QOD 90: Dehydration in the Elderly (Labs/Health Promotion and Maintenance)
Question: An 86-year-old male patient is transferred from the long-term care facility where he lives to the hospital for treatment after falling in the hallway. The staff tell the nurse that he normally is not a fall risk and has been healthy and active, with little to no cognitive impairments. Upon admission, the patients laboratory […]
QOD 89: Complications of Gestational Diabetes (Endocrine/Metabolic/Health Promotion and Maintenance)
Question: A pregnant client is in labor to deliver her baby. The mother is 39 weeks’ gestation and has had gestational diabetes during pregnancy. The mother has missed many prenatal appointments and admits that she has not checked her blood glucose levels or controlled her diet well, despite her diagnosis. Which of the following are […]
QOD 88: Aspiration After Bronchoscopy (Respiratory/Health Promotion and Maintenance)
Question: A 35-year-old client is undergoing a bronchoscopy procedure to evaluate a mass in his airway. Following the procedure, the nurse periodically assesses the patients cough and gag reflexes. Which best describes the rationale for this action? Answer: D. To prevent the patient from aspirating secretions Rationale: A bronchoscopy is a diagnostic test that involves […]
QOD-87 Assessment of Pain (GI/GU/Health Promotion and Maintenance)
Question: A nurse is caring for a 15-year-old girl who is recovering from an appendectomy. The nurse is trying to assess the patients level of pain. Which question from the nurse would be most appropriate for determining the intensity of pain the patient is experiencing? Answer: C. “How would you rate your pain on a […]
QOD 86: Hypothermia in an Infant (OB/Peds/Health Promotion and Maintenance)
Question: A nurse working in the newborn nursery is caring for an infant who was born 3 hours ago. The infant’s axillary temperature is 97.0F and the nurse notes that his respiratory rate is 60/minute. Which action of the nurse is most appropriate? Answer: B. Increase the heat on the radiant warmer and place a […]
QOD 85: Cardiac Changes Related to Aging (Cardiac/Health Promotion and Maintenance)
Question: An 80-year-old patient is being seen at the primary care clinic for routine care. The nurse performs a physical assessment on the patient. Based on the potential changes in the cardiac system associated with aging, which instructions would the nurse most likely give to this patient? Answer: A. Tell the patient to stand up […]
QOD 84: Best Patient Position to assess Posterior Lung Sounds (Respiratory/Health Promotion and Maintenance)
Question: A nurse needs to assess a patients back and listen to posterior lung sounds. In which position would it be most appropriate to place this patient? Answer: D. High Fowler’s Rationale: To assess the back and listen to posterior lung sounds, the nurse should place the client in the high Fowler’s position. In this […]
QOD 83: Stress Reduction in Pregnancy (Mental Health/Health Promotion and Maintenance)
Question: A 35-year-old pregnant patient tells the nurse that she has been feeling significant stress in her life since she found out she was pregnant. Select all of the appropriate measures the nurse can suggest as part of stress reduction in a pregnant patient. Answer: B. Find a hobby that is enjoyable D. Participate in […]
QOD 82: Exercise and Aging (Musculoskeletal/Health Promotion and Maintenance
Question: A 67-year-old patient complains to the nurse that while he used to run long distances and participate in marathons, he no longer has the stamina to run very far. Select all of the following that are associated with changes in exercise tolerance as a result of aging. Answer: B. Decreased lean muscle mass D. […]
QOD 81: Musculoskeletal symptoms in Pregnancy (OB/Peds/Health Promotion and Maintenance)
Question: A patient who is 16 weeks’ pregnant is at the healthcare provider’s office for a routine prenatal exam. The nurse is educating the patient about pregnancy-related body changes that will most likely occur in the next several months. Which best describes a condition that affects the musculoskeletal system that occurs during pregnancy? Answer: C. […]