MEDSURGE 11 NAXLEX PED MOST TESTED EXAM
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
A nurse in an emergency department is preparing to care for a client
who is being brought in with multiple system trauma following a motor
vehicle crash. Which of the following should the nurse identify as the
priority focus of care? Correct Answers B. Airway protection
The nurse is caring for a postoperative client who has a chest tube
connected to suction and a water seal drainage system. Which of the
following indicates to the nurse that the chest tube is functioning
properly? Correct Answers B. Fluctuation of the fluid level within the
water seal chamber
A nurse in the emergency department is caring for a client who has
extensive partial and full-thickness burns of the head, neck, and chest.
While planning the client's care, the nurse should identify which of the
following risks as the priority for assessment and intervention? Correct
Answers B. Airway obstruction
A nurse is caring for a client who had an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Correct Answers B. Check the oximeter.
A nurse is caring for a client who had an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Correct Answers D. Monitor for manifestations of increased intracranial
pressure.
, A nurse is monitoring a client who was admited with a severe burn
injury and is receiving IV fluid resuscitation therapy. The nurse should
identify a decrease in which of the following findings as an indication of
adequate fluid replacement? Correct Answers B. Heart rate
A nurse is caring for a client who has a traumatic head injury and is
exhibiting signs of increasing intracranial pressure. Which of the
following medications should the nurse plan to administer? Correct
Answers D. Mannitol 25%
A nurse is caring for a client who has a deep vein thrombosis and is
prescribed heparin by continuous IV infusion at 1,200 units/hr.
Available is heparin 25,000 units in 500 mL D5W. The nurse should set
the IV pump to deliver how many mL/hr?(Round the answer to the
nearest tenth/whole number. Use a leading zero if it applies. Do not use
a trailing zero.) Correct Answers : 24
A nurse is assessing the depth and extent of injury on a client who has
severe burns to the face, neck, and upper extremities. Which of the
following factors is the nurse's priority when assessing the severity of
the client's burns? Correct Answers D. Location of the burn
A nurse is caring for a client who is experiencing Cushing's triad
following a subdural hematoma. Which of the following medications
should the nurse plan to administer? Correct Answers C. Mannitol 25%
QUESTIONS AND ANSWERS GRADED A+ ASSURED
SUCCESS
A nurse in an emergency department is preparing to care for a client
who is being brought in with multiple system trauma following a motor
vehicle crash. Which of the following should the nurse identify as the
priority focus of care? Correct Answers B. Airway protection
The nurse is caring for a postoperative client who has a chest tube
connected to suction and a water seal drainage system. Which of the
following indicates to the nurse that the chest tube is functioning
properly? Correct Answers B. Fluctuation of the fluid level within the
water seal chamber
A nurse in the emergency department is caring for a client who has
extensive partial and full-thickness burns of the head, neck, and chest.
While planning the client's care, the nurse should identify which of the
following risks as the priority for assessment and intervention? Correct
Answers B. Airway obstruction
A nurse is caring for a client who had an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Correct Answers B. Check the oximeter.
A nurse is caring for a client who had an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Correct Answers D. Monitor for manifestations of increased intracranial
pressure.
, A nurse is monitoring a client who was admited with a severe burn
injury and is receiving IV fluid resuscitation therapy. The nurse should
identify a decrease in which of the following findings as an indication of
adequate fluid replacement? Correct Answers B. Heart rate
A nurse is caring for a client who has a traumatic head injury and is
exhibiting signs of increasing intracranial pressure. Which of the
following medications should the nurse plan to administer? Correct
Answers D. Mannitol 25%
A nurse is caring for a client who has a deep vein thrombosis and is
prescribed heparin by continuous IV infusion at 1,200 units/hr.
Available is heparin 25,000 units in 500 mL D5W. The nurse should set
the IV pump to deliver how many mL/hr?(Round the answer to the
nearest tenth/whole number. Use a leading zero if it applies. Do not use
a trailing zero.) Correct Answers : 24
A nurse is assessing the depth and extent of injury on a client who has
severe burns to the face, neck, and upper extremities. Which of the
following factors is the nurse's priority when assessing the severity of
the client's burns? Correct Answers D. Location of the burn
A nurse is caring for a client who is experiencing Cushing's triad
following a subdural hematoma. Which of the following medications
should the nurse plan to administer? Correct Answers C. Mannitol 25%
