225) A mother brings her three children to the clinic with a rash on each of their faces. On assessment, the nurse notes the areas are circular patches with raised red borders. The nurse concludes that this is compatible with which of the following problems?

A) Tinea corporals

B) Tinea curries

C) Scabies

D) Impetigo

ANSWER

224) Which of the following nursing diagnoses has the highest priority for a client with a missed abortion who has developed disseminated intravascular coagulopathy (DIC)?

A) Anticipatory Grieving

B) High Risk for Deficient Fluid Volume

C) High Risk for Injury

D) Spiritual Distress

ANSWER

223) A nurse received an order to initiate early ambulation with a post appendectomy patient. The nurse recognizes this activity to be helpful in preventing possible complications associated with prolonged bed rest. To assist her to start walking after surgery, the nurse will:

A. The nurse begins assisting the patient to sit at the edge of the bed. Then, instruct her to stand at the bedside, and then walk around the room

B. With 15 minute intervals, the nurse begins to position patient into high-fowler’s, then instructs her to dangle her feet at the bedside, after this, she assists her to move from the bed to the chair and then, walk with her around the room

C. The patient is instructed to pull herself up in bed and allow to sit at the edge of the bed then immediately stand and walk around the room

D. The patient is instructed to sit at the edge of the bed and rest for a few minutes then stand at the bedside and try to walk around the room.

ANSWER

222) The nurse is caring for a 2-year-old with acute otitis media. Which of the following instructions should be included in the teaching plan for the parents of the child?

A. Finish the course of antivirals, even after symptoms disap-pear

B. Avoiding contact with people who have upper respiratory in-fections

C. Place the child in a supine position to bottle feed

D. Clean the inside of the ear canals with cotton swabs

ANSWER

221) Which of the following are a result of antidiuretic hormone (ADH) secretion?
A. Sodium and water reabsorption
B. Urine concentration
C. Urine dilution
D. Potassium excretion and water reabsorption


ANSWER

220) A patient is preparing for an orthopedic surgery and the LPN is asked to help. For which of the following tasks must the RN confirm that the LPN has received special training?
A. Administering I.V. therapy
B. Ambulating the patient
C. Assisting the patient with a bath
D. Collecting a urine specimen

ANSWER

219) The nurse is caring for a patient with a hydromorphone (Dilaudid) PCA set at a basal rate of 0.1 mg per hour, with a 0.1 mg bolus every 10 minutes. The nurse finds the patient stuporous and difficult to arouse. After treating and stabilizing the patient, the nurse should:
A. Notify the physician and request a lower basal rate
B. Check the PCA pump to verify that the settings are correct
C. Request that the PCA be discontinued
D. Ask the patient to rate his pain

ANSWER