3 | UWORLD NCLEX-PN QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2nurseA2isA2preparingA2toA2changeA2aA2centralA2venousA2catheterA2dressingA2usingA2a
A2chlorhexidineA2gluconateA2(CHG)-
impregnatedA2patchA2andA2transparentA2adhesiveA2dressing.A2PlaceA2theA2proceduralA2st
epsA2inA2theA2correctA2order.A2AllA2optionsA2mustA2beA2used.
1.A2ApplyA2CHGA2patchA2overA2catheterA2insertionA2citeA2andA2coverA2withA2aA2sterileA2tra
nsparentA2dressing
2.A2CleanseA2theA2siteA2withA2CHGA2forA2atA2leastA230A2secondsA2usingA2friction;A2allowA2t
oA2air-dryA2completely
3.A2DiscardA2theA2cleanA2glovesA2performA2handA2hygiene,A2andA2applyA2sterileA2gloves
4.A2PerformA2handA2hygiene,A2donA2faceA2mask,A2placeA2aA2maskA2onA2theA2client,A2andA2
applyA2cleanA2gloves
5.A2RemoveA2oldA2dressingA2andA2CHG-impregnatedA2patch;A2inspectA2insertionA2siteA2-
A2Ans--CORRECTA2ANSWER:A24,A25,A23,A22,A21
CentralA2lineA2dressingA2changesA2areA2sterileA2proceduresA2andA2mustA2beA2performedA2
correctlyA2toA2preventA2infection.A2StepsA2shouldA2beA2performedA2inA2theA2followingA2ord
er:A2
•A2PerformA2meticulousA2handA2hygiene.A2
•A2DonA2aA2surgicalA2maskA2andA2applyA2aA2maskA2toA2theA2clientA2(orA2askA2theA2clientA2to
A2turnA2theA2headA2awayA2fromA2theA2dressing).A2ApplyA2cleanA2glovesA2(OptionA24).A2
•A2RemoveA2theA2oldA2dressing,A2includingA2theA2chlorhexidineA2gluconateA2(CHG)A2-
A2impregnatedA2patch,A2makingA2sureA2notA2toA2touchA2theA2insertionA2siteA2(OptionA25).A2
•A2InspectA2theA2siteA2forA2drainage,A2erythema,A2heat,A2orA2inflammation.A2
•A2DiscardA2theA2cleanA2gloves,A2performA2handA2hygiene,A2andA2applyA2sterileA2glovesA2(
OptionA23).A2
•A2CleanseA2theA2siteA2withA2antimicrobialA2solutionA2(eg,A2CHG),A2inA2aA2back-and-
forthA2motionA2usingA2friction,A2forA2atA2leastA230A2seconds;A2allowA2toA2air-
dryA2completelyA2(OptionA22).A2
•A2ApplyA2theA2CHG-
impregnatedA2patchA2overA2theA2catheterA2insertionA2siteA2andA2coverA2withA2theA2sterileA2
transparentA2dressingA2(orA2useA2aA2CHGA2gelA2transparentA2dressing),A2makingA2certainA
2theA2edgesA2ofA2theA2dressingA2adhereA2wellA2(OptionA21).A2
,•A2Sign,A2date,A2andA2initialA2theA2dressing.A2
•A2DocumentA2theA2procedure.
TheA2nurseA2caringA2forA2aA2clientA2whoA2hadA2aA2femoralA2angioplastyA2findsA2theA2client'
sA2legA2pale,A2cool,A2andA2pulseless.A2TheA2nurseA2callsA2theA2healthA2careA2providerA2atA2
2A2AM,A2andA2theA2HCPA2beginsA2toA2yellA2atA2theA2nurse,A2stating,A2"I'mA2sickA2andA2tired
A2ofA2youA2callingA2meA2inA2theA2middleA2ofA2theA2night!"A2WhatA2isA2theA2bestA2responseA2
byA2theA2nurse?A2
1.A2"I'mA2concernedA2thatA2thisA2clientA2mayA2loseA2aA2legA2unlessA2somethingA2isA2doneA2i
mmediately."A2
2.A2"I'mA2sorryA2toA2botherA2you.A2IsA2thereA2someoneA2elseA2you'dA2likeA2meA2toA2call?"A2
3.A2"It'sA2myA2jobA2toA2reportA2criticalA2findings,A2justA2likeA2it'sA2yourA2jobA2toA2comeA2seeA2
myA2clientA2rightA2now."
