NR 224 FUNDAMENTALS FINAL EXAM REVIEW LATEST UPDATE 2023 VERIFIED Q&A

1. Swallowing, the nurse knows this symptom of this kind of reaction to be? Answer = anaphylactic reaction 2. A nurse is teaching a client’s partner about how to obtain blood pressure. Which of the following action by the partner indicates a need for further teaching? Answer = place the client’s arm above the level of client’s heart 3. A nurse is caring for a client with urinary incontinence, which of the following action should the nurse implement to prevent skin break down? Answer = apply a moisture barrier ointment on client’s skin 4. A nurse is preparing medication and observes the date of the expiration on the vile occur 2 months after, which action should the nurse take? Answer = return the meds to the pharmacy 5. A nurse is caring for a client who has an infection, the nurse should use which of the following strategies to prevent the transmission of infection? Answer = perform hand hygiene before and after contact with the client 6. A nurse is calculating the output of a client at the end of the shift and notes that a client voided 400 ml at 1100 and 350 ml at 1430. The close chest drainage system was previously marked at 155 ml and is now at 175 ml, the NG tube has 575 ml in drainage container and 25 ml is emptied out of the Jackson pratts drainage tab. How many ml should the nurse record as the client’s output? Answer = 1370 ml 7. A nurse is discussing catheter catherization with a newly licensed nurse, which of the following needs should the nurse include? Select all that apply? Answer = relief of urinary retention Answer = measurement of residual after urination Answer = open perineal wound 8. A nurse is caring for a patient with an NG tube and tests the pH of the secretion to determine if tube is correctly placed. Which of the flow reading, should the nurse expect? Answer = 4.0 9. A nurse is assisting with transferring a client from bed to a wheel chair, which action should be taken? Answer = lock the wheels of the bed and the wheel chair 10. A nurse is preparing to administer Penicillin IM to an adult client, which of the following angle should the nurse use for injection? Answer = 90 degrees 11. A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following information should the nurse include? Answer = empty the port 12 .A nurse is caring for a client who is post op following abdominal surgery, the nurse discovers a loop of bowel through an opening in the surgical incision, which of the following action should the nurse take? Answer = apply moistened sterile gauge to the site 12. A nurse is caring for a client who has difficulty swallowing medication and prescribed enteric coated Aspirin PO 1/daily, the client asked if the medication can be crushed to make it easier to swallow, which of the following responses should the nurse provide? Answer = crushing the medication might cause you to have an upset stomach/ indigestion 13. A nurse is measuring a client’s oral temperature and the client informs the nurse that he has just eaten some ice chips, what action should the nurse take? Answer = wait 30 minutes and return to obtain measure 14. A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client, which of the following actions by the nurse should the charge nurse intervene? Answer: the nurse separates the client’s labia majora with her dominant hand 15. Which is the last step in making an occupied bed that the nurse should teach a nurse assistance to ensure patients safety? Answer = lower the bed to lowest position 16. A nurse is caring for an older adult unable to empty his bladder, which nursing diagnosis is a priority as related to the client?