TEST BANK COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is monitoring an older adult client who has an extrapolation of
chronic lymphocytic leukemia. The nurse notes patikayy on the client's
skin which of the following actions should the nurse take?
a) Determine the client's blood type
b) avoid administering IV pain medication
c) Implement airborne precautions
d) Institute bleeding precautions - ANSWER- d) Institute bleeding
precautions
A nurse is providing discharge teaching for a client who is receiving
treatment for genital herpes. Which of the following statements by the
client indicates effectiveness of the teaching?
a) I should expect to take my medication for three weeks
b) I should apply antibiotic ointment to the lesions
c) I should expect my lesions to resolve in 6 weeks
d) I should use natural skin condoms during sexual intercourse -
ANSWER- b) I should apply antibiotic ointment to the lesions
,A nurse in an emergency department is preparing a client for emergency
surgery. The client's blood alcohol level is 180 mg / DL which of the
following action is the nurse's priority?
a) Insert an NG Tube
b) obtain consent for surgery c) apply anti embolic stockings
d) insert an indwelling urinary catheter - ANSWER- a) Insert an NG
Tube
A nurse is preparing to administer two units of packed rbc's to a client.
Which of the following actions should the nurse take?
a) Transfuse each unit of blood over five hours
b) change the IV tubing after each unit of blood is transfused
c) administer the blood through a 22 gauge intravenous catheter
d) Prime the tubing with 0.9% sodium chloride - ANSWER- d) Prime
the tubing with 0.9% sodium chloride
A nurse is caring for a client who has chronic renal failure. The client
displays the following ABG results: pH: 7.24 paCO2: 44 mm Hg, paO2 :
84 mmHg, HCO3 : 18 meq/ L base excess - 2 and O2 saturation 95%
The nurse should include that the client has which of the following acid-
base balances ?
a) Metabolic alkalosis
b) respiratory acidosis
c) respiratory alkalosis
d) metabolic acidosis - ANSWER- d) metabolic acidosis
,A nurse in a provider's office is teaching a client about the self
management of GERD which of the following instruction should the
nurse include?
a) Lie down 30 minutes after each meal
b) sleep with the head of your bed elevated 6 inches
c) increase your caloric intake by 250 calories per day
d) Eat A light meal 1 hour before bedtime - ANSWER- b) sleep with the
head of your bed elevated 6 inches
A nurse suspects that a client who has diabetes mellitus is experiencing
hypoglycemia. Which of the following assessment findings supports this
suspicion?
a) Cool, clammy skin
b) kussmaul respirations
c) acetone breath
d) increased urine output - ANSWER- a) Cool, clammy skin
A nurse is caring for a client who is receiving radiation. The client
reports nausea since the therapy was initiated. Which of the following
considerations should the nurse include when finding the clients meals?
a) Offer hot beverages with meals
b) offer a snack prior to radiation therapy
c) offer highly seasoned Foods
d) offer frequent High carbohydrate meals - ANSWER- d) offer frequent
High carbohydrate meals
, A charge nurse receives a call from the house supervisor requesting
room assignments for four new clients. Based on the information
diagnosis which of the following clients requires a private room?
a) A client service port reports having fever, night sweats, and call for 2
days
b) an older adult client who was admitted with aspiration pneumonia
c) a client who has diabetes mellitus and is presenting with acute
ketoacidosis
d) a client who has a compound fracture of the right femur - ANSWER-
a) A client service port reports having fever, night sweats, and call for 2
days
A nurse in an emergency department is assessing a client who has
diabetic ketoacidosis. Which of the following findings should the nurse
expect? (select all the apply)
a) Tremors
b) reports of nausea and vomiting
c) Serum glucose 380 mg / DL
d) serum pH 7.6 e) fruity smelling breath - ANSWER- b) reports of
nausea and vomiting
c) Serum glucose 380 mg / DL
d) serum pH 7.6 e) fruity smelling breath
A nurse is planning a staff education session about hepatitis A. Which of
the following information should the nurse include?