4.A2"YellingA2isA2unprofessional.A2I'llA2needA2toA2fileA2aA2reportA2withA2myA2supervisorA2onc
eA2theA2clientA2isA2stable."A2-A2Ans--CORRECTA2ANSWER:A21
TheA2stressA2ofA2bullyingA2andA2workplaceA2violenceA2impairsA2clinicalA2judgmentA2andA2c
reatesA2anA2unsafeA2environmentA2forA2clients.A2InA2responseA2toA2unprofessionalA2condu
ct,A2theA2nurseA2shouldA2shiftA2theA2focusA2ofA2theA2conversationA2backA2toA2theA2client'sA2
needs,A2especiallyA2inA2situationsA2thatA2mayA2resultA2inA2clientA2injuryA2OptionA21A2isA2cor
rect).A2
(OptionA22A2isA2wrong)A2OfferingA2toA2callA2aA2differentA2providerA2failsA2toA2addressA2theA2
urgencyA2ofA2theA2situation.A2TheA2priorityA2isA2forA2theA2nurseA2toA2advocateA2forA2theA2cli
ent'sA2needs,A2asA2theA2clientA2isA2experiencingA2aA2seriousA2limb-
threateningA2postsurgicalA2complication.A2
(OptionA23A2isA2wrong)A2ConfrontationalA2statementsA2areA2moreA2likelyA2toA2provokeA2aA2
fightA2ratherA2thanA2resultA2inA2appropriateA2interventionA2forA2theA2client.A2
(OptionA24A2isA2wrong)A2IncidentsA2ofA2bullyingA2andA2workplaceA2violenceA2shouldA2beA2r
eportedA2toA2aA2nursingA2supervisor,A2butA2theA2priorityA2isA2toA2ensureA2thatA2theA2client's
A2needsA2areA2addressed.
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2multipleA2renalA2calculi.A2WhichA2ofA2theA2foll
owingA2interventionsA2shouldA2theA2nurseA2anticipate?A2SelectA2allA2thatA2apply.
1.A2AdministerA2analgesicsA2atA2regularlyA2scheduledA2intervalsA2
2.A2EncourageA2fluidA2intakeA2ofA2upA2toA23A2L/dayA2
3.A2InstructA2clientA2toA2stayA2onA2bedA2restA2
4.A2ProvideA2massageA2toA2theA2client'sA2flankA2
5.A2StrainA2allA2urineA2forA2theA2presenceA2ofA2stonesA2-A2Ans--
CORRECTA2ANSWER:A21,A22,A25
,TheA2formationA2ofA2renalA2calculiA2(ie,A2kidneyA2stones)A2canA2beA2dueA2toA2variousA2fact
orsA2(eg,A2familyA2history,A2dietaryA2imbalances,A2immobilization,A2dehydration).A2Manifes
tationsA2includeA2sudden,A2severeA2abdominalA2orA2flankA2painA2andA2nausea/
vomiting.A2ClientA2managementA2focusesA2onA2analgesicsA2administeredA2atA2regularlyA2s
cheduledA2intervals,A2rehydrationA2ofA2upA2toA23A2L/
dayA2unlessA2contraindicatedA2byA2otherA2comorbidities,A2andA2ambulationA2toA2facilitateA2
theA2passageA2ofA2calculiA2(OptionsA21A2andA22A2areA2correct).A2
ToA2retrieveA2stonesA2thatA2theA2clientA2mayA2pass,A2theA2nurseA2shouldA2strainA2allA2urine
A2obtainedA2(OptionA25A2isA2correct).A2TheA2collectedA2stonesA2areA2analyzedA2toA2determi
neA2theirA2compositionA2(eg,A2calciumA2oxalate,A2calciumA2phosphate,A2struvite,A2uricA2aci
d,A2cystine),A2whichA2canA2thenA2directA2preventiveA2measures,A2suchA2asA2dietaryA2andA2
