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問題1
Michelle is a 27-year-old model who has just undergone a subtotal gastrectomy. Immediately after the
procedure, she was brought to the post-anesthesia care unit. A clinical specialist nurse who is assigned to
Michelle noticed that there are small blood clots in the gastric drainage. What would be the nurse's initial
action?

正確答案: C
說明:(僅 NewDumps 成員可見)
問題2
A nurse is caring for an infant after corrective surgery for Tetralogy of Fallot. The mother reports that the
child has suddenly begun seizing. The nurse recognizes this problem is probably due to:

正確答案: D
說明:(僅 NewDumps 成員可見)
問題3
A clinical nurse specialist is planning a discharge conference with a patient's parents and other immediate
family members. The priority nursing action that should be included in the discharge plan is:

正確答案: C
說明:(僅 NewDumps 成員可見)
問題4
A nurse on the pediatric unit is caring for four patients and is preparing to do rounds. Which patient should
the nurse see first?

正確答案: C
說明:(僅 NewDumps 成員可見)
問題5
A 6-year old child is admitted at the hospital with a diagnosis of Celiac disease. The nurse is taking health
history and expects to find signs like:

正確答案: B
說明:(僅 NewDumps 成員可見)
問題6
A nurse tells the parents of an infant with an infected wound that a nurse epidemiologist will visit daily.
The parents ask what a nurse epidemiologist does. The nurse could correctly explain the role by saying,
"The nurse epidemiologist..."

正確答案: D
說明:(僅 NewDumps 成員可見)
問題7
A child with asthma is being discharged from the hospital on inhaled corticosteroids. The nurse
recognizes that the parents understand the discharge teaching when they tell the nurse that they will
monitor the child for the side effect of:

正確答案: D
說明:(僅 NewDumps 成員可見)
問題8
An experienced intensive care unit nurse is teaching a class of new nurses. What would she emphasize
as nursing interventions to prevent ventilator associated pneumonia?

正確答案: B
說明:(僅 NewDumps 成員可見)
問題9
A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(myelomeningocele). A priority nursing assessment for this newborn is:

正確答案: C
說明:(僅 NewDumps 成員可見)
問題10
During the assessment, the nurse noticed that one of the admitted neonates, who is
small-for-gestational-age, is jittery, has a high-pitched cry, and has irregular respirations. The nurse must
be aware that these signs could be an indication of:

正確答案: C
說明:(僅 NewDumps 成員可見)
問題11
A nurse from the medical-surgical unit is assigned to work on the pediatric unit. Which of the following
patients is most appropriate for the charge nurse to assign to the float nurse?

正確答案: B
說明:(僅 NewDumps 成員可見)
問題12
An electrocardiogram is ordered for Marilyn, a 42-year-old customer service representative who is
complaining of chest pain. What would be an early finding in the lead over an infarcted area?

正確答案: C
說明:(僅 NewDumps 成員可見)
問題13
A nurse is caring for a patient diagnosed with cognitive disorder. Which nursing intervention would be
most appropriate for promoting the environmental safety of the patient?

正確答案: B
說明:(僅 NewDumps 成員可見)
問題14
A baby returns to the unit after a cardiac catheterization. Two hours later, during the change of shifts, the
statement about the child's progress that should be questioned by the incoming nurse is that the child:

正確答案: B
說明:(僅 NewDumps 成員可見)

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