QUESTIONS & VERIFIED CORRECT
ANSWERS
What is the primary reason for immobile patients are at the risk for developing
atelectasis? - CORRECT ANSWER Stasis of bronchial secretions
Pt with new colostomy, which of the following observations in the stool observation in
the stool from the stoma would be of most concern? - CORRECT ANSWER Dark
purple or black stoma
A patient with acute urinary retention is at risk for which complication if not treated
promptly? - CORRECT ANSWER Bladder rupture
LVN notes diminished breath sounds on the left lower lobe.The initial nursing action
would be : - CORRECT ANSWER Have the patient cough and deep breathes
Which of the following is the primary purpose of administering a cleansing enema? -
CORRECT ANSWER to relieve constipation
A patients wound is red, warm, swollen, and increasingly painful.The nurse suspects: -
CORRECT ANSWER infection
Patient with chronic constipation should be educated on the potential risks of frequent
use of stimulant laxatives such as: - CORRECT ANSWER dependences for bowel
movements
Which patient statement indicates a need for further education about wound care ? -
CORRECT ANSWER "Its okay to disconnect the VAC for few hours if its inconvenient"
A patient is diagnosed with COPD. Which of the following is common clinical
manifestation of COPD? - CORRECT ANSWER prolonged expiration
A nurse is preparing to apply an elastic bandage to a patients sprained ankle. Which
action is appropriate? - CORRECT ANSWER using even pressure when wrapping the
bandage
A patient who is non-weight bearing on the left leg needs to learn to use crutches .The
nurse instructs patient to: - CORRECT ANSWER place all weight on right foot
Which factor primarily affects bowel elimination? - CORRECT ANSWER diet