ACHCONSA College of Nursing and Midwifery Past Questions and Answers

ACHCONSA College of Nursing and Midwifery Past Questions and Answers

Here they are;

A patient with a history of kidney disease is at risk for electrolyte imbalances. What electrolyte is primarily regulated by the kidneys and often imbalanced in kidney disease?

a) Sodium (Na+)

b) Potassium (K+)

c) Calcium (Ca2+)

d) Magnesium (Mg2+)

Answer: b) Potassium (K+)

What is the primary goal of using the "Patient Rights" approach in nursing practice?

a) To provide emotional support

b) To restrict patient participation in decision-making

c) To ensure that patients are aware of and can exercise their rights to informed consent, privacy, and dignity

d) To evaluate vital signs

Answer: c) To ensure that patients are aware of and can exercise their rights to informed consent, privacy, and dignity

A patient is prescribed to receive medication via an enteral feeding tube. What nursing intervention is essential for safe and effective administration?

a) Administer the medication intravenously

b) Mix the medication with a small amount of water before administration

c) Crush the medication and dilute it in a large volume of water

d) Verify that the medication is compatible with enteral administration and flush the tube before and after administration

Answer: d) Verify that the medication is compatible with enteral administration and flush the tube before and after administration

When caring for a patient with a history of stroke, what is a common symptom associated with a stroke affecting the left hemisphere of the brain?

a) Weakness or paralysis on the right side of the body

b) Difficulty with language, speech, and verbal comprehension

c) Vision disturbances

d) Memory deficits

Answer: b) Difficulty with language, speech, and verbal comprehension

A patient with a history of heart disease is at risk for heart failure. What is a common symptom of heart failure?

a) Elevated blood pressure

b) Fluid retention and swelling (edema)

c) Excessive thirst

d) Hypertension

Answer: b) Fluid retention and swelling (edema)

What is the primary goal of using the "Skin Assessment" approach in nursing practice?

a) To limit patient participation in decision-making

b) To provide emotional support

c) To restrict information sharing

d) To assess and monitor skin integrity, identify potential skin breakdown, and implement preventive measures

Answer: d) To assess and monitor skin integrity, identify potential skin breakdown, and implement preventive measures

A patient is prescribed to receive oxygen therapy. What should the nurse monitor to assess the patient's response to oxygen therapy?

a) Respiratory rate and oxygen saturation

b) Heart rate

c) Blood pressure

d) Temperature

Answer: a) Respiratory rate and oxygen saturation

When caring for a patient with a history of falls, what nursing intervention is essential to prevent falls related to bed mobility and transfers?

a) Provide a bed alarm to alert staff when the patient moves

b) Encourage the patient to ambulate independently

c) Limit access to fluids

d) Administer opioids

Answer: a) Provide a bed alarm to alert staff when the patient moves

A patient with a history of allergies is at risk for anaphylaxis. What is a severe symptom of anaphylaxis?

a) Elevated blood pressure

b) Flushed skin

c) Rapid swelling of the extremities

d) Difficulty breathing and swelling of the throat

Answer: d) Difficulty breathing and swelling of the throat

What is the primary goal of using the "Physical Assessment" approach in nursing practice?

a) To measure blood pressure

b) To restrict patient participation in decision-making

c) To promote pain management

d) To assess and document the patient's physical health and well-being

Answer: d) To assess and document the patient's physical health and well-being

A patient is prescribed to receive a subcutaneous (SC) injection. What is the recommended needle gauge for a subcutaneous injection in adults?

a) 16-18 gauge

b) 23-25 gauge

c) 27-30 gauge

d) 21-22 gauge

Answer: b) 23-25 gauge

When caring for a patient with a central venous catheter, what is the primary goal of securing the catheter?

a) To maintain tube patency

b) To assess the patient's pain level

c) To limit patient participation in decision-making

d) To prevent catheter dislodgement and complications

Answer: d) To prevent catheter dislodgement and complications

A patient is prescribed to receive a medication via an intravenous (IV) push. What should the nurse assess before administering the medication?

a) Blood pressure

b) Heart rate

c) Respiratory rate

d) The compatibility of the medication with IV push administration and the patient's IV site

Answer: d) The compatibility of the medication with IV push administration and the patient's IV site

What is the primary goal of using the "Nursing Diagnosis" approach in nursing practice?

a) To promote pain management

b) To provide emotional support

c) To evaluate vital signs

d) To identify and document the patient's health problems and potential nursing interventions

Answer: d) To identify and document the patient's health problems and potential nursing interventions

A patient with a history of diabetes is at risk for complications. What vital sign should the nurse monitor most closely for signs of hyperglycemia?

a) Respiratory rate

b) Heart rate

c) Blood pressure

d) Blood glucose levels

Answer: d) Blood glucose levels

When caring for a patient with a history of substance abuse, what is a common nursing intervention for withdrawal management?

a) Administer opioids

b) Provide emotional support

c) Implement a withdrawal assessment and offer appropriate interventions

d) Limit access to fluids

Answer: c) Implement a withdrawal assessment and offer appropriate interventions

A patient is prescribed to receive wound dressing changes. What is the primary goal of wound dressing changes in nursing practice?

a) To evaluate vital signs

b) To assess the patient's pain level

c) To promote wound healing and prevent infection

d) To restrict information sharing

Answer: c) To promote wound healing and prevent infection

What is the primary purpose of using the "Assessing Pain" approach in nursing practice?

a) To measure blood pressure

b) To limit patient participation in decision-making

c) To provide emotional support

d) To evaluate the patient's pain, assess its intensity, and provide effective pain relief

Answer: d) To evaluate the patient's pain, assess its intensity, and provide effective pain relief