Nursing Process Exam Questions

Correct Answer: A

Rationale: The correct answer is A: Facial tenderness. Sinus infections commonly present with facial tenderness due to the inflammation and pressure within the sinuses. This symptom is often accompanied by pain or pressure around the eyes, cheeks, and forehead. Photophobia (B) is more commonly associated with conditions like migraines or meningitis. Chest pain (C) is not a typical symptom of a sinus infection. Ear drainage (D) is more indicative of an ear infection rather than a sinus infection.

Correct Answer: C

Rationale: Rationale: - Paraplegia refers to paralysis of the lower extremities. - The prefix "para-" means alongside or beside, indicating lower body involvement. - Option A is incorrect as it refers to quadriplegia. - Option B is incorrect as it refers to quadriplegia. - Option D is incorrect as it refers to hemiplegia.

Correct Answer: B

Rationale: The correct answer is B: Encourage ambulation and liberal fluid. Encouraging ambulation can help in the movement of kidney stones and alleviate pain. Liberal fluid intake helps in flushing out kidney stones and preventing further stone formation. Incorrect options: A: Administering prescribed nephrotoxic drugs can worsen kidney function and exacerbate the pain. C: Observing aseptic principles when changing intake is important for infection prevention but not directly related to pain management for renal calculi. D: Providing a comfortable position can offer temporary relief but does not address the underlying cause of kidney stone pain.

Correct Answer: B

Rationale: The correct answer is B: Hypotension. Glipizide is a sulfonylurea medication used to treat diabetes by lowering blood sugar levels. Hypotension, or low blood pressure, can be an adverse reaction as glipizide may cause vasodilation leading to a drop in blood pressure. Headache (choice A), constipation (choice C), and photosensitivity (choice D) are not common adverse reactions associated with glipizide use. Headache may occur due to other factors, constipation is more commonly associated with opioids, and photosensitivity is typically seen with certain antibiotics or NSAIDs.

Correct Answer: A

Rationale: The correct answer is A because asthma is characterized by inflammation and bronchoconstriction of the airways, leading to difficulty breathing. This explanation accurately describes the pathophysiology of asthma. Explanation for other choices: B: Fluid in the lungs is more indicative of conditions like pneumonia or pulmonary edema, not asthma. C: Asthma involves airway constriction and inflammation, not stretching and non-functionality. D: Asthma is not caused by infection but rather triggered by factors like allergens or irritants.