You are caring for a heart failure patient who suddenly developed symptoms that include shortness of
breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician
and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical
nurse?
A. Check vital signs every 15 minutes.
B. Insert a foley catheter.
C. Start an IV.
D. Morphine sulfate 2mg IV push
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 2:
You are caring for a child in burn shock. Which of the following assessments indicates the child is getting
adequate fluid resuscitation?
A. Edema at burn sites
B. Peripheral pulses
C. Skin turgor
D. Neurological assessment
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 3:
What type of eye drops would be ordered for the patient who is being prepared for cataract surgery?
A. Osmotic diuretic
B. Mydriatic medication
C. Miotic agent
D. Thiazide diuretic
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 4:
What is the maximum suction time for a patient with a tracheostomy?
A. 1 minute
B. 30 seconds
C. 10 seconds
D. 5 seconds
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5:
You are caring for a postpartum mother who is in hypovalemic shock from hemorrhage. What would you
expect to be the priority for this patient?
A. Oxygen at 3 to 4 liters
B. Oxytocic drug via IV
C. Increase IV fluid rate
D. Heart rate every 5 minutes
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 6:
Which of the following symptoms would require the nurses immediate attention if the patient had bipolar
affective disorder?
A. Outlandish behaviors and inappropriate dress
B. Grandiose delusions of being a royal descendent of King Arthur
C. Constant, incessant talking that includes sexual innuendoes and teasing the staff
D. Nonstop physical activity and poor nutritional intake
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 7:
You are caring for an older female patient whose husband died six months ago. Which of the following
actions by the patient indicates ineffective coping?
A. Looking at old snapshots of her family
B. Neglecting her personal grooming
C. Participating in a senior citizens program
D. Visiting the grave once a month
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 8:
Your patient was brought to the emergency department by the police. He has serious lacerations on both
wrists. What would the nurse's first priority be?
A. Examine and treat both wounds.
B. Give anti-anxiety medication.
C. Work with the patient to discuss feelings.
D. Get a complete history from the patient.
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 9:
When caring for a hearing impaired patient what approach will facilitate communication?
A. Speak in a normal tone.
B. Speak directly into the impaired ear.
C. Speak frequently.
D. Speak loudly.
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
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Sakura -
問題集はCENこれが初めてかも!色々参考になりました!試験に受かる気がします!