QOD 80: Compensated vs Decompensated Shock (Neuro/Health Promotion and Maintenance)
Question: A child is brought to the hospital for care after falling down some stairs and is in a state of neurogenic shock. The nurse performs an initial assessment on the patient. Which parameter best identifies whether the patient is in a state of compensated or decompensated shock? Answer: D. A drop in blood pressure […]
QOD 79: Nerve Damage From Continuous Vibration (Musculoskeletal/Health Promotion and Maintenance)
Question: A 61-year-old patient is being treated in the care clinic. The patient has been a school bus driver for 40 years and is asking the nurse about work-related injuries. Which symptoms would most likely develop in a person who works in conditions in which continuous vibration are present? Answer: C. Numbness in the fingers […]
QOD 78: Prevention of Anaphylactic Shock (Hematologic/Immunology/Health Promotion and Maintenance)
Question: A nurse is teaching a patient about self-care at home after he has experienced an anaphylactic reaction to shellfish. For future reference for the patient, after exposure to shellfish, in order to best manage an allergic reaction and prevent anaphylactic shock, the nurse should counsel the patient to do what as an initial intervention? […]
QOD 77: Preventing Coronary Artery Disease (Cardiac/Health Promotion and Maintenance)
Question: A 40-year-old patient is being seen for a health check-up and the nurse is providing information to him about prevention of coronary artery disease. Which best describes an appropriate goal for this patient that would be applied after teaching? Answer: A. The patient will engage in healthy behaviors Rationale: A patient who is at […]
QOD 76: Diagnosis of Sleep Apnea (Respiratory/Basic Care and Comfort)
Question: A patient tells the nurse that she is afraid that she has sleep apnea. She says that she does not feel rested in the morning and that she snores. Her husband says that he notices that she seems to stop breathing on several occasions during the night. The client asks the nurse how sleep […]
QOD 75: Nurse Delegation, Ambulation After Knee Surgery (Prioritization/Delegation/Basic Care and Comfort)
Question: A 16-year-old patient needs to get up to ambulate after having knee surgery. A nurse assigns a nursing assistant to ambulate the patient. Which of the following should the nurse consider when delegating this task to the nursing assistant? Answer: C. The nursing assistant may need to use assistive devices, such as a gait […]
QOD 74: Tumors and Sleep (Oncology/Basic Care and Comfort)
Question: A 37-year-old patient with a spinal tumor has been having a difficult time sleeping. Which best explains how a tumor can make sleep more difficult for a patient with cancer? Answer: B. The tumor may place pressure on parts of the body that can be uncomfortable Rationale: Sleep problems are common among cancer patients; […]
QOD 73: Irrigation of NG Tube (GI/GU/Basic Care and Comfort)
Question: A nurse is preparing to irrigate a patients nasogastric tube. She has assessed the patients abdomen and determined that the tip of the tube is located in the stomach. After drawing up 30 mL of normal saline into a syringe, the nurse prepares for the next step. Which best describes the next step in […]
QOD 72: Cataplexy and Sleeping Disorders (Neuro/Basic Care and Comfort)
Question: Which sleep disorder is associated with cataplexy? Answer: A. Narcolepsy Rationale: Cataplexy describes an involuntary loss of muscle function that is temporary. Cataplexy is most commonly associated with narcolepsy, which involves increased sleepiness during the daytime. A patient with narcolepsy may take medications that act as stimulants to help keep him awake; some of […]
QOD 71: Visual Impairment (Fundamentals/Basic Care and Comfort
Question: A nurse is caring for a patient who is visually impaired. Which of the following interventions is most appropriate when working with this client? Answer: C. Explain procedures in a step-by-step manner Rationale: When working with a patient who is visually impaired, the nurse must remember to explain those aspects to the client that […]