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Exam 5:NUR242/ NUR 242 (Updated 2025/ 2026) Medical-Surgical Nursing Exam Grade A- (Galen), Exams of Nursing

Moraine Valley Community CollegeNursing

Exam 5:NUR242/ NUR 242 (Updated 2025/ 2026) Medical-Surgical Nursing Exam Grade A- (Galen) NUR242 exam questions NUR 242 medical-surgical nursing Galen nursing exam NUR242 NUR242 verified answers medical-surgical nursing exam 2025 2026 NUR242 exam prep NUR 242 nursing test preparation Medical-surgical nursing questions Galen medical-surgical exam guide NUR242 study guide 2025 NUR 242 exam grade A 100% grade A NUR242 test NUR242 2026 test answers medical-surgical nursing 2025 exam Galen nursing exam updated questions NUR242 questions and answers 2025 medical-surgical exam Galen Galen NUR 242 test tips 100% pass medical-surgical nursing exam NUR242 exam review 2025 NUR 242 study material Galen NUR 242 practice questions NUR242 2026 exam format updated medical-surgical exam questions Galen NUR242 test bank NUR 242 exam help Medical-surgical nursing exam success NUR 242 Galen college test answers verified NUR242 grade A study

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2024/2025

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1w/w35
Exam 5: NUR242/ NUR 242 (Updated 2025/ 2026) Medical-Surgical Nursing Exam,
Questions and Verified Answers 100% Grade A- (Galen)
1. Awclientwwithwtypew2wdiabeteswiswadmittedwtowthewambulatorywsurgerywunitwforwelectivewca
taractwsurgery.wBeforewsurgerywthewclientwaskswthewnurse,w"Howwwillwmywdiabeteswbewmanag
edwwhilewIwamwhere?"wWhichwiswthewbestwresponsewbywthewnurse?:wI'mwnotwquitewcertainwIwunde
rstandwwhatwyouwarewasking."
2. Whichwexplanationwwouldwthewnursewprovidewawclientwwhowaskswwhatwawcataractwi
s?:wAnwopacitywofwthewlens
3. Awclientwreportswfeelingwnauseatedwimmediatelywafterwcataractwsurgery.wWhichwactionwwo
uldwthewnursewtake?:wAdministerwthewprescribedwantiemetic
4. Whichwinformationwwouldwthewnursewincludewinwpostoperativewteachingwforwawclientww
howhadwcataractwsurgery?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbewcor
rect.:wDon'twblowwyourwnose,wavoidwbendingwfromwthewwaist
5. Whichwclientwstatementwindicateswthatwthewdischargewteachingwafterwawcataractwextraction
wandwanwintraocularwlenswimplantwisweffective?:wIwshouldwcallwthewclinicwifwmyweyewbeginswtowhur
t.
6. Whichwinstructionwiswimportantwforwthewnursewtowprovidewtowthewclientwafterwcataractws
urgery?:wAvoidwbendingwfromwthewwaist
7. Whichwconditionwcanwcausewawclientwseverewpainwafterwawcataractwextraction?-
:wHemorrhagewintowtheweye
8. Afterwcataractwsurgery,wthewnursewteacheswawclientwhowwtowself-
administerweyedrops.wThewnursewwouldwreinforcewthewusewofwwhichwtechnique?:wHoldingwthew
dropperwtipwabovewthewconjunctivalwsac
9. Afterwcataractwsurgery,wawclientwreportswfeelingwnauseated.wHowwcanwthewnursewpreventwvo
miting?:wAdministerwthewprescribedwantiemeticwmedication
10. Exposurewtowwhichwelementwwouldwbewthewreasonwforwcataractswinwa
36-year-
oldwclientwwhowiswawglasswworker?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbe
wcorrect.:wHeat,wmetalwpowder
11. Whichwrationalewwouldwthewnursewincludewinwteachingwawclientwwithwglaucomawaboutwthew
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Download Exam 5:NUR242/ NUR 242 (Updated 2025/ 2026) Medical-Surgical Nursing Exam Grade A- (Galen) and more Exams Nursing in PDF only on Docsity!

