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| Section | Objectives |
|---|---|
| Clinical Judgment and Decision Making | - Advanced assessment and diagnostic reasoning - Evidence-based clinical decision making |
| Professional Caring and Ethical Practice | - Patient advocacy and cultural competence - Ethical decision making in advanced practice nursing |
| Systems-Based Practice and Collaboration | - Healthcare systems management - Interprofessional collaboration - Quality improvement and patient safety |
| Management of Critically Ill or High-Acuity Patients | - Monitoring and complication prevention - Acute and critical care interventions - Pathophysiology across body systems |
1. Ray, a 40-year-old mailman is diagnosed with hypertension. What would be the priority nursing diagnosis
for this patient?
A) Impaired skin integrity
B) Pain
C) Ineffective health maintenance
D) Fluid volume deficit
2. A nurse is aware that the most common site for bleeding to develop in a child with hemophilia is:
A) Gums
B) Joints
C) Stomach
D) Nose and ears
3. A pediatric patient with multiple myeloma who is receiving chemotherapy has a body temperature that has
risen three degrees during the six-hour period and is now 102.2 oF. The nurse should:
A) Note the consistency of respiratory secretions and obtain a specimen for culture
B) Obtain the other vital signs and recheck the temperature in an hour
C) Assess the amount and color of urine and obtain a specimen for urinalysis
D) Administer antipyretic as prescribed and notify the physician
4. A nurse is teaching a mother of a ventilator-dependent patient, who will be discharged in few days, about
preventing complications. Which of the following measures should be included in the plan?
A) Increase playful interactions with other children
B) Place the patient in trendelenburg position during suctioning
C) Encourage increased cold fluids by mouth
D) Institute infection control methods
5. A patient in labor, who is at term, is admitted to the birthing room. Her membranes rupture spontaneously.
The physician should be notified as soon as possible if the nurse notes:
A) Greenish fluid
B) Fetal heart rate decreases before contractions
C) Shortened intervals between contractions
D) Clear fluid with specks of mucus
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: A |
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