Exam 4 N1 Questions With Complete Solutions
A nurse is assessing a client who has had diarrhea for 4 days.
Which of the following findings should the nurse expect?
(Select all that apply)
1. Bradycardia
2. Hypotension
3. Elevated temperature
4. Poor skin turgor
5. Peripheral edema
2, 3, 4
A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should the
nurse include? (select all that apply)
1. Limit total daily fluid intake
2. Decreased or avoid caffeine
3. Take calcium supplements
4. Avoid drinking alcohol
5. Use the crede maneuver
2, 4
A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse take?
1. Check to see whether the catheter is patent
2. Reassure the client that it is not possible for them urinate
3. Recatheterize the bladder a larger-gauge catheter
4. Collect a urine specimen for analysis
,1
A nurse is reviewing factors that increase the risk of urinary
tract infections (UTIs) with a client who has recurrent UTIs.
Which of the following factors should the nurse include (SAP)
1. Frequent sexual intercourse
2. Lower of testosterone levels
3. Wiping from front to back to clean the perineum
4. Location of the urethra close to the anus
5. Frequent catheterization
1, 4, 5
A nurse is preparing to initiate a bladder-retraining program for
a client who has incontinence. Which of the following actions
should the nurse take? (SAP)
1. Restrict the client's intake of lduis during the daytime
2. Have the client record urination times
3. Gradually increase the urination intervals
4. Remind the client to hold urine until the next scheduled
urination time
5. Provide a sterile container for urine
2, 3, 4
A nurse is caring for a client who is 2 days postoperative
following an appendectomy and has type 1 diabetes mellitus.
Their HgB is 12 g/dL and BMI is 17.1. The incision is
approximated and free of redness, with scant serious drainage on
the dressing. THe nurse should recognize that the cleint has
which of the following risk factors for imparied wound healing
(SAP)
, 1. Extremes in age
2. Chronic illness
3. Low Hemoglobin
4. Malnutrition
5. Poor wound care
2, 3, 4
A nurse is collecting data from a client who is 5 days postop
following abdominal surgery. The surgeon suspects an incisional
wound infection and has prescribed antibiotic therapy for the
nurse to initiate after collecting wound and blood specimens for
culture and sensitivity. Which of the following findings should
the nurse expect? (SAP)
1. Increased in incisional pain
2. Fever and chills
3. Reddened wound edges
4. Increased in serosanguineous drainage
5. Decrease in thirst
1, 2, 3
A nurse educator is reviewing the wound healing process with a
group of nurses. The nurse educator should include in the
information which of the following alternations for wound
healing by secondary intention (SAP)
1. Stage 3 pressure injury
2. Sutured surgical incision
3. Casted bone fracture
4. Laceration sealed with adhesive
5. Open burn area
A nurse is assessing a client who has had diarrhea for 4 days.
Which of the following findings should the nurse expect?
(Select all that apply)
1. Bradycardia
2. Hypotension
3. Elevated temperature
4. Poor skin turgor
5. Peripheral edema
2, 3, 4
A nurse is teaching a client who reports stress urinary
incontinence. Which of the following instructions should the
nurse include? (select all that apply)
1. Limit total daily fluid intake
2. Decreased or avoid caffeine
3. Take calcium supplements
4. Avoid drinking alcohol
5. Use the crede maneuver
2, 4
A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse take?
1. Check to see whether the catheter is patent
2. Reassure the client that it is not possible for them urinate
3. Recatheterize the bladder a larger-gauge catheter
4. Collect a urine specimen for analysis
,1
A nurse is reviewing factors that increase the risk of urinary
tract infections (UTIs) with a client who has recurrent UTIs.
Which of the following factors should the nurse include (SAP)
1. Frequent sexual intercourse
2. Lower of testosterone levels
3. Wiping from front to back to clean the perineum
4. Location of the urethra close to the anus
5. Frequent catheterization
1, 4, 5
A nurse is preparing to initiate a bladder-retraining program for
a client who has incontinence. Which of the following actions
should the nurse take? (SAP)
1. Restrict the client's intake of lduis during the daytime
2. Have the client record urination times
3. Gradually increase the urination intervals
4. Remind the client to hold urine until the next scheduled
urination time
5. Provide a sterile container for urine
2, 3, 4
A nurse is caring for a client who is 2 days postoperative
following an appendectomy and has type 1 diabetes mellitus.
Their HgB is 12 g/dL and BMI is 17.1. The incision is
approximated and free of redness, with scant serious drainage on
the dressing. THe nurse should recognize that the cleint has
which of the following risk factors for imparied wound healing
(SAP)
, 1. Extremes in age
2. Chronic illness
3. Low Hemoglobin
4. Malnutrition
5. Poor wound care
2, 3, 4
A nurse is collecting data from a client who is 5 days postop
following abdominal surgery. The surgeon suspects an incisional
wound infection and has prescribed antibiotic therapy for the
nurse to initiate after collecting wound and blood specimens for
culture and sensitivity. Which of the following findings should
the nurse expect? (SAP)
1. Increased in incisional pain
2. Fever and chills
3. Reddened wound edges
4. Increased in serosanguineous drainage
5. Decrease in thirst
1, 2, 3
A nurse educator is reviewing the wound healing process with a
group of nurses. The nurse educator should include in the
information which of the following alternations for wound
healing by secondary intention (SAP)
1. Stage 3 pressure injury
2. Sutured surgical incision
3. Casted bone fracture
4. Laceration sealed with adhesive
5. Open burn area