lifestyleA2changes,A2afterA2discharge.A2
(OptionA23A2isA2wrong)A2ImmobilizationA2isA2aA2contributingA2causeA2ofA2renalA2calculiA2for
mationA2andA2shouldA2beA2avoided.A2AmbulationA2andA2frequentA2mobilizationA2areA2enco
uragedA2asA2toleratedA2toA2helpA2facilitateA2theA2passageA2ofA2calculi.A2
(OptionA24A2isA2wrong)A2MassageA2therapyA2toA2theA2flankA2shouldA2notA2beA2performedA2t
oA2preventA2furtherA2instigationA2ofA2renalA2colic.A2OtherA2interventions,A2suchA2asA2monit
oredA2heatA2therapy,A2wouldA2beA2acceptable.
TheA2nurseA2receivesA2laboratoryA2reportsA2onA2fourA2clients.A2WhichA2reportA2isA2mostA2c
oncerningA2andA2shouldA2beA2reportedA2toA2theA2healthA2careA2provider?A2
1.A2ClientA2admittedA2withA2pneumoniaA2whoA2hasA2aA2PaCO2A2ofA232A2mmA2HgA2
2.A2ClientA2receivingA2warfarinA2forA2atrialA2fibrillationA2whoA2hasA2anA2INA2ofA22.5A2
3.A2ClientA2whoA2hadA2aA2totalA2kneeA2replacementA22A2hoursA2agoA2andA2whoseA2hemogl
obinA2isA27A2g/dLA2
4.A2ClientA2withA2chronicA2obstructiveA2pulmonaryA2diseaseA2whoA2hasA2aA2Pa02A2ofA285A2
mmA2HgA2-A2Ans--CORRECTA2ANSWER:A23A2
BloodA2lossA2isA2aA2commonA2complicationA2ofA2aA2totalA2kneeA2replacement,A2andA2aA2he
moglobinA2levelA2ofA27A2g/dLA2isA2veryA2lowA2(normalA2adultA2male:A214-
18;A2normalA2adultA2female:A212-
16).A2ThisA2clientA2shouldA2beA2assessedA2forA2activeA2bleedingA2andA2forA2signsA2associa
tedA2withA2severeA2anemiaA2(eg,A2tachycardia,A2shortnessA2ofA2breath).A2TheA2healthA2car
eA2providerA2shouldA2beA2notifiedA2asA2soonA2asA2possibleA2(OptionA23A2isA2correct).A2
(OptionA21A2isA2wrong)A2AlthoughA2aA2normalA2PaCO2A2isA235-
45A2mmA2Hg,A2clientsA2withA2pneumonia,A2asA2wellA2asA2thoseA2withA2asthma,A2panicA2att
acks,A2andA2pulmonaryA2embolism,A2haveA2tachypnea.A2RapidA2breathingA2causesA2more
A2carbonA2dioxideA2gasA2(CO2)A2toA2beA2exhaled,A2therebyA2reducingA2theA2amountA2ofA2
CO2A2inA2theA2bloodA2(ie,A2PaCO2).A2
, (OptionA22A2isA2wrong)A2WarfarinA2isA2prescribedA2toA2preventA2bloodA2clottingA2inA2clients
A2withA2atrialA2fibrillation.A2ToA2preventA2clotting,A2theA2dosageA2ofA2warfarinA2isA2adjustedA
2toA2maintainA2anA2INRA2ofA22-3.A2ThisA2client'sA2INRA2isA2therapeutic.A2
(OptionA24A2isA2wrong)A2AA2PaO2A2greaterA2thanA280A2mmA2HgA2isA2aA2normalA2finding.A2I
nA2clientsA2withA2chronicA2obstructiveA2pulmonaryA2diseaseA2(COPD),A2CO,A2becomesA2tr
appedA2inA2theA2lungsA2dueA2toA2blockedA2airways.A2TheA2bodyA2adjustsA2toA2elevatedA2C
O2A2levelsA2(whichA2triggerA2increasedA2respiratoryA2rateA2inA2clientsA2withoutA2COPD)A2a
ndA2thenA2usesA2theA2amountA2ofA2oxygenA2inA2theA2bloodA2(eg,A2PaO2)A2toA2regulateA2br
eathing.
