You are caring for a patient who has been sexually assaulted. The patient has become quiet and calm.
What defense mechanism does this indicate to the nurse?
A. Denial
B. Intellectualization
C. Projection
D. Rationalization
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 2:
You are caring for a patient in the withdrawal process. What medication do you expect the physician to
order to make the withdrawal process easier?
A. Naltrexone hydrochloride
B. Amphetamines
C. Tetrahydrocannabinol
D. Benzodiazepine
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 3:
What adverse effect would you observe in a patient who is taking an excessive amount of bupropion
(Wellbutrin)?
A. Seizure activity
B. Increased weight
C. Dizziness when getting up
D. Constipation
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4:
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing
assistant assess skin integrity for this patient?
A. Every 4 hours
B. Every 2 hours
C. Every 30 minutes
D. Every 3 hours
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5:
You are admitting a child with partial and full thickness burns over 35% of the body. The priority
intervention for this child would be:
A. Nasogastric tube
B. Foley catheter
C. Morphine
D. Restricting fluids
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 6:
Which finding would make you suspect that your patient might be in cardiogenic shock?
A. Decreased or muffled heart sounds
B. Increased cardiac output
C. A cardiac index greater than 2.2 L/min
D. Bounding pulses
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 7:
After a tonsillectomy, your patient begins to vomit. What intervention should be your priority?
A. Notify the physician
B. Administer an antiemetic
C. Maintain the patient's "nothing by mouth" status
D. Turn the patient to the side
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
Tanaga -
見やすいレイアウトで内容も充実した情CENの教科書です。基礎からの丁寧な解説で、わかりやすい!出題範囲を網羅。