1 w/w 35 Exam 5 : NUR242/ NUR 242 (Updated 2025 / 202 6 ) Medical-Surgical Nursing Exam, Questions and Verified Answers 100% Grade A- (Galen)

  1. Awclientwwithwtypew 2 wdiabeteswiswadmittedwtowthewambulatorywsurgerywunitwforwelectivewca taractwsurgery.wBeforewsurgerywthewclientwaskswthewnurse,w"Howwwillwmywdiabeteswbewmanag edwwhilewIwamwhere?"wWhichwiswthewbestwresponsewbywthewnurse?:wI'mwnotwquitewcertainwIwunde rstandwwhatwyouwarewasking."
  2. Whichwexplanationwwouldwthewnursewprovidewawclientwwhowaskswwhatwawcataractwi s?:wAnwopacitywofwthewlens
  3. Awclientwreportswfeelingwnauseatedwimmediatelywafterwcataractwsurgery.wWhichwactionwwo uldwthewnursewtake?:wAdministerwthewprescribedwantiemetic
  4. Whichwinformationwwouldwthewnursewincludewinwpostoperativewteachingwforwawclientww howhadwcataractwsurgery?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbewcor rect.:wDon'twblowwyourwnose,wavoidwbendingwfromwthewwaist
  5. Whichwclientwstatementwindicateswthatwthewdischargewteachingwafterwawcataractwextraction wandwanwintraocularwlenswimplantwisweffective?:wIwshouldwcallwthewclinicwifwmyweyewbeginswtowhur t.
  6. Whichwinstructionwiswimportantwforwthewnursewtowprovidewtowthewclientwafterwcataractws urgery?:wAvoidwbendingwfromwthewwaist
  7. Whichwconditionwcanwcausewawclientwseverewpainwafterwawcataractwextraction?- :wHemorrhagewintowtheweye
  8. Afterwcataractwsurgery,wthewnursewteacheswawclientwhowwtowself- administerweyedrops.wThewnursewwouldwreinforcewthewusewofwwhichwtechnique?:wHoldingwthew dropperwtipwabovewthewconjunctivalwsac
  9. Afterwcataractwsurgery,wawclientwreportswfeelingwnauseated.wHowwcanwthewnursewpreventwvo miting?:wAdministerwthewprescribedwantiemeticwmedication
  10. Exposurewtowwhichwelementwwouldwbewthewreasonwforwcataractswinwa 36 - year- oldwclientwwhowiswawglasswworker?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbe wcorrect.:wHeat,wmetalwpowder
  11. Whichwrationalewwouldwthewnursewincludewinwteachingwawclientwwithwglaucomawaboutwthew

2 w/w 35 needwforwtreatment?:wLostwvisionwcannotwbewrestored

  1. Whichwtreatmentwgoalwwouldwthewnursewemphasizewwhenwteachingwawclientwwithwawdia gnosiswofwopen-anglewglaucoma?:wControlwintraocularwpressure
  2. Whichwinformationwwouldwthewnursewincludewinwexplainingwglaucomawtowawclient?:wAn wincreasewinwthewpressurewwithinwtheweyeball
  3. Whichwgoalwiswthewnursewtryingwtowachievewbywreinforcingwtowthewclientwthatwitwiswimporta ntwtowseekwtreatmentwforwprimarywopen-anglewglaucomaw(POAG)?:w-wPreventwblindness
  4. Whilewassessingwtheweyeswofwawclient,wawhealthwcarewproviderwnoticeswtherewiswanwobstr uctionwtowthewoutflowwofwaqueouswhumor.wWhichwadditionalwfindingwwouldwbewnotedwtowsu pportwawdiagnosiswofwglaucoma?:wElevatedwintraocularwpressure

