EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon? - CORRECT ANSWERS-Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - CORRECT ANSWERS-
Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse
monitor? - CORRECT ANSWERS-Stool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain
separate categories of data.) - CORRECT ANSWERS-Initiate airborne precautions
A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should the
nurse anticipate? - CORRECT ANSWERS-Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction? - CORRECT
ANSWERS-ST segment
,A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse
include? - CORRECT ANSWERS-Pat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of the
following prescribed medications? - CORRECT ANSWERS-Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication? - CORRECT ANSWERS-Apical pulse 82/min
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3
21 mEq/L. The nurse should recognize these findings as indication of which of
the following conditions? - CORRECT ANSWERS-Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of
her body which of the following labs should the nurse expect during the first 24
hours - CORRECT ANSWERS-Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes? - CORRECT
ANSWERS-Have the client lie down for 30 minutes after meals (Lying down after a
meal slows the movement of food within the intestines)
,A nurse is preparing to administer fresh frozen plasma to a client. Which of the
following actions should the nurse take? - CORRECT ANSWERS-Administer the
plasma immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes and
exhibits a positive TROUSSEAU. Which of the following electrolyte imbalance
should the nurse suspect? - CORRECT ANSWERS-Hypocalcemia
A home health nurse is teaching a client how to care for a peripherally central
catheter in his right arm. Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWERS-Use a 10-milliliter syringe when
flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of
the following assessment findings should the nurse report to the provider? -
CORRECT ANSWERS-WBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease
and a decreased glomerular filtration rate. Which of the following statements by
the client indicates an understanding of the teaching? - CORRECT ANSWERS-I will
spread my protein allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter.
The client is receiving an antibiotic via intermittent IV bolus. Which of the
following actions should the nurse take? - CORRECT ANSWERS-Verify the placement
with an x-ray prior to the initial dose
, A nurse is teaching a client using a metered dose rescue inhaler. Which of the
following statements should the nurse include in the teaching? - CORRECT
ANSWERS-Exhale fully before bringing the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following
findings indicate a client is experiencing referred pain? - CORRECT ANSWERS-A
client who has pancreatitis reports pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external
fixator to the left tibia. Which of the following assessments findings requires
immediate intervention by the nurse? - CORRECT ANSWERS-The client's capillary
refill in the left toe is 6 seconds (signs and symptoms of compartment
syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving
total parenteral nutrition for the past 72 hours. Which of the following findings
requires the nurse to intervene? - CORRECT ANSWERS-Crackle in bilateral lower
lobes
A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the nurse
place the client? - CORRECT ANSWERS-Feet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The
client reports that her saliva has turned red-orange in color. Which of the
following responses should the nurse make? - CORRECT ANSWERS-"This is an
expected adverse effect of this medication."