EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
The nurse provides care for a client diagnosed with an acute stroke. Which intervention
does thenurse delegate to the nursing assistive personnel (NAP)? (Select all that apply.)
1. Screen the client for thrombolytic therapy.
2. Take vital signs based on stroke protocol.
3. Measure and record urinary output.
4. Assist with positioning the client as needed.
5. Evaluate the client’s motor strength every hour.
Ans: 2, 3, 4
The health care provider prescribes intramuscular pain medication for a child
recovering from anappendectomy. Which is the most appropriate action for the nurse to
take?
1. Advocate for the child to see if the medication can be given by an alternate route.
2. Disinfect the injection site and allow it to dry completely.
3. Administer a topical anesthetic at the intended injection site.
4. Administer the medication by the intravenous route.
Ans: 1
The nurse provides care to victims of a disaster. Which client will the nurse assess first?
1. An 8-month-old client with a laceration over the left eye, a blood pressure of 84/50
mm Hg, and a pulse of 105 beats/min.
2. A 6-year-old client with crush injuries to both legs, fixed and dilated pupils, and
an absent pulse.
3. A 20-year-old client with a traumatic left below the knee amputation, a blood
pressure of 70/46 mm Hg, and a pulse of 124 beats/min.
4. A 28-year-old client with a hematoma on the forehead, a Glasgow Coma Scale of 11,
and is crying.
Ans: 3
The nurse notes the client’s electrocardiogram (ECG) tracing shows a prolonged PR interval,
a wideQRS complex, and tall peaked T waves. Which action does the nurse take next?
1. Palpate the peripheral pulses.
2. Check the serum potassium.
3. Raise the head of the bed.
4. Obtain serum troponin level.
Ans: 2
The nurse provides care for a client on bed rest. The nurse determines that the client’s
right calf isswollen, red, and tender to touch. Which nursing action is most appropriate?
1. Check the client for Homan sign.
2. Massage the area.
3. Notify the health care provider.
4. Teach the client to dangle legs.
Ans: 3
BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
,BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
The nurse prepares to teach a client about measures to prevent falls at home. Which point
will thenurse include in the teaching plan?
1. Place a small area rug on the bathroom floor in front of the bathtub.
2. Avoid using step stools.
3. Allow damp areas on the floor to air dry.
4. Do not attempt to do anything beyond reach.
Ans: 4
The nurse auscultates heart sounds in a school-age client. Where does the nurse
place thestethoscope to listen to the aortic area of the heart?
1. Second left intercostal space.
2. Second right intercostal space.
BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
,BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
3. Fifth intercostal space left midclavicular line.
4. Fifth right and left intercostal spaces.
Ans: 2
The nurse teaches a class on suicide prevention to high school students. Which risk
factor isaccurate with regard to suicide in adolescent clients? (Select all that apply.)
1. Possessions that are given to friends.
2. A low-grade point average.
3. Statements like, “I may not be around anymore.”
4. Access to a gun at home.
5. Frequent thoughts of suicide.
Ans: 1, 3, 4, 5
The nurse prepares discharge instructions for an overweight client with gastroesophageal
reflux disease (GERD). Which instruction does the nurse include in the teaching plan? (Select
all that apply.)
1. Elevate the head of the bed.
2. Decrease caffeine intake.
3. Evaluate weight loss strategies.
4. Increase fluid intake at meals.
5. Eat a small bedtime snack.
Ans: 1, 2, 3
The nurse reviews care needs for a shift assignment. Which client task will the nurse
delegate tonewly hired nursing assistive personnel (NAP)? (Select all that apply.)
1. Client diagnosed with a fractured hip being discharged tomorrow.
2. Client receiving blood after a total abdominal hysterectomy that was admitted to
the care area 10 minutes ago.
3. Client diagnosed with a fractured tibia who had surgery 2 days ago.
4. Client diagnosed with cellulitis to the lower leg.
5. Client who had a resection of the prostate this morning with a 3-way indwelling
urinary catheter for irrigation.
Ans: 1, 3, 4
The nurse assess a client who is in the 24th week of gestation. Which finding is a priority
for thenurse to follow-up?
Fetal heart rate of 130 to 140 beats/min.
Fundal level at 3 fingers below the umbilicus.
Fetal movements felt faintly on lower part of abdomen.
Client reports backache and leg cramps when sleeping.
Ans: 2
The nurse administers carisoprodol to the incorrect client. Which strategy should the nurse
BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022
, BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
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use toreduce the risk of malpractice litigation? (Select all that apply.)
Ask the charge nurse to reassign the client to a different nurse.
Notify the health care provider of the medication error immediately.
Report the incident to the manager for appropriate follow-up with the client.
Print a copy of the incident report to keep in the nurse’s personal records.
Explain to the client that the nurse has a heavier assignment than normal.
Ans: 2, 3
The nurse provides care for a client who is receiving sitagliptin for type 2 diabetes
mellitus. Whichassessment finding causes the nurse to suspect the client is experiencing an
adverse reaction to themedication?
Weight gain.
Anemia.
Abdominal pain.
Edema.
Ans: 3
The nurse orients a new nurse who inquired about electrical cardioversion. Which
statement aboutcardioversion by the nurse is accurate? (Select all that apply.)
“Cardioversion is used to treat ventricular fibrillation.”
“Pulseless electrical activity (PEA) responds to cardioversion.”
“Cardioversion treats atrial fibrillation and atrial flutter.”
“An intravenous sedative is required in elective cardioversion.”
“Check for life-threatening dysrhythmia during
cardioversion.” Ans: 3, 4, 5
A wound located on the foot of a client with type 2 diabetes mellitus (DM) is healing.
The nurse teaches the client about the prevention of future foot wounds. Which client
statement indicates theteaching is effective? (Select all that apply.)
“I should not cross my legs.”
“I should wear shoes only when I go outside.”
“I should apply lotion between my toes after a shower.”
“I should inspect the inside of my shoes before I put them on.”
“I should use a mirror to examine the bottom of my feet every
day.” Ans: 1, 4, 5
BROWARD COLLEGE-NURSING SURGICAL STUDY GUIDE
EXAM QUESTIONS AND ANSWERS BEST RATED A+ BEST
SOLUTIONS NEW UPDATE 2022