4 w/w 35 worwallwresponseswmaywbewcorrect.:wIwcanwliftwobjectswthanwweightwmorewthanw10lbs,wIwshouldwk eepwmywheadwinwdependentwposition

  1. Awclientwwithwglaucomawiswreceivingwawcarbonicwanhydrasewinhibitor.wWhichwstatementw madewbywthewclientwwillwrequirewthewnursewtownotifywthewprimarywhealthwcarewprovider?:w"Iwamw allergicwtowsulfonamides."
  2. Whichwophthalmicwsolutionwiswcontraindicatedwforwclientswwithwglaucoma?- :wAtropine

5 w/w 35

  1. Whichwtechniquewusedwbywthewnursewdemonstrateswmedicationwsafetywandweffectiven esswwhenwassistingwanwolderwclientwtowinstillwprescribedweyedropswforwglaucoma?wSelectwa llwthatwapply.wOne,wsome,worwallwresponseswmaywbewcorrect.:wPressingwthewinnerwcanthuswfor w 1 wtow 2 wminuteswafterwinstillation
  2. Anwinfantwexhibitswpurulentwconjunctivitiswonwthewfourthwdaywofwlifewandwiswbroughtwtowt hewemergencywdepartment.wWhichwiswthewprioritywnursingwaction?- :wAssessingwthewinfantwforwsignswofwpneumonia
  3. macularwdegeneration:wlosswofwcentralwvision
  4. Whichwocularwsymptomwwouldwthewnursewexpectwawclientwwithwawdiagnosiswofwdrywage- relatedwmacularwdegenerationwtowreport?:wLosswofwcentralwvision
  5. Whichwresponsewreportedwbywanwolderwadultwclientwwouldwthewnursewidentifywaswconsist entwwithwthewdiagnosiswofwmacularwdegeneration?:wIwcan'twseewobjectswinwthewcenterwofwmywvis ionwfield.
  6. Whichwinstructionwwouldwthewnursewgivewtowawclientwwithwreducedwsensorywperception ?:wUsewawbathwthermometer
  7. Awclientwonwantidepressantwtherapywdevelopswhyperthermia,wseizures,wandwawheartwratew ofw 200 wbeatswperwminute.wWhichwmedicationwwouldwthewnursewsuspectwiswresponsiblewforwth ewcondition?:wSertraline
  8. Aw 7 - year- oldwchildwwhowiswtakingwmedicationwtowpreventwseizureswhaswbeenwseizurewfreewforw 2 wyears.w Thewchild'swparentswaskwthewnurse,w"Howwmuchwlongerwwillwmywchildwneedwtowtakewthewmedi cation?"wWhichwanswerwwillwthewnursewpro- wvide?:w"Thiswiswusuallywattemptedwafterw 2 wyears,wbutwmedicationswmustwbewgraduallywdecrease d."
  9. Thewregisteredwnursew(RN)wiswdelegatingwtaskswtowthewhealthwcarewteam.wWhichwteamwm emberwiswmostwlikelywtowachievewanweffectivewoutcomewinwthewcarewofwawclientwwhowiswbedridd enwforwlongwperiodswwithwseizures?:wLicensedwpracticalwnursew(LPN)
  10. Duringwawhomewvisit,wthewnursewdiscoverswthatwawchildwinwthewhouseholdwwhowhaswawdisab ilitywhaswbeenwexperiencingwseizures.wThewchild'swparentwappearswindifferentwtowthewchild'sw physical,wemotional,worwmedicalwneedswandwseemswtowprovokewseizurewepisodeswbywharshw verbalwexchangeswwithwthewchild.wWherewwouldwthewnursewdirectwawreferral?:wChildwProtecti

7 w/w 35 scheduledwtowreceivewanwanticonvulsantwmedicationwatw9:00wAM.wWhichwactionwwouldwthewnur sewtake?:wAskwthewhealthwcarewproviderwtowprescribewanwalternative

