Funds Final Exam Test Bank Q's
c. "I just can't believe that this dialysis is going to ruin my whole life" - ANS A nurse is caring for a client
who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse
identify as an indication of anticipatory grieving?
a. "I know that I will get a kidney transplant. I am a good candidate"
b. "I can now eat whatever I want. The dialysis will remove it from my system"
c. "I just can't believe that this dialysis is going to ruin my whole life"
d. "I know that kidney disease runs in my family but I can prevent it"
a. Transparent Dressing - ANS What is caring for a client who has a stage one pressure ulcer. Which of
the following dressings should the nurse plan to apply?
a. Transparent dressing
b. Wet to dry gauze dressing
c. Hydrogel dressing
d. Alginate dressing
c. Encourage the use of an incentive spirometer - ANS The nurse is developing a plan of care for a client
who is postoperative period which of the following interventions should the nurse include in the plan to
prevent pulmonary complications?
a. Perform range of motion exercises
b. Place suction equipment at the bedside
c. Encourage the use of an incentive spirometer
d. Administer an expectorant
a. Check the clients medical record for the providers prescription - ANS A nurse is preparing to
administer is soapsuds enema to a client who has constipation. As a nurse explained the procedure, the
client states, "the doctor didn't tell me I was supposed to receive an enema" which of the following
nursing actions is appropriate at this time?
,a. Check the clients medical record for the providers prescription
b. Explain to the client that the providers prescribed the procedure
c. Assure the client that enemas are commonly prescribed for constipation
d. Inform the charge nurse that the client refused the enema
a. Discuss initiating hospice care with the client and family - ANS A nurse is caring for a client who has
metastatic bone cancer. The client states, "I want to go home to die" the family is concerned about
meeting the clients care needs at home. Which of the following actions should the nurse take?
a. Discuss initiating hospice care with the client and family
b. Write a referral to place the client in nursing home
c. Talk with the provider about extending the clients hospital stay
d. Inform the clients family that they are responsible for providing palliative care
b. "I will tie a restraint to the position of the bed that moves when the head of the bed is moved" - ANS
A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints.
Which of the following statements by the AP indicates an understanding of teaching?
a. "I will tie restraints in double knots"
b. "I will tie a restraint to the position of the bed that moves when the head of the bed is moved"
c. "I will ensure that restraints fit tightly against the client"
d. "I will put four side rails up if a client is confused"
C. laceration. - ANS A nurse working in an emergency room is assessing a client who has a leg wound.
The nurse notes it's a full thickness wound with jagged edges and muscle tissue visible. The nurse should
document this as which of the following types of wound?
a. Abrasion
b. Contusion
c. Laceration
d. Puncture
, c. Decrease the IV flow rate - ANS A 70-year-old client is admitted to the PACU with an intravenous
solution of 0.9% NaCl which is running at 125cc per hour. The nurse to text new onset of crackles in the
long face and distended neck veins. What is the nurses priority action?
a. Notify the healthcare provider
b. Immediately document findings in the medical record
c. Decrease the IV flow rate
d. Discontinue the IV
d. Serosanguineous - ANS 1. Nurse is assessing a client wound dressing, and observes a watery read
drainage. The nurse should document this drainage as which of the following?
a. Serous
b. Purulent
c. Sanguineous
d. Serosanguineous
0.2 mL IV bolus - ANS A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is
morphine sulfate 10 mg /mL. How many ML should the nurse administer per dose? (Round the answer
to the nearest 10th. Use a wedding zero if it applies. Do not use a trailing zero.)
c. "The doctor says I only have a few months to live, but I know he was exaggerating to get me to take
my medication" - ANS A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following responses is an indication the client is in the denial phase of the grief process.
a. "The doctor has been so good to me. I know he has tried everything he can. It's just my time"
b. "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating
cancer"
c. "The doctor says I only have a few months to live, but I know he was exaggerating to get me to take
my medication"
d. Even though I am not hurting now, I don't feel like I have the energy to get out of bed
c. "I just can't believe that this dialysis is going to ruin my whole life" - ANS A nurse is caring for a client
who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse
identify as an indication of anticipatory grieving?
