9. Fundal height generally increases gradually throughout pregnancy. What explanation would the nurse give the pregnant mother whose fundal height has decreased from 36 to 40 weeks’ gestation?
Topic: Health Promotion and Maintenance, Intrapartum Care
8. A 30-year old patient is in the Emergency Department suffering from seizures related to alcohol withdrawal. They will soon be admitting this patient to the non-medical psychiatric care unit. The psychiatric nurse knows that, in order to keep this patient safe, he must perform which priority nursing action?
Topic: Safety and Infection Control, Injury Prevention
7. A 63 year-old male is being seen in the clinic for his annual exam. Before performing a digital rectal exam, which of the following questions should the nurse ask?
Topic: Health Promotion and Maintenance/Aging Process
6. What is the nurse doing in the picture below?
A. Testing the neurological triceps reflex
B. Performing a nutritional assessment
C. Performing a musculoskeletal assessment
D. Testing the neurological biceps reflex
5. You are caring for a client who is 5 foot 6 inches tall and has a BMI of 28. This client is now on a regular diet. You would most likely recommend:
A. Continuing their diet as it is
B. A weight reduction diet and exercise.
C. A high caloric diet to gain weight
D. Nothing at all, this client is normal.
4. A nurse is caring for a woman that just had a Normal delivery in the Delivery room an hour ago. The nurse understands that the patient is still at risk for Uterine atony at this stage. All of the following interventions should be included in the care plan of patient for detection of uterine atony except:
A. Checking for saturated perinel pads every shift
B. Palpating the fundus at frequent interval.
C. Weighing perineal pads once they are changed, noting the time it was changed and the saturation.
D. Checking vital signs frequently for signs of shock
Topic: Physiological Adaptation/ Reduction of Risk Potential
Subtopic: Alterations in Body Systems/ Potential for Alterations in Body System
| Q3 | A patient who takes zolpidem has a new additional prescription for tramadol. The teaching plan for this patient should include which information? |
| A | Tramadol should be taken in the morning, with food. |
| B | There is no risk for addiction related to tramadol. |
| C | Avoid or limit the use of alcohol. |
| D | Seek medical attention if constipation or diarrhea occur. |
2) The nurse is caring for a patient who is having struggling to manage their emotions after a brain injury. The nurse should be concerned that which area of the brain has been impacted?
A. 1
B. 2
C. 5
D. 4
1.A patient has completed a living will stating that he does not want intubation, mechanical ventilation or artificial nutrition and hydration carried out should he become unable to communicate his preferences related to medical care. However, the patient’s adult children have expressed their opposition to the patient’s wishes. Which are appropriate nursing actions? Choose all that apply
A. Notify the patient’s physician, the nursing supervisor, and the risk manager
B. Explain to the patient’s family that the living will cannot be changed at this point
C. Encourage the family to discuss their feelings to try to resolve this issue
D. Request a consult with the facility ethics committee if needed
E. Advise the patient to just go along with the wishes of his adult children.
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