Board Exam Question (Day 4)
Authored by Rob Aranda
Health Sciences
Professional Development
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10 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Robert, a 57-year-old client with acute arterial occlusion of the left leg undergoes an emergency embolectomy. Six hours later, the nurse isn’t able to obtain pulses in his left foot using Doppler ultrasound. The nurse immediately notifies the physician, and asks her to prepare the client for surgery. As the nurse enters the client’s room to prepare him, he states that he won’t have any more surgery. Which of the following is the best initial response by the nurse?
Explain the risks of not having the surgery
Notifying the physician immediately
Notifying the nursing supervisor
Recording the client’s refusal in the nurses’ notes
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
During the endorsement, which of the following clients should the on-duty nurse assess first?
The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of 126/76 mm Hg, and a respiratory rate of 22 breaths/minute.
The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm Hg, and a “do not resuscitate” order
6The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving L.V. heparin
The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving L.V. dilitiazem (Cardizem)
3.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to:
Decrease the total basal metabolic rate.
Maintain the function of the parathyroid glands.
Block the formation of thyroxine by the thyroid gland.
Decrease the size and vascularity of the thyroid gland.
4.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler’s position on either his right side or on his back. The nurse is aware that this position:
Reduce incisional pain.
Facilitate ventilation of the left lung.
Equalize pressure in the pleural space.
Increase venous return
5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Ricardo is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist’s instructions. Why does the client require special positioning for this type of anesthesia?
To prevent confusion
To prevent seizures
To prevent cerebrospinal fluid (CSF) leakage
To prevent cardiac arrhythmias
6.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Mr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should:
Turn him frequently.
Perform passive range-of-motion (ROM) exercises.
Reduce the client’s fluid intake.
Encourage the client to use a footboard.
7.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
The nurse is aware that one of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?
Beta-adrenergic blockers
Calcium channel blocker
Diuretics
Inotropic agents
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