Tiêu đề DIAGNOSTIC EXAM - NP5 (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 4 | 40. Critical Incident Stress Debriefing (CISD) is a formalized, structured method whereby a group of rescue and response workers reviews the stressful experience of a disaster. It is used to assist first responders such as policemen, firefighters and rescuers and not the victims themselves. It was designed to be delivered in a group format and meant to be incorporated into a larger, multi- component crisis intervention system labeled Critical Incident Stress Management (CISM). The following are components of CISM except: A. Pre-crisis intervention B. disaster or large-scale demobilization and informational briefings (town meetings) C. Crisis Incident Stress Debriefing D. Stress debriefing Situation: As a new nurse in the Psychiatric Unit, Nurse Jane is expected to familiarize herself to different psychiatric drugs as part of functional nursing. This includes their indications, common side effects and nursing interventions. 41. A 65-year old male diagnosed with anxiety disorder is prescribed Lorazepam. With the laboratory findings, it was shown that the client has a 3:1 AST/ALT ratio and granulocyte count of > 2,500. Which of the following actions needs an immediate intervention by the nurse? A. Keeping Flumazenil at the bedside B. Abruptly stopping the anxiolytic C. Going to malls and other crowded places D. Letting the wife drive for the client 42. A 70-year old female client diagnosed with Alzheimer’s disease suffers from sun downing syndrome. Which of the following drugs should does the nurse anticipate to be given in such condition? A. Oxazepam B. Bromocriptine C. Fluoxamine D. Amitryptylline 43. A client with depression being given Luvox (Fluoxamine) has recently suffered from a serotonin crisis and a need to change the current antidepressant was deemed necessary by the attending physician. Which of the following drugs will be anticipated to be given to the client? A. Paxil B. Zoloft C. Elavil D. Marplan 44. Which of the following actions, if done by the nurse, requires immediate correction in administering Chlorpromazine (Thorazine) 300mg QID to a client diagnosed with Schizophrenia? A. Continuous monitoring of complete blood count (CBC) B. Keeping a standing prescription of Cogentin 1mg C. Administering the drug post prandial D. Giving the drug on empty stomach 45. A client with pseudoparkinsonism secondary to the long term use of typical antipsychotics is receiving a dopaminergic drug. Upon assessment, Nurse Jane observed that the client has constant hyperthermia not corrected by antipyretics and increased vital signs. Which of the following actions if done by Nurse Jane should be questioned by the nurse supervisor? A. Providing tepid sponge bath to the client B. Increasing client’s oral fluid intake C. Administration of Dantrolene D. Immersing the client to a cold tub Situation: Parkinson’s disease is a progressive neurologic movement disorder with an unknown etiology. Different studies have shown several causative factors such as genetics, atherosclerosis, excessive free radicals accumulation in the body, viral infections, head trauma, long-term use of antipsychotic medications and some external factors. This disease eventually leads to disability. 46. All but one characterizes Parkinson’s disease as a progressive neurologic disorder. Parkinson’s disease, a progressive neurologic disorder is characterized by: A. Bradykinesia B. Tremors C. None of the above D. Muscle rigidity 47. This known treatment for Parkinson’s disease is an antiviral agent which releases dopamine from the neuronal storage sites. A. Artane B. Symmetrel C. Benadryl D. Sinemet 48. The nurse evaluates the effect of the administered Cogentin 1mg p.o. as effective if she observes which of the following. Which finding suggests its desired side effect? A. Decreased muscle tremors B. Decreased muscle rigidity C. Decreased confusion and anxiety D. Increased endurance and energy 49. The client reports that his resting tremors causes frustration in his activities of daily living. Which of the following advice would the nurse give the client? A. Grasp an object B. Immerse self into a warm tub C. Take diazepam as deemed necessary D. Provide cold compress to the hands 50. A patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene? A. The NA performs the client’s complete bed bath and oral care B. The NA assists the patient in ambulating back and forth the hallway as his daily physical activity C. The NA reminds the patient to avoid looking at his feet when he is walking. D. The NA sets up the patient’s food tray at the bedside and encourages patient to feed himself Situation: Nurse Danj is assigned to the emergency department. Triage and first aid are expected competencies in this area to maximize the utilization of resources. The following questions apply. 51. Nurse Danj is assessing a client who has sustained a cat bite to the hand. The cat’s immunizations are up to date. The date of the client’s last tetanus shot is unknown. Which is the priority nursing diagnosis for the client? A. Risk for infection related to organisms specific to cat bites B. Impaired skin integrity related to puncture wounds C. Ineffective health maintenance related to immunization status D. Risk for impaired physical mobility related to potential tendon damage 52. The following clients come to the ED reporting acute abdominal pain. Prioritize them for care in order of the severity of their conditions. i. 35 year old man reporting severe intermittent cramps with three episodes of watery diarrhea 2 hours after eating ii. 11 year old boy with low grade fever, right lower quadrant tenderness, nausea, and anorexia for the past 2 days iii. 40 year old woman with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the past week iv. 65 year old man with pulsating abdominal mass and sudden onset of tearing pain in the abdomen and flank within the past hour v. 23 year old woman reporting dizziness and severe left lower quadrant pain who states she is possibly pregnant vi. 50 year old woman who reports gnawing midepigastric pain that is worse between meals and during the night A. iv,v,iii,ii,i,vi B. iv,v,ii,i,iii,vi