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Question 1 of 30
1. Question
Category: Management of CareA patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?
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Question 2 of 30
2. Question
Category: Health Promotion and MaintenanceThe nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?
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Question 3 of 30
3. Question
Category: Physiological AdaptationA patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first?
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Question 4 of 30
4. Question
Category: Management of CareWhich patient should you, as charge nurse, assign to a new graduate RN who is orienting to the neurologic unit?
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Question 5 of 30
5. Question
Category: Physiological AdaptationA patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment?
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Question 6 of 30
6. Question
Category: Management of CareYou are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing care for a patient with SCI?
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Question 7 of 30
7. Question
Category: Basic Care and ComfortYou are helping the patient with an SCI to establish a bladder-retraining program. What strategies may stimulate the patient to void? Select all that apply.
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Question 8 of 30
8. Question
Category: Management of CareThe patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action (s) to the LPN/LVN? Select all that apply.
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Question 9 of 30
9. Question
Category: Physiological AdaptationYou are preparing a nursing care plan for the patient with SCI including the nursing diagnosis Impaired Physical Mobility and Self-Care Deficit. The patient tells you, “I don’t know why we’re doing all this. My life’s over.” What additional nursing diagnosis takes priority based on this statement?
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Question 10 of 30
10. Question
Category: Management of CareWhich patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been in the neurologic unit for 1 week?
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Question 11 of 30
11. Question
Category: Basic Care and ComfortThe patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time?
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Question 12 of 30
12. Question
Category: Reduction of Risk PotentialThe LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately?
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Question 13 of 30
13. Question
Category: Physiological AdaptationThe nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 ºF or 39º C), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time?
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Question 14 of 30
14. Question
Category: Pharmacological and Parenteral TherapiesYou are providing care for a patient with an acute hemorrhage stroke. The patient’s husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response?
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Question 15 of 30
15. Question
Category: Management of CareYou are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?
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Question 16 of 30
16. Question
Category: Physiological AdaptationWhich of the following arteries primarily feeds the anterior wall of the heart?
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Question 17 of 30
17. Question
Category: Physiological AdaptationWhen do coronary arteries primarily receive blood flow?
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Question 18 of 30
18. Question
Category: Health Promotion and MaintenanceWhich of the following illnesses is the leading cause of death in the US?
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Question 19 of 30
19. Question
Category: Physiological AdaptationWhich of the following conditions most commonly results in CAD?
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Question 20 of 30
20. Question
Category: Physiological AdaptationAtherosclerosis impedes coronary blood flow by which of the following mechanisms?
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Question 21 of 30
21. Question
Category: Health Promotion and MaintenanceWhich of the following risk factors for coronary artery disease cannot be corrected?
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Question 22 of 30
22. Question
Category: Reduction of Risk PotentialExceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease?
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Question 23 of 30
23. Question
Category: Physiological AdaptationWhich of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease?
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Question 24 of 30
24. Question
Category: Physiological AdaptationMedical treatment of coronary artery disease includes which of the following procedures?
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Question 25 of 30
25. Question
Category: Physiological AdaptationProlonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart?
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Question 26 of 30
26. Question
Category: Physiological AdaptationWhich of the following is the most common symptom of myocardial infarction?
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Question 27 of 30
27. Question
Category: Physiological AdaptationWhich of the following landmarks is the correct one for obtaining an apical pulse?
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Question 28 of 30
28. Question
Category: Physiological AdaptationWhich of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?
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Question 29 of 30
29. Question
Category: Physiological AdaptationA murmur is heard at the second left intercostal space along the left sternal border. Which valve area is this?
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Question 30 of 30
30. Question
Category: Reduction of Risk PotentialWhich of the following blood tests is most indicative of cardiac damage?
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