UWF PCC 1 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
3 days after cardiac surgery, the client's ;eg used for harvesting
veins for the bypass is warm and tender and has a 3cm area of
erythema and swelling at the distal end of the incision. the
incision staples are intact without drainage and vital signs are
stable. which type of complication is this client most likely
experiencing?
A. internal bleeding
B. dehiscence of the wound
C. deep vein thrombosis
D. infection at the incisional site Correct Answers C. deep vein
thrombosis
a 40 year old female patient is visiting the clinic. nursing notes
are as follows:
40 y/o female. prior medical history of kidney stones x2 years
ago. UTI 6 months ago, type II diabetes. takes metformin.
reports adequate water intake and is on ADA diet. patient
reports sexually active and utilizes spermicidal gel for
contraception
Based on the patient information, what risk factors for urinary
tract infection does the nurse recognize? select all
- history of UTI
- history of kidney stones
- adequate water intake
- type II diabetes
- ADA diet
- spermicidal contraceptive Correct Answers - history of UTI
,- history of kidney stones
- type II diabetes
- spermicidal contraceptive
a 55 year old man suffered a myocardial infarction (heart attach)
3 months ago. during his hospitalization he had stents inserted in
two sites in the coronary artery and was also placed on
cholesterol-lowering agent and two antihypertensives. what type
of care is he receiving?
A. secondary
B. primary
C. health promotion
D. tertiary Correct Answers D. tertiary
a 71 year old client with established home health care is
admitted to the hospital. discharge planning for this patient
should begin
A. on the day of discharge from the hospital
B. on admission to the hospital
C. when the client voices concerns about discharge
D. when the patient is stable Correct Answers B. on admission
to the hospital
a charge nurse is teaching a group of healthcare workers about
hand hygiene to prevent infection. which of the following
information should the charge nurse include in the teaching?
A. wash hands with alcohol-based hand rubs when caring for a
client who has c.diff
B. use alcohol-based hand rubs when hands are visibly soiled
C. keep artificial nails trimmed
,D. use chlorhexidine to wash hands if the client is
immunosuppressed Correct Answers D. use chlorhexidine to
wash hands if the client is immunosuppressed
a child's pulse oximetry reading is 90%. what action should the
nurse take first?
A. raise the head of the bed
B. move the sensor to another area
C. notify the healthcare provider
D. prepare to administer oxygen Correct Answers B. move the
sensor to another area
a client asks why a pulse oximeter reading is being done when
experiencing a problem with the heart. what should the nurse
respond to this client?
A. the heart and lungs work together to provide oxygenation
B. you. right not have a heart problem
C. heart problems are caused by breathing problems
D. I'm just checking it as a routine part of vital signs Correct
Answers A. the heart and lungs work together to provide
oxygenation
a client experiences acute shortness of breath. which
noninvasive technique should the nurse use to assess this client's
arterial oxygen saturation?
A. auscultate breath sounds
B. pulse oximetry
C. arterial blood gas sampling
D. count the respiratory rate Correct Answers B. pulse oximetry
, a client has been bedridden for several days after major
abdominal surgery. all of the following can be delegated to the
UAP for deep vein thrombosis, except?
A. offer fluids frequently
B. apply compression stockings
C. teach leg exercises
D. assist with ambulation Correct Answers C. teach leg
exercises
a client has been diagnosed with hypertension but does not take
antihypertensive meds because of lack of symptoms. what
response by the nurse is best?
A. you are lucky, most people get severe morning headaches
B. you need to take your meds or you will get kidney failure
C. most people with hypertension do not have symptoms
D. do you have trouble affording your meds? Correct Answers
C. most people with hypertension do not have symptoms
a client has been diagnosed with renal disease. the nurse
includes which diet teaching for this client?
A. calorie restricted
B. diabetic diet
C. fat restriction
D. protein controlled diet Correct Answers D. protein controlled
diet
A client has lower extremity edema. Which intervention should
the nurse implement to help with this client's venous return?
