Herbert, a 45-year-old construction engineer is brought to the hospital unconscious after falling from a 2-story building. When assessing the client, the nurse would be most concerned if the assessment revealed: A. Reactive pupils B. A depressed fontanel C. Bleeding from ears D. An elevated temperature Correct Answer: C.… Read More »
What is the most common cause of an abdominal aortic aneurysm? A. Atherosclerosis B. DM C. HPN D. Syphilis Correct Answer: A. Atherosclerosis Atherosclerosis accounts for 75% of all abdominal aortic aneurysms. Plaques build up on the wall of the vessel and weaken it, causing an aneurysm. AAA is… Read More »
The nurse is caring for the client following a laryngectomy when suddenly the client becomes unresponsive and pale, with a BP of 90/40 systolic. The initial nurse’s action should be to: A. Place the client in Trendelenburg position B. Increase the infusion of Dextrose in normal saline C. Administer atropine intravenously … Read More »
A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient? A. 3-10 years. B. 25-35 years. C. 45-55 years. D. over 60 years. Correct Answer: A. 3-10 years. The peak incidence of ALL is… Read More »
An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation? A. Torticollis, with shortening of the sternocleidomastoid muscle. B. Craniosynostosis, with premature closure of the cranial sutures. … Read More »
What is the peak age range for acquiring acute lymphocytic leukemia (ALL)? A. 4 to 12 years. B. 20 to 30 years C. 40 to 50 years D. 60 to 70 years Correct Answer: A. 4 to 12 years. The peak incidence of Acute Lymphocytic Leukemia (ALL)… Read More »
Following a diagnosis of acute glomerulonephritis (AGN) in their 6-year-old child, the parent’s remark: “We just don’t know how he caught the disease!” The nurse’s response is based on an understanding that: A. AGN is a streptococcal infection that involves the kidney tubules. B. The disease is easily transmissible in schools and camps.… Read More »
In which of the following areas is an abdominal aortic aneurysm most commonly located? A. Distal to the iliac arteries B. Distal to the renal arteries C. Adjacent to the aortic branch D. Proximal to the renal arteries Correct Answer: B. Distal to the renal arteries The portion of… Read More »
Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away? A. Beta-adrenergic blockers B. Bronchodilators C. Inhaled steroids D. Oral steroids Correct Answer: B. Bronchodilators Bronchodilators are the first… Read More »
The nurse is aware that the most relevant knowledge about oxygen administration to a male client with COPD is: A. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing. B. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breathe. C. Oxygen is administered best using… Read More »