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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Assess | 32% | - Obtain objective information
|
| Topic 2: Evaluate | 15% | - Evaluate the effectiveness of the plan of care
|
| Topic 3: Diagnose | 26.5% | - Establish a diagnosis
|
| Topic 4: Plan | 26.5% | - Establish patient-centered, evidence-based plan of care
|
1. You have a patient who has tripped and fallen on his face and has a tooth fracture. Upon examination you observe a full fracture of the tooth involving the enamel, dentin, and pulp. Pink tissue is seen in the fracture. This fracture would be classified as which of the following?
A) Ellis I
B) Ellis II
C) avulsion
D) Ellis III
2. Louise is a 75-year-old patient who has been having regular Pap smears throughout her adult life. All of her Pap smears have been normal. She asks you whether she needs to keep having this test every year. Which of the following replies would be appropriate?
A) If you are still sexually active a Pap smear is necessary every year.
B) All women must have a Pap smear annually.
C) After age 70 having a Pap smear every 2 - 3 years is the norm.
D) Since you have never had abnormal results a Pap smear is no longer necessary.
3. Your 19-year-old male patient has extreme mood swings and has been diagnosed with bipolar II disorder. He has been taking medication prescribed by his mental health specialist and is participating in psychotherapy. He comes to you for evaluation, telling you that he feels much better and wants to end his treatment. You would tell him which of the following?
A) that he can stop his medication slowly but must go to therapy for a while longer
B) that he has a lifelong condition that must be addressed with lifelong treatment
C) that you will do some bloodwork to check his condition and then see what must be done
D) that he must be weaned off the treatment slowly
4. Your 72-year-old patient presents with edema, fatigue, and anuri
a. After testing, you determine he is positive for Glomerular disease. Which of the following would LEAST likely be a differential diagnosis for Glomerular disease?
A) Idiopathic.
B) Chronic renal failure.
C) Acute renal failure.
D) Cancer.
5. You are conducting a health assessment with a patient. She tells you that she does not understand what will happen during the tests she will undergo the next day. Which of the following is an appropriate nursing diagnosis for this patient?
A) Patient does not understand care plan.
B) Patient needs further education.
C) Knowledge deficit.
D) Low health literacy.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |
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