Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
Performance
Exit
EAQ Basic Care and Comfort-
Mastery Proficient Quiz
Due Apr 25, 2023 by 11:59 pm
302 out of 305 questions answered correctly
Completed on Apr 7, 2023 5:56 pm
Incorrect (3)
Which signs would alert the nurse that the client needs to take a break
from practicing crutch walking?
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 1 of 23G
,Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
Pulse of 100 beats per min and deep respirations
Flushed skin and slowed respirations
Profuse diaphoresis and rapid respirations
Blood pressure of 150/88 mm Hg and shallow respirations
Rationale
Diaphoresis and tachypnea indicate that the client has exceeded tolerance for the
activity. Pulse of 100 beats per min and deep respirations are expected adaptations
to activity. Flushed skin is an expected response to activity; respirations will increase
in depth rather than become slow. An increase in blood pressure is an expected
response to activity; respirations probably will increase in depth and rate.
A client who had an open reduction and internal fixation of a femoral
neck fracture has a prescription for ambulation with slight weight
bearing on the affected extremity. The nurse identifies that the client
has kyphosis and strong upper-arm strength. Which assistive device
would the nurse expect the primary health care provider to prescribe?
Crutches
Quad cane
Straight cane
Walker
Rationale
A standard walker can be used by a client with partial weight bearing who has
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 2 of 23G
,Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
enough upper-body strength to lift and move the walker forward. A standard walker
with rubber tips is designed for those who need more support than a cane. Kyphosis
is an exaggerated angulation of the posterior curve of the thoracic spine; it alters the
client’s center of gravity, making the use of crutches unsafe. A quad cane requires
weight bearing on both legs. Partial weight bearing means that the client may put
minimal weight on the affected extremity. A straight cane requires weight bearing
on both legs.
The nurse who is working during the 8:00 AM to 4:00 PM shift must
document a client’s fluid intake and output. An intravenous drip is
infusing at 50 mL per hour. The client drinks 4 oz of orange juice and
6 oz of tea at 8:30 AM and vomits 200 mL at 9:00 AM. At 10:00 AM
the client drinks 60 mL of water with medications; the client voids 550
mL of urine at 11:00 AM. At 12:30 PM, 3 oz of soup and 4 oz of ice
cream are ingested. The client voids 450 mL at 2:00 PM. Calculate the
total intake for the 8:00 AM to 4:00 PM shift. Record your answer
using a whole number. 1515 970 mL
Rationale
1 ounce = 30 mL; therefore, the client ingested 120 mL of orange juice at 8:30 AM,
180 mL of tea at 8:30 AM, 60 mL of water with medications at 10:00 AM, 90 mL of
soup at 12:30 AM, and 120 mL of ice cream at 12:30 PM (counted as a liquid
because it melts at room temperature). The client received 400 mL of IV fluid (50
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 3 of 23G
, Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
mL × 8 hours = 400). Total intake is 970 mL. Vomit and urine output would not be
included in the client’s intake.
Test-Taking Tip: When taking the NCLEX exam, an on-screen calculator will be
available for you to determine your response, which you will then type in the
provided space.
Correct (302)
Which foods would the nurse teach the client who has gout to avoid?
Select all that apply. One, some, or all responses may be correct.
Eggs
Liver
Cheese
Salmon
Shellfish
Rationale
Like other organ meats, liver is a high-purine food (range of 150–1000 mg/100 g)
and should be avoided. Shellfish (e.g., shrimp, lobster) are also high-purine foods
and should be avoided. Eggs and cheese have insignificant amounts of purine and
are unrestricted. Foods that contain a moderate amount of purine (50–150 mg/dL),
such as salmon, may be eaten four times a week.
