KAPLAN MEDICAL SURGICAL INTEGRATED TEST
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Terms in this set (106)
A nurse is updating a plan of care after an evaluation of b) Have the client sit upright for 1 hour following meals.
a client who has dysphagia. Which of the following
interventions should the nurse include in the plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating.
A nurse is assessing the IV infusion site of client who b) discontinue the infusion.
reports pain at the site. The site is red and there is
warmth along the course of the vein. Which of the
following actions should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site.
A nurse is preparing to perform a routine abdominal b) perform palpitation after auscultation.
assessment for a client. Which of the following actions
should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel
sounds.
d) perform auscultation immediately after the client has
consumed a meal.
,A nurse is discusses immunity with a client who has d) acquired immunity.
received an immunization. The nurse should identify that
an immunization functions as part of the which of
following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity.
A nurse is reviewing the medical records of a group of c) lowered immune system function.
older adult clients. The nurse should identify that which
of the following is a risk factor that places older clients
at an increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.
d) increased body fat.
A nurse is teaching the client who has asthma the use of c) inhale the medication deeply for 5 seconds.
a metered dose inhaler. Which of the following
instructions should the nurse include in the teaching?
a) hold your breath for 6 seconds after inhaling the
medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth.
A nurse is assessing the pain level of a client who has d) behavioural indicators.
dementia and difficulty communicating. Which of the
following pain assessment techniques should the nurse
use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators
A nurse in an emergency department is monitoring the a) heart rate 120/min
hydration status of a client who is receiving oral
rehydration. Which of the following findings should the
nurse identify as requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020
, A nurse in a provider's office is assessing the motor skill b) walks without assistance using a wide stance.
development of a 15 month old toddler during a well
child visit. Which of the following gross motor skills
should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
c) has an accentuated cervical curvature when
standing.
d) stands with the feet turned slightly inward.
A nurse is teaching a group of parents and guardians c) "at this age, peer influence to participate in high-risk behaviours can lead to
about safety risks for adolescents. Which of the injury"
following statements should the nurse include in the
teaching?
a) "exploring the environment commonly leads to
injuries for this age group"
b) "most injuries sustained during this time of life are
caused by developing motor skills"
c) "at this age, peer influence to participate in high-risk
behaviours can lead to injury"
d) "the risk for injuries sustained during this age are
often a result of a change in cognitive function"
A nurse is caring for a client who expresses anxiety a) ask the client to describe their feelings.
about an upcoming surgery. Which of the following
actions should the nurse take?
a) ask the client to describe their feelings.
b) discuss the competency of the surgeon with the
client.
c) inform the client that others have had the procedure
without problems.
d) ask the client why they are experiencing anxiety.
A nurse is reviewing information about advance b) "I have a living will that outlines my wishes if I am unable to make decisions"
directives with a newly admitted client. Which of the
following statements by the client indicates an
understanding of the teaching?
a) "I need to have an attorney sign my advance
directives"
b) "I have a living will that outlines my wishes if I am
unable to make decisions"
c) "I must have a family member appointed to make my
health care decisions"
d) "I will need to sign a document stating that I want to
be resuscitated if I required CPR"
17 studiers today Leave the first rating
Save
Students also studied
KAPLAN Integrated Test D - Remedi... Kaplan Pharmacology Integrated HURST 3 Ka
85 terms Teacher 75 terms 5 terms 20
Jazzypg3 Preview geal2022 Preview madison_hook5 Preview
Terms in this set (106)
A nurse is updating a plan of care after an evaluation of b) Have the client sit upright for 1 hour following meals.
a client who has dysphagia. Which of the following
interventions should the nurse include in the plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating.
A nurse is assessing the IV infusion site of client who b) discontinue the infusion.
reports pain at the site. The site is red and there is
warmth along the course of the vein. Which of the
following actions should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site.
A nurse is preparing to perform a routine abdominal b) perform palpitation after auscultation.
assessment for a client. Which of the following actions
should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel
sounds.
d) perform auscultation immediately after the client has
consumed a meal.
,A nurse is discusses immunity with a client who has d) acquired immunity.
received an immunization. The nurse should identify that
an immunization functions as part of the which of
following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity.
A nurse is reviewing the medical records of a group of c) lowered immune system function.
older adult clients. The nurse should identify that which
of the following is a risk factor that places older clients
at an increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.
d) increased body fat.
A nurse is teaching the client who has asthma the use of c) inhale the medication deeply for 5 seconds.
a metered dose inhaler. Which of the following
instructions should the nurse include in the teaching?
a) hold your breath for 6 seconds after inhaling the
medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth.
A nurse is assessing the pain level of a client who has d) behavioural indicators.
dementia and difficulty communicating. Which of the
following pain assessment techniques should the nurse
use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators
A nurse in an emergency department is monitoring the a) heart rate 120/min
hydration status of a client who is receiving oral
rehydration. Which of the following findings should the
nurse identify as requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020
, A nurse in a provider's office is assessing the motor skill b) walks without assistance using a wide stance.
development of a 15 month old toddler during a well
child visit. Which of the following gross motor skills
should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
c) has an accentuated cervical curvature when
standing.
d) stands with the feet turned slightly inward.
A nurse is teaching a group of parents and guardians c) "at this age, peer influence to participate in high-risk behaviours can lead to
about safety risks for adolescents. Which of the injury"
following statements should the nurse include in the
teaching?
a) "exploring the environment commonly leads to
injuries for this age group"
b) "most injuries sustained during this time of life are
caused by developing motor skills"
c) "at this age, peer influence to participate in high-risk
behaviours can lead to injury"
d) "the risk for injuries sustained during this age are
often a result of a change in cognitive function"
A nurse is caring for a client who expresses anxiety a) ask the client to describe their feelings.
about an upcoming surgery. Which of the following
actions should the nurse take?
a) ask the client to describe their feelings.
b) discuss the competency of the surgeon with the
client.
c) inform the client that others have had the procedure
without problems.
d) ask the client why they are experiencing anxiety.
A nurse is reviewing information about advance b) "I have a living will that outlines my wishes if I am unable to make decisions"
directives with a newly admitted client. Which of the
following statements by the client indicates an
understanding of the teaching?
a) "I need to have an attorney sign my advance
directives"
b) "I have a living will that outlines my wishes if I am
unable to make decisions"
c) "I must have a family member appointed to make my
health care decisions"
d) "I will need to sign a document stating that I want to
be resuscitated if I required CPR"
