanager xsafely xtransfer xfrom xthe xtelemetry xunit xto
xthe x
x
obstetrical xunit xin xorder xto xreceive xa xnew
xadmit?
x
1. Client xadmitted xwith xpossible xtuberculosis x(TB) xawaiting xskin xtest xresults. x2.
xClient xdiagnosed xwith xseizure xdisorder. x3. xClient xwith xa xnew xpacemaker xscheduled
,xto xbe xdischarged xin xthe xmorning. x4. xClient xwith xa xhistory xof xmild xheart xfailure
xprescribed xone xunit xof xpacked xred xblood xcells xfor xanemia. x- x xcorrect xanswer. x
xRationale x
2. Correct: xOB xnurses xwould xhave xthe xappropriate xknowledge xneeded xto xcare
xfor xa xclient xwith xa xseizure xdisorders, xbecause xthey xcare xfor xclients xwho xhave
xeclampsia x(seizures). x1. xIncorrect: xThis xclient xmight xhave xtuberculosis x(TB) xand xis
xnot xa xgood xchoice xto xmove xto xthe xOB xfloor, xbecause xof xthe xrisk xfor xtransmission xof
xan xinfectious xdisease. x3. xIncorrect: xThis xclient xis xnot xthe xbest xone xto xbe xtransferred
xto xthe xOB xfloor, xbecause xthese xnurses xdo xnot xroutinely xcare xfor xclients xwith xa xnew
xpacemaker. xThe xclient xis xalso xlikely xto xremain xon xa xcardiac xmonitor xuntil xdischarge.
x4. xIncorrect: xThis xclient xis xat xrisk xfor xfluid xvolume xoverload xsince xthere xis xa xhistory
xof xheart xfailure xand xwould xrequire xclose xmonitoring xwhile xreceiving xa xblood
xtransfusion. x
x
The xnurse xis xteaching xa xgroup xof xclients xwho xhave xreduced xperipheral xcirculation
xhow xto x
x
care xfor xtheir xfeet. xWhat xpoints xshould xthe xnurse
xinclude?
x
1. xCheck xshoes xfor xrough xspots xin xthe xlining. x2. xFile xtoenails xstraight xacross. x3.
xCover xfeet xand xbetween xtoes xwith xcreams xto xmoisten xthe xskin. x4. xBreak xin xnew
xshoes xgradually. x5. xUse xpumice xstones xto xtreat xcalluses. x- x xcorrect xanswer. x
xRationale x1., x2., x& x4. xCorrect: xRubbing xfrom xrough xspots xin xthe xshoe xcan xlead xto
xcorns xor xcalluses. xFile xthe xtoenails xrather xthan xcutting xto xavoid xskin xinjury. xFile xnails
xstraight xacross xthe xends xof xthe xtoes. xIf xthe xnails xare xtoo xthick xor xmisshapen xto xfile,
xconsult xpodiatrist. xBreak xin xnew xshoes xgradually xby xincreasing xthe xwearing xtime x30-
60 xminutes xeach xday. x3. xIncorrect: xCover xthe xfeet, xexcept xbetween xthe xtoes, xwith
xcreams xor xlotions xto xmoisten xthe xskin. xLotion xwill xalso xsoften xcalluses. xA xlotion xthat
xreduces xdryness xeffectively xis xa xmixture xof xlanolin xand xmineral xoil. x5. xIncorrect:
xAvoid xself-treatment xof xcorns xor xcalluses. xPumice xstones xand xsome xcallus xand xcorn
xapplications xare xinjurious xto xthe xskin. xDo xnot xcut xcalluses xor xcorns. xConsult xa
xpodiatrist xor xprimary xhealthcare xprovider xfirst. x
x
When xcaring xfor xyoung xadult xclients, xwhich xdevelopmental xtasks xwould xthe xnurse
xexpect x
x
to
xsee?
