BSN BS-Nursing General 5

Question 1

A nurse is reviewing a patient's medication list and notes that warfarin and aspirin are both prescribed. What is the priority concern?

Accepted Answer

Significantly increased risk of bleeding

Answer

Decreased anticoagulant effect of warfarin

Answer

Risk of warfarin-induced nephropathy

Answer

Development of heparin-induced thrombocytopenia

Question 2

A patient is admitted with suspected meningitis. Which intervention should be completed first?

Accepted Answer

Complete blood culture specimens before starting antibiotics

Answer

Administer prescribed IV antibiotics immediately

Answer

Obtain a lumbar puncture specimen

Answer

Perform a CT scan of the head

Question 3

A patient who had a thyroidectomy 12 hours ago reports tingling around the mouth and muscle cramps in the hands. The nurse should assess for which complication?

Accepted Answer

Hypocalcemia due to parathyroid damage

Answer

Respiratory obstruction from hematoma

Answer

Thyroid storm

Answer

Hyponatremia from SIADH

Question 4

When using a PCA (patient-controlled analgesia) pump, which action by the patient's family member requires immediate nurse intervention?

Accepted Answer

Pressing the PCA button while the patient is sleeping

Answer

Keeping a pain diary on behalf of the patient

Answer

Reminding the patient to press the button before ambulation

Answer

Reporting unrelieved pain to the nursing staff

Question 5

A patient with a urinary tract infection is prescribed trimethoprim-sulfamethoxazole (TMP-SMX). Which allergy history is a contraindication to this medication?

Accepted Answer

Sulfa drug allergy

Answer

Penicillin allergy

Answer

Aspirin-exacerbated respiratory disease

Answer

Contrast dye allergy

Question 6

Which assessment finding indicates a complication of a plaster (non-fiberglass) cast requiring immediate notification of the provider?

Accepted Answer

Pallor, pulselessness, and pain distal to the cast

Answer

Mild itching under the cast

Answer

Warmth over the cast for the first 24 hours during drying

Answer

Capillary refill of 2 seconds distal to the cast

Question 7

A nurse is performing a focused assessment on a patient with appendicitis. Which finding is consistent with Rovsing's sign?

Accepted Answer

Right lower quadrant pain elicited by palpating the left lower quadrant

Answer

Pain at McBurney's point on direct palpation

Answer

Pain upon release of pressure in the right lower quadrant (rebound tenderness)

Answer

Hip flexion producing right lower quadrant pain (psoas sign)