NUR 265 Mental Health Exam 3 Practice Questions 2023
The nurse is caring for a patient who sustained a traumatic brain injury 4 days ago. The patient remains in a pharmacologic induced coma while receiving mechanical ventilation. The patient is on NPO status and the vital signs are within the normal range. The patients bowel sounds are absent and nasogastric tube is connected to low, intermittent suction. The nurse should prepare to begin:
- NG feeding
- Rapid weaning from the ventilator
- Total parenteral nutrition
- Chest physiotherapy
A patient with bacterial meningitis is treated with intravenous antimicrobial agent. Which of the following BEST indicates effectiveness of treatment?
- Severe headache
- Negative kernig’s sign
- Nuchal rigidity
- Photophobia
- Ensure that the suction is limited to 15 seconds
- Continue to suction
A nurse is suctioning fluids from a client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate decreases. Which of the following is the most appropriate nursing intervention?
- Hold the procedure and re-oxygenate the client
- Notify the physician immediately.
The nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of right legs. Using the rule of nines, the nurse would document that the burn
size as:
- 13%
- 17%
- 28%
- 37% 1 / 2
Signs and symptoms of Hypovolemic shock are all of the following except:
a) Tachycardia
b) Hypertension
c) Pallor and cyanosis
d) Tachypnea
A 35-year-old male was knifed in the street fight, admitted through the ER, and is now in the ICU. An assessment of his condition reveals the following symptoms: respirations shallow and rapid, CVP 15 cm H2O, BP 90 mm Hg systolic, skin cold and pale, urinary output 30 mL/hr for the last 2 hours. Analyzing these symptoms, the nurse will base a nursing diagnosis on the conclusion that the client has which of the following conditions?
- Hypovolemic shock
- Cardiac tamponade
- Wound dehiscence
- Atelectasis
While caring for a patient in the post-anesthesia care unit (PACU) Who has developed Hypovolemic
shock, a nurse should position the patient:
- Flat with legs elevated
- In Trendelenburg position
- With the head of the bed elevated 45 degrees
- Completely flat
What occurs during cardiogenic shock and result in inadequate tissue perfusion?
- Increased resistance of arterial vessels
- Decreased effectiveness of the heart as a pump
- Increased shunting of critical blood flow to heart
- Decreased capacity of the venous beds
- / 2