1. For a patient with Crohn's disease, the medical-surgical nurse recommends a diet that is:
a) low in potassium.
b) low in fiber, and high in protein and calories.
c) high in fiber, and low in protein and calories.
d) high in potassium.
2. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, a medical-surgical nurse anticipates the next step in the immediate care of this patient to include:
a) preparing for carotid Doppler ultrasonography.
b) obtaining a computed tomography scan of the head without contrast.
c) administering tissue plasminogen activator.
d) obtaining a neurosurgical consultation.
3. Which is primarily a developmental task of middle age?
a) Relying strongly upon spiritual beliefs
b) Risk taking and its perceived consequences
c) Learning and acquiring new skills and information
d) Rediscovering or developing satisfaction in one's relationship with a significant other
4. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:
a) flaccidity of the upper extremities.
b) independent use of upper extremities and efficient cough.
c) hyperreflexia and spasticity of the upper extremities.
d) impaired diaphragmatic function requiring ventilator support.
5. A medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:
a) arrange time for the patient to speak with another patient with cancer.
b) allow the patient and family members time to be alone.
c) request a consultation from a social worker on the oncology unit.
d) direct the discussion and validation of emotion, without false reassurance.
6. The first step in applying the quality improvement process to an activity in a clinical setting is to:
a) assemble a team to review and revise the activity.
b) set a measurable standard for the activity
c) select an activity for improvement.
d).collect data to measure the status of the activity.
a) low in potassium.
b) low in fiber, and high in protein and calories.
c) high in fiber, and low in protein and calories.
d) high in potassium.
2. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, a medical-surgical nurse anticipates the next step in the immediate care of this patient to include:
a) preparing for carotid Doppler ultrasonography.
b) obtaining a computed tomography scan of the head without contrast.
c) administering tissue plasminogen activator.
d) obtaining a neurosurgical consultation.
3. Which is primarily a developmental task of middle age?
a) Relying strongly upon spiritual beliefs
b) Risk taking and its perceived consequences
c) Learning and acquiring new skills and information
d) Rediscovering or developing satisfaction in one's relationship with a significant other
4. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:
a) flaccidity of the upper extremities.
b) independent use of upper extremities and efficient cough.
c) hyperreflexia and spasticity of the upper extremities.
d) impaired diaphragmatic function requiring ventilator support.
5. A medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:
a) arrange time for the patient to speak with another patient with cancer.
b) allow the patient and family members time to be alone.
c) request a consultation from a social worker on the oncology unit.
d) direct the discussion and validation of emotion, without false reassurance.
6. The first step in applying the quality improvement process to an activity in a clinical setting is to:
a) assemble a team to review and revise the activity.
b) set a measurable standard for the activity
c) select an activity for improvement.
d).collect data to measure the status of the activity.