Blog

Question: A patient with massive trauma and possible spinal cord injury is admitted to the emergency department. Which assessment finding by the nurse would be consistent with a diagnosis of neurogenic shock?

Question: During the emergent phase of burn care, which assessment is most useful in determining whether the patient is receiving adequate fluids?

Question: How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?

Question: A patient is 10 hours post-abdominal surgery. The nurse notes that the patient’s blood pressure is 88/54 mmHg, heart rate is 128/min, and the patient appears pale and restless. The surgical dressing shows a small amount of bright red drainage. Based on the timing and assessment findings, which complication should the nurse be most concerned about?

Question: A patient is being admitted with a possible stroke. Which information from the nursing assessment indicates that the patient is more likely to be having a hemorrhagic stroke than a thromboembolic stroke?

A 72-year-old patient arrives in the emergency department 45 minutes after sudden onset of right-sided weakness and slurred speech. The nurse performs an NIH Stroke Scale assessment with the following findings:   The patient is alert.The patient answers the month correctly but gives the wrong age.The patient opens and closes the eyes correctly but does not make a fist when asked.Best gaze is normal.Visual fields are intact.There is partial right facial weakness.The left arm has no drift.The right arm has some effort against gravity but falls before 10 seconds.The left leg has no drift.The right leg drifts but does not hit the bed.There is no limb ataxia.There is partial sensory loss on the right side.The patient has mild-to-moderate aphasia.Speech is mildly slurred but understandable.There is no neglect.   Using the NIH Stroke Scale scoring guide, what is the patient’s total NIHSS score?

Question: Which action would the nurse plan to prevent aspiration in a high-risk patient?

Question: Which statement by a patient newly diagnosed with heart failure indicates to the nurse that teaching was effective?

Question: A patient who was found unconscious in a burning house is brought to the emergency department by ambulance. Which action would the nurse take first?

Question: A postoperative patient reports a pain level of 8/10 on the numeric rating scale. The nurse administers the prescribed IV opioid and documents the intervention. Which action demonstrates the nurse is following best practices for pain management?