مركز الاختبارات الالكترونية و المحوسبة

Adult Health Nursing

رقم السؤال: 1 درجة السؤال: 1

Contralateral side in a simple pneumothorax

Affected side in a hemothorax

Affected side in a tension pneumothorax

Contralateral side in hemothorax

رقم السؤال: 2 درجة السؤال: 1

The client’s low phosphorus is probably due to malnutrition.

The client is just worn out form not getting enough rest.

The client’s skeletal muscles are weak because of the low phosphorus.

The client will do more for herself when her phosphorus is normal.

رقم السؤال: 3 درجة السؤال: 1

Make a note in the nurse’s file and continue to observe clinical performance.

Refer the new nurse to the in-service education department.

Quiz the nurse about knowledge of pain management.

Give praise for the correct dose and time and discuss the deficits in charting.

رقم السؤال: 4 درجة السؤال: 1

Provide oral care every 3-4 hours

Monitor for indications of dehydration

Administer 0.45% saline by IV line

Assess daily weights for trends

رقم السؤال: 5 درجة السؤال: 1

I will call my doctor if I experience muscle twitching or seizures.

I will make sure to take my vitamin D with my calcium each day.

I will take my calcium pill every morning before breakfast.

I will avoid dairy products, broccoli, and spinach when I eat.

رقم السؤال: 6 درجة السؤال: 1

Activity intolerance related to fatigue

Anxiety related to actual threat to health status

Risk for infection related to retained secretions

Impaired gas exchange related to airflow obstruction

رقم السؤال: 7 درجة السؤال: 1

Macaroni and cheese

Shrimp with rice

Turkey breast

Spaghetti and meatballs

رقم السؤال: 8 درجة السؤال: 1

Simple description pain intensity scale

0-10 numeric pain scale

Faces pain-rating scale

McGill-Melzack pain questionnaire

رقم السؤال: 9 درجة السؤال: 1

Replenish her supply every 3 months.

Take one every 15 minutes if pain occurs.

Leave the medication in the brown bottle.

Crush the medication and take it with water.

رقم السؤال: 10 درجة السؤال: 1

Instruct client to observe strict bed rest

Check for epidural catheter drainage

Administer analgesia through epidural catheter as prescribed

Assess respiratory rate carefully

رقم السؤال: 11 درجة السؤال: 1

Reassess the client’s blood pressure and heart rate

Review the client’s morning calcium level

Request a neurologic consult today

Check the client’s papillary reaction to light

رقم السؤال: 12 درجة السؤال: 1

Explain all the possible interventions that may cause the client to worry.

Establish trusting relationship by giving his medication on time.

Stay with the client during pain episodes.

Promote client’s sense of control and participation in pain control by listening to his concerns.

رقم السؤال: 13 درجة السؤال: 1

A client with fibromyalgia

A client with phantom limb pain

A client with progressive pancreatic cancer

A client with trigeminal neuralgia

رقم السؤال: 14 درجة السؤال: 1

Amitriptyline (Elavil)

Corticosteroids

Methylphenidate (Ritalin)

Lorazepam (Ativan)

رقم السؤال: 15 درجة السؤال: 1

Encourage oral feeding as soon as possible

Develop an alternative communication method

Keep the tracheostomy cuff fully inflated

Keep the patient flat in bed

رقم السؤال: 16 درجة السؤال: 1

Monitor fluctuations in the water-seal chamber

Clamp the chest tube once every shift

Encourage coughing and deep breathing

Milk the chest tube every 2 hours

رقم السؤال: 17 درجة السؤال: 1

Serum potassium 5.2 mEq/L

Serum sodium 134 mEq/L

Serum calcium 10.6 mg/dL

Serum magnesium 0.8 mEq/L

رقم السؤال: 18 درجة السؤال: 1

Sensory

Affective

Sociocultural

Behavioral

رقم السؤال: 19 درجة السؤال: 1

Report muscle weakness to the physician.

Allow 6 months for the drug to take effect.

Take the medication with fruit juice.

Ask the doctor to perform a complete blood count prior to starting the medication.

رقم السؤال: 20 درجة السؤال: 1

Localized heat and redness

Serosanguinous exudates and skin blanching

Separation of the incision

Blood clots and scar tissue are visible

رقم السؤال: 21 درجة السؤال: 1

Administer Kayexalate 15 g orally.

Administer spironolactone 25 mg orally.

Assess WCG strip for tall T waves.

Administer potassium 10 mEq orally.

رقم السؤال: 22 درجة السؤال: 1

Administer smallest dose that provides relief with the fewest side effects.

Titrate upward until the client is pain free.

Titrate downwards to prevent toxicity.

Ensure that the drug is adequate to meet the client’s subjective needs.

رقم السؤال: 23 درجة السؤال: 1

Leg movement

Finger movement

Lip movement

Fighting the ventilator

رقم السؤال: 24 درجة السؤال: 1

Assess the readiness of the client prior to surgery

Ensure that the airway is adequate

Account for the number of sponges, needles, supplies, Used during the surgical procedure

Evaluate the type of anesthesia appropriate for the surgical client

رقم السؤال: 25 درجة السؤال: 1

Check the MARs and nurses’ notes for the past several days.

Ask the nurse educator to give an in-service about pain management.

Perform a complete pain assessment and history on the client.

Have a conference with the nurses responsible for the care of this client.

