You are nursing student who is getting report from the outgoing… You are nursing student

You are nursing student who is getting report from the outgoing… You are nursing student who is getting report from the outgoing staff. Which resident will you assess first?A resident with stroke who had positive Romberg’s test in the last shift b. A COPD resident whose oxygen saturations are 88% on room airc. A resident with Epigastric pain on pain scale of 6/10d. A resident on the floor who is complaining of sudden onset dysphagiaQuestion 2In addressing a client with Rheumatoid Arthritis(RA), which statements are important to remember?i. RA involves symmetrical jointsii. Pain is worse in the morningiii. Pain increases with movementiv. Joints, connective tissues are inflameda. i, iii, iv b. i, ii, iii c. i, ii, iv d. ii, iii, ivQuestion 3What is the correct technique for checking the motor function for the Trigeminal Nerve?a. Palpate the temporal and masseter muscle as the person clenches the teeth b. Ask the patient to lift their eyebrows smoothly and bilaterallyc. With the person’s eyes closed,use a cotton wisp on person’s faced. Depress the tongue with a tongue blade and ask the person to say ‘ah’Question 4What is the best definition of crepitation?a. The crack that is hard when a tendon or ligament slips over bone in motionb. A coarse crackling sensation palpable over the surface of the skinc. An audible and palpable crunching caused by roughened surfaces articulating d. The audible or palpable click occurring in the TMJ on opening the mouthQuestion 5The difference between involuntary rigidity of the abdomen and voluntary guarding is:a. Voluntary guarding is always bilateral; involuntary rigidity is always unilateral b. Voluntary guarding relaxes during exhalation; involuntary rigidity never relaxes c. Voluntary guarding cannot be controlled; involuntary rigidity can be controlled d. Voluntary guarding relaxes during inhalation; involuntary rigidity never relaxesQuestion 6The nurse is caring for a resident who is ordered neuro observation checks every 4 hours after a fall. At 0200, the nurse does the checks and notices no change in the assessment. The resident complains of feeling tired. At 0600, a nurse goes into the resident’s room and notices the resident fast asleep. What action should the nurse take?a. Immediately wake the resident up and perform neurological checks1 b. Document in resident’s chart accurately of the findingc. Cover the client with blanket to increase comfort and ensure the rails up d. Ensure that the nurse tells the incoming nurse to monitor the residentQuestion 7Screening for scoliosis would most likely find a prevalence among which population?a. Females, aged 10 through adolescenceb. Males and females, aged 10 through adolescence c. Males and females during adolescenced. Males, aged 10 through adolescenceQuestion 8Which statement below is an example of breaching ethics?a. The nurse approaches the research ethics board with an idea for research. b. The nurse tries to convince a Jehovah’s Witness to have a blood transfusion. c. The nurse reads charts of clients not within her circle of care.d. The nurse refuses to work in an abortion clinic because it’s against her faith.Question 9Which vital signs below needs priority assessment and intervention as a nurse?a. T=36.6, P=91, R=22, B.P=122/82, O2=99% RAb. T=36.5, P=97, R=20, B.P=125/70, O2=95% on 3L via nasal prongs c. T=36.3, P=62, R=14, B.P=119/79, O2=95% on 2L via nasal prongs d. T=37.9, P=87, R=24, B.P=144/84, O2=96% RAQuestion 10Where can you hear the tricuspid valve sound with a stethoscope?a. Right lower sterna borderb. Second right interspacec. Fifth interspace at around left midclavicular line- mitral valve area d. Left lower sterna borderQuestion 11Your 62 year old male patient has been prescribed Digoxin .25mg PO once daily. What is the mechanism of action for this medication?a. Digoxin works by decreasing overall coronary circulation b. Digoxin speeds and strengthens the heart’s contractions c. Digoxin works by increasing automaticity at the SA node d. Digoxin slows and strengthens the heart’s contractionsQuestion 12 Health Science Science Nursing RPNR 014 Share QuestionEmailCopy link Comments (0)

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