Path 370

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Sample questions from Path 370

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In a community emergency department, four clients arrive within minutes of one another. Which client should the charge nurse direct the triage nurse to assess first?

   • A.A 7-year-old with a temperature of 39.1 C and ear pain who is alert and drinking small amounts
   • B.A 34-year-old with a closed ankle fracture, pain 9/10, intact distal pulses, and no deformity
   • C.A 52-year-old with a history of migraine reporting a familiar headache and photophobia, with a normal neurologic examination
   • D.A 68-year-old with new facial droop and slurred speech that began 25 minutes ago, BP 178/94 mm Hg, and glucose 112 mg/dL

   Rationale: The sudden focal neurologic changes suggest an acute stroke, and the short time since onset makes rapid assessment and stroke-team activation time-sensitive. The fracture requires timely pain management but has intact perfusion, while the familiar migraine and febrile child are currently stable. Triage prioritizes threats to life and time-dependent treatment over pain severity alone.

2. 2.During a home visit, a 73-year-old client with heart failure reports taking an extra dose of furosemide yesterday because of ankle swelling. The client is alert, has no dyspnea, and has a BP of 108/66 mm Hg. Which action is most appropriate for the visiting nurse?

   • A.Instruct the client to stop furosemide until the next scheduled appointment
   • B.Ask the client's neighbor to organize and administer the medications each morning
   • C.Assess the client's weight trend, medication use, blood pressure, and symptoms, then communicate findings to the prescribing clinician
   • D.Tell the client to take an extra dose whenever ankle swelling returns

   Rationale: A focused assessment is needed to determine whether the swelling reflects worsening heart failure and whether the extra dose caused volume depletion or hypotension. The nurse should communicate the findings so the prescriber can adjust the plan safely. Self-adjusting the dose, stopping therapy, or assigning medication administration to an unassessed neighbor may cause harm and does not address the need for clinical evaluation.

3. 3.The provider prescribes 500 mL of 0.9% sodium chloride to infuse over 4 hours for a 29-year-old client in an outpatient infusion clinic. The client is stable, and the infusion pump is available. At what rate should the nurse program the pump?

   • A.125 mL/hr
   • B.100 mL/hr
   • C.150 mL/hr
   • D.200 mL/hr

   Rationale: Dividing 500 mL by 4 hours gives an infusion rate of 125 mL/hr. A rate of 100 mL/hr would deliver only 400 mL in 4 hours, while 150 mL/hr and 200 mL/hr would deliver the prescribed volume too quickly. Verify the order, pump settings, and client response after initiating the infusion.

4. 4.Refer to the client's chart. Which actions should the nurse take now for the 46-year-old client on the surgical unit? Select all that apply.

   • A.Administer the prescribed IV opioid now because the client reports severe pain
   • B.Apply oxygen and support ventilation while obtaining an immediate assessment
   • C.Ask the unlicensed assistive personnel to obtain another set of vital signs before taking further action
   • D.Notify the surgeon of the acute change after initiating emergency support
   • E.Stay with the client and activate the rapid response system

   Answer and rationale are in the full material.

5. 5.At change of shift in a long-term care facility, an RN is assigning tasks for a stable 81-year-old resident with a chronic leg ulcer. Which task is appropriate to delegate to an experienced unlicensed assistive personnel?

   • A.Teach the resident how to recognize signs of wound infection
   • B.Obtain the resident's temperature and report it to the RN
   • C.Measure and record the ulcer dimensions and describe the wound bed
   • D.Change the prescribed dressing and determine whether the wound is healing

   Answer and rationale are in the full material.