Question 1

An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should

Options :

A : encourage the patient to sleep between assessments.

B : discontinue neurologic assessments.

C : establish a schedule with the provider.

D : move the patient to the quieter part of the unit.

Answer: C

Question 2

A nurse admits a patient awaiting surgery for an unstable pelvic fracture following a fall in which no other injuries were sustained. The nurse should prioritize

Options :

A : transportation to radiology for an MRI.

B : type and crossmatch PRBC prior to surgery.

C : placement of a binder across the patient-s hips.

D : administration of a sedative to reduce movement.

Answer: C

Question 3

The goal of PEEP therapy in acute lung injury (ALI) is to

Options :

A : decrease PAP.

B : decrease airway resistance.

C : increase cardiac output.

D : reduce physiologic shunting.

Answer: D

Question 4

After consultation with the interdisciplinary team, a nurse implements progressive mobility by having the patient sit at the side of the bed. The patient's HR increases by 10, RR increases by 6, SpO2 remains at 94%, and BP remains stable. The patient states he is tired. Which of the following should be the nurse's next action?

Options :

A : Return the patient to a supine position and notify the physician.

B : Discontinue the attempts to mobilize the patient.

C : Progress to sitting in a chair during the next activity.

D : Wait for assistance from physical therapy to resume mobility.

Answer: A

Question 5

For a patient with suspected pulmonary embolism, which of the following is the most definitive diagnostic test?

Options :

A : pulmonary angiography

B : ABG analysis

C : ventilation scan

D : chest x-ray

Answer: A

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