VERSION GRADED A UPDATED APRIL
2023
A nurse is assisting with he care of a client following a left femoral cardiac angiography.
Thee nurse should place a sandbag on the client over which of the following areas?
Correct anwer- left groin
A nurse is reviewing the lab results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial blood gas ABG values include:
pH 7.22
PaCO2 68 mm Hg
base excess -2
PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L.
Correct anwer- respiratory acidosis
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of
the following statements by the client indicates an understanding of the teaching?
Correct anwer- I will abstain from sexual intercourse
A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance which of the following actions should
the nurse take first?
Correct anwer- cover the clients wound with a moist sterile dressing
Based on a clients recent history a nurse suspects that a client is beginning
menopause. Which of the following questions should the nurse ask the client to help
confirm the client is experiencing manifestations of menopause?
Correct anwer- Do you sleep well at night
, A nurse collecting data from a client who has manifestations of appendicitis. Where
should the nurse palpate to monitor for pain at Mcburneys point?
Correct anwer- Mcburneys point is found between the naval and the anterior iliac crest
(left lower)
A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching?
Correct anwer- I should avoid injecting insulin into my thigh if I am going to go running
A nurse is caring for a client who is postoperative following a tracheostomy and has
copies and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin the clients secretions?
Correct anwer- provide humidified oxygen
A nurse is reviewing the lab results of a client who is taking cyclosporine following a
kidney transplant. Which of the following lab findings should the nurse identify as the
most important to report to the provider?
Correct anwer- increase in serum creatinine
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching?
Correct anwer- breath in through nose and out through pursed lips
A nurse is contributing to the plan of care for a client who has a spinal cord injury at
level C8 who is admitted for comprehensive rehabilitation. Which of the following long
term goals is appropriate with regard to the clients mobility?
Correct anwer- propel a wheelchair equipped with knobs on the wheels
A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who
has upper gastric pain. Which of the following statements should the nurse include in
the teaching?
Correct anwer- you will remain NPO for 8 hours before the procedure
A nurse is checking for paradoxical blood pressure on a client who has constrictive
pericarditis. Which of the following findings should the nurse expect?
Correct anwer- drop is systolic BP more than 10 mm Hg on inspiration
A nurse is assisting in the care of a client who is 2 hours postoperative following a
wedge resection of the left lung and has a chest tube to section. Which of the following
is the priority finding the nurse should report to the provider?
Correct anwer- abdomen is distended