  1. Awclientwiswadmittedwtowthewhospitalwwithwawtonic- clonicwseizurewafterwhiswseizureswhadwbeenwwellwcontrolledwbywphenytoinwforw 6 wmonths.wThe wclientwsayswtowthewnurse,w"Iwamwsowupset.wIwdidn'twthinkwIwwaswgoingwtowhavewmorewseizures."w Whichwresponsewwouldwthewnursewmake?:wYouwarewworriedwaboutwhavingwmorewseizures
  2. Awclientwwithwseverewabdominalwpainwiswonwmeperidinewtreatmentwandwlaterwdevelopsw seizures.wWhichwinterventionwiswgivenwhighestwpriority?:wStopwadmin- wistrationwofwmeperidine
  3. Whichwactionwwouldwthewnursewperformwimmediatelywaccordingwtowprioritywofwcarewforwaw clientwwithwtonic-clonicwseizures?:wEnsuringwawpatentwairway.
  4. Accordingwtowpriority,winwwhichworderwwouldwthewnursewperformwcarewactiv- witieswforwawclientwwithwcompletewpartialwseizures?:w1.wMaintainwairway.w2.wRecordwtimewandw durationwofwseizure.w3.wAssesswvitalwsigns.w4.wPerformwneurologicalwchecks
  5. Thewnewbornwofwawlactatingwwomanwtakingwfluoxetinewdevelopedwtremors,wseizures,wan dwfever.wWhichwmedication- inducedwphysiologicalwalterationswmaywbewresponsiblewforwthewcentralwnervouswsystemweffe ctswofwthewmedicationwonwthewneonate?:wImmaturewblood-brainwbarrier
  6. Awpretermwneonatewadmittedwtowthewneonatalwintensivewcarewnurserywexhibitswmusclewtwi tching,wseizures,wcyanosis,wabnormalwrespirations,wandwawshort,wshrillwcry.wWhichwcomplicati onwwouldwthewnursewsuspect?:wIntracranialwhemorrhage
  7. Whichwiswthewmostwimportantwneedwforwawnewlywpregnantwclientwreceivingwphenytoinw forwseizures?:wExplainingwwhywitwiswextremelywimportantwtowtakewthewprescribedwfolicwacidws upplements
  8. Thewregisteredwnursew(RN)wiswdelegatingwtaskswtowthewhealthwcarewteam.wWhichwteamw memberwiswmostwsuitablewforwachievingwanweffectivewoutcomewinwthewcarewofwawclientwwhow haswbeenwbedriddenwforwlongwperiodswwithwseizures?- :wLicensedwpracticalwnurse
  9. Awclientwonwbupropionwtherapywforwdepressionwexperienceswseizures.wWhichwactionsware wusedwtowreducewthewriskwforwseizures?wSelectwallwthatwapply.wOne,wsome,worwallwresponsesw maywbewcorrect.:wDiscouragingwrapidwdosewtitration,wavoid-

8 w/w 35 wingwadministrationwofwthewmedicationwwithwparoxetine,wavoidingwconcomitantwusewofwfluoxetin e

  1. Thewnursewunderstandswwhichwantiepilepticwmedicationwwouldwbewusedwaswthewfirst- linewtreatmentwforwabsencewseizures?:wValproicwacid
  2. Whichweducationwwouldwthewnursewprovidewaboutwthewoccurrencewofwfebrilewseizures?:w Theywmaywoccurwinwminorwillnesses

10 w/w 35 onwforwthewdevelopmentwofwstatuswepilepticus?:wThewprescribedwantiseizurewmedicationwpro bablywiswnotwtakenwconsistently.

