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1. Corrine is a 48-year-old mother who is admitted to the hospital with a diagnosis of ruled out mitral stenosis.
She signed the consent for surgery to correct her stenosed valve because of unbearable signs and
symptoms. She is complaining of difficulty breathing, coughing up blood, orthopnea, and paroxysmal
dyspnea. The nurse is aware that these symptoms are the result of:
A) Thickened pericardium
B) Left ventricular hypertrophy
C) Right heart failure
D) Pulmonary hypertension
2. A nurse is caring for a patient who has an amputation of a limb. The patient begins to experience extreme
discomfort in the area where the limb once was. He is near crying and diaphoretic. The nurse wants to
properly document the situation, but is not sure of what nursing diagnosis to use. She seeks help from her
unit manager and was able to come up with the most appropriate nursing diagnosis, which is:
A) Hopelessness related to altered lifestyle
B) Ineffective coping related to surgery
C) Chronic pain related to phantom limb phenomenon
D) Disturbed sensory perception related to bed rest
3. Carmela, a clinical nurse specialist, is a newly hired nurse at the pediatric intensive care unit. She is
aware that conflicts occur in any organization, including her new unit of assignment. She is also aware
that all of the following but one is true about conflict:
A) Can be destructive if the level is too high
B) Can lead to a poor performance
C) Can create leaders
D) Should be prevented at all times, as it is not beneficial
4. Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the
nurse on duty in the nursery when will baby Richard's permanent eye color be established?
A) 3 to 12 months
B) 12 to 24 months
C) 24 to 36 months
D) 36 to 48 months
5. A 20-year-old patient was diagnosed with neutropenia. When teaching the patient and his family, the
nurse should include the avoidance of:
A) Using a filter mask
B) Performing perineal hygiene after each bowel movement
C) Performing oral hygiene after every meal
D) Using suppositories or enemas
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
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