Nokea
A nurse taking a patient's history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?
- A. The patient is developing CHF
- B. The patient may be having a MI
- C. The patient may be developing COPD
- D. The patient may be having an onset of PVD
Correct Answer: B
Rationale: Myocardial infarction may be associated with SOB and muscle weakness.
You may also like to solve these questions
Prior to checking a fingerstick blood glucose level, the nurse checks the identification band of the newly admitted client transferred from another facility. The nurse notes that the name and birth date are correct but that the band has the logo from another facility. Which is the best action by the nurse?
- A. Ask the UAP to obtain a new band while the nurse performs the planned procedure.
- B. Stop and replace the band with the current facility band that has the client identifiers.
- C. Ask the client to state his or her name and birth date and to verify them against the band.
- D. Leave the band in place; a name band from one facility can be used in another facility.
Correct Answer: B
Rationale: Replacing the band ensures the medical record number matches the current facility, preventing errors during procedures.
The charge nurse is planning assignments on a medical unit. Which client should be assigned to the practical nurse (PN)?
- A. Test a stool specimen for occult blood
- B. Assist with the ambulation of a client with a chest tube system
- C. Irrigate and redress a leg wound
- D. Admit a client from the emergency room
Correct Answer: C
Rationale: The PN is a licensed provider and can perform this complex task. Irrigating and redressing a leg wound requires clinical skills appropriate for a PN, whereas the other tasks are either simpler or require an RN.
The client with dementia and confusion is transferred from the hospital to the nursing home. The client's family has not yet arrived at the nursing home. Which direction is appropriate for the RN to provide to the LPN?
- A. "Take a photograph of the new resident; it is needed to administer medications."
- B. "Place the person in a wheelchair near the nurse's station until the family arrives."
- C. "Help the new resident change into clothing with Velcro closures for easy removal."
- D. "Perform a full-body assessment and document this in the resident's medical record."
Correct Answer: B
Rationale: Placing the client near the nurse's station ensures supervision and safety for a client with dementia, who is at risk for falling or wandering.
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
- A. Get temperatures
- B. Take blood pressure
- C. Palpate pulses
- D. Check alertness
Correct Answer: C
Rationale: Palpate pulses. The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be palpated, those clients would need to be seen first.
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
- A. Formula or breast milk
- B. Dilute nonfat dry milk
- C. Warmed fruit juice
- D. Fluoridated tap water
Correct Answer: A
Rationale: Formula or breast milk. Formula or breast milk are the perfect food and source of nutrients and liquids up to 1 year of age.