رقم السؤال: 26 درجة السؤال: 1

Dressing is intact but partially soiled

Left foot is cold to touch and pedal pulse is absent

Left leg in limited functional anatomic position

BP 114/78, pulse of 82 beats/minute

رقم السؤال: 27 درجة السؤال: 1

Observe the dressing and type and odor of drainage if any

Get patient’s consent

Wash hands

Request the client to expose the incision wound

رقم السؤال: 28 درجة السؤال: 1

Yellow

Green

Clear

Gray

رقم السؤال: 29 درجة السؤال: 1

Question the order.

Administer the medications.

Administer them separately.

Contact the pharmacy.

رقم السؤال: 30 درجة السؤال: 1

perioperative anxiety and stress

delayed coagulation time

delayed wound healing

postoperative respiratory dysfunction

رقم السؤال: 31 درجة السؤال: 1

Bilateral inspiratory and expiratory crackles

Absence of breaths sound in the right thorax

Inspiratory wheezes in the right thorax

Bilateral pleural friction rub

رقم السؤال: 32 درجة السؤال: 1

Acid-base balance

Arterial Blood

Arterial oxygen saturation

Alveoli

رقم السؤال: 33 درجة السؤال: 1

Feet

Neck

Hands

Sacrum

رقم السؤال: 34 درجة السؤال: 1

Treatment is based on client goals.

A multidisciplinary approach is needed.

The client must be believed about perceptions of own pain.

Drug side effects must be prevented and managed.

رقم السؤال: 35 درجة السؤال: 1

The client reports pain reduction and decreased activity

The client denies existence of pain

The client can distract himself during pain episodes

The client reports independence from watchers

رقم السؤال: 36 درجة السؤال: 1

Utilize an infusion pump.

Check the blood glucose level.

Place the client in Trendelenburg position.

Cover the solution with foil.

رقم السؤال: 37 درجة السؤال: 1

Regular insulin

Glipizide (Glucotrol)

Repaglinide (Prandin)

Metformin (Glucophage)

رقم السؤال: 38 درجة السؤال: 1

Intraspinal

Patient-controlled analgesia (PCA)

Intravenous (IV)

Sublingual

رقم السؤال: 39 درجة السؤال: 1

Weight client every morning.

Maintain accurate intake and output.

Restrict fluid to 1500 mL per day.

Administer furosemide (Lasix) 40 mg IV push.

رقم السؤال: 40 درجة السؤال: 1

Flattened neck veins when client is in supine position

Full and bounding pedal and post-tibial pulses

Pitting edema located in feet, ankles, and calves

Shallow respirations with crackles on auscultation

رقم السؤال: 41 درجة السؤال: 1

check for presence underwear

check for presence dentures

check patient’s blood studies

check baseline vital signs

رقم السؤال: 42 درجة السؤال: 1

Patients with an acute asthma attack

Patients with narcolepsy

Patients under age 6

Elderly patients

رقم السؤال: 43 درجة السؤال: 1

Therapeutic touch

Use of heat and cold applications

Meditation

Transcutaneous electrical nerve stimulation (TENS

رقم السؤال: 44 درجة السؤال: 1

Aspartate aminotransferase

Lactic acid dehydrogenase

Hydroxybutyric dehydrogenase

Creatine phosphokinase

رقم السؤال: 45 درجة السؤال: 1

Assess level of consciousness

Verify patient identification and informed consent

Assess vital signs

Check for jewelry, gown, manicure and dentures

رقم السؤال: 46 درجة السؤال: 1

Draped

Pulled

Clipped

Shampooed

رقم السؤال: 47 درجة السؤال: 1

Kinking of the ventilator tubing

A disconnected ventilator tube

An endotracheal cuff leak

A change in the oxygen concentration without resetting the oxygen level alarm

رقم السؤال: 48 درجة السؤال: 1

Last case

In between cases

According to availability of anesthesiologist

According to the surgeon’s preference

رقم السؤال: 49 درجة السؤال: 1

the surgeon greets his client before induction of anesthesia

the surgeon and anesthesiologist are in tandem

strap made of strong non-abrasive material are fastened securely around the joints of the knees and ankles and around the 2 hands around an arm board

client is monitored throughout the surgery by the assistant anesthesiologist

رقم السؤال: 50 درجة السؤال: 1

Weighing the client daily

Measuring the extremity

Measuring the intake and output

Checking for pitting

رقم السؤال: 51 درجة السؤال: 1

Put side rails up and ask client not to get out of bed

Send the client to ORD with the family

Allow client to get up to go to the comfort room

Obtain consent form

رقم السؤال: 52 درجة السؤال: 1

Nausea or vomiting

Abdominal pain or diarrhea

Hallucinations or tinnitus

Lightheadedness or paresthesia

رقم السؤال: 53 درجة السؤال: 1

Nasal congestion

Nervousness

Lethargy

Hyperkalemia

رقم السؤال: 54 درجة السؤال: 1

Hypokalemia

Hyperkalemia

Hyponatremia

Hypernatremia

رقم السؤال: 55 درجة السؤال: 1

Administer IV fluids as prescribed by the physician.

Provide straws and offer fluids between meals.

Develop plan for added fluid intake over 24 hours.

Teach family members to assist client with fluid intake.

رقم السؤال: 56 درجة السؤال: 1

Sodium

Potassium

Magnesium

Calcium

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من نحن | شروط الاستخدام | سياسة الخصوصية