RNSG 1424 Final Exam Questions With Answers Graded A+ (Latest 2023/2024 Answer Key)

RNSG 1424 Final Exam Questions With Answers Graded A+ (Latest 2023/2024 Answer Key) The health care provider (HCP) prescribes a serum lithium level tomorrow for a client with bipolar disorder, manic phase, who has been receiving lithium 300 mg PO three times daily for the past 5 days. At what time should the nurse plan to have the blood specimen obtained? You Selected: before breakfast Correct response: before breakfast Explanation: Remediation: Add a Note                Prep U Report this Question 21s Report this Question 1m 27s Report this Question 14s Question 6 See full question A client with acute renal failure has a serum potassium level of 7.0 mEq/L (mmol/L). What is the nurse’s priority action for this client? You Selected: Electrocardiogram (ECG) results Correct response: Electrocardiogram (ECG) results Explanation: Remediation: Add a Note Question 7 See full question The school nurse is counseling a female client who is concerned about an incident that occurred at a school dance. The young client describes becoming drowsy and disoriented after drinking punch and waking up hours later in the back of a stranger’s car. What is the mostappropriate advice for the nurse to give the adolescent? You Selected: “The punch may have contained alcohol, which you should be aware of next time.” Correct response: “It’s possible that you were raped and will need information on pregnancy testing.” Explanation: Add a Note Question 8 See full question A 3-year-old with dehydration has vomited three times in the last hour and continues to have frequent diarrhea stools. The child was admitted 2 days ago with gastroenteritis caused by rotavirus. The child weighs 22 kg, has a normal saline lock in his right hand, and has had 30 mL of urine output in the last 4 hours. Using the situation-background-assessment-recommendation (SBAR) technique for communication, the nurse calls the health care provider (HCP) with the recommendation for which prescription? You Selected: starting a "uid bolus of normal saline. Correct response: starting a "uid bolus of normal saline. Explanation: Remediation:               Prep U Report this Question 28s Report this Question 13s Report this Question 35s Add a Note Question 9 See full question The charge nurse in an acute care setting assigns a client who is on one-on-one suicide precautions to a psychiatric aide. This assignment is considered: You Selected: reasonable nursing practice because one-on-one requires the total attention of a sta# member. Correct response: reasonable nursing practice because one-on-one requires the total attention of a sta# member. Explanation: Add a Note Question 10 See full question A female adolescent client refuses to allow male nurses to care for her while she's hospitalized. Which of these health care rights is this adolescent exerting? You Selected: right to privacy Correct response: right to privacy Explanation: Add a Note Question 11 See full question A nurse is caring for a client following an elective bronchoscopy. Which intervention by the nurse is mostappropriate? You Selected: Do not give the client anything by mouth until the gag re"ex returns. Correct response: Do not give the client anything by mouth until the gag re"ex returns. Explanation: Remediation: Add a Note              Prep U Report this Question 1m 1s Report this Question 26s Report this Question 11s Report this Question 22s Question 12 See full question A client is having a level 2 ultrasound. A nurse knows that physicians order this procedure You Selected: for diagnostic purposes when fetal development is in question. Correct response: for diagnostic purposes when fetal development is in question. Explanation: Remediation: Add a Note Question 13 See full question A nurse manager in a pediatric intensive care unit notices an increase in healthcare-associated infections. What should the nurse manager do next? You Selected: Gather data on possible reasons for this increase. Correct response: Gather data on possible reasons for this increase. Explanation: Add a Note Question 14 See full question A mentally incapacitated client is scheduled for surgery. Considering the principle of autonomy, who should give the consent for surgery? You Selected: surrogate decision maker Correct response: surrogate decision maker Explanation: Remediation: Add a Note Question 15 See full question                Prep U Report this Question 43s Report this Question 1m 34s Report this Question 13s When attempting to check the pupils of a client scheduled to receive general anesthesia, the nurse notices that the client has trouble tilting the head back. What is the primaryconcern related to this !nding? You Selected: The client is at risk for di$cult intubation. Correct response: The client is at risk for di$cult intubation. Explanation: Remediation: Add a Note Question 16 See full question The nurse is performing a newborn assessment on a neonate in the childbirth suite. The nurse notes epispadias. Which documentation of the defect would the nurse note? You Selected: C Correct response: C Explanation: Add a Note Question 17 See full question The nurse is caring for a client who is prescribed phenelzine for depression that has not responded to other medications. When reviewing the dietary restrictions associated with this medication, the client reports that most of the client’s favorite foods are now going to be restricted. Which collaborative action would bestmeet the needs of the client? You Selected: Collaborate with the dietitian to counsel the client on additional foods or preparation methods that are acceptable with the medication. Correct response: Collaborate with the dietitian to counsel the client on additional foods or preparation methods that are acceptable with the medication. Explanation: Add a Note Question 18 See full question              Prep U Report this Question 14s Report this Question 13s Report this Question 1m 8s What is the primaryreason that the nurse inserts an indwelling urinary catheter in a child with severe burns? You Selected: to measure urine output accurately Correct response: to measure urine output accurately Explanation: Remediation: Add a Note Question 19 See full question The rapid response team arrives in the room of a client who has had a cardiac arrest. The nurse should !rst apply which piece of monitoring equipment? You Selected: electrocardiogram (ECG) electrodes Correct response: electrocardiogram (ECG) electrodes Explanation: Remediation: Add a Note Question 20 See full question A nurse is caring for a client who has a tracheostomy and temperature of 103° F (39.4° C). Which intervention will mostlikely lower the client's arterial blood oxygen saturation? You Selected: endotracheal suctioning Correct response: endotracheal suctioning Explanation: Remediation: Add a Note Question 21 See full question                Prep U Report this Question 21s Report this Question 15s A nurse is evaluating the external fetal monitoring strip of a client who is in labor. She notes decreases in the fetal heart rate (FHR) that start with the beginning of the client's contraction and return to baseline before the end of the contraction. What term does the nurse use to document this !nding? You Selected: accelerations Correct response: early decelerations Explanation: Remediation: Add a Note Question 22 See full question To prevent gastroesophageal re"ux in a client with hiatal hernia, the nurse should provide which discharge instruction? You Selected: "Avoid co#ee and alcoholic beverages." Correct response: "Avoid co#ee and alcoholic beverages." Explanation: Remediation: Add a Note Question 23 See full question A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records !ndings from the initial assessment in the client's chart, as shown. At 1030, the client has sharp mid-chest pain after having a bowel movement. What should the nurse do !rst? You Selected: Assess the client’s vital signs. Correct response: Assess the client’s vital signs. Explanation: Remediation: Add a Note               Prep U Report this Question 27s Report this Question 16s Report this Question 38s Question 24 See full question A client is receiving spironolactone for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which nutritional modi!cation to prevent an electrolyte imbalance? You Selected: Decrease foods high in potassium. Correct response: Decrease foods high in potassium.