Thursday, October 11, 2007

N10 questions

this is for those that could not open my email. We still need Ch. 13 and 15

1 comment:

liana said...

Chapter 9
1.Objectives for child health, Healthy people 2010 include all of the following information except?
A.Reduce the rate of child deaths.
B.Reduce iron deficiency among young children and females of child-bearing age.
C.Increase the proportion of preschool children ages 5 years and under who received vision and hearing screening.
D.Increase the proportion of children living in two parent household.
(D) is correct, page 254

2.When teaching a teenager about the benefits of smoking cessation which of the following would get the best results?
A.Smoking increases the risk of lung cancer and other health problems.
B.If you smoke you are less desirable to kiss.
C.Smoking once started can be difficult to stop.
D.Your parents wouldn’t want you to smoke.
(B) is correct, page 267

Chapter 14

3.A patient comes in to a clinic with a deep wound from a spider bite. What should be initiated at the first visit and done periodically as needed?
A.Mobility enhancement and pain assessment.
B.What kind of insurance does the patient have and how much of a co-payment does
he pay.
C.Does the patient have a primary physician?
D.What kind of supplies does the patient have on hand for cleansing the wound
Himself.
(A)is correct, page 385

4.A nurse is visiting a patient in their home. He has end stage colon cancer and is in constant chronic pain. As a home health hospice nurse your major concern would be to:
A.Refer patient to go to urgent care for pain meds.
B.Control patient’s level of pain in the home, making patient comfortable as possible.
C.Tell patient to tolerate the pain.
D.Kick the family out of the house while treating the patient.
(B)is correct, page 391

5.Donna is a 54 year old female who has been admitted to the Med Surg floor for DM II and COPD exacerbation. You are taking care of this patient and after completing your head to toe assessment, she states, “You are much more thorough than the other nurses. None of these other nurses are any good.” She then tells you that the nurse that she had yesterday was rude and did not give her her medications on time. What type of behavior is Donna exhibiting?

A.Obsessive compulsive
B.Phobia
C.Mood Disorder
D.Staff Splitting
(C)is correct

6.E.J., a 28 year old male, arrives at the Emergency Room via ambulance and was found at the bus station with a large wound to his right arm. Patient has a flat affect and seems to ignore nurses when they ask him direct questions. When the nurse tries to assess the wound, the patient becomes agitated and states “Stay Away.” What condition could be causing this patient’s reaction to the staff?

A.Schizophrenia
B.Mania
C.Borderline Personality
D.Phobia
(A) is correct

Chapter 12

7.A home health nurse is caring for a 6 year old patient whose mother is tearful, appears upset, and has visible bruising. The mother states, “I hate when he does this. I can’t take it anymore.” What is the nurse’s responsibility in this case?

A.Console her and assure her that it probably won’t happen again.
B.Call police immediately.
C.Take her home with you.
D.Act as an advocate and encourage the mother to file a report, provide resources on shelters that house battered women with their children.
(D) is correct

Chapter 10

8.Maria is a 22 year old, 4’7” female, weighing 200 pounds with HTN. What methodologies for weight loss would you as the RN recommend? Check all that apply.
A.Diet modification
B.Continue eating the same comfort foods since she is still young and it doesn’t matter.
C.Physical exercise.
D.Behavioral therapy.
(A,C,D) are correct.

9.Colorectal cancer risk factors include (check all that apply):

A.Decrease in fiber diet.
B.Age
C.IBS
D.Alcohol consumption
E.Height
(A,B,C,D) are correct, pg. 277-278

Chapter 11

10.Mr. Smith has more than one medication prescribed, resulting in a complicated medication regime. Which statement by Mr. Smith does not need further teaching?

A.All of my meds look the same. I don’t need to pay attention.
B.I will complete a list of meds and how and when to take them.
C.I will stop taking my meds since I am feeling better.
D.I won’t make a list of all my meds and the time I take them.
(B) is correct

11.Osteoporosis can be further prevented. (Select all that apply)

A.Walking and jogging.
B.Getting 500 to 700 mg of CA per day
C.Not smoking.
D.Taking home replacement therapy (HRT) if you are a woman.
E.Yoga and stair climbing.
(A,C,D,E) is correct

Questions from chapter 16

1.) Which of the following is not a reason why nurses should learn about alternative therapies?

a.) Large numbers of individuals are now using alternative therapies.
b.) As the population becomes more diverse clinically, more methods of promoting health and treating illness are necessary.
c.) Medical educators and physicians are integrating alternative therapies into their practice.
d.) Now days, alternative therapies are considered fringe treatments by most western healthcare practitioners.

Correct answer is: D
Rationale: It was considered fringe treatment twenty years ago.

2.) You are an RN working on a busy med-surg floor. You have a 4 patient assignment. Which patient could be temporarily delegated to the NA?
a.) A 42 year old male who just retuned from an ORIF 30 minuets ago and is complaining of pain 9/10 with MS PCA in use.

b.) A 58 year old male two weeks post left AKA, right BKA in strict isolation of positive C-diff requiring total car and assistance for transferring to the wheelchair and commode.

c.) A 27 year old male s/p gunshot wound to the LLE who developed compartment syndrome post-op. He now has a wound vac to the LLE draining serosanguinous fluid. He is tachy 135-145 bpm.

d.) A 25 year old female in for acute pyelonephritis receiving Ancef PB q4hours and fetal heart tone monitoring q4hours.

e.) None of the above.

Correct answer is: B