  1. Whichwantiseizurewmedicationswwouldwthewnursewidentifywaswbeingwusedwtowstabiliz ewawclient'swmoodwbywsuppressingwmaniawassociatedwwithwbipolarwdisorderw(BPD)?wSele ctwallwthatwapply.wOne,wsome,worwallwresponseswmaywbewcorrect.:wCarbamazepin,wDivalpr oexwsodium,wLamotrigine
  2. Whichwmedicationwwouldwthewnursewrecognizewaswbeingwcontraindicatedwforwusewinwclie ntswwithweatingwandwseizurewdisorders?:wBupropion

11 w/w 35

  1. Whichwpiecewofwequipmentwwillwthewnursewremovewfromwthewbedsidewofwawclientwonw seizurewprecautions?:wPaddedwtonguewblade
  2. Awchildwbecomeswcyanoticwduringwawgeneralizedwtonic- clonicwseizure.wWhichwiswthewmostwappropriatewactionwbywthewnurse?:wContinuingwtowobservew thewseizure

wthewchild'swstatuswandwthewprogressionwofwthewseizurewshouldwbewmonitored;wthewchildwwillwnotwbre athewuntilwthewseizurewiswover,wandwcyanosiswshouldwsubsidewatwthatwtime.

  1. Whichwnursingwinterventionwiswthewmostweffectivewinwpreventingwawseizurewinwawclientwwit hwseverewpreeclampsia:wControllingwexternalwstimuli
  2. Whichwiswthewprioritywnursingwactionwwhenwawclientwadmittedwwithwpreeclamp- wsiawhaswawseizure?:wTurningwthewclient'swheadwtowthewside
  3. Whenwwouldwthewriskwofwanotherwseizurewinwawclientwwithweclampsiawde- wcrease?:w 48 whourswpostpartum
  4. Whichwfactorwwouldwcausewawrisewinwtemperaturewtow102°Fw(38.9°C)wafterwawseizurewin wawclientwwithweclampsia?:wIrregularitywinwthewcerebralwthermalwcenter
  5. Thewclientwwithwawseizurewdisorderwreceiveswintravenousw(IV)wphenytoin.wThewnursewwillw monitorwcloselywforwwhichwcondition?:wCardiacwdysrhythmias
  6. Awclientwwithwawseizurewdisorderwwillwbeginwtakingwphenytoin.wWhichwinstruc- wtionswwillwthewnursewgivewtowthewclient?:wProvidewmeticulousworalwhygiene."
  7. Awclientwiswadmittedwtowthewemergencywdepartmentwafterwexperiencingwawseizure.wW hichwactionwwouldwthewnursewtakewfirst?:wObtainwawhistorywofwseizurewtypewandwincidence
  8. Awclientwhaswawtonic- clonicwseizure.wThewnursewanticipateswthatwthewhealthwcarewproviderwwillwprescribewthewintr avenouswadministrationwofwwhichwmedica-wtion?:wDiazepam
  9. Whichwactionwwouldwthewnursewtakewwhen,wuponwenteringwawclient'swroom,wheworwshewdisc overswthewclientwexperiencingwawseizurewonwthewfloor?:wProtectwthewhead.
  10. Duringwelectroconvulsivewtherapyw(ECT),wthewhealthwcarewproviderwadminis- wterswanwelectricalwshock,wandwthewseizurewdurationwisw 60 wseconds.wPlacewinwpriori- wtyworderwthewnursingwactionswthatwwouldwbewtakenwafterwthewseizurewends.:wEnsurewanwairwaywis wopen,wcheckwvitals,worientwthewpatientwtowplacewandwtime,wassesswpatientwforwpresencewofwshor

13 w/w 35 edwtowthewclient'swseizure?:wWerewyouwawarewofwanythingwdifferentworwunusualwjustwbeforewyourwse izurewbegan?

