EXAM 80 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
5. A nurse is assessing a client in postoperative recovery. The
client complains of the following symptoms. Which of the
following is abnormal and should be reported immediately?
a. Emesis that is red
b. Complaint of feeling cold
c. Nausea
d. Complaint of pain - ✔✔ANSWER ✔✔-a. Emesis that is red
6. A client's neurological status deteriorates over hours, and a
craniotomy is performed to
,evacuate a hematoma. Which nursing intervention is indicated
to help decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees
b. Cluster nursing interventions to provide uninterrupted
periods of rest
c. Teach the client to cough and deep breathe to prevent the
necessity for suctioning
d. Teach the client to hold his breath and bear down while
repositioning in bed. - ✔✔ANSWER ✔✔-a. Elevate the head of
the bed 30 degrees
7. A client presents to the emergency room with complaints of
bilateral lower extremity loss of sensation that started in the
feet but has now progressed to the knees and hips. The nurse
interprets these symptoms to indicate an immediate workup
for which of the following diseases?
a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident - ✔✔ANSWER ✔✔-c. Guillain-Barre
Syndrome
,8. The charge nurse is obtaining the client's signature on a
surgical consent form. The client
states, I didn't really understand what my surgeon explained,
but I trust him completely, which response by the charge nurse
is correct?
a. I need to contact your surgeon so your questions can be
answered
b. I can answer any questions that you might have regarding
your surgery.
c. As long as you are comfortable, then you may sign the
consent form.
d. Maybe you should call your surgeon to be sure it is okay to
sign the consent. - ✔✔ANSWER ✔✔-a. I need to contact your
surgeon so your questions can be answered
9. A client has a head injury and is presenting with signs and
symptoms of increased intracranial pressure. Which nursing
intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous
drainage
b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
, d. Turn the client frequently to prevent skin impairment -
✔✔ANSWER ✔✔-a. Place the neck in a neutral position to
promote venous drainage
10. A client has recently suffered a stroke with left-sided
weakness. The nurse assesses for
dysphagia, especially with thin liquids. Which nursing
intervention is most helpful in assisting this patient to swallow
safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when swallowing
c. Give sips of water with each bite
d. Turn head to the left. - ✔✔ANSWER ✔✔-b. Instructing to
tuck the chin when swallowing
11. A client has a comminuted fracture of T6-T7, resulting in
paraplegia. The nurse educates the client on preventing
autonomic dysreflexia. Which of the following is the priority
intervention in this medical emergency?
a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies