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| Section | Objectives |
|---|---|
| Topic 1: Clinical Judgment and Decision Making | - Advanced assessment and diagnostic reasoning - Evidence-based clinical decision making |
| Topic 2: Systems-Based Practice and Collaboration | - Interprofessional collaboration - Healthcare systems management - Quality improvement and patient safety |
| Topic 3: Management of Critically Ill or High-Acuity Patients | - Monitoring and complication prevention - Acute and critical care interventions - Pathophysiology across body systems |
| Topic 4: Professional Caring and Ethical Practice | - Patient advocacy and cultural competence - Ethical decision making in advanced practice nursing |
1. A patient is scheduled for an intravenous pyelogram (IVP). After the contrast material is injected, which of
the following patient reactions should be reported immediately to the physician?
A) Hives
B) Feeling warm
C) Salty taste
D) Face flushing
2. When caring for a neonate in acute respiratory distress from laryngotracheobronchitis who has a body
temperature of 38.7 oC, the nurse should give priority to:
A) Monitor the neonate's respiratory status continuously
B) Deliver 40% humidified oxygen
C) Initiate measures to decrease fever
D) Provide support to decrease apprehension
3. The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun
discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What
statements by the patient indicate understanding of at home care?
A) "I can continue with activity as I normally would."
B) "I will try to take my medications if I remember."
C) "I need to check my weight daily."
D) "I will take ibuprofen for pain control."
4. After speaking with the parents of a child dying from acute lymphocytic leukemia, the physician gives a
verbal order of DNR, but refuses to put it in writing. The nurse should:
A) Follow the instructions as given by the physician
B) Ask the physician to put it in writing using a pencil before leaving
C) Determine whether the family is in accord with the physician while following hospital policy
D) Refuse to follow the order unless the nurse manager approves it
5. A neonate, diagnosed with asthma, is admitted to the unit after an exacerbation at home. The patient is
short of breath. To facilitate breathing and to promote respiratory drainage, the nurse would place the
patient in a:
A) Trendelenburg position
B) Left lateral position
C) Supine position
D) High Fowler's position
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |
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