One night, Nurse Carol is assigned to a patient who is receiving intermittent tube feedings. The patient
insisted that he can't tolerate the intermittent feedings. Nurse carol should:
A. Suggest an antiemetic be prescribed
B. Gather more data from the night nurse about the feeding technique used
C. Change the feeding schedule to omit nights
D. Ask that the type of solution be changed
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 2:
A clinical nurse specialist is caring for a one-year-old baby boy. During the assessment, the nurse notes
that the patient is in respiratory distress. Which signs confirm this assessment?
A. Crackles and wheezing
B. Cyanosis and crackles
C. Retractions, crackles, and cyanosis
D. Tachypnea, crackles, and wheezing
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 3:
A nurse is observing a patient with a pulmonary artery catheter in place. On the second day, the nurse
observes a right ventricle waveform from the distal catheter port. What would be the most appropriate
nursing action?
A. Inflate the balloon with 1.5 ml air and advance the catheter
B. Advance the catheter 10 cm with the balloon deflated
C. Switch monitoring lines to the proximal port of the catheter
D. Leave in right ventricle, you can still get pulmonary artery systolic pressure from right ventricle
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4:
A mother brings her 18-month-old child to the clinic because the child "eats ashes, crayons, and paper."
Which of the following information would be most important to obtain first about this toddler?
A. experiencing changes in the home environment
B. currently cutting large teeth
C. eating a soft, low-roughage diet
D. experiencing a growth spurt
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 5:
A patient with type 2 diabetes travels frequently and asks how to plan meals during trips. The nurse's
most appropriate response would be:
A. "You can monitor your blood glucose level frequently and can eat accordingly."
B. "You should plan your food ahead and carry it with you from home."
C. "You can order diabetic foods on most airlines and in restaurants."
D. "Make regular food choices, wherever you are, following your food plan."
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 6:
A nurse is aware that the guidelines for writing an appropriate nursing diagnosis include all of the
following except:
A. Use medical terminology to describe the probable cause of the patient's response
B. Use statements that assist in planning independent nursing interventions
C. Use nursing terminology to describe the patient's response
D. State the diagnosis in terms of a problem, not a need
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 7:
While teaching baby Michelle's amount human development, neonatal nurse Slyvia, instructs baby
Michelle's mother that baby Michelle will begin to acknowledge human voices at what age?
A. 6-8 months
B. 2-4 months
C. 0-2 months
D. 4-6 months
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 8:
Kelly, a 32-year-old college professor, was seen at the clinic. The doctor said that she is probably
suffering from torsade des pointes. A 12-lead ECG tracing showed that she has a prolonged QT interval.
During history taking, the nurse learns that she has a history of family deafness, previously had
hypokalemia, and has likely used what medication?
A. Anti arrhythmics
B. Anti tubercular
C. Anti anemic medications
D. Anti diabetic agents
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
Aizawa -
CCNS使いやすかった。ここで感謝を申し上げます。ありがとうございました。