DEMO NURSE EXAM MODE 1

The client determines that a mechanically ventilated client requires restraints . Which restraint device is most appropriate for this client ?

A client with angina complains that the angina pain is prolonged and severe and occurs at the same time each day, most often in the morning, On further assessment a nurse notes that the pain occurs in the absence of precipitating factors. This type of  anginal pain is best described as:

A patient with bowlegs due to abnormal bone formations and deformities has calcium level of 7.5 mg/100ml.

Which of the following foods would the nurse most likely instruct the patient to add to a diet?

While reviewing stress management techniques with a patient diagnosed with multiple sclerosis, what would the nurse identify as MOST appropriate?

A four year – old boy presented with a firm and non- tender mass that his mother had discovered in the right upper abdominal quadrant He was admitted to the hospital and underwent complete surgical excision of a renal tumor that had extended beyond the kidney. The child was then scheduled for radiation and chemotherapy treatment.

Which stage was the tumor?

A 25 years-old male patient suffered a spinal cord injury at the T -4 level and is being cared for in hospital. The nurse enters the patient’s room and finds the patient sitting upright and looking anxious and restless. He complains of sudden headache and nausea. Sweat forms on his forehead yet his feet are cool to touch

Blood pressure 150/100 mmhg

Heart rate 55/min

Respiratory rate 28/min

Temperature 37.1C

What nursing intervention is initially most appropriate?

The nurse administered a dose of morphine sulfate, as prescribed to a patient who is in the post-anesthesia care unit (PACU). The patient appears to be resting comfortably; the respiratory rate is 8 and the O2 saturation on 2L of oxygen via nasal cannula is 86%. The nurse should IMMEDIATELY administer.

A 42 year- old patient is in a lower body cast following a motor vehicle accident. In order to minimize muscle strength loss while in the cast, the nurse will instruct the patient in the performance of

A 23 year- old male comes to the Emergency Department in a sickle cell crisis. He reports that his pain level is a 10/10 in all extremities. During the assessment, he cannot lie still because of the pain. There is no cyanosis or clubbing in the extremities and all examination findings are normal. The vital signs recorded were

Blood pressure 132/82 mmHg

Heart rate 110/min

Respiratory rate 18/mm

Temperature 38.4°C

Oxygen Saturation 94 % an room air

Which nursing diagnosis is first priority?