a. "I know that I will get a kidney transplant. I am a good candidate"
b. "I can now eat whatever I want. The dialysis will remove it from my system"
c. "I just can't believe that this dialysis is going to ruin my whole life"
d. "I know that kidney disease runs in my family but I can prevent it"
a. Transparent Dressing - ANS What is caring for a client who has a stage one pressure ulcer. Which of
the following dressings should the nurse plan to apply?
a. Transparent dressing
b. Wet to dry gauze dressing
c. Hydrogel dressing
d. Alginate dressing
c. Encourage the use of an incentive spirometer - ANS The nurse is developing a plan of care for a client
who is postoperative period which of the following interventions should the nurse include in the plan to
prevent pulmonary complications?
a. Perform range of motion exercises
b. Place suction equipment at the bedside
c. Encourage the use of an incentive spirometer
d. Administer an expectorant
a. Check the clients medical record for the providers prescription - ANS A nurse is preparing to
administer is soapsuds enema to a client who has constipation. As a nurse explained the procedure, the
client states, "the doctor didn't tell me I was supposed to receive an enema" which of the following
nursing actions is appropriate at this time?
,a. Check the clients medical record for the providers prescription
b. Explain to the client that the providers prescribed the procedure
c. Assure the client that enemas are commonly prescribed for constipation
d. Inform the charge nurse that the client refused the enema
a. Discuss initiating hospice care with the client and family - ANS A nurse is caring for a client who has
metastatic bone cancer. The client states, "I want to go home to die" the family is concerned about
meeting the clients care needs at home. Which of the following actions should the nurse take?
a. Discuss initiating hospice care with the client and family
b. Write a referral to place the client in nursing home
c. Talk with the provider about extending the clients hospital stay
d. Inform the clients family that they are responsible for providing palliative care
b. "I will tie a restraint to the position of the bed that moves when the head of the bed is moved" - ANS
A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints.
Which of the following statements by the AP indicates an understanding of teaching?
a. "I will tie restraints in double knots"
b. "I will tie a restraint to the position of the bed that moves when the head of the bed is moved"
c. "I will ensure that restraints fit tightly against the client"
d. "I will put four side rails up if a client is confused"
C. laceration. - ANS A nurse working in an emergency room is assessing a client who has a leg wound.
The nurse notes it's a full thickness wound with jagged edges and muscle tissue visible. The nurse should
document this as which of the following types of wound?
a. Abrasion
b. Contusion
c. Laceration
d. Puncture
, c. Decrease the IV flow rate - ANS A 70-year-old client is admitted to the PACU with an intravenous
solution of 0.9% NaCl which is running at 125cc per hour. The nurse to text new onset of crackles in the
long face and distended neck veins. What is the nurses priority action?
a. Notify the healthcare provider
b. Immediately document findings in the medical record
c. Decrease the IV flow rate
d. Discontinue the IV
d. Serosanguineous - ANS 1. Nurse is assessing a client wound dressing, and observes a watery read
drainage. The nurse should document this drainage as which of the following?
a. Serous
b. Purulent
c. Sanguineous
d. Serosanguineous
0.2 mL IV bolus - ANS A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is
morphine sulfate 10 mg /mL. How many ML should the nurse administer per dose? (Round the answer
to the nearest 10th. Use a wedding zero if it applies. Do not use a trailing zero.)
c. "The doctor says I only have a few months to live, but I know he was exaggerating to get me to take
my medication" - ANS A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following responses is an indication the client is in the denial phase of the grief process.
a. "The doctor has been so good to me. I know he has tried everything he can. It's just my time"
b. "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating
cancer"
c. "The doctor says I only have a few months to live, but I know he was exaggerating to get me to take
my medication"
d. Even though I am not hurting now, I don't feel like I have the energy to get out of bed
