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

Illness raises blood glucose due to stress hormones; patients must stay hydrated, monitor glucose frequently, and not stop medications without guidance.

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

Contrast media can impair renal function, causing metformin accumulation and lactic acidosis; it must be withheld around the procedure.

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 'A' in SBAR is the nurse's clinical interpretation or assessment of the patient's current problem.

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

Trendelenburg increases venous pressure in the cerebral vasculature, further elevating intracranial pressure.

Question 5

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

Accepted Answer

Altered level of consciousness and headache

Answer

Altered LOC and headache are early manifestations; Cushing's triad (bradycardia, hypertension, irregular respirations) and fixed pupils are late, ominous signs.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN BS-Nursing General 4