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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
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The diagnosis of asthma is made by: |
A. Skin testing, chest x-ray and history B. Chest x-ray, physical exam and skin testing C. Pulmonary function tests, physocal exam and history D. Physical exam, history and pulmonary clinical manifestations |
C. Pulmonary function tests, physocal exam and history |
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Which of the following statements by the patient's mother indicates that she understands her daughter's condition? |
A. I have to restrict my daughter's exercises B. My daughter should be kept warm at all times C. My daughter's cough and cold must be treated promptly D. I must keep my daughter far away from the other children |
C. My daughter's cough and cold must be treated promptly |
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The nurse is preparing a 55 yo male for discharge of CCF. In educating the patient and his family about his condition, the nurse should place most emphasis on: |
I. Recognizing any adverse effects of his medication II. Restricting the amount of sodium in his diet III. Ensuring he has adequate rest IV. Avoiding respiratory illnesses A. I, II. B. I, IV. C. II, III. D. III, IV |
B. I, IV. |
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A 60 y o patient is admitted to the ward with a diagnosis of right-sided CCF. While administering digoxin to the patient, the nurse educates him about the action of the drug. The nurse tells the patient that digoxin: |
A. Increases the force of contraction and cardiac output B. Decreases the force of contraction and cardiac output C. Increases the heart rate and decreases arrhythmia D. Increases the heart rate and depth of contractions |
C. Increases the heart rate and decreases arrhythmia |
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Which of the following laboratory results will confirm a diagnosis of Myocardial Infarction? |
A. CK-MB equal to or less than 9 U/L B. Troponin I equal to or less than 0.4ng/ml C. Creatine kinase equal to or less than 150 U/L D. Total cholesterol equal or less than 7.6mmols/L |
C. Creatine kinase equal to or less than 150 U/L |
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The patient and his two children were discussing the bee responsibilities that would be assigned to each family member during his illness. His daughters reported that he did not participate in the conversation, as he normally would have. Which of the following factors would best indicate the reason for the patient's silence? |
I. Anxiety about possible death II. Inability to adapt to his illness III. Concern about his sudden role change IV. Confidence in his family's ability to cope. A. I, II, III. B. I, II, IV. C. I, III, IV D. I, II, III, IV |
A. I, II, III |
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Which of the following levels of management will have the greatest responsibility for shaping the philosophy of the organization? |
A. Top B. First-line C. Middle D. First-line and middle |
A. Top |
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The correct sequence of actions in decision making in emergency situations is: |
A. Identify the problems; determine priorities; develop alternative solutions; evaluate consequences of proposed actions |
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Immediately after an earthquake, a number of patients in the A&E department are exhibiting inappropriate behaviour, depression and hysterical reactions. To which of the following needs should the nurse give priority? |
A. Self-esteem B. Physiological C. Psychological. D. Love and belonging |
C. Psychological |
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Which question about the medal would be most appropriate for the nurse to ask? |
A. Will you tell me the significance of the medal to you? B. What is the justification for wearing the medal? C. Do you think that the medal will help heal your leg? D. Tell me why you have to use the medal in the hospital? |
A. Will you tell me the significance of the medal to you? |
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The patient insists ongoing to the theatre wearing the medal. Which of the following actions should the junior nurse take in this situation? |
A. Keep the medka safely until he returns from the theatre and then give it back? B. Remove the medal just before the start of surgery and give it back to the patient when surgery is completed C. Send the patient to the theatre with the medal and a written note stating its importance to the patient D. Explain to the patient that the medla does not have any healing value and scientific basis |
C. Send the patient to the theatre with the medal and a written note stating its importance to the patient |
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A hospitalized 70 y o patient refuses sleeping medication. The best action by the nurse will be to: |
A. Call the doctor and inform him B. Reason with the patient and insist that she takes it C. Ascertain the reason for refusal and educate the patient D. Comply with the patients wishes and chart the incident |
D. Comply with the patients wishes and chart the incident |
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It is observed that the infusion rate of 5% DW for Type 1 DM patient is 50gtt/min. The first action of the RN should be to? |
A. Verify the physician's order B. Decrease the rate of the infusion C. Inform the nurse in charge of the flow rate D. Continue and take no other action at this time |
A. Verify the physician's order |
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The nurse is caring for the patient with PE reports that the patient becomes tachycardia, tachypnoeic and cyanotic. The nurse's priority action should be to: |
A. Withhold the medication and call the doctor B. Advocate for the doctor to relieve anxiety C. Provide emotional support and reassurance D. Position the patient and increase the oxygen flow |
A. Withhold the medication and call the doctor |
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Hemothorax |
Blood within the pleural cavity usually related to trauma |
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Which of the following activities is not a funtiin of the International Council of Nurses? |
A. Lobbying for higher status for nurses B. Accreditation of regional nursing programmes C. Promotion of national associations of nurses D. Improvement of standards for nursing practice |
B. Accreditation of regional nursing programmes |
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Which of the following materials are necessary in preparation for a lung scan? |
Face mask and IV line |
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The RN is preparing a male patient for discharge. The patient states,"I will never learn how to inject myself with the medication because I am terrified of needles." Which approach by the nurse is most likely to be effective with his patient in the initial stage of acceptance? |
Arranging for the home health agency to give the injection to the patient at home. |
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A 52 y o has a h/o emphysema and attended a discharge teaching session. Which statement made by the patient will allow the nurse to think that he has fully understood and can care for himself? |
When the air is polluted I should limit how often I go outside. |
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