A patient tells the nurse that he has a migraine headache which started about an hour ago. The nurse should administer the prescribed analgesic and

suggest the visitors stay a bit longer to provide support and distraction.

suggest the patient ambulates in the hallway to become fatigued, so they can rest.

turn the lights and television off except for a night light.

turn on the television to be used as a distractor for the patient.

Answer and Explanation

The Correct Answer is C

A. Suggest the visitors stay a bit longer to provide support and distraction. – Noise and stimulation can worsen migraines.

B. Suggest the patient ambulates in the hallway to become fatigued, so they can rest. – Movement may increase pain.

C. Turn the lights and television off except for a night light. – Correct Answer. Migraines are worsened by light and noise, so a dark and quiet environment is best.

D. Turn on the television to be used as a distractor for the patient. – Bright lights and sound can aggravate symptoms.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Answer: The nurse should first address the patient’s oxygen saturation followed by the patient’s hypotension.

Rationale:

1st Priority: Oxygen Saturation → The client’s oxygen saturation has dropped to 88% on room air, which is below the expected range (typically ≥95% in healthy individuals). Hypoxia must be addressed immediately to prevent further complications. The nurse should apply supplemental oxygen and reassess respiratory status.

2nd Priority: Hypotension → The client’s blood pressure has dropped to 94/59 mmHg, which is significantly lower than the earlier reading of 102/76 mmHg. This may contribute to dizziness and syncope. The nurse should monitor for signs of hemodynamic instability, assess for ongoing blood loss (related to heavy menstrual bleeding), and anticipate interventions such as IV fluids or further evaluation for anemia-related hypotension.

A. Double-check the product numbers on the PRBCS with the patient ID band. B. Monitor the patient for shortness of breath or chest pain during the transfusion. C. Obtain the temperature, blood pressure, and pulse before the transfusion. D. Verify the patient identification (ID) according to hospital policy.

Correct Answer is C

Explanation

A. Incorrect. Blood verification must be done by two licensed nurses.

B. Incorrect. Monitoring for transfusion reactions is the nurse's responsibility.

C. Correct. UAPs can obtain baseline vital signs before the transfusion, as long as the nurse interprets them.

D. Incorrect. Verifying patient ID for blood transfusions is a nursing responsibility per hospital protocol.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient tells the nurse that he has a migraine headache which started about an hour ago. The nurse should administer the prescribed analgesic and

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The nurse is planning to administer a transfusion of packed red blood cells (PRBCs) to a patient with blood loss from gastrointestinal hemorrhage. Which action can the nurse delegate to unlicensed assistive personnel (UAP)?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the patient's information. The nurse should use which of the following as the priority source of verification?

A nurse working on a medical unit is caring for a patient who is placed on seizure precautions. Which of the following interventions should the nurse include in the patient's plan of care?

A nurse is reviewing a patient's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the patient is at risk for which of the following?

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

A 72-year-old man with Parkinson's is admitted to the hospital for pneumonia. He is experiencing dysphagia which may result in difficultly with:

A type 1 diabetic patient is scheduled to receive their morning dose of aspart (rapid acting) insulin. Which of the following actions should the nurse take?