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Practice
Questions
Information provided by Kaplan Test Prep
| Physiological
Integrity |
1. |
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What
is the BEST position for a patient with a respiratory
problem? |
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A. |
Side-lying |
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B. |
Supine |
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C. |
High Fowler’s |
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D. |
Semi-Fowler’s |
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The
correct answer is C. |
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A. |
Side-lying
– diaphragm against
abdominal organs |
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B. |
Supine – can’t
breath |
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C. |
High Fowler’s
– CORRECT: head
of bed elevated 60-90º; gravity displaces abdominal
organs |
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D. |
Semi-Fowler’s
– head of bed elevated
15-30º |
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2. |
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A
patient is to receive 1,000 ml of 5% dextrose in
0.45 NaCl intravenous solution in an 8-hour period.
The intravenous set delivers 15 drops per milliliter.
The nurse should regulate the flow rate so it delivers
how many drops of fluid per minute? |
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A. |
15 |
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B. |
31 |
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C. |
45 |
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D. |
60 |
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The
correct answer is B. |
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A. |
15 - incorrect |
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B. |
31-CORRECT:
1000 X 15 divided by 8 x 60 |
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C. |
45 - incorrect |
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D. |
60 - incorrect |
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3. |
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A
33-year-old man is brought to the emergency room
bleeding profusely from a stab wound in the left
chest area. The nurse’s assessment reveals
a blood pressure of 80/50, pulse of 110, and respiratory
rate of 28. The nurse should expect which of the
following potential problems? |
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A. |
Hypovolemic
shock |
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B. |
Cardiogenic
shock
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C. |
Neurogenic
shock |
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D. |
Septic shock |
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The
correct answer is A. |
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A. |
Hypovolemic
shock – CORRECT:
loss of circulating volume |
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B. |
Cardiogenic
shock – decrease in
cardiac output; cause: cardiac dysfunction, MI,
CHF |
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C. |
Neurogenic
shock – increase in
vascular bed; cause: spinal anesthesia, spinal cord
injury |
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D. |
Septic shock
– decreased cardiac
output, hypotension; cause: gram + or gram –bacteria
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