Saturday, May 7, 2016

QUESTIONS AND ANSWER WITH RATIONALE

1.The client asks the nurse why an electronic health record (EHR) system is being used. Which response by the nurse indicates an understanding of the rationale for an EHR system?
Published by www.nursingwork.in
1) It includes organizational reports of unusual occurrences that are not part of the client's record.
2) This type of system consists of combined documentation and daily care plans.
3) It improves interdisciplinary collaboration that improves efficiency in procedures.
4) This type of system tracks medication administration and usage over 24 hours

Answer: 3) It improves interdisciplinary collaboration that improves efficiency in procedures.

Rationale:
The EHR has several benefits for use, including improving interdisciplinary collaboration and making procedures more accurate and efficient. An occurrence report is an organizational record of an unusual occurrence or accident that is not a part of the client's record. Integrated plans of care (IPOC) are a combined charting and care plan format. A medication administration record (MAR) is used to document medications administered and their usage.

2.A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the nurse. Based on his injury, which type of pain is this patient most likely experiencing?
Published by www.nursingwork.in

1) Phantom
2) Visceral
3) Deep somatic
4) Referred

Answer: 3) Deep somatic

Rationale:
Deep somatic pain originates in ligaments, tendons, nerves, blood vessels, and bones. Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perceived to originate from a part that was removed during surgery. Visceral pain is caused by deep internal pain receptors and commonly occurs in the abdominal cavity, cranium, and thorax. Referred pain occurs in an area that is distant to the original site.

Thursday, May 5, 2016

SAUDI STAFF NURSE EXAM QUESTIONS

1. Nurses’ aides should always wear
a. clean uniforms
b. comfortable nursing shoes
c. socks or hose without runs
d. all of the above

Answer: d. all of the above

2. The client is having a cardiac catheterization. During the procedure, the client tells the nurse, “I’m feeling really hot.” Which response would be best?
a. “You are having an allergic reaction. I will get an order for Benadryl.”
b.  “That feeling of warmth indicates that the clots in the coronary vessels are dissolving.”
c.“That feeling of warmth is normal when the dye is injected.”
d. “I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing.”

Answer: c.“That feeling of warmth is normal when the dye is injected.”

3. A patient has had hip surgery. Her legs should be:
a. abducted
b. elevated
c. in the most comfortable position for the patient
d. adducted

Answer: d. adducted

4. A resident’s daughter expresses concern because her father, who has Parkinson’s disease, appears “stuck” at times and stands still, unable to walk. The nurses’ assistant should tell the daughter that:
a. that is a common sign of Parkinson’s disease.
b. her father has likely had a stroke.
c. he is confused.
d. he just doesn’t feel like walking.

Answer: a. that is a common sign of Parkinson’s disease.

Wednesday, May 4, 2016

10 ONE MARK NURSING QUESTION ANSWERS

Question # 1. To diagnose dysthymia, the mood disturbance should last for at least
 Answer:  2 years

Question # 2. What is the principal erogenous organ in women?
Answer:  Clitoris

Question # 3. Administration of measles vaccine to child is a measure of
Answer: Specific protection

Question # 4. Features of good unit planning are
Answer: All of these

Question # 5. Principles of IV drugs administration is
Answer: Should dilute before administration

Monday, May 2, 2016

NURSING QUESTION AND ANSWER WITH RATIONALE

1.A woman of Orthodox Jewish faith who underwent a hysterectomy for cancer is being cared for on the surgical floor. Which healthcare team member(s) could be assigned to bathe this patient? Choose all correct answers.

1) Male nursing assistant
2) Male licensed practical nurse
3) Female graduate nurse
4) Female registered nurse: 

Answer: 3) Female graduate nurse AND 4) Female registered nurse

Rationale:


Orthodox Judaism prohibits personal care being provided by a member of the opposite sex. The patient who underwent a hysterectomy is female; therefore, out of respect for her religious beliefs, she should not be bathed by the male licensed practical nurse or nursing assistant.

2.Which pain management task can the nurse safely delegate to nursing assistive personnel?
1) Asking about pain during vital signs
2) Evaluating the effectiveness of pain medication
3) Developing a plan of care involving nonpharmacologic interventions
4) Administering over-the-counter pain medications: 

Answer: 1) Asking about pain during vital signs

Rationale:
The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP) obtain vital signs. The NAP must be instructed to report findings to the nurse without delay. The nurse should evaluate the effectiveness of pain medications and develop the plan of care. Administering over-the-counter and prescription medications is the responsibility of the registered nurse or licensed practical nurse.

3.Which of the following clients is experiencing an abnormal change in vital signs? A client whose (select all that apply):

Sunday, May 1, 2016

10 NCLEX RN QUESTION ANSWERS

NCLEX RN QUESTION ANSWERS

The most frequently asked NCLEX RN QUESTION ANSWERS published here, go through the questions and find the answers below each post. NCLEX Question Answers 2021 also published at www.nursingwork.in

1. The most effective types of reversible birth control is
 A:-IUD
 B:-Condoms
 C:-Contraceptive pills
 D:-None

Answer:-  A:-IUD

2. Bubonic plague is transmitted by
 A:-Tsetse fly
 B:-Yersinia pestis
 C:-Itch mite
 D:-Rat flea

Answer:-  D:-Rat flea

3. The type of protein energy malnutrition in which there is deficiency in calorie intake is
 A:-Kwashiorkor
 B:-Marasmus
 C:-Both
 D:-None
Answer:-  B:-Marasmus

4. The nurse is caring for the client following a thyroidectomy when suddenly the client becomes nonresponsive and pale, with a BP of 60 systolic. The nurse’s initial action should be to:
A. Lower the head of the bed
B.Obtain a crash cart
C. Administer atropine IV
D.  Increase the infusion of normal saline

Answer: B.Obtain a crash cart

5. Formula used for calculating the dose for children under 12 years
 A:-Clark's formula
 B:-Young's formula
 C:-Barfoed's formula
 D:-Fried's formula

Answer:-  B:-Young's formula

6. ___________ symptoms are felt by the patient alone
 A:-Subjective symptoms
 B:-Objective symptoms
 C:-Both
 D:-None

Answer:-  A:-Subjective symptoms

7. Excess of fluorine in body results in
 A:-Dental caries
 B:-Flurosis
 C:-Wilson's disease
 D:-Goitre

Answer:-  B:-Flurosis

8. A patient complains of feeling short of breath and nauseated. Her face is rapidly turning red. She tells the nurses’ aide that she didn’t know there were strawberries in the gelatin she ate. The aide should:
A. take away the tray.
B. tell the patient that fruit is good for you.
C. notify the nurse immediately.
D. note on the chart that the patient appears to be allergic to strawberries.

C. notify the nurse immediately.

9. _____________ is a chronic miasm which is manifested as cauliflower like growth on the skin.
 A:-Sycosis
 B:-Syphilis
 C:-Psora
 D:-Tubercular

Answer:-  A:-Sycosis

10. While dispensing amoxycilline patient should be advised to
 A:-take with milk
 B:-complete all the prescribed doses
 C:-take with lime
 D:-take in empty stomach

Answer:-  B:-complete all the prescribed doses


10 NCLEX RN QUESTION ANSWERS