NURSING 270 Comprehensive Exam Questions With Answers Updated 2023/2024 Graded A+

NURSING 270 Comprehensive Exam Questions With Answers Updated 2023/2024 Graded A+. The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which intended effect of the medication does the nurse monitor the client? A. Relief of pain B. Relief of anxiety Correct C. Decreased urine output D. Increased blood pressure 144.ID: A nurse is providing home care instructions to a client with coronary artery disease (CAD) who will be discharged home and will be taking 1 aspirin daily. The nurse tells the client: A. To stop the aspirin if nausea occurs Incorrect B. To take the aspirin on an empty stomach C. That the aspirin is a short-term treatment and will probably be discontinued in 2 weeks 145.ID: A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. What action does the nurse take next? A. Auscultating heart sounds B. Clamping the intravenous catheter Correct C. Checking the client's blood pressure D. Obtaining an arterial blood gas specimen 146.ID: A nurse is teaching a client with left-side weakness how to walk with the use of a quad-cane. The nurse ensures that: A. The client places the cane on the left side B. The top of the cane is level with the client's waist C. 30-degree flexion of the client's elbow is maintained when the client is holding the cane Correct D. The client leans on the cane and places as much weight as possible on the cane when moving it forward 147.ID: A nurse is preparing the room of a client in skeletal traction who will be admitted to the nursing unit. Which item for use by the client does the nurse identify as the most important? A. Telephone B. Television C. Trapeze bar Correct D. Bedside commode 148.ID: A nurse taking the vital signs of a client immediately after she has delivered a newborn notes that the client's heart rate is 110 beats/min. The nurse would first: A. Document the findings B. Offer the client oral fluids C. Recheck the heart rate in 1 hour D. Check the uterus and amount of lochia discharge Correct 149.ID: A client is receiving an intravenous infusion of alteplase (tissue plasminogen activator, recombinant; tPA). For which adverse effect of the medication does the nurse monitor the client most closely? A. Bleeding Correct B. Hearing loss C. Decreased urine output D. Increased blood pressure 150.ID: View video. The nurse is performing a sterile change of an abdominal dressing. Once the dressing has been removed and discarded in a waterproof bag, which action should the nurse take next? A. Assessing the wound Correct B. Donning sterile gloves C. Cleansing the wound D. Setting up the sterile field 151.ID: A nurse is providing morning care to a client who has undergone surgery to repair a fractured left hip. Which item is most important for the nurse to use in turning the client from side to side to change the bed linens? A. Trapeze bar B. Sliding board C. Adduction device D. Abduction device Correc 152.ID: A nurse provides dietary instructions to a client with osteoporosis who has sustained a fracture about foods that will promote healing. The nurse tells the client that it is best to consume foods that are high in: A. Fats B. Vitamin C Correct C. Carbohydrates D. Concentrated sugar 153.ID: A nurse in a physician's office is talking to a client who underwent mastectomy of the right breast 2 weeks ago. The client says to the nurse, "I hate looking at this incision. I feel that I'm not even myself anymore." The nurse interprets this statement to mean that the client is experiencing which problem? A. Inability to cope B. Distorted body image Correct C. Inability to care for self D. Inability to maintain health 154.ID: A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. After assessing the client and placing the tubing back in the infusion pump, which medication does the nurse check for in the medication room in case a heparin overdose has occurred? A. Protamine sulfate Correct B. Enoxaparin (Lovenox) C. Phytonadione (vitamin K) D. Aminocaproic acid (Amicar) 155.ID: The mother of a newborn found to have a congenital diaphragmatic hernia asks the nurse to explain the diagnosis. The nurse tells the mother that in this condition: A. The esophagus terminates before it reaches the stomach B. Gastric contents are regurgitated back into the esophagus C. Abdominal contents herniate through an opening of the diaphragm Correct D. A portion of the stomach protrudes through the esophageal hiatus of the diaphragm 156.ID: A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and tracheoesophageal fistula (TEF). Which findings does the nurse expect to note in the infant? Select all that apply. A. Drooling Correct B. Wheezing C. Hiccuping D. Short periods of apnea E. Excessive oral secretions Correct F. Bowel sounds over the chest 157.ID: A nurse is reviewing the medical record of an infant in whom hypertrophic pyloric stenosis (HPS) is suspected. Which characteristics associated with the disorder does the nurse expects see documented in the infant’s medical record? Select all that apply. A. Weight loss Correct B. Facial edema C. Metabolic acidosis D. Projectile vomiting Correct E. Distended upper abdomen Correct 158.ID: A client with a history of angina pectoris tells the nurse that the chest pain usually occurs with moderate to prolonged exertion and is generally relieved by nitroglycerin or rest. Which type of angina does the nurse recognize in the client’s description? A. Stable Correct B. Variant C. Unstable D. Crescendo 159.ID: Methylergonovine (Methergine) is prescribed for a client to control postpartum bleeding. Which action does the nurse take before administering the medication? A. Checking the episiotomy site B. Palpating the client's bladder C. Checking the client's blood pressure Correct D. Ensuring that the uterus is contracted