TheA2nursingA2unitA2hasA2implementedA2aA2quality-
improvementA2programA2toA2improveA2clientA2painA2management.A2WhichA2isA2theA2bestA2
indicatorA2ofA2improvedA2painA2management?A2
1.A2BetterA2clientA2painA2controlA2asA2reportedA2byA2aA2surveyA2ofA2theA2unit'sA2nursesA2
2.A2ImprovedA2clients'A2self-reportedA2painA2scoresA2onA2chartA2auditsA2
3.A2IncreaseA2inA2numberA2ofA2PRNA2analgesicsA2administeredA2toA2clientsA2
4.A2IncreaseA2inA2positiveA2feedbackA2onA2aA2clientA2satisfactionA2surveyA2-A2Ans--
CORRECTA2ANSWER:A22A2
MeasurementsA2forA2qualityA2improvementA2shouldA2beA2client-
centeredA2andA2objectiveA2(quantifiable),A2ratherA2thanA2subjective.A2AnA2evidence-
basedA2dataA2collectionA2methodA2(eg,A2numericA2painA2scale)A2shouldA2beA2used,A2ifA2ap
plicableA2(OptionA22A2isA2correct).A2WhenA2evidence-
basedA2criteriaA2areA2measured,A2surveyA2resultsA2canA2beA2usedA2asA2objective,A2retrosp
ectiveA2measurementsA2ofA2aA2positiveA2change.A2
(OptionA21A2isA2wrong)A2Subjective,A2second-
handA2perceptionsA2ofA2clientA2painA2controlA2reportedA2byA2nursesA2mayA2notA2reflectA2th
eA2actualA2adequacyA2ofA2clientA2painA2relief.A2Objective,A2client-
reportedA2measurementA2toolsA2shouldA2beA2usedA2instead.A2
(OptionA23A2isA2wrong)A2IncreasedA2analgesicA2administrationA2couldA2beA2attributedA2toA2
manyA2factors,A2includingA2fluctuationsA2inA2theA2numberA2ofA2clientsA2onA2theA2unitA2orA2d
iversionA2ofA2medicationA2byA2staffA2(eg,A2theft.A2InA2addition,A2clientsA2mayA2obtainA2painA
2reliefA2byA2nonpharmacologicA2means,A2andA2theseA2measuresA2areA2notA2reflectedA2byA
2measuringA2theA2numberA2ofA2analgesicsA2administered.A2
(OptionA24A2isA2wrong)A2PositiveA2commentaryA2onA2clientA2satisfactionA2surveysA2isA2aA2s
ubjectiveA2criterion.A2OverallA2clientA2satisfactionA2isA2relatedA2toA2allA2aspectsA2ofA2care,A2
includingA2thoseA2unrelatedA2toA2painA2relief.
