Portage Learning NUR MISC_ATI MED SURG CAPSTONE QUIZ Q&A,100% CORRECT

Portage Learning NUR MISC_ATI MED SURG CAPSTONE QUIZ Q&A 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 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 6. 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 7. 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 8. 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? a. I should not wash my hair prior to the procedure b. I will receive a sedated 1 hour before the procedure c. I should avoid eating prior to the procedure d. I will be exposed to flashes of light during the procedure 9. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone. Which of the following finding should the nurse identify as an adverse effect of this medication? a. Weight loss b. hypoglycemia c. hypertension d. hyperkalemia 10. A nurse is caring for a client who has dehydration. The client has a peripheral IV and has a prescription for an infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the following action should the nurse take first? a. Teach the client to report findings of IV extravasation b. evaluate the patency of the IV c. consult with the pharmacist about the prescription d. verify the prescription with the provider 11. A nurse is planning care for a client who has acute post streptococcal glomerulonephritis . Which of the following intervention should the nurse include in the client's plan? a. Encourage a high-protein diet for the client b. increase the client's fluid intake c. administer diuretics to the client d. Weigh client twice a week 12. The nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instruction should the nurse include? a. Eat three large meals daily b. consume high calorie foods c. limit caffeinated drinks to two per day d. drink fluids during meal time 13. A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately? a. Distended, board-like abdomen b. WBC count 15,000 /mm3 c. rebound tenderness over McBurney’s point d. temperature 37.3 C (99.1 F ) 14. A nurse is caring for a client who has burn injuries covering their upper body and is concern about their altered appearance. Which of the following statements should the nurse make? a. It is okay to not want to touch the burned areas of your body b. cosmetic surgery should be performed within the next year to be effective c. reconstructive surgery can completely restore your previous appearance d. it could be helpful for you to attend a support group for people who have burn injuries 15. A nurse is caring for a client who is receiving total parenteral nutrition (TPN ). which of the following findings should the nurse identify as a possible complication of TPN administration? a. Pitting edema of bilateral lower extremities b. hypoactive bowel sounds in all four quadrants c. weight is the same as the day before d. bilateral posterior lung sounds are diminished 16. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis? a. Early menopause b. history of falls c. African American race d. obesity 17. The nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's disease. Which of the following information should the nurse include in the teaching? a. Explain procedures in full detail to a client before initiating care b. limit a client’s activities to minimize emotional outburst c. speak clearly and loudly to a client who is unable to form words or sentences d. provide supervision to prevent a client from becoming injured or lost 18. A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective? a. I don't have muscle spasms as frequently b. I haven't gotten any colds, even though it is flu season c. I feel like my nerve pain has improved d. it is easier to urinate now 19. The nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching? a. I should take my medicine with orange juice b. a bedtime snack will prevent heartburn c. I will lie down after meals d. I will limit activities that require bending at the waist 20. A nurse is assessing a client who has a sodium level of 122 mEq/L. which of the following findings should the nurse expect? a. Decrease deep-tendon reflexes b. positive Trousseau’s sign c. hypoactive bowel sounds d. sticky mucus membranes 21. A nurse is assessing a client who reports a possible exposure to HIV. Which of the following findings should the nurse identify as an early manifestation of HIV infection? a. stomatitis b. fatigue c. wasting syndrome d. lipodystrophy 22. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching? a. exercise reduces the risk for hypoglycemia b. I can skip my insulin when I don't eat c. I can drink 4 ounces of soda if my blood sugar is low d. diabetic pills don't cause hypoglycemia; Only insulin does 23. A nurse is planning care for a client who has acute pancreatitis. Which of the following intervention should the nurse include in the clients plan? (Select all that apply ) a. initiate insulin drip b. monitor blood glucose levels c. continue regular diet as tolerated d. maintain NPO status until pain-free e. manage acute pain 24. A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet? a. Yogurt b. apples c. raisins d. cheddar cheese 25. 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 26. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? a. Your provider will you still from your digital rectal examination to perform the tests b. your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel c. you should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old d. you should avoid taking corticosteroids prior to testing 27. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? a. Immunosuppressant medication needs to be taken for up to 1 year b. Shortness of breath might be an indication of transplant rejection c. the surgical site will heal in 3 to 4 weeks after surgery d. begin 45 min of moderate aerobic exercise per day following discharge 28. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching? a. It delivers a preset amount of inspiratory pressure at the beginning of each breath b. it has continuous adjustment feature that changes the airway pressure throughout the cycle c. it delivers a preset amount of airway pressure throughout the breathing cycle d. it delivers positive pressure at the end of each breath