Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Illusion.

Attention-getting behavior.

Hallucination.

Delusion.

Answer and Explanation

The Correct Answer is C

Choice A reason: An illusion is a misinterpretation of a real external stimulus, which is not the case here as there is no snake.

Choice B reason: Attention-getting behavior is a possibility, but given that Mr. G is specifically referencing a snake that isn't there, it suggests a hallucination.

Choice C reason: A hallucination is a sensory perception in the absence of external stimuli, which fits Mr. G's description of seeing a snake that isn't there.

Choice D reason: A delusion is a firmly held false belief; while Mr. G may have this, the immediate experience he's describing is a hallucination, not a delusion.

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Correct Answer is A

Explanation

Choice A reason: Antiembolism stockings are designed to apply pressure to the lower legs, promoting blood circulation and preventing blood from pooling in the veins, which can lead to venous stasis.

Choice B reason: While antiembolism stockings aid in circulation, they do not replace the need for postoperative leg exercises, which are important for recovery.

Choice C reason: These stockings are not specifically used to prevent varicose veins; their primary purpose is to prevent deep vein thrombosis (DVT) in postoperative patients.

Choice D reason: The stockings are not primarily used for pain reduction; their main function is to improve venous return and prevent DVT.

A. Tumor in situ, no invasion of other tissues. B. Distant metastasis to other sites. C. Abnormal cells present, has spread into nearby tissues. D. No abnormal cells.

Correct Answer is B

Explanation

Choice A reason: Tumor in situ refers to a tumor that has not invaded surrounding tissues, which is not indicative of stage IV cancer.

Choice B reason: Stage IV cancer is characterized by distant metastasis, meaning the cancer has spread to other sites away from the primary location.

Choice C reason: While the spread into nearby tissues indicates progression, it does not necessarily mean stage IV unless there is distant metastasis.

Choice D reason: The presence of no abnormal cells would not be consistent with any stage of cancer.

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Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?

Correct Answer is B

Explanation

The nurse is assisting in the care of a preoperative patient who states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?

A patient is receiving IV fluids at 100 mL per hour. Which assessment findings would indicate fluid volume excess? (Select all that apply.)

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

We encourage the patient to cough and deep breathe after surgery to prevent:

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

The mental health status examination includes (select all that apply):

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)