MULTIDIMENSIONAL CARE III FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
Which of the following assessment findings are consistent
with aortic regurgitation
a. Atrial fibrillation
b. Systolic click
c. Pitting edema
d. Blowing,decrescendo diastolic murmur - ANSWER-a.
Blowing,decrescendo diastolic murmur
2. The nurse knows which of the following is the most
common problem for a client with valvular heart disease
Decreased cardiac output
Difficulty coping
Bradycardia
Altered body image. - ANSWER-Decreased cardiac output
3. The nurse is assessing a client with severe anemia.which
clinical manifestation does the nurse expect to see in this
client
,Dyspnea with activity
Hypertension
Bradycardia
Warm,flushed skin - ANSWER-Dyspnea with activity
4. A client diagnosed with stable angina is complaining of
substernal chterm-4est pain, rating the pain 5 out of 10.
What would be the priority action by the nurse?
Administer nitroglycerin,1 tablet sublingual immediately
Administer 81 mg of aspirin immediately
Administer the client's prescribed beta blocker.
Administer morphine - ANSWER-Administer nitroglycerin,1
tablet sublingual immediately
5. A nurse is caring for a client diagnosed with polycythemia
vera. Which of the following should the nurse include in the
client and family education
Decreased fluid intake to no more than 1 little per day
Wear support hose while awake
Diet high in vitamin k
Resume normal activity - ANSWER-Wear support hose while
awake
,6. A nurse is performing discharge teaching for a client who
was recently diagnosed with heart failure.which of the
following should be included in the client and family teaching
( select all that apply)
Medication teaching
Low sodium diet
Fluid restriction
Weekly weights
Symptoms to report to the provider - ANSWER-Medication
teaching
Low sodium diet
Fluid restriction
Symptoms to report to the provider
7. The family of a neutropenic client reports that the client
confused and is not acting right what action by the nurse is
the priority
Ask the client about pain
Assess the client for infection
Delegate taking a set of vital signs
Look at today's laboratory results. - ANSWER-Assess the client
for infection
, 8. A nurse is caring for a client with a history of an abdominal
aortic aneurysm. Which of the following assessment requires
immediate intervention
Decreased urine output
Back pain
Nausea and vomiting
Absent peripheral pulses. - ANSWER-Absent peripheral
pulses.
9. Which of the following assessment is a priority findings
during a blood transfusion
Chest pain
Headache
Joint pain
Fatigue - ANSWER-Chest pain
10. The nurse questions which order for a client with
thrombocytopenia
Avoid IM injection
Administer enemas
Apply ice to areas of trauma
Test all urine and stool for the presence of occult blood. -
ANSWER-Administer enemas
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
Which of the following assessment findings are consistent
with aortic regurgitation
a. Atrial fibrillation
b. Systolic click
c. Pitting edema
d. Blowing,decrescendo diastolic murmur - ANSWER-a.
Blowing,decrescendo diastolic murmur
2. The nurse knows which of the following is the most
common problem for a client with valvular heart disease
Decreased cardiac output
Difficulty coping
Bradycardia
Altered body image. - ANSWER-Decreased cardiac output
3. The nurse is assessing a client with severe anemia.which
clinical manifestation does the nurse expect to see in this
client
,Dyspnea with activity
Hypertension
Bradycardia
Warm,flushed skin - ANSWER-Dyspnea with activity
4. A client diagnosed with stable angina is complaining of
substernal chterm-4est pain, rating the pain 5 out of 10.
What would be the priority action by the nurse?
Administer nitroglycerin,1 tablet sublingual immediately
Administer 81 mg of aspirin immediately
Administer the client's prescribed beta blocker.
Administer morphine - ANSWER-Administer nitroglycerin,1
tablet sublingual immediately
5. A nurse is caring for a client diagnosed with polycythemia
vera. Which of the following should the nurse include in the
client and family education
Decreased fluid intake to no more than 1 little per day
Wear support hose while awake
Diet high in vitamin k
Resume normal activity - ANSWER-Wear support hose while
awake
,6. A nurse is performing discharge teaching for a client who
was recently diagnosed with heart failure.which of the
following should be included in the client and family teaching
( select all that apply)
Medication teaching
Low sodium diet
Fluid restriction
Weekly weights
Symptoms to report to the provider - ANSWER-Medication
teaching
Low sodium diet
Fluid restriction
Symptoms to report to the provider
7. The family of a neutropenic client reports that the client
confused and is not acting right what action by the nurse is
the priority
Ask the client about pain
Assess the client for infection
Delegate taking a set of vital signs
Look at today's laboratory results. - ANSWER-Assess the client
for infection
, 8. A nurse is caring for a client with a history of an abdominal
aortic aneurysm. Which of the following assessment requires
immediate intervention
Decreased urine output
Back pain
Nausea and vomiting
Absent peripheral pulses. - ANSWER-Absent peripheral
pulses.
9. Which of the following assessment is a priority findings
during a blood transfusion
Chest pain
Headache
Joint pain
Fatigue - ANSWER-Chest pain
10. The nurse questions which order for a client with
thrombocytopenia
Avoid IM injection
Administer enemas
Apply ice to areas of trauma
Test all urine and stool for the presence of occult blood. -
ANSWER-Administer enemas