TheA2nurseA2isA2caringA2forA2aA2clientA2whoA2hadA2aA2strokeA2twoA2weeksA2agoA2andA2hasA
2moderateA2receptiveA2aphasia.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA
CORRECT VERIFIED ANSWERS
TheA2nurseA2isA2preparingA2toA2changeA2aA2centralA2venousA2catheterA2dressingA2usingA2a
A2chlorhexidineA2gluconateA2(CHG)-
impregnatedA2patchA2andA2transparentA2adhesiveA2dressing.A2PlaceA2theA2proceduralA2st
epsA2inA2theA2correctA2order.A2AllA2optionsA2mustA2beA2used.
1.A2ApplyA2CHGA2patchA2overA2catheterA2insertionA2citeA2andA2coverA2withA2aA2sterileA2tra
nsparentA2dressing
2.A2CleanseA2theA2siteA2withA2CHGA2forA2atA2leastA230A2secondsA2usingA2friction;A2allowA2t
oA2air-dryA2completely
3.A2DiscardA2theA2cleanA2glovesA2performA2handA2hygiene,A2andA2applyA2sterileA2gloves
4.A2PerformA2handA2hygiene,A2donA2faceA2mask,A2placeA2aA2maskA2onA2theA2client,A2andA2
applyA2cleanA2gloves
5.A2RemoveA2oldA2dressingA2andA2CHG-impregnatedA2patch;A2inspectA2insertionA2siteA2-
A2Ans--CORRECTA2ANSWER:A24,A25,A23,A22,A21
CentralA2lineA2dressingA2changesA2areA2sterileA2proceduresA2andA2mustA2beA2performedA2
correctlyA2toA2preventA2infection.A2StepsA2shouldA2beA2performedA2inA2theA2followingA2ord
er:A2
•A2PerformA2meticulousA2handA2hygiene.A2
•A2DonA2aA2surgicalA2maskA2andA2applyA2aA2maskA2toA2theA2clientA2(orA2askA2theA2clientA2to
A2turnA2theA2headA2awayA2fromA2theA2dressing).A2ApplyA2cleanA2glovesA2(OptionA24).A2
•A2RemoveA2theA2oldA2dressing,A2includingA2theA2chlorhexidineA2gluconateA2(CHG)A2-
A2impregnatedA2patch,A2makingA2sureA2notA2toA2touchA2theA2insertionA2siteA2(OptionA25).A2
•A2InspectA2theA2siteA2forA2drainage,A2erythema,A2heat,A2orA2inflammation.A2
•A2DiscardA2theA2cleanA2gloves,A2performA2handA2hygiene,A2andA2applyA2sterileA2glovesA2(
OptionA23).A2
•A2CleanseA2theA2siteA2withA2antimicrobialA2solutionA2(eg,A2CHG),A2inA2aA2back-and-
forthA2motionA2usingA2friction,A2forA2atA2leastA230A2seconds;A2allowA2toA2air-
dryA2completelyA2(OptionA22).A2
•A2ApplyA2theA2CHG-
impregnatedA2patchA2overA2theA2catheterA2insertionA2siteA2andA2coverA2withA2theA2sterileA2
transparentA2dressingA2(orA2useA2aA2CHGA2gelA2transparentA2dressing),A2makingA2certainA
2theA2edgesA2ofA2theA2dressingA2adhereA2wellA2(OptionA21).A2
,•A2Sign,A2date,A2andA2initialA2theA2dressing.A2
•A2DocumentA2theA2procedure.
TheA2nurseA2caringA2forA2aA2clientA2whoA2hadA2aA2femoralA2angioplastyA2findsA2theA2client'
sA2legA2pale,A2cool,A2andA2pulseless.A2TheA2nurseA2callsA2theA2healthA2careA2providerA2atA2
2A2AM,A2andA2theA2HCPA2beginsA2toA2yellA2atA2theA2nurse,A2stating,A2"I'mA2sickA2andA2tired
A2ofA2youA2callingA2meA2inA2theA2middleA2ofA2theA2night!"A2WhatA2isA2theA2bestA2responseA2
byA2theA2nurse?A2
1.A2"I'mA2concernedA2thatA2thisA2clientA2mayA2loseA2aA2legA2unlessA2somethingA2isA2doneA2i
mmediately."A2
2.A2"I'mA2sorryA2toA2botherA2you.A2IsA2thereA2someoneA2elseA2you'dA2likeA2meA2toA2call?"A2
3.A2"It'sA2myA2jobA2toA2reportA2criticalA2findings,A2justA2likeA2it'sA2yourA2jobA2toA2comeA2seeA2
myA2clientA2rightA2now."
