Question 1

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:

Options :

A : Altered body image

B : Acute pain

C : Risk for infection

D : Altered nutrition

Answer: C

Question 2

To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:

Options :

A : Supine

B : Lateral

C : Trendelenberg

D : Fowler's

Answer: B

Question 3

A patient is to receive 25mg/hr of an aminophylline infusion. The solution prepared by the pharmacy contains 500mg of aminophylline in 1000ml of D5W. How many milligrams are available per ml?

Options :

A : 0.25 mg/ml

B : 0.5 mg/ml

C : 1 mg/ml

D : 2 mg/ml

Answer: B

Question 4

During the acute phase of a cerebrovascular accident (CVA) the nurse should maintain the patient in which of the following positions?

Options :

A : Semi-prone with the head of the bed elevated 60-90 degrees

B : Lateral, with the head of the bed flat

C : Prone, with the head of the bed flat

D : Supine, with the head of the bed elevated 30-45 degrees

Answer: D

Question 5

In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

Options :

A : Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding

B : Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician

C : Encourage more frequent warm baths for the neonate with gentle abdomen massages

D : Tell the mother that you will let the physician know, so the baby can be checked for any obstruction

Answer: D

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