Care Management Final Exam Review Questions With
Complete Solutions
A client has 1 L of dextrose 5% in 0.45% sodium chloride
infusing IV at 125 mL/hr. How many hours will it take for the
liter to infuse? (Fill in the blank with the numeric value only and
round to the nearest whole number.) Correct Answers 8 hours
A home health nurse is planning to provide health promotion
activities for a group of clients in the community. Which of the
following activities is an example of primary prevention?
Correct Answers Educating clients about the recommended
immunization schedule for adults
A hospice nurse is visiting with the family member of a client.
The family member states that the client has insomnia almost
nightly. Which of the following practices should the nurse
identify as contributing to the client's insomnia? Correct
Answers The client watches television in her bed during the day
A middle-aged adult client is discussing future plans with the
nurse. Which of the following statements should the nurse
identify as an indication that the client is having difficulty
achieving Erikson's developmental task for this age group?
Correct Answers "We miss our daughter so much that we are
going to move closer to her."
A nurse in a long-term care facility is admitting a client who is
incontinent and smells strongly of urine. His partner, who has
been caring for him at home, is embarrassed and apologizes for
the smell. Which of the following responses should the nurse
,make? Correct Answers "It must be difficult to care for
someone who is confined to bed."
A nurse in a rehabilitation facility is observing an assistive
personnel (AP) help a client transfer from a bed to a wheelchair.
Which of the following actions indicates to the nurse that the AP
understands how to perform this task? Correct Answers
Locking the brakes on the bed and the wheelchair before moving
the client
A nurse in an emergency department is assessing a client who
reports diarrhea and decreased urination for 4 days. Which of
the following actions should the nurse take to assess the client's
skin turgor? Correct Answers Grasp a skin fold on the chest
under the clavicle, release it, and note whether it springs back
A nurse in an oncology clinic is assessing a client who is
undergoing treatment for ovarian cancer. Which of the following
statements by the client indicates she is experiencing
psychological distress? Correct Answers "I keep having
nightmares about my upcoming surgery."
A nurse in the emergency department is assessing a client who
has deep, rapid respirations. Arterial blood gas analysis includes
the following values: pH 7.25, PaCO2 40, and HCO3- 18.
Which of the following acid-base imbalances should the nurse
identify and report to the provider? Correct Answers Metabolic
acidosis
A nurse is assessing a client who is experiencing stress and
anxiety regarding a recent diagnosis. Which of the following
, findings should the nurse expect? Correct Answers Increased
blood pressure
A nurse is assessing a client who is experiencing stress
following a near fall out of bed. Which of the following
physiological responses should the nurse expect due to the fight-
or-flight response? Correct Answers Increased blood pressure
A nurse is assisting a client who has dysphagia at mealtimes.
Which of the following actions should the nurse take? Correct
Answers Advise the client to tuck his chin downward
A nurse is calculating a client's intake for a 12-hr shift. The
client had dextrose 5% in 0.45% sodium chloride infusing at 125
mL/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg
in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr, and a
nasogastric flush of 30 mL every 2 hr. What is the total intake in
milliliters that the nurse should document for this client for this
12-hr period? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answers 2,130mL
A nurse is caring for a client in a long-term care facility. Which
of the following findings should alert the nurse to the possibility
that the client has developed delirium? Correct Answers
Reduced level of consciousness
A nurse is caring for a client who had a stroke and is at risk of
falling. Which of the following actions should the nurse take?
Correct Answers Monitor the client at least once every hour
Complete Solutions
A client has 1 L of dextrose 5% in 0.45% sodium chloride
infusing IV at 125 mL/hr. How many hours will it take for the
liter to infuse? (Fill in the blank with the numeric value only and
round to the nearest whole number.) Correct Answers 8 hours
A home health nurse is planning to provide health promotion
activities for a group of clients in the community. Which of the
following activities is an example of primary prevention?
Correct Answers Educating clients about the recommended
immunization schedule for adults
A hospice nurse is visiting with the family member of a client.
The family member states that the client has insomnia almost
nightly. Which of the following practices should the nurse
identify as contributing to the client's insomnia? Correct
Answers The client watches television in her bed during the day
A middle-aged adult client is discussing future plans with the
nurse. Which of the following statements should the nurse
identify as an indication that the client is having difficulty
achieving Erikson's developmental task for this age group?
Correct Answers "We miss our daughter so much that we are
going to move closer to her."
A nurse in a long-term care facility is admitting a client who is
incontinent and smells strongly of urine. His partner, who has
been caring for him at home, is embarrassed and apologizes for
the smell. Which of the following responses should the nurse
,make? Correct Answers "It must be difficult to care for
someone who is confined to bed."
A nurse in a rehabilitation facility is observing an assistive
personnel (AP) help a client transfer from a bed to a wheelchair.
Which of the following actions indicates to the nurse that the AP
understands how to perform this task? Correct Answers
Locking the brakes on the bed and the wheelchair before moving
the client
A nurse in an emergency department is assessing a client who
reports diarrhea and decreased urination for 4 days. Which of
the following actions should the nurse take to assess the client's
skin turgor? Correct Answers Grasp a skin fold on the chest
under the clavicle, release it, and note whether it springs back
A nurse in an oncology clinic is assessing a client who is
undergoing treatment for ovarian cancer. Which of the following
statements by the client indicates she is experiencing
psychological distress? Correct Answers "I keep having
nightmares about my upcoming surgery."
A nurse in the emergency department is assessing a client who
has deep, rapid respirations. Arterial blood gas analysis includes
the following values: pH 7.25, PaCO2 40, and HCO3- 18.
Which of the following acid-base imbalances should the nurse
identify and report to the provider? Correct Answers Metabolic
acidosis
A nurse is assessing a client who is experiencing stress and
anxiety regarding a recent diagnosis. Which of the following
, findings should the nurse expect? Correct Answers Increased
blood pressure
A nurse is assessing a client who is experiencing stress
following a near fall out of bed. Which of the following
physiological responses should the nurse expect due to the fight-
or-flight response? Correct Answers Increased blood pressure
A nurse is assisting a client who has dysphagia at mealtimes.
Which of the following actions should the nurse take? Correct
Answers Advise the client to tuck his chin downward
A nurse is calculating a client's intake for a 12-hr shift. The
client had dextrose 5% in 0.45% sodium chloride infusing at 125
mL/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg
in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr, and a
nasogastric flush of 30 mL every 2 hr. What is the total intake in
milliliters that the nurse should document for this client for this
12-hr period? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answers 2,130mL
A nurse is caring for a client in a long-term care facility. Which
of the following findings should alert the nurse to the possibility
that the client has developed delirium? Correct Answers
Reduced level of consciousness
A nurse is caring for a client who had a stroke and is at risk of
falling. Which of the following actions should the nurse take?
Correct Answers Monitor the client at least once every hour