After a total knee replacement, a client will be using a continuous
passive motion device. Which therapy goal stated by the client would
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 4 of 23G
Performance
Exit
EAQ Basic Care and Comfort-
Mastery Proficient Quiz
Due Apr 25, 2023 by 11:59 pm
302 out of 305 questions answered correctly
Completed on Apr 7, 2023 5:56 pm
Incorrect (3)
Which signs would alert the nurse that the client needs to take a break
from practicing crutch walking?
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 1 of 23G
,Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
Pulse of 100 beats per min and deep respirations
Flushed skin and slowed respirations
Profuse diaphoresis and rapid respirations
Blood pressure of 150/88 mm Hg and shallow respirations
Rationale
Diaphoresis and tachypnea indicate that the client has exceeded tolerance for the
activity. Pulse of 100 beats per min and deep respirations are expected adaptations
to activity. Flushed skin is an expected response to activity; respirations will increase
in depth rather than become slow. An increase in blood pressure is an expected
response to activity; respirations probably will increase in depth and rate.
A client who had an open reduction and internal fixation of a femoral
neck fracture has a prescription for ambulation with slight weight
bearing on the affected extremity. The nurse identifies that the client
has kyphosis and strong upper-arm strength. Which assistive device
would the nurse expect the primary health care provider to prescribe?
Crutches
Quad cane
Straight cane
Walker
Rationale
A standard walker can be used by a client with partial weight bearing who has
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 2 of 23G
,Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
enough upper-body strength to lift and move the walker forward. A standard walker
with rubber tips is designed for those who need more support than a cane. Kyphosis
is an exaggerated angulation of the posterior curve of the thoracic spine; it alters the
client’s center of gravity, making the use of crutches unsafe. A quad cane requires
weight bearing on both legs. Partial weight bearing means that the client may put
minimal weight on the affected extremity. A straight cane requires weight bearing
on both legs.
The nurse who is working during the 8:00 AM to 4:00 PM shift must
document a client’s fluid intake and output. An intravenous drip is
infusing at 50 mL per hour. The client drinks 4 oz of orange juice and
6 oz of tea at 8:30 AM and vomits 200 mL at 9:00 AM. At 10:00 AM
the client drinks 60 mL of water with medications; the client voids 550
mL of urine at 11:00 AM. At 12:30 PM, 3 oz of soup and 4 oz of ice
cream are ingested. The client voids 450 mL at 2:00 PM. Calculate the
total intake for the 8:00 AM to 4:00 PM shift. Record your answer
using a whole number. 1515 970 mL
Rationale
1 ounce = 30 mL; therefore, the client ingested 120 mL of orange juice at 8:30 AM,
180 mL of tea at 8:30 AM, 60 mL of water with medications at 10:00 AM, 90 mL of
soup at 12:30 AM, and 120 mL of ice cream at 12:30 PM (counted as a liquid
because it melts at room temperature). The client received 400 mL of IV fluid (50
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 3 of 23G
, Elsevier Adaptive Quizzing - Quiz performance 4/7/22, 5:57 PM
mL × 8 hours = 400). Total intake is 970 mL. Vomit and urine output would not be
included in the client’s intake.
Test-Taking Tip: When taking the NCLEX exam, an on-screen calculator will be
available for you to determine your response, which you will then type in the
provided space.
Correct (302)
Which foods would the nurse teach the client who has gout to avoid?
Select all that apply. One, some, or all responses may be correct.
Eggs
Liver
Cheese
Salmon
Shellfish
Rationale
Like other organ meats, liver is a high-purine food (range of 150–1000 mg/100 g)
and should be avoided. Shellfish (e.g., shrimp, lobster) are also high-purine foods
and should be avoided. Eggs and cheese have insignificant amounts of purine and
are unrestricted. Foods that contain a moderate amount of purine (50–150 mg/dL),
such as salmon, may be eaten four times a week.
After a total knee replacement, a client will be using a continuous
passive motion device. Which therapy goal stated by the client would
https://eaqng.elsevier.com/ /quizPerformance/25G03G3U Page 4 of 23G