  1. Whenwmakingwrounds,wthewnursewobserveswawclientwwhowiswexperiencingwawseizure.wW hichwactionwwouldwthewnursewtake?:wMovewobstacleswawaywfromwthewclient
  2. Uponwenteringwawclient'swroom,wthewnursewseeswthewclientwexhibitingwseizurewactivity.wW hichwiswthewfirstwactionwthewnursewwouldwtake?:wAssesswthewclient'swairway
  3. Whichwactionwwouldwthewnursewtakewifwaw 6 - year- oldwchildwwhowiswsittingwatwawtablewinwthewplayroomwhaswawtonic- clonicwseizurewwithwclenchedwjaws?:wLoweringwthewchildwtowthewfloor
  4. Whilewinwthewplayroom,wawschool- agedwchildwexhibitswtwitchingwofwthewrightwarmwandwlegwthatwalmostwimmediatelywprogresse swtowawgeneralizedwtonic- clonicwseizurewwithwclenchedwjaws.wWhichwactionwwouldwthewnursewtakewafterwmovingwthewc hildwtowthewfloor?:wMovingwobjectswawaywfromwthewchild
  5. Howwwouldwthewnursewdescribewthewclonicwphasewofwawtonic-clonicwseizure?- :wRhythmicwbodywjerking
  6. Awclientwexperiencedwawtonic- clonicwseizure.wWhichwnursingwinterventionwiswthewprioritywduringwthewtonic- clonicwstagewofwthewseizure?:wProtectwthewclientwfromwinjury
  7. Awclientwiswadmittedwtowthewhospitalwafterwhavingwawtonic- clonicwseizurewandwiswdiagnosedwwithwawseizurewdisorder.wWhichwiswmostwimportantwforwthew nursewtowincludewinwawteachingwprogram?:wExplainwstrategieswawclientwmaywusewtowpreventwphys icalwtraumawfromwoccurringwduringwawseizure.
  8. Awclientwwithwawseizurewdisorderwiswreceivingwphenytoinwandwphenobarbital.wWhichwclie ntwstatementwindicateswthatwthewinstructionswregardingwthewmedica- wtionswarewunderstood?:w"Stoppingwthewmedicationswcanwcausewcontinuouswseizureswandwiwmay wdie"
  9. Awclientwdevelopswawseizurewdisorderwaswawresultwofwawtraumaticwfall.wDuringwawclinicwvisi t,wthewclientwstates,w"Iwhavewnotwhadwawseizurewinw 2 wyears.wWhenwcanwIwstopwtakingwmywantise izurewmedications?"wWhichwresponsewwouldwthewnursewprovide?:wAwgradualwreductionwinwse izurewmedicationwmaywbewconsidered.

14 w/w 35

  1. Awclientwhaswawtonic- clonicwseizurewcausedwbywanwoverdosewofwaspirin.wWhichwactionwwouldwthewnursewtakewnext?: wMonitorwvitalwsignsweveryw 15 wminutes
  2. Awclientwwithwepilepsywiswprescribedwphenytoinwforwseizurewcontrol.wWhichwinstructio nwaboutwphenytoinwwillwthewnursewprovidewduringwdischargewteach- wing?:w"Antiseizurewmedicationswwillwprobablywbewcontinuedwforwlife."
  3. Whichwnursingwinterventionswwouldwbewbeneficialwtowthewpregnantwclientwreceivingwa ntiseizurewmedicationwtherapy?wSelectwallwthatwapply.wOne,wsome,

16 w/w 35

  1. Awnewbornwwithwawcleftwlipwandwpalatewiswbornwtowawmotherwwhowhaswawhistorywofwepilepsy. wWhichwmedicationwwouldwthewnursewsuspectwaswbeingwresponsiblewforwthiswmalformation?: wTopiramate
  2. Topiramatew(Topamax):wUsedwtowtreatwepilepsy,wtopiramatewmaywhavewterato- wgenicweffectswthatwcausewawnewbornwtowdevelopwawcleftwlipwwithwcleftwpalate.wCarba- wmazepinewandwvalproicwacidwmaywcausewfetalwneuralwtubewdefects.wPhenytoinwmaywcausewfe talwcentralwnervouswsystemwdefects.

