A patient, age 23, has a comminuted fracture of T6-T7 . She has a spinal cord injury resulting in paraplegia. She manifests signs and symptoms of autonomic dysreflexia, which is frequently triggered by
a. bladder distention.
b. nausea.
c. food allergies.
d. electrolyte imbalance.
Question 2An obese elderly patient is scheduled for surgery. The following diagnostic tests were performed: a chest X-ray, an ECG, a complete analysis of blood samples, a nutritional assessment, and a mental assessment. What test is missing?
A) Cardiac enzymes test
B) Pulmonary function test
C) Transferrin test
D) Hemoglobin test
Question 3When the seriousness of craniocerebral trauma is assessed, it is important to remember that
a. heavy scalp bleeding indicates serious trauma.
b. open injuries are always more serious than closed injuries.
c. signs and symptoms may not occur until several days after the trauma.
d. trauma to the frontal lobe is more significant than to any other area.
Question 4Asthma is a chronic illness and requires life-long management by patients and clinicians to achieve the goals of therapy. The signs and symptoms of this disease are primarily attributable to what pathophysiological process?
A) Acute inflammation of the patient's hyperresponsive airway
B) Hypersecretion of mucus by goblet cells in the upper airway
C) Misinterpretation of chemoreceptor signals by the pons and medulla
D) Autoimmune destruction of the mucosa in the patient's upper airway
Question 5The Glasgow coma scale is a screening tool used to assess level of consciousness in three major areas. They are
a. verbal, sensation, motor.
b. eye, motor, verbal.
c. verbal, pain, reflexes.
d. eye, pain, verbal.
Question 6Upon further questioning, an elderly man who expressed apprehension about his upcoming coronary artery bypass surgery admitted that he had a friend who had coronary artery bypass surgery a few years ago and had many complications postoperatively.
Which of the responses by a nurse would be the best? A) You will feel better immediately..
B) This surgery is always successful at our hospital..
C) Bypass surgery has improved over the past 20 years..
D) You can recover as easily as a young person can..
Question 7A patient in an acute-care setting is being monitored closely after recently experiencing status asthmaticus.
The nurse who is providing care for the patient has been assessing the patient's respiratory status frequently and has just completed auscultation of the patient's breath sounds. The nurse notes that the patient's breath sounds are significantly quieter than during the previous assessment. How should the nurse best interpret this assessment finding?
A) The patient's upper airways are responding to bronchodilators.
B) The patient's respiratory wheeze is resolving.
C) The patient's airflow may be severely limited.
D) The patient is in the early stages of a pulmonary infection.
Question 8A nurse is conducting a preoperative assessment of a 76-year-old patient who will be having a transurethral prostatic resection later that day.
The patient's wife is concerned about maintaining the patient's medication regimen, stating, He takes a lot of pills and it's important that he gets them while he's in the hospital.. How can the nurse best respond to the wife's concern? A) The care team will look at his medications and only hold those that can safely be stopped..
B) You're right that it's important, and they'll be continued throughout his stay in the hospital..
C) His medications will have to stop while he's being held without food, but we will restart them as soon as possible..
D) In light of his surgery, your husband probably will not need any of the medications that he used to require..
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