TEST BANK FOR
FUNDAMENTALS
OF NURSING 11TH
EDITION BY
POTTER AND
PERRY – ALL
CHAPTERS
,A nurse caring for a client who has an infected wound removes a dressing saturated
with blood and purulent drainage. How should the nurse dispose of the dressing
material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash
receptacle. - ANSWERS--B. Dispose of the dressing in a biohazardous waste
container.
A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements should
the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - ANSWERS--D. "I don't eat
shellfish because it gives me hives."
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium
chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
CALCULATION - ANSWERS--125 mL/hr
A nurse working for a home agency is assessing an older adult male client. Which of
the following findings is the priority for the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - ANSWERS--D. Dysphagia
A nurse is going to give a presentation about preventing deep-vein thrombosis
(DVT). Which of the following should the nurse include as a risk factor for this
disorder? (Select all that apply.)
BMI of 20
Recent long flight
Hypertension
High calcium intake
Immobility - ANSWERS--Flights
Immobility
, A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to
treat a pyloric obstruction. Which of the following rationales for the use of the
nasogastric tube should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - ANSWERS--C. Decompress the stomach.
A nurse provides a back massage as a palliative care measure to a client who is
unconscious, grimacing, and restless. Which of the following findings should the
nurse identify as indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - ANSWERS--The shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - ANSWERS--A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider
suspects has metabolic acidosis. Which of the following results should the nurse
expect to see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - ANSWERS--A. pH below 7.35
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative
care. Which of the following prescriptions should the nurse expect? (Select all that
apply.)
Provide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Obtain vital signs every 2 hr.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula. - ANSWERS--Provide skin care with a
moisture barrier cream.
FUNDAMENTALS
OF NURSING 11TH
EDITION BY
POTTER AND
PERRY – ALL
CHAPTERS
,A nurse caring for a client who has an infected wound removes a dressing saturated
with blood and purulent drainage. How should the nurse dispose of the dressing
material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash
receptacle. - ANSWERS--B. Dispose of the dressing in a biohazardous waste
container.
A nurse is caring for a female client who has recurrent kidney stones and is
scheduled for an intravenous pyelogram. Which of the following statements should
the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - ANSWERS--D. "I don't eat
shellfish because it gives me hives."
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium
chloride (NaCl) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to
deliver how many mL/hr? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
CALCULATION - ANSWERS--125 mL/hr
A nurse working for a home agency is assessing an older adult male client. Which of
the following findings is the priority for the nurse to address?
A. Swollen gums
B. Pruritus
C. Urinary Hesitancy
D. Dysphagia - ANSWERS--D. Dysphagia
A nurse is going to give a presentation about preventing deep-vein thrombosis
(DVT). Which of the following should the nurse include as a risk factor for this
disorder? (Select all that apply.)
BMI of 20
Recent long flight
Hypertension
High calcium intake
Immobility - ANSWERS--Flights
Immobility
, A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to
treat a pyloric obstruction. Which of the following rationales for the use of the
nasogastric tube should the nurse include in the teaching?
A. Determine the pH of the gastric secretions.
B. Supply nutrients via tube feedings.
C. Decompress the stomach.
D. Administer medications. - ANSWERS--C. Decompress the stomach.
A nurse provides a back massage as a palliative care measure to a client who is
unconscious, grimacing, and restless. Which of the following findings should the
nurse identify as indicating a therapeutic response? (Select all that apply.)
The shoulders droop.
The facial muscles relax.
The respiratory rate increases.
The pulse is within the expected range.
The client draws his legs up into a fetal position. - ANSWERS--The shoulders droop.
The facial muscles relax.
The pulse is within the expected range.
A nurse is assessing a client who is postoperative and has anemia due to excess
blood loss following surgery. Which of the following findings should the nurse
expect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea - ANSWERS--A. Fatigue
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider
suspects has metabolic acidosis. Which of the following results should the nurse
expect to see?
A. pH below 7.35
B. HCO3 above 26 mEq/L
C. PaO2 below 70 mmHg
D. PaCO2 above 45 mmHg - ANSWERS--A. pH below 7.35
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative
care. Which of the following prescriptions should the nurse expect? (Select all that
apply.)
Provide skin care with a moisture barrier cream.
Administer artificial tear PRN.
Obtain vital signs every 2 hr.
Perform mouth care every hour.
Administer oxygen 2L/min via nasal cannula. - ANSWERS--Provide skin care with a
moisture barrier cream.
