FUNDAMENTALS 512 COMPLETE QUESTIONS AND ANSWERS (GRADE A) REVISED CHAMBERLAIN COLLEGE

FUNDAMENTALS 512 CHAMBERLAIN COLLEGE 1.) A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care? ● Empty the collection pouch when it is 2/3 full ● expect urine outflow into pouch to begin one to two days after surgery ● change the collection pouch in the early morning ● place an aspirin in the collection pouch to control odor 2.) A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action? ● Relieve the clients pain ● Encourage the client to increase fluid intake ● Monitor the clients intake and outputs ● Strain the clients urine 3.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan to administer per dose? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.) 4.) A nurse is caring for a client who has femoral thrombophlebitis and a prescription for enoxaparin. Which of the following actions should the nurse take? ● Elevate the affected leg ● Place the client on bed rest ● Massage the affected leg ● Administer aspirin for discomfort 5.) A nurse is teaching a client who had an amputation of the left lower leg 3 days ago. Which of the following statements indicates that the client understands how to care for the incision and his left upper leg? ● I should use powder inside my limb sock to keep it cool ● I will lie on my stomach for 30 min a few times a day ● I should expect some drainage with a strong odor because I had gangrene ● I will keep elevating my leg on 2 pillows to keep the swelling down 6.) During a neurological assessment, a nurse asks how the client arrived at the appointment and with whom. Which of the following types of memory is the nurse testing? ● Remote ● Immediate ● Recall ● Past 7.) A nurse is preparing a client for a bronchoscopy. Which of the following actions should the nurse take? (Select all that apply.) ● Explained that the client will receive sedation and will not remember the procedure ● verify that the client understands the purpose and nature of the procedure ● offer the client sips of clear liquids until one hour before the test ● obtain a pre procedural sputum specimen ● instruct the client to keep his neck in a neutral position 8.) A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of the following interventions should the nurse include in the client's plan of care? ● Keep the client's leg flat with the knees extended ● encourage the client to sit up in a chair for as long as possible ● log roll the client in bed for care procedures ● expect urinary retention for the first postoperative day 9.) A nurse is assessing a client who is 24 hr postoperative following an above-the- elbow amputation. Which of the following findings should the nurse identify as the priority? ● Client reports of muscle spasms ● inability to get dressed without assistance ● client reports of feelings of anger ● refusal to look at the affected limb 10.)A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse share with the client? ● Keep your arm bent at the elbow ● use a pillow to prop your shoulder up close to your ear ● hold your arm against the side of your body ● position your arm with the shoulder at a 90 degree angle 11.)A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis. Which of the following supplies should the nurse place at the client’s bedside? ● Metered dose inhaler ● Continuous passive motion machine ● Oral nasal suction equipment ● External defibrillator pads 12.)A nurse is monitoring a client for reperfusion following thrombolytic therapy to treat acute myocardial infarction (MI). Which of the following indicators should the nurse identify to confirm reperfusion? ● Ventricular dysrhythmias ● Appearance of Q waves ● Elevated ST segments ● Recurrence of chest pain 13.)A nurse is caring for a client for whom the respiratory therapist has just removed the endotracheal tube. Which of the following actions should the nurse take first? ● Instruct the client to cough ● Administer oxygen via face mask ● Evaluate the client for stridor ● Keep the client in a semi to high fowlers position 14.)A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of the following findings should the nurse identify as an indication of a basilar skull fracture? ● Depressed fracture of the forehead ● Clear fluid coming from the nares ● Motor loss on one side of the body ● Bleeding from the top of the scalp 15.)A nurse is caring for a client who has encephalitis due to West Nile virus. Which of the following actions should the nurse take? (Select all that apply.) ● Place the client in respiratory isolation ● monitor vital signs every two hours ● assess neurological status every four hours ● maintain the client in a modified trendelenburg position ● keep the clients room darkened 16.)A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia (PCP). Which of the following pieces of information should the nurse include in the teaching? ● PCP is sexually transmitted from person to person ● you were most likely exposed to a contaminated surface such as a drinking glass ● PCP results from an impaired immune system ● you might have contracted PCP from a family petdevelops into a fungus. It becomes an aggressive pathogen when the immune system is compromised, causing infection. 17.)A nurse in an emergency department is assessing a client who has extensive burns, including on her face. Which of the following assessments should the nurse perform first? ● Estimation of burn injury ● characteristics of cough and sputum ● extent of peripheral edema ● amount of urine output 18.)A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse include in the plan? ● Administer ferrous sulfate supplementations ● increase dietary intake of folic acid ● initiate weekly injections of vitamin B12 ● initiate a blood transfusion 19.) A nurse is showing a client who has right-sided heart failure an illustration of the heart. Which of the following blood vessels carry deoxygenated blood to the right atrium? ● Right coronary artery ● Left carotid artery ● Aorta ● Superior vena cava 20.) A nurse is providing teaching about nutrients to a client. Which of the following statements should the nurse include? ● Carbohydrates transport nutrients throughout the body ● Fats prevent ketosis ● protein builds and repairs body tissue ● carbohydrates help regulate body temperature