Final exam Review Questions
1. A client is in the emergency room in critical condition and hypotensive. Her spouse is
distraught. What is the priority nursing action?
- maintains the client blood pressure
2. A client is in skeletal traction. With the nurse assessment. It is noted that the pins appear
red, swollen, and there is purulent drainage. What action does the nurse take first?
- collects a culture of the purulent fluid
3. A man has been admitted to the hospital unit with a medical diagnosis of chronic
obstructive pulmonary disease (COPD). He is receiving supplemental oxygen 2.0 nasal
canula. Which nursing positioning techniques will best assist him with his breathing?
- fowler position
4. A nurse is caring for a client who is post- operative following an open reduction internal
fixation (ORIF) of femur fracture. What is included in the evaluation of the neurovascular
status of the client affected extremity. (select all that apply)
- color
, - temperature
- sensation.
5. The nurse is providing education to a client regarding the administration of eye drops.
Which of the following actions indicates the need for further client education?
- The client touches the administration dropper her to the eye.
6. The client ask the nurse what nonpharmacological intervention can be used to reduce
pain and swelling in her joints affected by rheumatoid arthritis. What is the most
appropriate response by the nurse?
- ice pack can be used to reduce swelling but should be remove after 20
minutes.
7. A nurse is caring for a client who has acute osteomyelitis. Which of the following
intervention is the nurse's priority?
- administers antibiotics to the client
8. A homeless client arrives in the emergency room. The client verbalizes an inability to
bathe for at least one month. What is the nurse's priority?
- inspects the client skin