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VSIM TEST 1 QUESTIONS AND ANSWERS
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VSIM TEST 1 QUESTIONS AND ANSWERS
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VSIM TEST 1 QUESTIONS AND ANSWERSExpected assessment findings of a patient with pneumonia may include which of the
following? (Select all that apply)
a. Enuresis
b. Use of accessory muscles
c. Tachypnea
d. Fever
e. Malaise - Answers -b,c,d,e
A patient in semi-Fowler's position is having difficulty breathing. What is the priority
action of the nurse?
a. Auscultate the lungs
b. Conduct a pain assessment
c. Raise the head of the bed
d. Call respiratory therapy - Answers -c
A patient demonstrates correct use of the incentive spirometer when the patient places
the mouthpiece in the mouth and does which of the following?
a. Inhales slowly and deeply
b. Inhales quickly and forcefully
c. Exhales quickly and forcefully
d. Exhales slowly and deeply - Answers -a
A patient with newly diagnosed pneumonia has an oxygen saturation of 94% on room
air, an increased respiratory rate, and an increased pulse. The patient is pale and
anxious. The nurse questions the oxygen saturation results and looks up which of the
following test results?
a. White blood cell count
b. Chest x-ray
c. Gram stain
d. Hemoglobin - Answers -d
A nurse rounding on a patient with pneumonia notices the patient is more confused than
at the beginning of the shift. What is the best response by the nurse?
a. Document findings in the medical record
b. Notify the provider
c. Check oxygen saturation level
d. Ensure a sitter is available to watch the patient - Answers -c
As the nurse administers Mona Hernandez's prescribed medication, guaifenesin, the
patient states: "I don't like this medication. It makes me cough too much." How should
the nurse respond?
a. This medication will help make your breathing easier
b. I will let your provider know you have questions about your medications
, c. This medication is given to your because of your pneumonia
d. When you cough out secretions, oxygenation is more effective - Answers -d
Mona Hernandez complains of shortness of breath with activity and does not want to
exacerbate her condition by moving to the chair or ambulating three times a day as
ordered. How should the nurse respond?
a. You really need to walk as much as possible in order to prevent your pneumonia from
getting worse
b. Pneumonia causes thick secretions in your lungs, making it difficult to breathe
c. You should wait until your breathing improves to try to get out of bed again, because
it makes you short of breath
d. Even short activities such as moving to the chair will help you cough mucus out of
your lungs - Answers -d
Upon entering the room, the nurse observes Mona Hernandez slumped over in a semi-
Fowler's position, struggling to catch her breath. What is the priority nursing action at
this time?
a. Titrate her oxygen so that her oxygen is greater than or equal to 95%
b. Obtain an oxygen saturation level
c. Obtain vital signs
d. Assist the patient into a high Fowler's position - Answers -d
The nurse is preparing to discharge Mona Hernandez from the hospital. Which of the
following instructions should the nurse include in the discharge education? (Select all
that apply)
a. Quitting smoking will improve your recovery
b. Stop taking your antibiotics once you are feeling better
c. Take your antibiotics as directed, even if you are feeling better
d. Continue to focus on ambulating several times per day
e. Use the incentive spirometer every one to two hours to move secretions out of your
lungs - Answers -a,c,d,e
A nurse is caring for a patient experiencing the effects of paraplegia. What urinary
condition is associated with this diagnosis?
a. Neurogenic bladder
b. Chronic systitis
c. Oliguraia
d. Stress incontence - Answers -a
While inserting an intermittent urinary catheter in a female patient, the nurse
accidentally inserts the catheter into the vagina. What is the appropriate action by the
nurse?
a. Allow the patient a period of rest and attempt the procedure later
b. Carefully remove the catheter and reinsert it into the urethra
c. Leave the catheter in the vagina as a landmark and begin the procedure again with
new supplies
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