HEALTH & HEALING IV - EXAM REVIEW
QUESTIONS WITH COMPLETE SOLUTIONS
70-90% of hip fractures are caused by? Correct Answers
Osteoporosis
A 70-year-old client becomes restless and agitated as he begins
to regain consciousness in the PACU, and his Sp02 is 88%.
What is the most common cause of hypoxemia during anesthesia
recovery that the nurse bases their knowledge on to intervene?
a) Bronchospasm
b) Pulmonary edema
c) Atelectasis
d) Aspiration of gastric contents Correct Answers C
A bandage has been applied on the ankle of a client for a sprain.
The client is now complaining of pain, swelling, and numbness
beyond the edge of the bandage. What might be the possible
cause?
a) Thrombophlebitis is beginning
b) The bandage is too tight
c) Deep vein thrombosis is forming
d) Cellulitis of the leg is advancing Correct Answers B
A client admitted to hospital has a history of smoking a pack of
cigarettes daily. In anticipation of nicotine withdrawal, which of
the following should the nurse anticipate in the plan of care?
a) Drowsiness
b) Cardiac dysrhythmias
c) Decreased appetite
d) Insomnia Correct Answers D
,A client admitted to the emergency department (ED) is
diagnosed with acute decompensated heart failure manifesting
as pulmonary edema. Which clinical manifestation(s) should the
nurse observe for? Select all that apply.
a) Dyspnea
b) Rapid heart rate
c) Dry, warm skin
d) Frothy, blood-tinged sputum
e) Low respiratory rate Correct Answers A,B,D
A client admitted to the hospital early in the morning for
elective surgery asks to go outdoors to have one last cigarette
before surgery. Which response is best for the nurse to make to
the client's request?
a) Tell the client that smoking is not allowed anywhere on
hospital property
b) Notify the health care provider that the client may need an
over-the-counter nicotine replacement agent
c) Inform the client that this would be an ideal time to quit
smoking because he or she won't want to smoke right after
surgery
d) Contact the anaesthesia care provider to ensure that the
client's smoking history is noted as a risk factor for surgery
Correct Answers B
A client admitted to the hospital with cirrhosis of the liver
suddenly starts vomiting blood. Which action is priority for the
nurse to implement?
a) Give propronalol orally
b) Check for signs of cirrhosis
,c) Send for endoscopic variceal ligation
d) Stabilize the client and manage airway Correct Answers D
A client admitted with an Upper GI bleed is receiving Normal
Saline (NS) @ 250 mL/h. Which of the following findings is
most important to communicate to the physician?
a) Apical heart-rate (HR) of 104 beats/min
b) Dry lips and oral mucosa
c) Audible lung crackles
d) Blood pressure (BP) of 148/88 mmHG Correct Answers C
A client admitted with metastatic lung cancer is prescribed
morphine for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a) Diarrhea
b) Agitation
c) Constipation
d) Urinary incontinence Correct Answers C
A client admitted with type 2 diabetes mellitus asks the nurse
what "type 2" means. Which statement is best?
a) "With type 2 diabetes mellitus, the body of the pancreas
becomes inflamed"
b) "With type 2 diabetes mellitus, the client is totally dependent
on an outside source of insulin"
c) "With type 2 diabetes mellitus, insulin secretion is decreased
and insulin resistance is increased"
d) "With type 2 diabetes mellitus, the body produces
autoantibodies that destroy B-cells in the pancreas" Correct
Answers C
, A client arrives at the emergency department with a reported
overdose of diazepam. Which medication should the nurse
prepare to administer as an antidote?
a) Protamine sulfate
b) Naloxone
c) Flumazenil
d) Phytonadione Correct Answers C
A client complains of a throbbing headache. When the history is
obtained, the nurse discovers that the client has had this type of
headache before and experienced photophobia before the
headache occurred. The nurse should know that what is probably
the cause of the client's headache?
a) Polycythemia vera
b) A cluster headache
c) A migraine headache
d) A hemorrhagic stroke Correct Answers C
A client experienced sudden cardiac death (SCD) while
hospitalized and survived. Which intervention should the nurse
expect to be used as a preventative treatment for this client while
at home?
a) External pacemaker
b) An electrophysiological study (EPS)
c) Medications to prevent dysrhythmias
d) Implantable cardioverter-defibrillator (ICD) Correct Answers
D
A client experiences a fat embolism. What clinical
manifestations does the nurse expect?
a) Tachypnea, tachycardia, shortness of breath, and paresthesia
QUESTIONS WITH COMPLETE SOLUTIONS
70-90% of hip fractures are caused by? Correct Answers
Osteoporosis
A 70-year-old client becomes restless and agitated as he begins
to regain consciousness in the PACU, and his Sp02 is 88%.