x
1. xSatisfying xand xsupporting xthe xnext xgeneration. x2. xReflecting xon xlife
xaccomplishments. x3. xDeveloping xmeaningful xand xintimate xrelationships. x4. xGiving
xand xsharing xwith xan xindividual xwithout xasking xwhat xwill xbe xgiven xor xshared xin
xreturn. x5. xDeveloping xsense xof xfulfillment xby xvolunteering xin xthe xcommunity. x- x
xcorrect xanswer. x xRationale x
3. x& x4. xCorrect: xIn xyoung xadulthood, xthe xdevelopmental xtasks xinvolve xintimacy
xversus xisolation. xIntimacy xrelates xmore xto xsharing xthan xto xsex. xIntimacy xproduces
xfeelings xof xsafety, xcloseness, xand xtrust. x1. xIncorrect: xParenting xis xa xprimary xtask xof
,xmiddle xadulthood. xThis xis xthe xmiddle xadulthood xstage xof xGenerativity xversus
xStagnation, xwhere xeach xadult xmust xfind xsome xway xto xsatisfy xand xsupport xthe xnext
xgeneration. x2. xIncorrect: xDuring xlate xadulthood, xthere xis xrefection xon xlife
xaccomplishments. xThis xis xthe xmaturity xstage xof xEgo xIntegrity xversus xDespair, xwhere
xthere xis xa xreflection xof xone's xlife. x5. xIncorrect: xDuring xmiddle xage, xa xsense xof
xfulfillment xcan xbe xfound xby xvolunteering xin xthe xcommunity. xThis xis xpart xof xmiddle
xage, xwhere xthe xadult xis xfinding xways xto xsupport xothers. x
x
What xsymptoms xdoes xthe xnurse xexpect xto xsee xin xa xclient xwith xbulimia xnervosa? x
1. xAmenorrhea x2. xFeelings xof xself-worth xunduly xinfluenced xby xweight x3. xRecurrent
xepisodes xof xbinge xeating x4. xRecurrent xinappropriate xcompensatory xbehavior xto
xprevent xweight xgain x5. xLack xof xexercise x- x xcorrect xanswer. x xRationale x
2., x3. x& x4. xCorrect: xDiagnostic xcriteria xfor xbulimia xnervosa xare xrecurrent xepisodes xof
xbinge xeating: xrecurrent xinappropriate xcompensatory xbehavior xto xprevent xweight xgain
xsuch xas xlaxative, xdiuretic, xor xenema xuse, xinduced xvomiting, xfasting, xand xexcessive
xexercise; xand xfeeling xof xself-worth xunduly xinfluenced xby xweight. xAmenorrhea xis
xfound xin xanorexia xnervosa. x1. xIncorrect: xAmenorrhea xis xfound xin xanorexia xnervosa.
x5. xIncorrect: xExcessive xexercise xis xfound xin xbulimia xnervosa xas xa xmeans xto
xcompensate xfor xthe xbinge xeating. x
x
A xclient xwho xhas xhad xa xlaparoscopic xcholecystectomy xdevelops xpain xin xthe xleft
xshoulder. xVital xsigns, xlaboratory xstudies, xand xan xelectrocardiogram xare xwithin xnormal
xlimits. xWhat xdoes xthe xnurse xrecognize xas xa xcontributing xcause xof xthe xpain? x
x
1. Surgical xcannulation xof xthe xbile xduct xis xcausing xspasm xand xpain. x2. xCarbon
xdioxide xused xintraperitoneally xis xirritating xthe xphrenic xnerve. x3. xLarge xabdominal
xretractors xused xin xthe xprocedure xcompressed xa xnerve. x4. xSide xlying xposition xin xthe
xoperating xroom xgenerated xpressure xdamage. x- x xcorrect xanswer. x xRationale x
2. Correct: xPhrenic xnerve xirritation xcan xresult xin xreferred xpain xto xthe xleft
xshoulder. xCarbon xdioxide x(CO2) xis xused xto xinflate xthe xabdominal/chest xwall xduring
xthe xprocedure xfor xbetter xvisualization xof xthe xinternal xorgans. xIf xthe xCO2 xirritates xthe
xphrenic xnerve, xit xradiates xto xthe xshoulder. x1. xIncorrect: xSurgical xcannulation xof xthe
xbile xduct xis xnot xperformed xduring xa xlaparoscopic xcholecystectomy. x3. xIncorrect:
xLarge xabdominal xretractors xare xnot xused xduring xthis xprocedure. xThis xis xdone xvia xa
xsmall xincision xto xaccommodate xa xscope. x4. xIncorrect: xThe xclient xis xturned xin xseveral
xdirections xduring xthe xprocedure xto xprevent xdamage xto xthe xabdominal xviscera. x
x
A xclient xis xadmitted xto xthe xmedical xunit xwith xan xacute xonset xof xfever, xchills xand xRUQ
xpain. x
Vital xsigns xare: xT x99.8°F x(37.7°C), xP x132, xRR x34, xB/P x142/82. xABG xresults xare: xpH-
7.53, x
x
PaCO2 x30, xHCO3 x22. xThe xnurse xdetermines xthat xthis xclient xis xin xwhat
xacid/base
x
imbalance?
