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VSIM QUESTIONS AND ANSWERS
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VSIM QUESTIONS AND ANSWERS
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VSIM QUESTIONS AND ANSWERSThe nurse is caring for an adolescent patient who appears withdrawn and isolated.
What strategy should the nurse use to work with this patient?
1.Develop a therapeutic, trusting relationship with the patient.
2.Leave the patient alone as much as possible.
3.Talk to the patient's parents about what is going on with the patient.
4.Tell the patient what the patient needs to do in order to get better. - Answers -
1.Develop a therapeutic, trusting relationship with the patient.
A patient has just completed a tube feeding that has run throughout the night. What is
the best education the nurse can provide to the patient at this time?
1.You should wear your pneumatic compression device when you are in bed.
2.You should remain upright for the next hour.
3.You should lie down to get some sleep.
4.It is important that you ambulate three times today. - Answers -2.You should remain
upright for the next hour.
A nurse is teaching a patient with cystic fibrosis about nutrition in the high-fat, high-
carbohydrate diet that has been recommended. Which of the following should be
included in this education?
1.It is important to focus on eating calorie-dense foods
2.It is not necessary to monitor dietary intake
3.It is important to only eat high-fat, high-protein and high- carbohydrate foods
4.It is important to select a variety of nutrient-dense foods - Answers -4.It is important to
select a variety of nutrient-dense foods
A nurse is planning patient education about a prescribed medication for a patient. What
should the nurse do first?
1.Education the patient about potential allergic reactions to the medication.
2.Find out what the patient already knows about the medication.
3.Review the signs and symptoms of drug toxicity with the patient.
4.Educate the patient about potential drug interactions. - Answers -2.Find out what the
patient already knows about the medication.
A nurse is preparing to admit a patient with cystic fibrosis and altered nutrition status.
The nurse plans to implement which precautions to be used in the patient's care?
1.Standard precautions
2.Contact precautions
3.Airborne precautions
,4.Droplet precautions - Answers -1.Standard precautions
Christopher Parrish has a low body mass index and has lost 12 pounds over the past
two weeks. Which method could the nurse use to assess his overall dietary intake in
order to provide nutrition education?
1.Obtain a food frequency assessment
2.Ask the patient to keep a food diary log
3.Ask the patient if he has a healthy diet.
4.Track the percentage of food eaten at each meal while in the hospital - Answers -
1.Obtain a food frequency assessment
A nurse is caring for an 18-year-old patient who has recently started living on his own
and has experienced a greater than 5% weight loss over two weeks. He has a low body
mass index (BMI) and complains of feeling fatigued. According to Maslow's hierarchy of
needs, the nurse identifies which of the following as the patient's priority need at this
time?
1.Safety and security needs
2.Self-esteem needs
3.Physiological needs
4.Love and belonging needs - Answers -3.Physiological needs
A nurse is assessing an adolescent patient. Which of the following questions best
represents therapeutic communication techniques?
1.What do you hope happens here today?
2.Are you feeling well?
3.Do you know what to do to stay healthy?
4.You don't smoke, do you? - Answers -1.What do you hope happens here today?
A provider orders a high-fat, high-protein, high-carbohydrate diet for a patient with cystic
fibrosis. What is the best rationale for this diet order?
1.Cystic fibrosis is a chronic disease characterized by altered electrolytes.
2.Cystic fibrosis interferes with the digestions of food and absorption of nutrients.
3.Thickened mucus secretions predispose the patient to anemia.
4.The diet was ordered according to the patient's preferred food intake. - Answers -
2.Cystic fibrosis interferes with the digestions of food and absorption of nutrients.
A nurse is creating a care plan for a young adult patient with a chronic illness. Which of
the following nursing diagnoses might be included in the care plan? (Select all that
apply.)
1.Ineffective health maintenance
2.Social isolation
, 3.Risk-prone health behavior
4.Caregiver role strain
5.Activity intolerance - Answers -1.Ineffective health maintenance
2.Social isolation
3.Risk-prone health behavior
5.Activity intolerance
A patient is concerned about a medication the nurse is administering. The patient states
that the medication is not normally something that is administered. What is the best
response by the nurse?
1.The provider has ordered it for you.
2.It is probably a generic medication for something you normally get.
3.I will hold the medication and find out for you.
4.We should probably update your medical reconciliation forms. - Answers -3.I will hold
the medication and find out for you.
A patient complains of nausea after a tube feeding. What is the priority action of the
nurse at this time?
1.Position the patient on left side.
2.Ensure the head of the bed remains elevated.
3.Aspirate the tube feeding contents from the patient's stomach.
4.Flush the tube with 30 to 60 mL water - Answers -2.Ensure the head of the bed
remains elevated.
A nurse plans on assessing the patient's gastrointestinal system. Which statement
below reflects the best prioritization of this assessment?
1.The nurse should percuss and then auscultate the abdomen
2.The nurse should auscultate and then palpate the abdomen
3.The nurse should palpate and then auscultate the abdomen
4.The nurse should percuss and then inspect the abdomen - Answers -2.The nurse
should auscultate and then palpate the abdomen
A nurse is assessing a patient with cystic fibrosis. Based on a diagnosis of cystic
fibrosis, the nurse expects to find which of the following common physical symptoms
upon assessment?
1.Increased activity, diaphoresis, and tachycardia
2.Cyanosis or pallor, dyspnea, and arrhythmias
3.Nausea, vomiting, and hyperreflexia
4.Shortness of breath, headache, and vision changes - Answers -2.Cyanosis or pallor,
dyspnea, and arrhythmias
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