Question 1

The best time for the nurse to teach an anxious patient about the patient controlled analgesic (PCA) pump would be during which of the following stages of patient care?

Options :

A : Post-operative

B : Pre-operative

C : Intraoperative

D : Post anesthesia

Answer: B

Question 2

A 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital. Which of the following laboratory blood findings would confirm that she likely has had a streptococcal infection within the past two weeks?

Options :

A : Decreased leukocyte count

B : Elevated hemoglobin count

C : Elevated ASO titer

D : Decreased ESR

Answer: C

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

A patient is to receive 25mg/hr of an aminophylline infusion. The solution prepared by the pharmacy contains 500mg of aminophylline in 1000ml of D5W. How many milligrams are available per ml?

Options :

A : 0.25 mg/ml

B : 0.5 mg/ml

C : 1 mg/ml

D : 2 mg/ml

Answer: B

Question 5

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:

Options :

A : Altered body image

B : Acute pain

C : Risk for infection

D : Altered nutrition

Answer: C

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