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QUESTION NO: 1
You are caring for a child with epiglottitis. On assessment of the child what would indicate to you that the
child is experiencing airway obstruction?
A. The child is leaning backwards and supporting himself with his hands and arms.
B. The child has a low-grade fever and complains of a sore throat.
C. The child is leaning forward with the chin thrust out.
D. The child exhibits nasal flaring and bradycardia.
Answer: C
Explanation: If a child is leaning forward with the chin thrust out, this is an indication that the airway may
be obstructed. Other indications might include nasal flaring, tachycardia, high fever and sore throat.
To
prevent spasm of the epiglottitis and airway obstruction, no attempt should be made to visualize the pharynx.
QUESTION NO: 2
Your patient has been admitted to the hospital with acute blindness. After many tests are run the
physician can find no organic reason for the patient's blindness. You learn that the patient became blind
after witnessing a serious car accident where several people were killed. What do you suspect is the cause of the patient's blindness?
A. Psychosis
B. Conversion disorder
C. Dissociative disorder
D. epression
Answer: B
Explanation: The patient is suffering from conversion disorder. The patient has witnessed something so
unbelievable that they have gone blind in order to deal with the conflict. Conversion disorder is when a
patient has an alteration or loss of physical functioning that has not pathological cause.
QUESTION NO: 3
You are working with a child and suspect physical abuse. What is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family in identifying resources and support systems.
Answer: B
Explanation: The nurse should report her suspicions to the local authorities so they can investigate.
The
law makes it mandatory to report any suspected child abuse. All other options are important in dealing
with patient and the family, but they would not be the priority of the nurse.
QUESTION NO: 4
The most appropriate action by the nurse who is preparing to communicate with an older patient who has
hearing loss is:
A. Stand in front of the patient.
B. Exaggerate lip movements.
C. Obtain a sign language interpreter.
D. Pantomime and write the patient notes.
Answer: A
Explanation: The nurse should stand in front of the patient with hearing loss while trying to communicate
with them. By standing in front of the patient and providing adequate lighting, the nurse insures that the
patient can see the nurse clearly. If there is still difficulty communicating, then notes and pantomime can
be used.
QUESTION NO: 5
You are preparing the assignment for the day. You have one licensed practical nurse (LPN) and one
unlicensed assistive staff member. Which of the following assignments would you not want to make?
A. LPN to reinforce discharge instruction with a patient
B. Unlicensed personnel to take vital signs and to document and report any changes
C. Unlicensed personnel to assess effectiveness of pain medication
D. LPN to remove dressing from an abdominal wound on a postoperative patient
Answer: C
Explanation: The unlicensed personnel should not be assigned to assess the effectiveness of pain medication; it is the responsibility of the RN to assess. LPNs can perform dressing changes and reinforce
discharge instructions. Unlicensed personnel can take vital signs and document and report any changes.
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Updated: May 26, 2022