1. Three college students in the class have indicated that they have never gone to the doctor to have a Pap test done even though they have been sexually active for several years. You have read a research article regarding factors that increase cancer of the cervix. What would be important information to reinforce?

2. Some female college students discuss that they have encountered situations that almost culminated in date rape. When considering preventive precautions, which statement is false?

3. In another college health class, the topic of risk taking Behaviours, or “living dangerously," is being discussed. What topic would not be included?

James Edwards, age 42 years, is admitted with steam bums to his face, neck, and chest region. Questions 4 to 9

4. During the initial assessment, it is important to include the rule of nines to estimate the ex tent of the burn and to assess its depth. In addition, what would be the most important assessment priority?

5. James Is assessed and has fluid replacement ordered. What important assessment data will help ensure accurate replacement?

6. Which replacement fluid is most likely to be used during the initial 24 hours after a burn?

7. Fluid therapy has been ordered at 1500 ccl8 hr.  The drip administration set is to gtt/ml. How fast will the IV run (drops/ minute)?

8. When you assess the IV at the beginning of the shift it is 0.5 hour behind. Your assessment indicates that it is safe to catch up the IV to the ordered rate. and you decide to do this in the next 2 hours. What is the adjusted rate per hour for the next 2 hours?

9. The nurse notices that in the recuperation phase. James has become very quiet and withdrawn. What concerns should the nurse explore?

Case Scenario: 

Dawn Mar, age 36 years, has been diagnosed with myasthenia gravis. Her history indicates progressive myopathy, dysphagia, diplopia, and dysarthria. Questions 10 to15

10.Assessments confirming Dawn's history would include:

11. Dawn asks you, "What is this disease? I have never even heard about it before." How would you respond?

12. Diagnosis of myasthenia gravis is confirmed by evaluating the patient's response to an IV injection of the cholinesterase inhibitor edrophonium (Tensilon). If the patient responds positively, what would the nurse expect?

13. What assessment findings would indicate an emergency myasthenic crisis?

14. What emergency procedures may be implemented during a myasthenic gravis crisis?

15. Dawn is very concerned about the impact of her illness on her family, particularly her two daughters. What question would help in family assessment of her concerns?

16. What question would you ask to assess coping abilities of a family?

17. Which therapeutic interventions may be implemented for individuals with myasthenia gravis?

18. A patient who is overweight asks for information regarding diet counseling. What action should the nurse take?

19. A client is receiving IV therapy with 5% dextrose in water (D5W). When assessing the IV site, you note that there is a red line and pain and edema at the insert ion site. What actions would you take?

20. A physician in a clinic asks you to perform an IV insertion. You have not done an IV start for many years. What would you do?

21. You are working with a licensed practical nurse (LPN) and have delegated the taking of vital signs for a preoperative patient. When you are reviewing the chart as the patient is leaving for the operating room, you note that his temperature is 38.4 degree C and pulse is 110 bpm. What should you do?

22. You are on a surgical unit and have been assigned four patients. When you receive your report, you find out that you have a patient who had a transurethral resection of the prostate (TURP) today. A postoperative patient from yesterday is requesting pain medication. A patient with a postoperative infection needs to have an IV antibiotic given in 1/2 an hour. Another patient is to be discharged shortly when his family arrives. Which patient would be your first priority to complete an initial assessment?

23. A 62-year-old male client had drainage of a pelvic abscess secondary to diverticulitis 6 days ago. While drinking water, he begins to cough violently. His daughter runs to the nurse's station, screaming that her father ha s "exploded."  Upon entering the room, the nurse observes that the "Client ha s experienced dehiscence, and a small segment of bowel is protruding. What should be the nurse's priority action?

24. A patient is receiving external-beam radiation therapy to her thoracic and lumbar spine because of metastatic breast cancer. Which of the following people should be permitted to visit?

25. When monitoring a patient who is at risk for hemorrhage, which assessment data would be significant?