Actual TEST BANK Exam Verified SOLUTIONS
(GRADED A+)
Patients diagnosed with esophageal varices are at risk for hemorrhagic
shock. Which of the following is a sign of potential hypovolemia?
a) Hypotension
b) Bradycardia
c) Warm moist skin
d) Polyuria - VERIFIED ANSWER - A
The nurse is assessing a client with a bleeding gastric ulcer. When
examining the client's stool, which of the following characteristics would
the nurse be most likely to find?
a) Green color and texture
b) Black and tarry appearance
c) Clay-like quality
d) Bright red blood in stool - VERIFIED ANSWER - B
,After teaching a group of students about the various organs of the upper
gastrointestinal tract and possible disorders, the instructor determines
that the teaching was successful when the students identify which of the
following structures as possibly being affected?
a) Large intestine
b) Ileum
c) Stomach
d) Liver - VERIFIED ANSWER - C
A nurse is caring for a client with active upper GI bleeding. What is the
appropriate diet for this client during the first 24 hours after admission?
a) Skim milk
b) Nothing by mouth
c) Regular diet
d) Clear liquids - VERIFIED ANSWER – B
A charge nurse is discussing the responsibility of nurses carig for clients
who have C. difficile. Which of the following information should the nurse
include in the teaching?
a) Assign the client to a room with a negative air-flow system
,b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting - VERIFIED
ANSWER - D
A nurse is caring for a client receiving IV fluids. During a routine check,
the nurse determines that the client has developed phlebitis and removes
the IV catheter. Which of the following actions should the nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - VERIFIED ANSWER - A
A nurse is caring for a client who has dementia. Which of the following
interventions should the nurse take to minimize the risk for injury for this
client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
, c) apply one soft wrist restraint
d) dim the lights in the client's room - VERIFIED ANSWER - A
A nurse is implementing a plan of care for a client who is at risk for falls.
Which of the following is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
c) place all 4 bed rails in the upright position
c) require a family member to remain at the bedside - VERIFIED ANSWER -
A
Which of the following techniques should the nurse use when performing
nasotracheal suctioning for a client?
a) insert the suction catheter while the client is swallowing
b) apply intermittent suction when withdrawing the catheter
c) place the catheter in a location that is clean and dry for later use
d) hold the suction catheter with the clean, non-dominant hand - VERIFIED
ANSWER - B