Question 1

After consultation with the interdisciplinary team, a nurse implements progressive mobility by having the patient sit at the side of the bed. The patient's HR increases by 10, RR increases by 6, SpO2 remains at 94%, and BP remains stable. The patient states he is tired. Which of the following should be the nurse's next action?

Options :

A : Return the patient to a supine position and notify the physician.

B : Discontinue the attempts to mobilize the patient.

C : Progress to sitting in a chair during the next activity.

D : Wait for assistance from physical therapy to resume mobility.

Answer: A

Question 2

Which of the following diagnostic procedures best pinpoints the location, size, and origin of a cerebral aneurysm?

Options :

A : MRI

B : cerebral angiography

C : positron emission tomography (PET) scanning

D : CT scanning

Answer: B

Question 3

A patient has a linear skull fracture with multisystem trauma. The patient's vital signs are as follows: BP 80/50 HR120 CVP2 mm Hg Which of the following is the most appropriate explanation for this patient's condition?

Options :

A : The patient has lost a significant amount of blood because of intracranial hemorrhage.

B : Fluid regulation by the neurohypophysis is impaired because of increased intracranial pressure.

C : Parasympathetic stimulation is causing significant vasodilatation and pooling of blood.

D : Blood loss is occurring from a noncerebral injury.

Answer: D

Question 4

A common problem in patients with third-degree AV block is

Options :

A : hypoperfusion.

B : heart failure.

C : hypoxia.

D : chest pain.

Answer: A

Question 5

A patient with a sodium level of 114 mEq/L is most likely to develop

Options :

A : tetany.

B : flaccid paralysis.

C : seizures.

D : cardiac arrhythmias.

Answer: C

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