17 w/w 35

  1. Phenytoinwsuspensionw 200 wmgwiswprescribedwforwawclientwwithwepilepsy.wThewsuspe nsionwcontainsw 125 wmg/5wmL.wHowwmanywmilliliterswwillwthewnursewadminister?w w mL:w 8 w ml
  2. Awclientwwithwepilepsywreportswdiffusewrednesswandwlargewblisterswonwthewbuccalwmu cosa.wAdministrationwofwwhichwmedicationwcouldwbewawpossiblewreasonwforwthewclient'swc ondition?:wBarbiturates
  3. Barbiturates:wBarbiturateswarewusedwtowtreatwepilepsywandwarewthewmostwcom- wmonwcausativewagentswofwtoxicwepidermalwnecrolysisw(TEN).wDiffusewrednesswandwlargewblisterswo nwthewbuccalwmucosawarewthewclinicalwsignswofwTEN.wThoughwpyrazoloneswandwsulfonamideswals owcausewTEN,wtheywarewnotwusedwinwtreatingwepilepsy.wBenzodi- wazepineswarewusedwinwtreatingwepilepsywbutwdownotwcausewTEN.
  4. Thewregisteredwnursew(RN)wiswcaringwforwawclientwwithwepilepsy.wWhichwtaskswdelegatedw bywthewregisteredwnursew(RN)wtowthewmemberswofwthewhealthwcarewteamwindicatewactivewdeleg ation?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbewcorrect.:wPassivewdelegat ionwincludeswperformingwthewtaskswbasedwonwthewpositionwdescription,wsuchwaswphysicianworwp harmacist.wThewindividualwfunctioningwinwthiswrolewperformswthesewtaskswthroughwpassivewdeleg ation.wInstructingwthewLPNwtowadministerwdiazepam,wmedicationwthatwwaswalreadywprescribedwb ywthewprimarywhealthwcarewprovider,wiswpassivewdelegation.wInstructingwthewLVNwtowadministerwsed ativeswthatwwerewalreadywprescribedwbywthewprimarywhealthwcarewproviderwiswpassivewdelegation .wInstructingwthewLPNwtowmonitorwvitalwsignswiswactivewdelegationwaswthewRNwdirectswassistivewpe rsonnelwtowperformwcertainwtaskswandwholdswthewindividualwaccountable.wInstructingwthewUAPwt owrepositionwthewclientwiswalsowanwactivewdelegationwaswthewUAPwiswcarryingwoutwcertainwtaskswthat warewdirectedwbywthewRN.wInstructingwthewUAPwtowplacewthewoxygenwmaskwiswanwactivewdelegation waswthewRNwdirectswassistivewpersonnelwtowperformwcertainwtasks.
  5. Awregisteredwnursew(RN)wmustwassesswthewbodywtemperaturewofwawclientwwith awhistorywofwepilepsy.wWhichwsitewforwmeasuringwtemperaturewiswcontraindicatedwinwthiswclien t?:wOralwcavity
  6. Whichwinstructionwwillwthewnursewgivewawclientwwithwmigrainewheadacheswwhowiswstarti ngwtriptanwmedicationwtherapy?:wReportwanywchestwdiscomfortwtowthewhealthwcarewprovider."
  7. Thewnursewteacheswawnursingwstudentwaboutwclusterwheadaches.wWhichwstatementwm adewbywthewnursingwstudentwindicateswawneedwforwfurtherwteaching?-

19 w/w 35 duringwthewperiodwofwclusterwheadaches.wAwperiodwofwremissionwafterwawfewwweeksworwmonthswofwh eadacheswiswcharacteristicwofwclusterwheadaches.

