2nd Semester Final Quiz

A new graduate nurse is caring for a patient who has been diagnosed with dementia. Which of the following interventions are appropriate for the nurse to implement? Select all that apply.

• Ask the family to bring familiar items in for the patient

• Isolate the patient to reduce distractions
• Play loud music to stimulate the patient
• Encourage the patient to memorize complex information
• Reorient the patient as necessary

The nurse is caring for a patient in a long-term care facility. The nurse receives report that the patient is experiencing acute delirium. Which of the following would the nurse expect to find during her assessment? Select all that apply.

• Increased energy levels
• Disorientation

• Confusion

• Clear and coherent speech
• Altered attention span

The nurse is caring for a patient who is combative and pulling at lines. After exhausting all other options, the nurse places mitt restraints on the patient. Which of the following is the next priority action by the nurse?

• Assess the patient's safety and comfort.
• Administer a sedative to the patient.
• Notify the charge nurse.

• Call for a security team to restrain the patient.

The nurse is caring for a patient who has recently started anti-depressants medications. Which of the following side effects is priority for the nurse to assess for?

• Erectile Dysfunction

• Insomnia

• Dry mouth
• Suicidal thoughts or behaviors

A patient is hesitant to use opioid medications to control pain post abdominal surgery. Which of the following are appropriate interventions for the nurse to implement? Select all that apply.

• Assess the patient's pain levels regularly

• Educate the patient about appropriate opioid usage

• Suggest the patient avoid all medications
• Recommend increasing opioid dosage immediately
• Discuss alternative pain management options

The nurse is caring for a patient who has difficulty hearing. Which of the following actions by the nurse is NOT appropriate when interacting with this patient?

• Speaking clearly and slowly to the patient.
• Using written communication to convey information.
• Speaking while facing away from the patient.
• Speak at a higher pitch when educating.

• Raise voice volume to ensure the patient can hear what being said.

The nurse is in the room when the patient begins to have a seizure. Which of the following actions should the nurse perform next? Select all that apply.

• Hold the patient's head still
• Call for help

• Time the seizure.

• Call for a doctor before acting
• Patient the patient on their side

A patient is 8 hours post operative an abdominal surgery. The patient is tachycardic, hypertension, and hyperventilating. When asked about pain, the patient replies that they do not have any. Upon observation the nurse notes that the patient is guarding and facial grimacing. Which of the following is the most appropriate action for the nurse to take next?

• Administer pain medication immediately.
• Reassure the patient that everything is fine.
• Encourage the patient to take deep breaths and relax.
• Discuss with the patient the observation noted and what that can be the result of.

Practice Exam RN #44:

What is the priority care for a client in Buck's traction?

• Turn the client every 2 hours to the unaffected side.

• Maintain the client in a supine position.

• Encourage client to use a bedside commode.

• Prevent foot drop by placing a foot board to the bed

The nurse is caring for a patient who has been diagnosed with tuberculosis. Which of the following precautions should the nurse take when entering the patients room? Select all that apply.

• Use a face shield or googles

• Don gown and gloves

• Don an N95 mask or respirator

• Hand Hygiene

• Enter without any PPE