NR324 Part 2 Exam Questions with Correct Answers
A nurse is caring for a team of clients on a medical-surgical unit. For which client
would the
nurse question if the healthcare provider ordered enteral feedings?
A A 45-year-old client with anorexia related to cancer treatment.
B A 35-year-old client with Crohn's disease who is experiencing an acute
exacerbation
C A 65-year-old client with extensive burns who is on mechanical ventilation
D A 55-year-old client with a stroke who is unable to swallow and has a
nasogastric tube in place
A 35-year-old client with Crohn's disease who is experiencing an acute
exacerbation
The nurse is caring for a client with severe anemia who is receiving a transfusion
of packed
red blood cells (PRBCs). Which laboratory result indicates the treatment was
effective?
A Red blood cell count of 2.1 cells/mcL
B Hemoglobin of 11.5 g/dL
C Platelet count of 230.000 UL
D Partial thromboplastin time of 30 seconds
Hemoglobin of 11.5 g/dL
A client with a post-operative colostomy refuses to look at the stoma four days
after surgery
and states, & It so gross, I can& stand it. Which is the nurse& best response?
A &I will obtain a psychology consult from the provider so you can speak with
someone about
this;
B It is understandable that you feel this way, as this is a huge change for you.
C Dont worry, this will get better as more time passes.
D It is really important for you to look at your stoma so we can get you discharged.
, It is understandable that you feel this way, as this is a huge change for you.
A nurse is preparing to administer vancomycin 500 mg PO daily divided into four
equal
doses. The amount available is vancomycin 125 mg capsules.
How many capsule(s) swould the nurse administer with each dose?(
1 capsule(s) (If needed, round the answer to the nearest whole number.)
1 cap
A nurse is caring for a client who just received a cast for a fractured tibia. Which
action is
the priority immediately after the healthcare provider has applied the cast?
A Instructing the client about cast care
B Having the client perform range of motion
C Managing pain
D Checking capillary refill distal to the cast
D Checking capillary refill distal to the cast
A nurse is caring for a client with a platelet count of 20,000. Which action(s)
should the
nurse take? Select all that apply.
A Instruct the client not to strain with a bowel movement.
B Remove fresh flowers from the client room.
C Apply firm pressure to any area of bleeding for at least 5 minutes.
D Teach the client to use an electric razor for shaving.
E Take the rectal thermometer out of the room.
Instruct the client not to strain with a bowel movement.
Apply firm pressure to any area of bleeding for at least 5 minutes.
Teach the client to use an electric razor for shaving
The nurse is planning care for a client after a Roux-en-Y gastric bypass (RYGB)
surgery. For
each potential healthcare provider order, indicate if it is anticipated or not
anticipated in the care
A nurse is caring for a team of clients on a medical-surgical unit. For which client
would the
nurse question if the healthcare provider ordered enteral feedings?
A A 45-year-old client with anorexia related to cancer treatment.
B A 35-year-old client with Crohn's disease who is experiencing an acute
exacerbation
C A 65-year-old client with extensive burns who is on mechanical ventilation
D A 55-year-old client with a stroke who is unable to swallow and has a
nasogastric tube in place
A 35-year-old client with Crohn's disease who is experiencing an acute
exacerbation
The nurse is caring for a client with severe anemia who is receiving a transfusion
of packed
red blood cells (PRBCs). Which laboratory result indicates the treatment was
effective?
A Red blood cell count of 2.1 cells/mcL
B Hemoglobin of 11.5 g/dL
C Platelet count of 230.000 UL
D Partial thromboplastin time of 30 seconds
Hemoglobin of 11.5 g/dL
A client with a post-operative colostomy refuses to look at the stoma four days
after surgery
and states, & It so gross, I can& stand it. Which is the nurse& best response?
A &I will obtain a psychology consult from the provider so you can speak with
someone about
this;
B It is understandable that you feel this way, as this is a huge change for you.
C Dont worry, this will get better as more time passes.
D It is really important for you to look at your stoma so we can get you discharged.
, It is understandable that you feel this way, as this is a huge change for you.
A nurse is preparing to administer vancomycin 500 mg PO daily divided into four
equal
doses. The amount available is vancomycin 125 mg capsules.
How many capsule(s) swould the nurse administer with each dose?(
1 capsule(s) (If needed, round the answer to the nearest whole number.)
1 cap
A nurse is caring for a client who just received a cast for a fractured tibia. Which
action is
the priority immediately after the healthcare provider has applied the cast?
A Instructing the client about cast care
B Having the client perform range of motion
C Managing pain
D Checking capillary refill distal to the cast
D Checking capillary refill distal to the cast
A nurse is caring for a client with a platelet count of 20,000. Which action(s)
should the
nurse take? Select all that apply.
A Instruct the client not to strain with a bowel movement.
B Remove fresh flowers from the client room.
C Apply firm pressure to any area of bleeding for at least 5 minutes.
D Teach the client to use an electric razor for shaving.
E Take the rectal thermometer out of the room.
Instruct the client not to strain with a bowel movement.
Apply firm pressure to any area of bleeding for at least 5 minutes.
Teach the client to use an electric razor for shaving
The nurse is planning care for a client after a Roux-en-Y gastric bypass (RYGB)
surgery. For
each potential healthcare provider order, indicate if it is anticipated or not
anticipated in the care