  1. Whichwstatementwindicateswthewnursewhaswawcorrectwunderstandingwaboutwtrigeminal wautonomicwcephalalgiaw(clusterwheadaches)?:wItwiswcausedwbywanwover- wactivewhypothalamus.Clusterwheadacheswarewmostwcommonlywseenwinwmenwagedw 20 wtow 50 wye ars,wandwtheywcausewintensewunilateralwheadacheswofwshortwdurationwlastingw 30 wminuteswtow 2 wh ours.
  2. Awchildwiswweakwandwlethargic,whaswheadaches,whaswnowappetite,wandwhaswdark,wcloud ywurine.wThewnursewsuspectswacutewpoststreptococcalwglomeru- wlonephritisw(APSGN).wWhichwquestionwwouldwthewnursewaskwthewmother?:w"Didwyourwchildwha vewawsorewthroatwduringwthewpastw 3 wweeks?"Ifwthewresponsewtowthewquestionwindicateswawrecentwsor ewthroat,wthewhealthwcarewproviderwmaywdecidewtowprescribewspecificwtestswtowconfirmwawdiagno siswofwASPGN.wWeightwlosswusuallywoccurswinwchildrenwwithwtypew 1 wdiabetes,wnotwglomerulonep hritis.wThiswkindwofwpainwiswreportedwinwrheumaticwfeverwandwscarletwfever,wwhichwdownotwresultwinwt hewsmokywurinewassociatedwwithwhematuria.wAwrashwonwthewpalmswandwsoleswiswnotwassociatedw withwAPSGN.
  3. Awclientwwithwmigrainewheadacheswiswscheduledwforwanwelectroencephalo- wgramw(EEG).wWhichwstatementwbywthewclientwindicateswtowthewnursewthatwprepro- wcedurewteachingwhaswbeenweffective?:wIwwillwneedwtowavoidwbeverageswwithwcaffeine.wCaffeinewp roductswusuallywarewavoidedwbeforewanwEEGwbecausewofwtheirweffectwonwbrainwactivity.wAwheada chewiswnotwawcomplicationwafterwanwEEG.wItwiswnotwnecessary towavoidwmilkworwotherwcalcium- richwfoods.wAntianxietywandwsleepwmedicationswusuallywarewdiscontinuedwbeforewthewEEGwbecaus ewofwtheirweffectwonwbrainwactivity.
  4. Aw 6 - year- oldwchildwhaswnotwbeenwfeelingwwell,wiswweakwandwlethargic,wandwhaswawpoorwappetite,whead aches,wandwsmoky- coloredwurine.wWhichwadditionalwinformationwwouldwthewnursewobtainwthatwwillwaidwthewchil d'swdiagnosis?:wStrepwthroatwinwthewpastw 2 wweeksThewsmokywurinewandwthewstatedwsymptomswwo uldwleadwthewnursewtowsuspectwglomerulonephritis,wwhichwusuallywoccurswafterwawrecentwstrepto coc-wcalwinfection.

20 w/w 35

  1. Awclientwreportswawsevere,wsharp,wstabbingwheadachewandwintensewpainwinwandwaround wtheweyewthatwlastswforwupwtow 1 whour.wHistorywrevealswthatwthewclientwhadwsimilarwepisodeswofw headacheswpreviouslywthatwlastedwforw 10 wweeks.wWhichwotherwsymptomswmaywbewmanifeste dwbywthewclient?wSelectwallwthatwapply.wOne,wsome,worwallwresponseswmaywbewcorrect.:wClust erwheadacheswarewassociatedwwithwotherwsymptoms,wincludingwrhinorrheaw(awrunnywnose),wtear ingwofweyesw(lacrimation),wmyosisw(pupillarywconstriction),wandwptosisw(droopingweyelids)
  2. Whichwactionwwouldwthewnursewtakewfirstwforwawclientwcomplainingwofwheadacheswwi thwawbloodwpressurew(BP)watw172/114wmmwHg?:wElevatewthewheadwofwthewbed,wprovidewreass urance,wandwreassesswthewBP