Many hospitalized patients are at risk for developing VTE.

True

False

Answer and Explanation

The Correct Answer is A

Choice A reason: Hospitalized patients often have immobility, surgery, or illness, increasing VTE risk via stasis, vessel injury, and hypercoagulability (Virchow’s triad). Studies show up to 60% of VTE cases occur in this setting, confirming the statement.

Choice B reason: False implies low VTE risk in hospitals, contradicting evidence. Inactivity and acute conditions elevate risk significantly, with prophylaxis standard in guidelines, as immobility alone triples clot formation likelihood.

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Correct Answer is C

Explanation

Choice A reason: Ceftriaxone treats infection, but giving it before cultures risks sterilizing samples, skewing results. It’s critical therapy, yet obtaining accurate diagnostics first ensures targeted treatment, delaying antibiotics briefly.

Choice B reason: Antipyretics reduce fever, a symptom, not the cause. Cultures take priority to identify pathogens before comfort measures, as fever management doesn’t alter diagnostic or treatment urgency in this case.

Choice C reason: Blood and sputum cultures identify the causative organism in suspected infection (e.g., pneumonia). They must be obtained first, before antibiotics, to ensure accuracy, guiding effective therapy and avoiding false negatives.

Choice D reason: Monitoring glucose is routine, not urgent in acute infection unless diabetic crisis is suspected. Cultures precede this, as identifying the pathogen drives treatment, while glucose can wait without immediate risk.

Choice E reason: Monitoring intake and output tracks fluid status, useful but secondary in acute infection. Cultures are the priority to diagnose and treat effectively, as I&O doesn’t alter initial management decisions.

A. Instill a vasoconstrictor medication into the affected nare. B. Pack the affected nare tightly with an epistaxis balloon. C. Obtain silver nitrate that may be needed for cauterization. D. Apply squeezing pressure to the nostrils for 10 minutes.

Correct Answer is D

Explanation

Choice A reason: Vasoconstrictors like oxymetazoline shrink vessels, aiding epistaxis control. It’s a secondary step requiring preparation, not first, as direct pressure is faster, non-invasive, and effective for initial hemostasis in most anterior bleeds.

Choice B reason: Packing with a balloon stops severe bleeding but is invasive and later in management. Pressure is the first, simpler action; packing escalates care unnecessarily before basic measures are tried in acute epistaxis.

Choice C reason: Silver nitrate cauterizes vessels, useful for persistent bleeding. It’s not first, requiring setup and assessment after pressure fails, as most epistaxis resolves with compression, making this a subsequent intervention.

Choice D reason: Squeezing nostrils compresses Kiesselbach’s plexus, stopping most anterior nosebleeds within 10 minutes. It’s the immediate, evidence-based first action, non-invasive, and effective, prioritizing rapid control before escalating to other methods.

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Many hospitalized patients are at risk for developing VTE.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

Correct Answer is C

Explanation

Which action would the nurse take first when a patient develops epistaxis (nose bleed)?

Correct Answer is D

Explanation

A nursing student is reviewing medications used to treat a patient with Peripheral Artery Disease (PAD). Which of the following medications should the nurse identify as commonly prescribed for this condition? (Select all that apply)

Nursing management of patients with tracheostomies includes collaboration with other healthcare team members. Match the Health care team member with the correct collaborative task.

A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?

A patient comes to the doctor’s office with the following complaints: Moderate to severe pain over the nose, eyes, and forehead, purulent nasal drainage, fever, and malaise. The nurse suspects the patient is suffering from ___________.

The nurse is reviewing the patient’s recent symptoms and lab results. Which of the following symptoms or findings suggest worsening heart failure? (Select all that apply)

Which patient statement supports a history of intermittent claudication?

An hour after a left thoracotomy, a patient reports incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage. Which action would the nurse take?

After change-of-shift report, which patient would the nurse assess first?