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1. A nurse in a rural community center is providing education to a group of clients about first aid
interventions for snake bites to prevent further injury. Which of the following instruction should the
nurse include in the teaching?
a. Apply an ice pack directly to the affected
area b. Immobilize the affected extremity
with a splint
c. Place tourniquet above and below the affected area
d. Elevate the affected extremity
2. A nurse in an Emergency Department is caring for a client who sustained multiple injuries. The nurse
observes client’s thorax moving inward during inspiration and outward during expiration. The nurse
should suspect which of the following injuries?
a. Flail chest
b. Hemothorax
c. Pulmonary contusion
d. Pneumothorax
3. A nurse is caring for a client who has rights sided pneumothorax. Following chest tube insertion,
which of the following findings indicates that the chest drainage system is functioning correctly?
a. Gentle bubbling in the suction chamber
b. crepitus around the insertion site
c. constant bubbling in the water seal chamber
d. absence of breath sounds on the right side
4. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome.
Which of the following statements should indicate to the nurse that the client understands the
teaching?
a. I can expect swelling in my hands an on my face
b. the amount of protein in my blood is high
c. I might have some pain and gas in my stomach from this condition
, d. I will use a soft bristle toothbrush so my gums don't bleed
5. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following findings should the nurse report to the provider? (Click on the “Exhibit” button for
additional information about the client. There are three tabs that contain separate categories of
data).
a. Breath sounds
b. Temperature
c. Blood pressure
d. Creatine kinase
6. A nurse is planning for a group of postoperative clients. Which of the following interventions should
the nurse identify as the priority?
a. Administer IV pain medication to a client who reports pain as a 6 on a scale of
0 to 10 b. administer oxygen to a client who has an oxygen saturation of 91%
c. instructor client who is 1 hour postoperative about coughing and deep breathing exercises
d. initiate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery
7. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the following
intervention should the nurse implement?
a. Place several pillows behind the client's head
b. place the client in a Sims position
c. keep the client's neck in a midline position
d. maintain flexion of the client's hips at a 90 degree angle
8. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instruction should
the nurse provide to the client following the procedure?
a. Lie on your left
side b. lie on your
right side
c. increase your fluid intake
d. decrease your fluid intake
9. A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG).
which of the following statements by the client indicates an understanding of the teaching?