When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical manifestation, which is:
a. clubbing of the digits.
b. upper extremity hypertension.
c. pedal edema and portal congestion.
d. loud systolic ejection murmur.
Question 2The nurse uses a diagram to show that tetralogy of Fallot involves a combination of which four congenital defects?
a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
c. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
Question 3A nurse is caring for a Haitian-American patient. The nurse demonstrates cultural sensitivity by:
a. discarding any leaves the patient may have brought with them.
b. assigning the patient to a room with any Haitian-American patient.
c. instructing the patient to ride in a wheelchair when discharged.
d. allowing the patient to walk out of the hospital when discharged.
Question 4Early training programs for LPN/LVNs differ from today's concept of preparing the LPN/LVN in regard to the increased focus on:
a. acquiring licensure.
b. organized education.
c. candidate selection.
d. supplying caregivers.
Question 5Maslow's hierarchy of needs is based on the premise that:
a. all needs are equally important.
b. basic needs must be met before the next level of needs can be met.
c. self-actualization is a primary need.
d. individuals prioritize needs the same way.
Question 6During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation.
The nurse should treat these data as the basis of a nursing diagnosis plan, as they represent: a. symptoms.
b. data clustering.
c. signs of fluid overload.
d. urinary retention.
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