SUCCESS IN PRACTICAL VOCATIONAL
NURSING 8TH EDITION BY KNECHT ACTUAL
EXAM TEST BANK COMPLETE QUESTIONS
AND SOLUTIONS
◉ 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." Answer: 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 Answer: 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 Answer: 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 Answer: 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. Answer: 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. Answer: 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 Answer: 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 Answer: 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. Answer: Provide skin care
with a moisture barrier cream.
Administer artificial tear PRN.
NURSING 8TH EDITION BY KNECHT ACTUAL
EXAM TEST BANK COMPLETE QUESTIONS
AND SOLUTIONS
◉ 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." Answer: 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 Answer: 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 Answer: 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 Answer: 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. Answer: 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. Answer: 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 Answer: 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 Answer: 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. Answer: Provide skin care
with a moisture barrier cream.
Administer artificial tear PRN.