What is the most common cause of hypoxemia during anesthesia
recovery that the nurse bases their knowledge on to intervene?
a) Bronchospasm
b) Pulmonary edema
c) Atelectasis
d) Aspiration of gastric contents Correct Answers C
A bandage has been applied on the ankle of a client for a sprain.
The client is now complaining of pain, swelling, and numbness
beyond the edge of the bandage. What might be the possible
cause?
a) Thrombophlebitis is beginning
b) The bandage is too tight
c) Deep vein thrombosis is forming
d) Cellulitis of the leg is advancing Correct Answers B
A client admitted to hospital has a history of smoking a pack of
cigarettes daily. In anticipation of nicotine withdrawal, which of
the following should the nurse anticipate in the plan of care?
a) Drowsiness
b) Cardiac dysrhythmias
c) Decreased appetite
d) Insomnia Correct Answers D
,A client admitted to the emergency department (ED) is
diagnosed with acute decompensated heart failure manifesting
as pulmonary edema. Which clinical manifestation(s) should the
nurse observe for? Select all that apply.
a) Dyspnea
b) Rapid heart rate
c) Dry, warm skin
d) Frothy, blood-tinged sputum
e) Low respiratory rate Correct Answers A,B,D
A client admitted to the hospital early in the morning for
elective surgery asks to go outdoors to have one last cigarette
before surgery. Which response is best for the nurse to make to
the client's request?
a) Tell the client that smoking is not allowed anywhere on
hospital property
b) Notify the health care provider that the client may need an
over-the-counter nicotine replacement agent
c) Inform the client that this would be an ideal time to quit
smoking because he or she won't want to smoke right after
surgery
d) Contact the anaesthesia care provider to ensure that the
client's smoking history is noted as a risk factor for surgery
Correct Answers B
A client admitted to the hospital with cirrhosis of the liver
suddenly starts vomiting blood. Which action is priority for the
nurse to implement?
a) Give propronalol orally
b) Check for signs of cirrhosis
,c) Send for endoscopic variceal ligation
d) Stabilize the client and manage airway Correct Answers D
A client admitted with an Upper GI bleed is receiving Normal
Saline (NS) @ 250 mL/h. Which of the following findings is
most important to communicate to the physician?
a) Apical heart-rate (HR) of 104 beats/min
b) Dry lips and oral mucosa
c) Audible lung crackles
d) Blood pressure (BP) of 148/88 mmHG Correct Answers C
A client admitted with metastatic lung cancer is prescribed
morphine for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a) Diarrhea
b) Agitation
c) Constipation
d) Urinary incontinence Correct Answers C
A client admitted with type 2 diabetes mellitus asks the nurse
what "type 2" means. Which statement is best?
a) "With type 2 diabetes mellitus, the body of the pancreas
becomes inflamed"
b) "With type 2 diabetes mellitus, the client is totally dependent
on an outside source of insulin"
c) "With type 2 diabetes mellitus, insulin secretion is decreased
and insulin resistance is increased"
d) "With type 2 diabetes mellitus, the body produces
autoantibodies that destroy B-cells in the pancreas" Correct
Answers C
, A client arrives at the emergency department with a reported
overdose of diazepam. Which medication should the nurse
prepare to administer as an antidote?
a) Protamine sulfate
b) Naloxone
c) Flumazenil
d) Phytonadione Correct Answers C
A client complains of a throbbing headache. When the history is
obtained, the nurse discovers that the client has had this type of
headache before and experienced photophobia before the
headache occurred. The nurse should know that what is probably
the cause of the client's headache?
a) Polycythemia vera
b) A cluster headache
c) A migraine headache
d) A hemorrhagic stroke Correct Answers C
A client experienced sudden cardiac death (SCD) while
hospitalized and survived. Which intervention should the nurse
expect to be used as a preventative treatment for this client while
at home?
a) External pacemaker
b) An electrophysiological study (EPS)
c) Medications to prevent dysrhythmias
d) Implantable cardioverter-defibrillator (ICD) Correct Answers
D
A client experiences a fat embolism. What clinical
manifestations does the nurse expect?
a) Tachypnea, tachycardia, shortness of breath, and paresthesia