4.A2"YellingA2isA2unprofessional.A2I'llA2needA2toA2fileA2aA2reportA2withA2myA2supervisorA2onc
eA2theA2clientA2isA2stable."A2-A2Ans--CORRECTA2ANSWER:A21
TheA2stressA2ofA2bullyingA2andA2workplaceA2violenceA2impairsA2clinicalA2judgmentA2andA2c
reatesA2anA2unsafeA2environmentA2forA2clients.A2InA2responseA2toA2unprofessionalA2condu
ct,A2theA2nurseA2shouldA2shiftA2theA2focusA2ofA2theA2conversationA2backA2toA2theA2client'sA2
needs,A2especiallyA2inA2situationsA2thatA2mayA2resultA2inA2clientA2injuryA2OptionA21A2isA2cor
rect).A2
(OptionA22A2isA2wrong)A2OfferingA2toA2callA2aA2differentA2providerA2failsA2toA2addressA2theA2
urgencyA2ofA2theA2situation.A2TheA2priorityA2isA2forA2theA2nurseA2toA2advocateA2forA2theA2cli
ent'sA2needs,A2asA2theA2clientA2isA2experiencingA2aA2seriousA2limb-
threateningA2postsurgicalA2complication.A2
(OptionA23A2isA2wrong)A2ConfrontationalA2statementsA2areA2moreA2likelyA2toA2provokeA2aA2
fightA2ratherA2thanA2resultA2inA2appropriateA2interventionA2forA2theA2client.A2
(OptionA24A2isA2wrong)A2IncidentsA2ofA2bullyingA2andA2workplaceA2violenceA2shouldA2beA2r
eportedA2toA2aA2nursingA2supervisor,A2butA2theA2priorityA2isA2toA2ensureA2thatA2theA2client's
A2needsA2areA2addressed.
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2multipleA2renalA2calculi.A2WhichA2ofA2theA2foll
owingA2interventionsA2shouldA2theA2nurseA2anticipate?A2SelectA2allA2thatA2apply.
1.A2AdministerA2analgesicsA2atA2regularlyA2scheduledA2intervalsA2
2.A2EncourageA2fluidA2intakeA2ofA2upA2toA23A2L/dayA2
3.A2InstructA2clientA2toA2stayA2onA2bedA2restA2
4.A2ProvideA2massageA2toA2theA2client'sA2flankA2
5.A2StrainA2allA2urineA2forA2theA2presenceA2ofA2stonesA2-A2Ans--
CORRECTA2ANSWER:A21,A22,A25
,TheA2formationA2ofA2renalA2calculiA2(ie,A2kidneyA2stones)A2canA2beA2dueA2toA2variousA2fact
orsA2(eg,A2familyA2history,A2dietaryA2imbalances,A2immobilization,A2dehydration).A2Manifes
tationsA2includeA2sudden,A2severeA2abdominalA2orA2flankA2painA2andA2nausea/
vomiting.A2ClientA2managementA2focusesA2onA2analgesicsA2administeredA2atA2regularlyA2s
cheduledA2intervals,A2rehydrationA2ofA2upA2toA23A2L/
dayA2unlessA2contraindicatedA2byA2otherA2comorbidities,A2andA2ambulationA2toA2facilitateA2
theA2passageA2ofA2calculiA2(OptionsA21A2andA22A2areA2correct).A2
ToA2retrieveA2stonesA2thatA2theA2clientA2mayA2pass,A2theA2nurseA2shouldA2strainA2allA2urine
A2obtainedA2(OptionA25A2isA2correct).A2TheA2collectedA2stonesA2areA2analyzedA2toA2determi
neA2theirA2compositionA2(eg,A2calciumA2oxalate,A2calciumA2phosphate,A2struvite,A2uricA2aci
d,A2cystine),A2whichA2canA2thenA2directA2preventiveA2measures,A2suchA2asA2dietaryA2andA2