x
, 1. Respiratory xacidosis x2. xRespiratory xalkalosis x3. xMetabolic xacidosis x4.
xMetabolic xalkalosis x- x xcorrect xanswer. x xRationale x
2. Correct: xThis xclient xhas xa xsevere xinfection. xHyperventilation xdue xto xanxiety,
xpain, xshock, xsevere xinfection, xfever, xand xliver xfailure xcan xlead xto xrespiratory
xalkalosis. xpH x> x7.45, xPCO2 x< x35, xHCO3 xnormal. x1. xIncorrect: xNot xacidosis xwith
xhyperventilation xand xpH xof x7.53. x3. xIncorrect: xNot xa xmetabolic xrelated xacid/base
ximbalance xsince xthe xHCO3 xis xin xnormal xrange xand xis xnot xacidosis. x4. xIncorrect: xNot
xa xmetabolic xrelated xacid/base ximbalance xsince xthe xHCO3 xis xin xnormal xrange. x
x
An xunlicensed xassistive xpersonnel x(UAP) xhas xexplained xhow xto xprevent xthe
xspread xof x
x
infection xto xthe xcharge xnurse. xWhich xstatement xby xthe xUAP xindicates xthat
xfurther
x x
teaching xis
xneeded?
x
1. x"Soap xand xwater xshould xbe xused xfor xhand xwashing xwhen xour xhands xare xvisibly
xsoiled." x2. x"Gloves xdo xnot xhave xto xbe xworn xwhen xtaking xa xclient's xvital xsigns xor
xpassing xout xmeal xtrays." x3. x"Standard xprecautions xshould xbe xused xon xall xclients." x4.
x"When xcaring xfor xa xclient xwho xhas xa xsuppressed ximmune xresponse, xa xN95 xmask
xshould xbe xworn." x- x xcorrect xanswer. x xRationale x
4. xCorrect: xStandard xprecautions xare xneeded. xIf xthere xis xa xrisk xfor xcoming xin xcontact
xwith xclient xsecretions xor xexcretions, xa xstandard xmask xmay xbe xworn. xRoutine xnursing
xcare xdoes xnot xwarrant xthe xuse xof xan xN95 xmask. xThis xtype xmask xis xneeded xfor
xclient's xwho xare xplaced xon xAirborne xPrecautions xsuch xas xfor xtuberculosis x(TB). x1.
xIncorrect: xThis xis xa xcorrect xstatement xregarding xthe xprevention xof xinfection. xHand
xwashing xwith xsoap xand xwater xis xpart xof xstandard xprecautions. x2. xIncorrect: xThis xis xa
xcorrect xstatement. xGloves xare xneeded xwhen xcoming xinto xcontact xwith xbody xfluids. x3.
xIncorrect: xThis xis xa xcorrect xstatement. xStandard xprecautions xis xpart xof xthe xfirst xline
xof xdefense xagainst xthe xspread xof xinfection. x
x
The xnurse xis xpreparing xto xdischarge xa xclient xwho xhas xbeen xplaced xon
xtranylcypromine. xThe xnurse xteaches xthe xclient xabout xfood xto xavoid xwhile xtaking xthis
xmedication. xWhat xfood xchoice xby xthe xclient xconfirms xappropriate xunderstanding xof
xthe xteaching? x
x
1. xCottage xcheese x2. xSalami x3. xBaked xchicken x4. xPotatoes x- x xcorrect xanswer. x
xRationale x2. xCorrect: xThe xclient xtaking xa xmonoamine xoxidase xinhibitor x(MAOI) xsuch
xas xtranylcypromine xshould xavoid xfoods xrich xin xtyramine xor xtryptophan. xThese
xinclude: xcured xfoods, xthose xthat xhave xbeen xaged, xpickled, xfermented, xor xsmoked.
xThese xcan xprecipitate xa xhypertensive xcrisis. x1. xIncorrect: xClients xtaking xMAOIs xcan
xeat xcottage xcheese xin xreasonable xamounts. x3. xIncorrect: xClients xtaking xMAOIs xcan
xeat xbaked xchicken. x4. xIncorrect: xClients xtaking xMAOIs xcan xeat xpotatoes. x
x
Which xnurse xis xproviding xcost xeffective xcare xto xa xclient? x x
x
