Exam 1: Adult

Members of the nursing staff need to develop written patient education materials for a group of patients with diverse reading abilities. What would be the most effective for the staff to do?

Which diagnostic test is considered the "gold standard" for diagnosis of gastrointestinal bleeding?

A 59 year old male with new onset seizures is beginning treatment with Fosphenytoin sodium. What would be a contraindication to begin this drug?

A nurse is coming back from the break and enters the elevator. Looking down, he sees that there is a patient history and physical on the elevator floor. The most appropriate action would be to:

Because meningitis is usually related to an infection, what priorities should the nurse highlight in the plan of care?

A thirty seven year old male is being treated for shock related to acute Pancreatitis. The patient states that he has Paresthesia around his fingers and mouth. The nurse observes that the patient's wrists and foot are tremoring. When she applies the blood pressure cuff to the patient's arm, the entire hand and arm has spasms. What abnormality is the patient exhibiting signs and symptoms of?

The nurse is assisting the physician during an Abdominal Paracentesis. What is the maximum amount of fluid that should be aspirated?

What is the drug of choice for patients who have been exposed to Bacterial Meningitis?

What is the most appropriate description of a depressed skull fracture?

If a patient has a DNR order, doctors and other health care providers must not do any of the following, except

Which of the following statements would reflect that the patient does not understand the long term effects of liver failure?

The nurse is treating a 57 year old male who has been brought into the ER with severe Hypovolemic shock. The nurse would anticipate the doctor writing orders for:

A nurse is performing a neurological assessment on a patient admitted to the Intensive Care Unit with a right-sided stroke. What would be the sign of a positive Babinski's reflex in the stroke victim?

The nurse comes on shift and received report that a patient needs to go to surgery. The nurse helps the patient to the bathroom to void, takes vital signs and calls report to the operating room nurse and sends the patient. She receives a phone call from the receiving nurse who yells at her because the consent was not signed and the patient's wedding ring is still on. The nurse threatens to report to the supervisor. What is the most therapeutic response?

The patient who is experiencing cardiogenic shock is at risk for what complication?

What are the signs and symptoms of patient who is in stage 3 of Hepatic Encephalopathy?

A patient comes to the ICU after undergoing a penetrating trauma to his chest. The object is a long stick off a tree and is still present. The patient's vital signs include a blood pressure of 98/50, a heart rate of 118 and respiratory rate of 20. Which action would the nurse follow as the best course of action?

A patient has a new diagnosis of generalized anxiety disorder with panic attacks is being prescribed the anti anxiety agent Buspirone. What is the best way to teach the patient about taking the medication?

A 35 year old woman in being transferred from postpartum after a diagnosis of disseminated intravascular coagulation. What would be used as the first line treatment to correct the clotting disorder?

The patient has been diagnosed acute Pericarditis. All of the following would be appropriate medications for the treatment of Pericarditis except: