Multiple-choice questions can evaluate the student's knowledge of the facts, as well as:
1. Her ability to apply the knowledge to the clinical care scenario.
2. Her ability to select professional options.
3. Her ability to determine stem and answer.
4. Her ability to avoid distractors.
1
Rationale 1: Application of knowledge is important in developing critical thinking skills.
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The home care nurse sees a patient for the first time. The patient has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the patient experiencing?
A) Pneumonia B) Liver disease C) Congestive heart failure D) Myocardial infarction
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
a. Offering carbonated beverages b. Encouraging ambulation at least four times per day c. Administering a 1000-mL soapsuds enema d. Applying an abdominal binder
A patient is admitted to the hospital with genital herpes. The nurse would expect which of the following medications to be ordered to suppress the symptoms and shorten the course of the infection?
A) Clotrimazole (Gyne-Lotrimin) B) Metronidazole (Flagyl) C) Podophyllin (Podofin) D) Acyclovir (Zovirax)
A client becomes agitated and restless a few hours after being given a sleeping pill. The nurse recognizes the client is most likely experiencing:
A) an idiosyncratic drug reaction. B) a toxic effect from the medication. C) an allergic reaction to a chemical in the medication. D) a side effect of the medication.