PN3 FINAL EXAM QUESTIONS [88] WITH 100% CORRECT ANSWERS (NEW!)

PN3 FINAL EXAM QUESTIONS [88] WITH 100% CORRECT ANSWERS (NEW!) 1. For the client who is at risk for stroke, the most important guideline the nurse should teach is to: 2. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: - 3. While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: - 4. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department? 5. What is the major cause of traumatic brain injuries? - 6. A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury? - 7. The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? - 8. The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the family are eligible for specific federal programs because of the: - 9. Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure? - 10. A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: - 11. A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the client might be eligible for which of the following forms of treatment? - 12. The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? - 13. The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be? -. 14. Components of the GCS the nurse would use to assess a patient after a head injury include: - 15. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? - 16. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: - 17. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - 18. The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the: - 19. A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: - 20. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: - 21. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? 22. A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? - 23. A client is diagnosed with liver disease. Which of the following is one impact of this disorder on a client's fluid and electrolyte status? - 24. The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? - 25. A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client? - 26. A client is demonstrating yellow pigmentation of the skin and sclera. Which of the following can be used to describe this client's symptoms? (Select all that apply.) - 27. A client is diagnosed with a disorder of the liver. The nurse realizes this client might experience which of the following? (Select all that apply.) - 28. A client is diagnosed with portal hypertension. The nurse should assess the client for which of the following disorders associated with this diagnosis? (Select all that apply.) - 29. A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations? - 30. A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: - 31. A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? - 32. A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? - 33. A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? - 34. A client with a right arm cast is experiencing signs of a serious complication. Which of the following would cause the nurse the most concern? - 35. A client has been wearing a splint for carpal tunnel syndrome for 7 weeks. The nurse realizes that which of the following would be the next course of treatment for this client? - 36. The nurse is planning care for a client recovering from a meniscal injury. Which of the following should be included as strategies to avoid future injuries? - 37. A client with an ankle sprain is instructed to follow RICE. Which of the following should the nurse instruct the client regarding this process? - 38. The nurse is instructing a client on ways to prevent the onset of stress fractures. Which of the following should be included in these instructions? - 39. The nurse suspects a client, recovering from hip replacement surgery, is experiencing an infection when which of the following is assessed? 40. The nurse is concerned that a client is demonstrating signs of compartment syndrome. Which of the following is considered a classical symptom of this disorder? (Select all that apply.) - 41. A client with osteoporosis suffers a fracture, then falls. This type of fracture is called: - 42. A client, recovering from a fractured pelvis, begins to have dyspnea and restlessness. The nurse is concerned that the client is experiencing a fat emboli when which of the following are assessed? SATA - 43. The nurse is admitting an older adult with decompensated congestive heart failure. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse should question which doctor's order? - 44. At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia? - 45. The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium concentration? - 46. The client's laboratory report today indicates severe hypokalemia and the nurse has notified the practitioner. Nursing assessment indicates that heart rhythm is regular. What is the most important nursing intervention for this patient now? - 47. The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective? - 48. The patient has type B chronic obstructive pulmonary disease (COPD) exacerbated by an acute upper respiratory infection. Which blood gas values should the nurse expect to see? - 49. The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first? - " 50. The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer? - 51. While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient? - " 52. While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention? - 53. The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation? 54. While the nurse is obtaining the health history of a 75-year-old female patient, which of the following has the greatest implication for the development of cancer? - 55. In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care? - 56. The patient asks the nurse to explain the sinoatrial node in the heart. The nurse's best response would be, "The sinoatrial node - 57. A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. The nurse knows that the patient should be observed for - 58. A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the concept of perfusion when the student states, "Perfusion 59. The nurse is assigned a group of patients. Which patient would the nurse identify as being at increased risk for impaired gas exchange? - 60. A 3-month-old infant is at increased risk for developing anemia. The nurse would identify which principle contributing to this risk? - A. 61. Which statement by a patient indicates additional teaching is required about the medication warfarin? - " 62. The nurse would expect to administer an anticoagulant to a patient following which surgery? - 63. A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to include which of the following precautions in discharge instructions? - 64. The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? - 65. A client asks the nurse to pray with him. The nurse is an atheist. Which statement by the nurse is the correct response? - 66. The nurse is being trained in hospice care. Which intervention by the nurse is most compatible with the goals of end-of-life care for the client? - 67. Which statement best exemplifies a client's understanding of rehabilitation after a full-thickness burn injury? - " 68. A client with a new burn injury asks the nurse why he is receiving intravenous cimetidine (Tagamet). What is the nurse's best response? - " 69. A client who is burned is drooling and is having difficulty swallowing. Which action does the nurse take first? - 70. The nurse assesses a client who suffered chest trauma and finds that the left chest sucks in during inhalation and out during exhalation. The client's oxygen saturation has dropped from 94% to 86%. What is the priority action by the nurse? - 71. What is the best way for the nurse to communicate with a client who is intubated and is receiving mechanical ventilation? - 72. A client is experiencing sinus bradycardia with hypotension and dizziness. What medication does the nurse administer? - 73. A client's electrocardiograph (ECG) tracing shows a run of sustained ventricular tachycardia. What is the nurse's first action? - 74. A client who has acidosis resulting from hypovolemic shock has been prescribed intravenous fluid replacement. Which fluid does the nurse prepare to administer? - 75. A client who has septic shock is admitted to the hospital. What priority intervention does the nurse implement first? - 76. The nurse is caring for a client who had a myocardial infarction. The client develops increased pulmonary congestion; an increase in heart rate from 80 to 102 beats/min; and cold, clammy skin. Which action does the nurse implement before notifying the health care provider? - 77. A client has received vasopressin (DDAVP) for diabetes insipidus. Which assessment finding indicates a therapeutic response to this therapy? - 78. Which client is most at risk for developing postrenal kidney failure? - 79. The nurse, planning care for a client recovering from a traumatic brain injury, is including interventions to prevent sympathetic storming. Which of the following should be included in this client's plan of care? (Select all that apply.) - 80. A client, being tested for a stroke, is not a candidate for tPA. Which of the following would be contraindicated for the use of tPA? (Select all that apply.) - 81. A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: - 82. A client diagnosed with cirrhosis is experiencing the complication of ascites. Which of the following would be considered treatment for this complication? (Select all that apply.) - 83. Most common complication of Endoscopic Retrograde cholangiopancreatography (ERCP)? - Bleeding 84. S/S of dvt post abdominal sx? - 85. The nurse is planning care for a client recovering from an amputation. Which of the following should be included in this plan of care? (Select all that apply.) - 86. A client is anxious about having a dressing change. Which statement indicates that the nurse is promoting appropriate complementary therapy? - "." 87. The nurse would identify which body systems as directly involved in the process of normal gas exchange? (Select all that apply.) - 88. The nurse is assessing a client for the adequacy of ventilation. What assessment findings would indicate the client has good ventilation? (SATA) -