A. increase amount of daily exercise
B. adhere to prescribed med regimen
C. elevate the legs about the level of the heart
COMPLETE SOLUTIONS
3 days after cardiac surgery, the client's ;eg used for harvesting
veins for the bypass is warm and tender and has a 3cm area of
erythema and swelling at the distal end of the incision. the
incision staples are intact without drainage and vital signs are
stable. which type of complication is this client most likely
experiencing?
A. internal bleeding
B. dehiscence of the wound
C. deep vein thrombosis
D. infection at the incisional site Correct Answers C. deep vein
thrombosis
a 40 year old female patient is visiting the clinic. nursing notes
are as follows:
40 y/o female. prior medical history of kidney stones x2 years
ago. UTI 6 months ago, type II diabetes. takes metformin.
reports adequate water intake and is on ADA diet. patient
reports sexually active and utilizes spermicidal gel for
contraception
Based on the patient information, what risk factors for urinary
tract infection does the nurse recognize? select all
- history of UTI
- history of kidney stones
- adequate water intake
- type II diabetes
- ADA diet
- spermicidal contraceptive Correct Answers - history of UTI
,- history of kidney stones
- type II diabetes
- spermicidal contraceptive
a 55 year old man suffered a myocardial infarction (heart attach)
3 months ago. during his hospitalization he had stents inserted in
two sites in the coronary artery and was also placed on
cholesterol-lowering agent and two antihypertensives. what type
of care is he receiving?
A. secondary
B. primary
C. health promotion
D. tertiary Correct Answers D. tertiary
a 71 year old client with established home health care is
admitted to the hospital. discharge planning for this patient
should begin
A. on the day of discharge from the hospital
B. on admission to the hospital
C. when the client voices concerns about discharge
D. when the patient is stable Correct Answers B. on admission
to the hospital
a charge nurse is teaching a group of healthcare workers about
hand hygiene to prevent infection. which of the following
information should the charge nurse include in the teaching?
A. wash hands with alcohol-based hand rubs when caring for a
client who has c.diff
B. use alcohol-based hand rubs when hands are visibly soiled
C. keep artificial nails trimmed
,D. use chlorhexidine to wash hands if the client is
immunosuppressed Correct Answers D. use chlorhexidine to
wash hands if the client is immunosuppressed
a child's pulse oximetry reading is 90%. what action should the
nurse take first?
A. raise the head of the bed
B. move the sensor to another area
C. notify the healthcare provider
D. prepare to administer oxygen Correct Answers B. move the
sensor to another area
a client asks why a pulse oximeter reading is being done when
experiencing a problem with the heart. what should the nurse
respond to this client?
A. the heart and lungs work together to provide oxygenation
B. you. right not have a heart problem
C. heart problems are caused by breathing problems
D. I'm just checking it as a routine part of vital signs Correct
Answers A. the heart and lungs work together to provide
oxygenation
a client experiences acute shortness of breath. which
noninvasive technique should the nurse use to assess this client's
arterial oxygen saturation?
A. auscultate breath sounds
B. pulse oximetry
C. arterial blood gas sampling
D. count the respiratory rate Correct Answers B. pulse oximetry
, a client has been bedridden for several days after major
abdominal surgery. all of the following can be delegated to the
UAP for deep vein thrombosis, except?
A. offer fluids frequently
B. apply compression stockings
C. teach leg exercises
D. assist with ambulation Correct Answers C. teach leg
exercises
a client has been diagnosed with hypertension but does not take
antihypertensive meds because of lack of symptoms. what
response by the nurse is best?
A. you are lucky, most people get severe morning headaches
B. you need to take your meds or you will get kidney failure
C. most people with hypertension do not have symptoms
D. do you have trouble affording your meds? Correct Answers
C. most people with hypertension do not have symptoms
a client has been diagnosed with renal disease. the nurse
includes which diet teaching for this client?
A. calorie restricted
B. diabetic diet
C. fat restriction
D. protein controlled diet Correct Answers D. protein controlled
diet
A client has lower extremity edema. Which intervention should
the nurse implement to help with this client's venous return?
A. increase amount of daily exercise
B. adhere to prescribed med regimen
C. elevate the legs about the level of the heart
