Question 1

Immediately after a craniotomy for head trauma, the nurse must monitor the drainage on the dressing. Which of the following should be reported?

Options :

A : Blood tinged

B : Straw colored

C : Clotted

D : Foul-smelling

Answer: B

Question 2

During the acute phase of a cerebrovascular accident (CVA) the nurse should maintain the patient in which of the following positions?

Options :

A : Semi-prone with the head of the bed elevated 60-90 degrees

B : Lateral, with the head of the bed flat

C : Prone, with the head of the bed flat

D : Supine, with the head of the bed elevated 30-45 degrees

Answer: D

Question 3

In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

Options :

A : Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding

B : Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician

C : Encourage more frequent warm baths for the neonate with gentle abdomen massages

D : Tell the mother that you will let the physician know, so the baby can be checked for any obstruction

Answer: D

Question 4

What two behaviors are important when documenting the depth of the patient’s depression?

Options :

A : Orientation and appearance

B : Helplessness and hopelessness

C : Affect and thought processes

D : Mood and impulse control

Answer: B

Question 5

A patient arrived to the Post Anesthesia Care Unit (PACU) complaining of pain after undergoing a right total hip arthroplasty. Which of the following should the nurse do to assess the patient's level of pain?

Options :

A : Determine the patient-s position during surgery and how long the patient was in this position

B : Inspect the dressing, note type and amount of drainage, and insure bandage adhesive is not pulling on skin

C : Ask anesthesiologist what type of anesthesia patient received and last dose of pain medication

D : Note location, intensity and duration of pain and last dose and time of pain medication

Answer: D

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