Stone Academy

1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Ap...

How is aging recognized by gerontologists as a developmental process? a. Measured in chronologic years b. Directly related to heredity c. Related to behavioral characteristics d. Begins at the time of birth ANS: D Geriatrics is the science of old age and the application of knowledge related to the biologic, biomedical, behavioral, and social aspects of aging. DIF: Cognitive Level: Knowledge REF: p. 167 OBJ: 2 TOP: Definitions of Old Age KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3...

1. What recommendation should a nurse make to the family of a patient diagnosed with ataxia when preparing discharge to home? a. Remove all scatter rugs from the home. b. Rearrange the bedroom furniture. c. Arrange for someone to stay with the patient 24 hours a day. d. Purchase oversized shoes so that they are easy to get on. ANS: A Scatter rugs can slip and cause a patient to fall. DIF: Cognitive Level: Application REF: p. 186 OBJ: 5 TOP: Fall Prevention KEY: Nursing Process Step: Pla...

1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should the nurse base a response? a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually begins abruptly and lasts a short period. d. It is a syndrome that is chronic and irreversible. ANS: D Alzheimer disease is a t...

1. What should be included in a patient’s care plan in consideration of cultural similarities? a. Family, educational background, and economic level should all be considered. b. Subtle communication involving languages should be considered. c. Families have strong patriarchal leaders. d. Culture is learned, shared, and expressed similarly among members. ANS: D Different cultures have some similarities and some differences. How the culture is expressed in health care settings will be div...

1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Ap...

1. How is the term old age or aged best defined? a. Person’s state of mind b. Person older than 65 years of age c. Process of growing older d. Person of advanced age ANS: D Aged or old age is defined as advanced in years. DIF: Cognitive Level: Comprehension REF: p. 167 OBJ: 2 TOP: Definitions of Old Age KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. How is aging recognized by gerontologists as a developmental process? a. Measured in chronologic years b. Directly related to hered...

1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should the nurse base a response? a. It is a short-term confusional state that is typically reversible. b. It is a state of confusion caused primarily by medications. c. It is a state of confusion that usually begins abruptly and lasts a short period. d. It is a syndrome that is chronic and irreversible. ANS: D Alzheimer disease is a t...

1. Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness. What should a nurse suspect, from these signs alone, that the patient has developed? a. Impending shock b. Fat embolus c. Anxiety d. Neurovascular compromise ANS: B These are the classic symptoms of a fat embolus that has escaped from the crushed marrow. DIF: Cognitive Level: Analys...

1. Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness. What should a nurse suspect, from these signs alone, that the patient has developed? a. Impending shock b. Fat embolus c. Anxiety d. Neurovascular compromise ANS: B These are the classic symptoms of a fat embolus that has escaped from the crushed marrow. DIF: Cognitive Level: Analys...