Trad Exam Practice for Proctor Exam Questions And Correct Answers With Complete Verified Solution.

Trad Exam Practice for Proctor Exam Questions And Correct Answers With Complete Verified Solution. A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction? - "A high concentration of carbon monoxide can cause death." - "I can detect the presence of carbon monoxide by a metallic odor." - "I should purchase a carbon monoxide detector for my home." - "Breathing in carbon monoxide can cause headaches and nausea." "I can detect the presence of carbon monoxide by a metallic odor." A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are outlines in the artwork below. Select only the outlined area that corresponds to your answer.) Left pedal pulse: The most distal pulse refers to the pulse that is at the farthest point on the affected extremity. The dorsalis pedis pulse on the anterior foot is the most distal pulse below the femoral artery. Because the client had left-sided angiography, the correct answer will be the left pedal pulse. A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take? - Inform the client that privileges are related to participation in therapy. - Limit visiting hours until the client begins to participate in therapy. - Allow the client to control the timing and frequency of the therapy. - Establish a plan of care with the client that sets attainable goals. Establish a plan of care with the client that sets attainable goals. A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the which of the following findings as an indication of adequate fluid replacement? - BP - Heart rate - Urine output - Weight Heart rate A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown? - Apply a moisture barrier ointment to the client's skin. - Clean the client's skin and perineum with hot water after each episode of incontinence. - Check the client's skin every 8 hr for signs of breakdown. - Request a prescription for the insertion of an indwelling urinary catheter. Apply a moisture barrier ointment to the client's skin. A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.) - More difficulty seeing due to a greater sensitivity to glare - Decreased cough reflex - Decreased bladder capacity - Decreased systolic blood pressure - Dehydration of intervertebral discs More difficulty due to a greater sensitivity to glare, Decreased cough reflex, Decreased bladder capacity, Dehydration of intervertebral discs is correct A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications? - Atelectasis - Pneumonia - Pulmonary embolism - Arterial thrombus Atelectasis Atelectasis is an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas of alveolar collapse. A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary task performance roles that members of the group or the leader must perform? (Select all that apply.) - Self-confessor - Coordinator - Evaluator - Energizer - Dominator Coordinator, Evaluator, Energizer A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? - Abnormally prominent U wave - Elevated ST segment - Wide QRS - Inverted P wave Abnormally prominent U wave Although U waves are rare, their presence can be associated with hypokalemia, hypertension and heart disease. For a client who has hypokalemia, the nurse should monitor the EKG strip for a flattened T wave, prolonged PR interval, prominent U wave, or ST depression. A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? - Reposition the client every 3 hr. - Massage bony prominences to promote circulation. - Provide the client with a diet high in protein. - Apply cornstarch to keep the skin dry. Provide the client with a diet high in protein. A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? - Droplet - Contact - Airborne - Standard Standard A nurse is providing discharge teaching to a client who was recently diagnosed with a latex allergy. Which of the following client statements indicates an understanding of the teaching? - "I will apply elastic bandages to cuts." - "I will use dishwashing gloves when cleaning the dishes." - "I will buy balloons for my son's birthday." - "I will use ink pens for writing." "I will use ink pens for writing." A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development? - Generativity vs. stagnation - Identity vs. role diffusion - Intimacy vs. isolation - Trust vs. mistrust Intimacy vs. isolation A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply.) - Verify the oxygen flow rate every other day. - Check the cannula position on a regular basis. - Check the tops of the ears for skin breakdown. - Post "no smoking" signs in a prominent location in the home. - Apply petroleum ointment to nares if they become dry and irritated. Check the cannula position on a regular basis, Check the tops of the ears for skin breakdown, Post "no smoking" signs in a prominent location in the home The nurse is providing discharge teaching to a client who will be performing intermittent self-catheterization. Which of the following instructions should the nurse include? - Use sterile technique during the insertion procedure. - Inflate the catheter balloon with 20 mL of sterile water. - Advance the catheter 2.5 to 5 cm (1 to 2 in) after urine begins to flow. - Use water to lubricate the catheter tip prior to inserting it. Advance the catheter 2.5 to 5 cm (1 to 2 in) after urine begins to flow. A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? - Obtain a pair of slipper-socks for the client. - Rub the client's feet briskly for several minutes. - Increase the client's oral fluid intake. - Place a moist heating pad under the client's feet. Obtain a pair of slipper-socks for the client. A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? - Review the client's electrolyte values. - Check the client's perianal skin integrity. - Investigate the client's emotional concerns. - Obtain a dietary history from the client. Review the client's electrolyte values. A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the are of the electrocardiogram (ECG) that represents the T-wave. (Selectable areas, or "Hot Spots," can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer.) Box at the far right (Think about P -- QRS -- T) A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide? - "Respite care allows the primary caregiver time away from day-to-day care responsibilities." - "Respite care provides holistic support and care for a client who is terminally ill." - "Respite care helps relieve pain and promote comfort."