Question 1

A patient is postoperative day 1 from a laparotomy for appendicitis. Which intervention best prevents surgical wound infection?

Options :

A : Apply a dressing with plastic tape over the wound, encourage handwashing, and offer a high-calorie diet

B : Shower twice daily, apply betadine to the skin around the wound, and maintain NPO status

C :

Encourage nutritional support as early as possible, bathe daily with pH-balanced cleanser, and encourage mobility

D : Cleanse the wound with antibacterial soap and water, maintain NPO status, and encourage mobility

Answer: C

Question 2

What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?

Options :

A : Provide the parents a video to watch and include them in ADL care

B : Demonstrate tracheostomy care daily and address the parent’s concerns and questions thoroughly

C : Give the parents written instructions and answer their questions

D : Use the parents' preferred method of learning and evaluate as they perform care

Answer: D

Question 3

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

Options :

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 4

Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?

Options :

A : PAOP monitoring and dobutamine

B : O# therapy and RBC transfusion

C : PAOP monitoring and sodium nitroprusside

D : O# therapy and alkalinization

Answer: D

Question 5

Immediately following a heart transplant, a patient has two P waves followed by one QRS segment each cardiac cycle. What is the nurse's next step?

Options :

A : Request isoproterenol

B : Continue to monitor

C : Start temporary pacing

D : Obtain an echocardiogram

Answer: B

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