Brightwood College
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All courses for Brightwood College
- Lachel Story: Pathophysiology Additional Test Bank- A Practical Approach Lachel Story: Pathophysiology Additional Test Bank 1
- Lachel Story: Pathophysiology Additional Test Bank- A Practical Approach (LACHELSTORY:PATHOPH TestBank 1
- Lewis: Medical-Surgical Nursing, 10th Edition NUR 119 1
- MA R155-BL-MW MA R155-BL-MW 1
- MATERNITY HESI HESI Maternity 3
- Maternity HESI 1 Study Guide 1
- Maternity HESI 1 TESTBANK Maternity HESI 1 TESTBANK 1
- Maternity HESI 1,2 Test Bank |Questions, Answers & Rationale, A+ Guide. 1
- Maternity HESI 1,2 Test Bank Questions, Answers & Rationale, A+ Guide 1
- MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING, 5TH EDITION NURSING220 1
- New Business H431/01: Operating in a local business environment Advanced GCE Mark Scheme for November 2020 1
- NR 242 1
- Nurs 1
- NURS 101: CHAPTER 23: NURSING INFORMATICS NURS101 1
- NURS 220 1
- NURS 220 HESI Maternity 1
- NURSING 119 NURSING119 38
- NURSING 220 NURSING220 31
- NURSING HESI NursingHESI 1
Latest notes & summaries Brightwood College
1. Which action will the nurse in the hypertension clinic take to obtain an accurate baseline 
blood pressure (BP) for a new patient? 
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. 
b. Have the patient sit in a chair with the feet flat on the floor. 
c. Assist the patient to the supine position for BP measurements. 
d. Obtain two BP readings in the dominant arm and average the results. 
ANS: B 
The patient should be seated with the feet flat on the floor. The BP is obtained in bo...
1. Which action will the nurse in the hypertension clinic take to obtain an accurate baseline 
blood pressure (BP) for a new patient? 
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. 
b. Have the patient sit in a chair with the feet flat on the floor. 
c. Assist the patient to the supine position for BP measurements. 
d. Obtain two BP readings in the dominant arm and average the results. 
ANS: B 
The patient should be seated with the feet flat on the floor. The BP is obtained in bo...
1. The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which 
assessment data will be of most concern to the nurse? 
a. Urine output is 30 mL/hr. 
b. Blood pressure is 90/40 mm Hg. 
c. Oral fluid intake is 100 mL for the past 8 hours. 
d. There is prolonged skin tenting over the sternum. 
ANS: B 
The blood pressure indicates that the patient may be developing hypovolemic shock as a result 
of intravascular fluid loss because of the burn injury. This finding wil...
1. The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness 
and warmth around the incision. Which action by the nurse is appropriate? 
a. Obtain wound cultures. c. Notify the health care provider. 
b. Document the assessment. d. Assess the wound every 2 hours. 
ANS: B 
The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of 
wound healing by primary intention. The nurse should document the wound appearance and 
conti...
1. Which diagnostic test will provide the nurse with the most specific information to evaluate 
the effectiveness of interventions for a patient with ventilatory failure? 
a. Chest x-ray 
b. O2 saturation 
c. Arterial blood gas analysis 
d. Central venous pressure monitoring 
ANS: C 
Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure 
causes problems with CO2 retention, and ABGs provide information about the PaCO2 and pH. 
The other tests may also be don...
1. A 53-yr-old male patient with deep partial-thickness burns from a chemical spill in the 
workplace experiences severe pain followed by nausea during dressing changes. Which action 
will be most useful in decreasing the patient’s nausea? 
a. Keep the patient NPO for 2 hours before dressing changes. 
b. Give the ordered prochlorperazine before dressing changes. 
c. Administer the prescribed morphine sulfate before dressing changes. 
d. Avoid performing dressing changes close to the patient’...
1. The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, 
if made by the patient, indicates that the teaching was successful? 
a. “My nose will look normal after 24 to 48 hours.” 
b. “I can take 800 mg ibuprofen every 6 hours for pain.” 
c. “I will remove and reapply the nasal packing every day.” 
d. “I will elevate my head for 48 hours to minimize swelling.” 
ANS: D 
Maintaining the head in an elevated position will decrease the amount of...
1. A 34-yr-old patient who is discussing contraceptive options with the nurse says, “I want to 
have children but not for a few years.” Which response by the nurse is accurate? 
a. “If you do not become pregnant within the next few years, you never will.” 
b. “Women often have more difficulty becoming pregnant after about age 35.” 
c. “Stop taking oral contraceptives several years before you want to have a child.” 
d. “You have many more years of fertility left, so there is no ...
1. After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of 
ineffective airway clearance. Which assessment data best supports this diagnosis? 
a. Weak cough effort 
b. Profuse green sputum 
c. Respiratory rate of 28 breaths/minute 
d. Resting pulse oximetry (SpO2) of 85% 
ANS: A 
The weak, nonproductive cough indicates that the patient is unable to clear the airway 
effectively. The other data would be used to support diagnoses such as impaired gas exchange 
and...
1. The nurse teaches a patient with chronic bronchitis about a new prescription for Advair 
Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to 
the nurse that teaching about medication administration has been successful? 
a. The patient shakes the device before use. 
b. The patient rapidly inhales the medication. 
c. The patient attaches a spacer to the Diskus. 
d. The patient performs huff coughing after inhalation. 
ANS: B 
The patient should inhale the...