BSN BS-Nursing General 4

Question 1

A nurse is teaching a patient with type 2 diabetes about the 'Sick Day Rules.' Which instruction is most important?

Accepted Answer

Increase fluid intake and continue monitoring blood glucose

Answer

Stop taking all oral hypoglycemics when ill

Answer

Fast until nausea subsides to prevent hypoglycemia

Answer

Reduce insulin dose by half when unable to eat

Question 2

A patient is prescribed metformin and is scheduled for a contrast CT scan. Which nursing action is most appropriate?

Accepted Answer

Hold metformin 48 hours before and after the contrast procedure

Answer

Administer metformin as scheduled on the morning of the scan

Answer

Double the metformin dose after the scan to compensate

Answer

Switch the patient to insulin permanently before the scan

Question 3

When implementing the SBAR communication tool, what information is conveyed in the 'Assessment' component?

Accepted Answer

The nurse's clinical judgment about what is happening with the patient

Answer

The patient's name, age, and admitting diagnosis

Answer

Specific actions the nurse wants the provider to take

Answer

Recent changes in vital signs and test results

Question 4

A nurse is caring for a patient with increased intracranial pressure (ICP). Which position is contraindicated?

Accepted Answer

Trendelenburg (head-down) position

Answer

Head of bed elevated 30°

Answer

Head midline and neutral

Answer

Slight reverse Trendelenburg

Question 5

Which finding is an early sign of increased intracranial pressure in an adult?

Accepted Answer

Altered level of consciousness and headache

Answer

Bradycardia with widened pulse pressure

Answer

Fixed and dilated pupils

Answer

Cheyne-Stokes respirations

Question 6

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. What is the recommended flow rate to avoid suppressing the hypoxic drive?

Accepted Answer

1–2 L/min via nasal cannula

Answer

6–8 L/min via simple face mask

Answer

10–12 L/min via non-rebreather mask

Answer

15 L/min via bag-valve mask

Question 7

A nurse is administering heparin subcutaneously. Which technique is correct?

Accepted Answer

Do not aspirate; inject into abdominal fatty tissue and do not massage afterward

Answer

Aspirate before injecting to confirm no blood vessel was entered

Answer

Inject into the deltoid muscle for faster absorption

Answer

Rub the site vigorously after injection to promote absorption