lifestyleA2changes,A2afterA2discharge.A2
(OptionA23A2isA2wrong)A2ImmobilizationA2isA2aA2contributingA2causeA2ofA2renalA2calculiA2for
mationA2andA2shouldA2beA2avoided.A2AmbulationA2andA2frequentA2mobilizationA2areA2enco
uragedA2asA2toleratedA2toA2helpA2facilitateA2theA2passageA2ofA2calculi.A2
(OptionA24A2isA2wrong)A2MassageA2therapyA2toA2theA2flankA2shouldA2notA2beA2performedA2t
oA2preventA2furtherA2instigationA2ofA2renalA2colic.A2OtherA2interventions,A2suchA2asA2monit
oredA2heatA2therapy,A2wouldA2beA2acceptable.
TheA2nurseA2receivesA2laboratoryA2reportsA2onA2fourA2clients.A2WhichA2reportA2isA2mostA2c
oncerningA2andA2shouldA2beA2reportedA2toA2theA2healthA2careA2provider?A2
1.A2ClientA2admittedA2withA2pneumoniaA2whoA2hasA2aA2PaCO2A2ofA232A2mmA2HgA2
2.A2ClientA2receivingA2warfarinA2forA2atrialA2fibrillationA2whoA2hasA2anA2INA2ofA22.5A2
3.A2ClientA2whoA2hadA2aA2totalA2kneeA2replacementA22A2hoursA2agoA2andA2whoseA2hemogl
obinA2isA27A2g/dLA2
4.A2ClientA2withA2chronicA2obstructiveA2pulmonaryA2diseaseA2whoA2hasA2aA2Pa02A2ofA285A2
mmA2HgA2-A2Ans--CORRECTA2ANSWER:A23A2
BloodA2lossA2isA2aA2commonA2complicationA2ofA2aA2totalA2kneeA2replacement,A2andA2aA2he
moglobinA2levelA2ofA27A2g/dLA2isA2veryA2lowA2(normalA2adultA2male:A214-
18;A2normalA2adultA2female:A212-
16).A2ThisA2clientA2shouldA2beA2assessedA2forA2activeA2bleedingA2andA2forA2signsA2associa
tedA2withA2severeA2anemiaA2(eg,A2tachycardia,A2shortnessA2ofA2breath).A2TheA2healthA2car
eA2providerA2shouldA2beA2notifiedA2asA2soonA2asA2possibleA2(OptionA23A2isA2correct).A2
(OptionA21A2isA2wrong)A2AlthoughA2aA2normalA2PaCO2A2isA235-
45A2mmA2Hg,A2clientsA2withA2pneumonia,A2asA2wellA2asA2thoseA2withA2asthma,A2panicA2att
acks,A2andA2pulmonaryA2embolism,A2haveA2tachypnea.A2RapidA2breathingA2causesA2more
A2carbonA2dioxideA2gasA2(CO2)A2toA2beA2exhaled,A2therebyA2reducingA2theA2amountA2ofA2
CO2A2inA2theA2bloodA2(ie,A2PaCO2).A2
, (OptionA22A2isA2wrong)A2WarfarinA2isA2prescribedA2toA2preventA2bloodA2clottingA2inA2clients
A2withA2atrialA2fibrillation.A2ToA2preventA2clotting,A2theA2dosageA2ofA2warfarinA2isA2adjustedA
2toA2maintainA2anA2INRA2ofA22-3.A2ThisA2client'sA2INRA2isA2therapeutic.A2
(OptionA24A2isA2wrong)A2AA2PaO2A2greaterA2thanA280A2mmA2HgA2isA2aA2normalA2finding.A2I
nA2clientsA2withA2chronicA2obstructiveA2pulmonaryA2diseaseA2(COPD),A2CO,A2becomesA2tr
appedA2inA2theA2lungsA2dueA2toA2blockedA2airways.A2TheA2bodyA2adjustsA2toA2elevatedA2C
O2A2levelsA2(whichA2triggerA2increasedA2respiratoryA2rateA2inA2clientsA2withoutA2COPD)A2a
ndA2thenA2usesA2theA2amountA2ofA2oxygenA2inA2theA2bloodA2(eg,A2PaO2)A2toA2regulateA2br
eathing.
