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21.Mrs. Wynter, a 79 year of the widow, lives on her own. Her 2 adult children are busy with their own families in another city. Mrs. Wynter is being admitted to the hospital by the practical nurse for a simple right-sided mastectomy with breast reconstruction. Immediately after the surgery, in the post-anesthetic care unit (PACU), what is the nurse’s priority assessment? a. BP assessment b. Pain assessment c. Airway assessment d. Dressing assessment 3 22.What parameter is recommended by the Canadian Diabetes Association for vascular protection for clients with diabetes? a. FBS <2mmol/L b. LDL <4 mmom/L c. BP < or equal to 130/80 mmhg d. AIC <10% 23.If a nurse has to advocate for a client outside the care team what must the nurse remember in order to protect the client's confidentiality? a. Its fine as long as only initials are used to identify the individual b. Reporting to those with clinical, administrative authority is lawful c. It is never acceptable to share information outside the care team d. Seeking advice about the situation already violates confidentiality 24.What statement is accurate of type 2 Diabetes? a. Oral hypoglycemic medications are required by every Tpye 2 diabetic client b. Insulin is required by every type 2 diabetic client c. Prevalence is approximately 10% of clients with DM d. Prevalance is approximately 90% of clients with DM 25.Mrs.Muche is not eating well following her R-sided stroke. She (almost always) leaves the left half of her tray of food untouched. What is the likely reason for this? a. Mrs. Muche cannot reach the food on the left side of the tray b. That's where the soup, meat and salad are. She doesn't like them. c. Mrs. M cannot see the food on the left side of the tray d. Its coincidence. Mrs. M has really never eaten much. 26. The practical nurse is a member of a health promotion team creating education workshops that will target the adolescent population. What teaching and learning strategy is most effective with this target audience? a. Make sure the adolescents receive educational pamphlets b. Involves the adolescent client in the planning process c. Have the adolescents teacher lead the education sessions d. Provide the teaching sessions during academic class time. 27.Management of DKetoacidosis in adults involves what intervention to replace fluid losses? a. Infusion of 0.9% NS solution as per physician orders b. Infusion of DSW solution as per physician orders. c. Infusion of bicarbonate intravenous as per physician orders. d. Infusion of regular acting via intravenous 28.What type of screening must a client receiving Lipitor undergo every 3 months? a. Screening for hypertension b. Capillary blood glucose test c. Liver function test d. Renal function test 29.YOur client's speech has been affected by a stroke and he now suffers from expressive aphasia. In which part of the brain would you expect the stroke has occurred? a. Left parietal lobe b. Right parietal lobe c. Left frontal lobe d. Right frontal lobe 30.The practical nurse is collaborating with the child-life specialist regarding care for the children on the pediatric unit. What os the type of play technique that prepares children to have a better understanding of procedures or treatment that they may experience? a. Colouring therapy b. Therapeutic play c. Onlooker play d. Cooperative play 31.The parents of a hospitalized 6-month-old child work to keep their jobs and are unable to visit every day. What nursing intervention will help meet the emotional needs of the infant? a. Tell the parents that they must visit every day to prevent developmental delay. b. Make sure many different nurses care for the infant to promote socialization c. Place the infant in a hospital room with other children and their caregivers d. Assign the infant to the same nurse as much as possible to promote attachment 33.What activity is important to foster psychosocial development when caring for a hospitalized 4-year-old child? a. Provide the child with praise and support when they cooperate with care. b. Provide consistent caregiving so that the child trusts the health care team. c. Allow the child to make simple choices such as what type of juice to drink d. Encourage the child to feed and dress themselves as appropriate 35.Mr.Sharif, age 64 years had TURP yesterday. What assessment strategy should the practical nurse use to determine if Mr.Sharif's experiencing hypovolemic shock? a. Assess for tachycardia, hypotension, and pallor b. Assess for dark, red-tinged urine, shivering and fatigue. c. Assess for a bounding pulse and hypertension. d. Assess for bradycardia and an irregular heart rate. 36.A 22-year-old woman is admitted to the hospital after a recent diagnosis of osteosarcoma, a type of bone cancer. She is to undergo several diagnostic tests. The woman says to the nurse "how will I cope with this cancer"? How should the nurse respond to foster psychosocial wellness? a. "It sounds like you are scared. Is this true?" b. Sometimes it helps to connect with friends and family for support. How do you feel about telling your family about your situation? c. "Don't lose hope. Many clients live cancer-free after having surgery. It's a long recovery but you can do it". d. "I will ask the social worker to come and see you. He is really good at helping people cope with illness". 37.Which medication can lower the risk of the progression of pre-diabetes to type 2 DM? a. Lipitor b. Glyburide c. Altace d. Acarbose 38.What intervention is a priority when the practical nurse is caring for a hospitalized adolescent? a. All the test results must be reviewed with the parents b. Decrease distractions and opportunities for socialization c. Increase opportunities for the client to have control and choice d. Room with another patient who has a similar 43.What is the most common risk factor for type 2 DM? a. History of gestational diabetes b. All of the available options c. Family history of T2DM d. Member of a high-risk population

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