224QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!2024/2025
1. The client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
The nurse is preparing to set up the oxygen administration and apply
the simple face mask.
What order(s) would the nurse question? (Select all that apply.)
A. Send blood for a complete blood count, electrolytes
B. Enalapril 10 mg every morning
C. C Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater
than 100.5°F (38° C)
D. Admit to the medical floor
E. Supplemental oxygen 10 L/min via nasal cannula
F. Vital signs every 4 hours
G. Continuous pulse oximetry
H. Chest X-Ray now: C. C Ibuprofen 400 mg every 4 to 6 hours PRN for
temperature greater than 100.5°F (38° C)
E. Supplemental oxygen 10 L/min via nasal cannula
H. Chest X-Ray now
2. The client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
The nurse is preparing to set up the oxygen administration and apply
the simple face mask.
What should the nurse do before applying the face mask? Select that
apply.
A. Perform hand hygiene
B. Identify the client using Z client identifiers
,C. Determine if the client needs to go to the bathroom
D. Check the skin around the face
E. Don gloves
F. Brush the client's teeth
G. Assess respiratory function: A. Perform hand hygiene
B. Identify the client using Z client identifiers
D. Check the skin around the face
E. Don gloves
G. Assess respiratory function
3. The client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
According to the client's vital signs, he is experiencing ______ And
______ A. Eupnea
B. Hypothermia
C. Bradycardia
D. Tachycardia
E. Hyperthermia
F. Tachypnea: D. Tachycardia
F. Tachypnea
4. The client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
The nurse is preparing to set up the oxygen administration and apply
the simple face mask.
What actions can the nurse do to assist the client in improving their
ventilation and oxygenation? Select all that apply. A. Avoid treating
fever with antipyretics
B. Encourage the client to take breaks from the oxygen mask every
few hours
C. Providing suctioning so the client does not have to cough
, D. Assist the client in ambulating safely
E. Asking the client do quick, shallow breaths
F. Positioning the client with the head of the bed elevated
G. Teaching the client to cough at least once an hour: B. Encourage
the client to take breaks from the oxygen mask every few hours
D. Assist the client in ambulating safely
F. Positioning the client with the head of the bed elevated
5. he client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
The nurse is preparing to set up the oxygen administration and apply
the simple face mask.
OptionsEffectiveIneffective
A . Rhonchi in the right lung
B . Symmetric chest expansion
C . Oxygen saturation greater than 949%
D . PaCO2 55 mm Hg on a blood gas
E . Client ambulates without shortness of breath
F . Diminished breath sounds in the right lung: A . Rhonchi in the right
lung- INEFFECTIVE
B . Symmetric chest expansion- EFFECTIVE
C . Oxygen saturation greater than 949%- EFFECTIVE
D . PaCO2 55 mm Hg on a blood gas- INEFFECTIVE
E . Client ambulates without shortness of breath- EFFECTIVE
F . Diminished breath sounds in the right lung- INEFFECTIVE
6. The client is a 51-year-old male with pneumonia. The client has a
history of hypertension and takes enalapril and a multivitamin daily.
His surgical history includes adenoid removal at age 4-years and a
surgical repair of a fractured tibia at age 20.
The nurse is preparing to set up the oxygen administration and apply
the simple face mask.
, Which technique should the nurse use when assessing the client
for early signs of rheumatoid arthritis? A. Palpate the lymph nodes.
B. Observe the client's fingers.
C. Palpate large joints for nodules.
D. Observe the skin for lesions.: B. Observe the client's fingers.
7. Which information should the nurse include when giving discharge
instructions to a client following a left eye cataract extraction with a
lens implant? A. Observe pupil response of the right eye.
B. Turn, cough, and deep breathe every 2 hours.
C. Sleep flat in a supine position.
D. Administer a stool softener.: D. Administer a stool softener.
8. A client with chronic cirrhosis has esophageal varices. It is most
important for the nurse to monitor the client for the onset of which
problem?
A. Hematemesis
B. Brown, foarmy
urine.
C. Clay-colored stool.
D. Anorexia.: A. Hematemesis
9. The nurse is planning care for a client with a direct (sliding) hiatal
hernia.
Nursing actions should be planned to meet which
goal? A. Prevent esophageal reflux.
B. Increase intestinal
peristalsis. C. Promote
effective swallowing.
D. Maintain intact oral mucosa.: A. Prevent esophageal reflux.
10. A client with psoriasis returns to the clinic reporting the
persistence of several silvery, scaly areas on the elbows and palms
that frequently burn and sometimes bleed. Which prescription should
the nurse teach the client to use for the skin condition? A. Topical
analgesics.
B. Topical corticosteroids.