The nurse is assisting in the care of an adolescent athlete in the emergency department.
Blood pressure
Heart rate
Level of consciousness
BUN level
Sodium level
Correct Answer : C,E
A. Blood pressure
124/72 mm Hg is normal.
B. Heart rate
64/min is normal.
C. Level of consciousness
Disorientation and hallucinations ("looking for the cat") suggest altered mental status, possibly from hypernatremia or hyperosmolality.
D. BUN level
14 mg/dL is within normal range.
E. Sodium level
Sodium of 150 mEq/L is elevated. Hypernatremia can cause neurological changes and must be corrected cautiously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An HbA1c value greater than 8% indicates diabetic control of blood sugar.
>8% suggests poor control. Ideal is <7% for most adults.
B. The HbA1c value is altered by eating habits the day before the test.
HbA1c is not affected by recent food intake-it reflects long-term glucose trends.
C. The HbA1c value determines long-term blood glucose control for the past 120 days.
HbA1c reflects average glucose levels over ~3 months and helps assess long-term control.
D. An HbA1c test is performed once per year.
For patients with diabetes, it's typically performed every 3–6 months.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Condition – Ectopic pregnancy; Finding – Right lower quadrant abdominal tenderness
Ectopic pregnancy – Right lower quadrant abdominal tenderness
A missed period, positive hCG, and right lower quadrant pain are classic signs of ectopic pregnancy, a life-threatening condition.
Other combinations are ruled out as follows:
- Placenta previa – Incorrect: Usually presents in later pregnancy with painless bright red bleeding.
- Pyelonephritis – Temperature – Incorrect: The client has normal temperature and no urinary symptoms.
- Acute asthma attack – Hyperactive bowel sounds – Incorrect: No respiratory distress or wheezing; hyperactive bowel sounds are GI-related.
- Abruptio placentae – Respiratory rate – Incorrect: RR is normal and this condition is also more likely in later pregnancy
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