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Pleural Effusion

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1.

 A patient who is in isolation needs a temperature taken several times a day.


Where is the appropriate place for the thermometer to be kept?

A. At the nurses’ station.


B. On the isolation cart outside the patient’s room.
C. In the dirty utility room.
D. In the patient’s room.

2. Which of the following best describes how persons affected by Parkinson’s


disease typically walk?

A. Long, steady gaits


B. They shuffle their feet while taking small steps
C. Fast movement of the feet
D. Always needs support from assistive devices

3. A male patient with a right pleural effusion noted on a chest X-ray is being


prepared for thoracentesis. The patient experiences severe dizziness when
sitting upright. To provide a
safe environment, the nurse assists the patient to which position for the
procedure?

A. Prone with head turned toward the side supported by a pillow


B. Sims’ position with the head of the bed flat
C. Right side-lying with the head of the bed elevated 45 degrees
D. Left side-lying with the head of the bed elevated 45 degrees

4. A patient is experiencing pain during the first stage of labor. What should the
nurse instruct the patient to do to manage her pain? Select all that apply

A. Walk in the hospital room.


B. Use slow chest breathing.
C. Request pain medication on a regular basis.
D. Lightly massage her abdomen.
E. Sip ice water.

5. The nurse is monitoring a child with burns during treatment for burn shock.
Which
assessment provides the most accurate guide to determine the adequacy of
fluid
resuscitation?
A. Skin turgor
B. Level of edema at burn site
C. Adequacy of capillary filling
D. Amount of fluid tolerated in 24 hours

6. Which of the following structures should be closed by the time the child is 2
months old?

1. A.           2. B.                    3. C.                                 4. D.

7. The nurse is evaluating an infant who has an intravenous infusion secured to


a sandbag (see figure). The nurse should:
A. Add tape to cover the toe.
B. Secure the right leg to a sandbag.
C. Check the infusion rate every hour.
D. Change the sandbag to an extremity restraint

8. The nurse is assessing a patient who has had a myocardial infarction (MI).
The nurse notes the cardiac rhythm shown on the electrocardiogram strip
below. The nurse identifies this rhythm as which of the following?

A. Atrial fibrillation.
B. Ventricular tachycardia.
C. Premature ventricular contractions (PVCs).
D. Third-degree heart block.

9. The nurse is assessing a patient who has had a myocardial infarction. The
nurse notes the cardiac rhythm shown on the electrocardiogram strip below.
The nurse identifies this rhythm as which of the following?

A. Atrial fibrillation.
B. Ventricular tachycardia.
C. Premature ventricular contractions.
D. Sinus tachycardia.
10. The patient admitted with peripheral vascular disease (PVD) asks the nurse
why her legs hurt when she walks. The nurse bases a response on the
knowledge that the main characteristic of PVD is:

A. Decreased blood flow.


B. Increased blood flow.
C. Slow blood flow.
D. Thrombus formation.

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