TheA2nursingA2unitA2hasA2implementedA2aA2quality-
improvementA2programA2toA2improveA2clientA2painA2management.A2WhichA2isA2theA2bestA2
indicatorA2ofA2improvedA2painA2management?A2
1.A2BetterA2clientA2painA2controlA2asA2reportedA2byA2aA2surveyA2ofA2theA2unit'sA2nursesA2
2.A2ImprovedA2clients'A2self-reportedA2painA2scoresA2onA2chartA2auditsA2
3.A2IncreaseA2inA2numberA2ofA2PRNA2analgesicsA2administeredA2toA2clientsA2
4.A2IncreaseA2inA2positiveA2feedbackA2onA2aA2clientA2satisfactionA2surveyA2-A2Ans--
CORRECTA2ANSWER:A22A2
MeasurementsA2forA2qualityA2improvementA2shouldA2beA2client-
centeredA2andA2objectiveA2(quantifiable),A2ratherA2thanA2subjective.A2AnA2evidence-
basedA2dataA2collectionA2methodA2(eg,A2numericA2painA2scale)A2shouldA2beA2used,A2ifA2ap
plicableA2(OptionA22A2isA2correct).A2WhenA2evidence-
basedA2criteriaA2areA2measured,A2surveyA2resultsA2canA2beA2usedA2asA2objective,A2retrosp
ectiveA2measurementsA2ofA2aA2positiveA2change.A2
(OptionA21A2isA2wrong)A2Subjective,A2second-
handA2perceptionsA2ofA2clientA2painA2controlA2reportedA2byA2nursesA2mayA2notA2reflectA2th
eA2actualA2adequacyA2ofA2clientA2painA2relief.A2Objective,A2client-
reportedA2measurementA2toolsA2shouldA2beA2usedA2instead.A2
(OptionA23A2isA2wrong)A2IncreasedA2analgesicA2administrationA2couldA2beA2attributedA2toA2
manyA2factors,A2includingA2fluctuationsA2inA2theA2numberA2ofA2clientsA2onA2theA2unitA2orA2d
iversionA2ofA2medicationA2byA2staffA2(eg,A2theft.A2InA2addition,A2clientsA2mayA2obtainA2painA
2reliefA2byA2nonpharmacologicA2means,A2andA2theseA2measuresA2areA2notA2reflectedA2byA
2measuringA2theA2numberA2ofA2analgesicsA2administered.A2
(OptionA24A2isA2wrong)A2PositiveA2commentaryA2onA2clientA2satisfactionA2surveysA2isA2aA2s
ubjectiveA2criterion.A2OverallA2clientA2satisfactionA2isA2relatedA2toA2allA2aspectsA2ofA2care,A2
includingA2thoseA2unrelatedA2toA2painA2relief.
TheA2nurseA2isA2caringA2forA2aA2clientA2whoA2hadA2aA2strokeA2twoA2weeksA2agoA2andA2hasA
2moderateA2receptiveA2aphasia.A2WhichA2ofA2theA2followingA2actionsA2shouldA2theA2nurseA
