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CASAL 1 Pre-assessment 1 Questions With Complete Solutions
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CASAL 1 Pre-assessment 1 Questions With Complete Solutions
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CASAL 1 Pre-assessment 1 Questions With CompleteSolutions
A 6-year-old boy is admitted to the pediatric unit with chills and
a fever of 104°F (40°C). What physiological process explains
why the child is at risk for developing dyspnea?
A. Fever increases metabolic demands, requiring increased
oxygen need.
B. Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
C. Carbon dioxide production increases as result of
hyperventilation.
D. Carbon dioxide production decreases as a result of
hypoventilation. Correct Answer A
A cleansing enema is ordered for a 55-year-old patient before
intestinal surgery. The nurse understands that the maximum
amount of fluid given is:
A. 150 to 200 mL
B. 200 to 400 mL
C. 400 to 750 mL
D. 750 to 1000 mL Correct Answer D
A female patient reports that she is experiencing burning on
urination, frequency, and urgency. The nurse notes that a clean-
voided urine specimen is markedly cloudy. The probable cause
of these symptoms and findings is:
A. Cystitis
B. Hematuria
C. Pyelonephritis
D. Dysuria Correct Answer A
,A health care provider writes the following order for an
opioidnaive patient who returned from the operating room
following a total hip replacement. "Fentanyl patch 100mcg,
change every 3 days." Based on this order, the nurse takes the
following action:
A. Calls the health care provider, and questions the order
B. Applies the patch the third postoperative day
C. Applies the patch as soon as the patient reports pain
D. Places the patch as close to the hip dressing as possible
Correct Answer A
A home care nurse is preparing the home for a patient who is
discharged to home following a left-sided stroke. The patient is
cooperative and can ambulate with a quad-cane. Which of the
following must be corrected or removed for the patient's safety?
A. The rubber mat in the walk-in shower
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the
bedroom and bathroom
D. The night-lights in the hallways, bedroom, and bathroom
E. The cordless phone next to the patient's bed Correct Answer
B, C
A male patient returned from the operating room 6 hours ago
with a cast on his right arm. He has not yet voided. Which action
would be the most beneficial in assisting the patient to void?
A. Suggest he stand at the bedside
B. Stay with the patient
C. Give him the urinal to use in bed
,D. Tell him that, if he doesn't urinate, he will be catheterized
Correct Answer A
A new medical resident writes an order for OxyContin SR 10
mg PO q12 hours prn. Which part of the order does the nurse
question?
A. The drug
B. The time interval
C. The dose
D. The route Correct Answer B
A nurse accidentally gives a patient a medication at the wrong
time. The nurse's first priority is to:
A. Complete an occurrence report
B. Notify the health care provider
C. Inform the charge nurse of the error
D. Assess the patient for adverse effects Correct Answer D
A nurse is administering medications to a 4-year-old patient.
After he or she explains which medications are being given, the
mother states, "I don't remember my child having that
medication before." What is the nurse's next action?
A. Give the medications
B. Identify the patient using two patient identifiers
C. Withhold the medications and verify the medication orders
D. Provide medication education to the mother to help her better
understand her child's medications Correct Answer C
A nurse is teaching a community group about ways to minimize
the risk of developing osteoporosis. Which of the following
, statements made by a woman in the audience reflects a need for
further education?
A. "I usually go swimming with my family at the YMCA 3
times a week."
B. "I need to ask my doctor if I should have a bone mineral
density check this year."
C. "If I don't drink milk at dinner, I'll eat broccoli or cabbage to
get the calcium that I need in my diet."
D. "I'll check the label of my multivitamin. If it has calcium, I
can save money by not taking another pill." Correct Answer D
A nursing student takes a patient's antibiotic to his room. The
patient asks the nursing student what it is and why he should
take it. Which information does the nursing student include
when replying to the patient?
A. Only the patient's physician can give this information
B. The student provides the name of the medication and a
description of its desired effect
C. Information about medications is confidential and cannot be
shared
D. He has to speak with his assigned nurse about this Correct
Answer B
A patient had a left-sided cerebrovascular accident 3 days ago
and is receiving 5000 units of heparin subcutaneously every 12
hours to prevent thrombophlebitis. The patient is receiving
enteral feedings through a small-bore nasogastric (NG) tube
because of dysphagia. Which of the following symptoms
requires the nurse to call the health care provider immediately?
A. Pale yellow urine
B. Unilateral neglect
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