PERFECTLY GRADED A
Aplnurseplcaringplforplaplclientplwhoplhasplanplinfectedplwoundplremovesplapldressingplsaturated
plwithplbloodplandplpurulentpldrainage.plHowplshouldpltheplnursepldisposeplofplthepldressingplma
terial?
A.plDiscardplthepldressingplinpltheplbedsidepltrashplreceptacle.
B.plDisposeplofplthepldressingplinplaplbiohazardousplwasteplcontainer.
C.plEncloseplthepldressingplinplaplsingleplclearplplasticplbagplandpldiscardplinpltheplbedsidepltrash
plreceptacle.pl-plANS--B.plDisposeplofplthepldressingplinplaplbiohazardousplwasteplcontainer.
Aplnurseplisplcaringplforplaplfemaleplclientplwhoplhasplrecurrentplkidneyplstonesplandplisplschedul
edplforplanplintravenousplpyelogram.plWhichplofpltheplfollowingplstatementsplshouldpltheplnurse
plreportpltopltheplprovider?
A.pl"Ipldrinkplatplleastpl2plquartsplofplfluidpleveryplday."
B.pl"ThepllastpltimeplIplvoidedplitplwasplpainfulplandplred-tinged."
C.pl"Myplperiodplendedpl2pldaysplago."
D.pl"Ipldon'tpleatplshellfishplbecauseplitplgivesplmeplhives."pl-plANS--
D.pl"Ipldon'tpleatplshellfishplbecauseplitplgivesplmeplhives."
Aplnurseplisplpreparingpltopladministerpl40plmEqplofplpotassiumplchlorideplinpl45%plsodiumplchlo
ridepl(NaCl)pl500plmLplIVpltoplinfusepl10plmEq/
hr.plTheplnurseplshouldplsetpltheplIVplpumppltopldeliverplhowplmanyplmL/hr?
pl(Roundpltheplanswerpltopltheplnearestplwholeplnumber.plUseplaplleadingplzeroplifplitplapplies.plD
oplnotpluseplapltrailingplzero.)
CALCULATIONpl-plANS--125plmL/hr
Aplnurseplworkingplforplaplhomeplagencyplisplassessingplanplolderpladultplmaleplclient.plWhichplof
pltheplfollowingplfindingsplispltheplpriorityplforpltheplnursepltopladdress?
A.plSwollenplgums
B.plPrurituspl
C.plUrinaryplHesitancy
D.plDysphagiapl-plANS--D.plDysphagia
Aplnurseplisplgoingpltoplgiveplaplpresentationplaboutplpreventingpldeep-
veinplthrombosispl(DVT).plWhichplofpltheplfollowingplshouldpltheplnurseplincludeplasplaplriskplfact
orplforplthispldisorder?pl(Selectplallplthatplapply.)
BMIplofpl20
,Recentpllongplflight
Hypertension
Highplcalciumplintake
Immobilitypl-plANS--Flights
Immobility
Aplnurseplisplteachingplaplclientplwhoplhasplaplprescriptionplofplaplnasogastricpltubepl(NG)pltopltre
atplaplpyloricplobstruction.plWhichplofpltheplfollowingplrationalesplforplthepluseplofpltheplnasogastr
icpltubeplshouldpltheplnurseplincludeplinpltheplteaching?
A.plDeterminepltheplpHplofpltheplgastricplsecretions.
B.plSupplyplnutrientsplviapltubeplfeedings.
C.plDecompresspltheplstomach.
D.plAdministerplmedications.pl-plANS--C.plDecompresspltheplstomach.
Aplnurseplprovidesplaplbackplmassageplasplaplpalliativeplcareplmeasurepltoplaplclientplwhoplisplun
conscious,plgrimacing,plandplrestless.plWhichplofpltheplfollowingplfindingsplshouldpltheplnursepli
dentifyplasplindicatingplapltherapeuticplresponse?pl(Selectplallplthatplapply.)
Theplshoulderspldroop.
Theplfacialplmusclesplrelax.
Theplrespiratoryplrateplincreases.
Theplpulseplisplwithinpltheplexpectedplrange.
Theplclientpldrawsplhispllegsplupplintoplaplfetalplposition.pl-plANS--Theplshoulderspldroop.
Theplfacialplmusclesplrelax.
Theplpulseplisplwithinpltheplexpectedplrange.
Aplnurseplisplassessingplaplclientplwhoplisplpostoperativeplandplhasplanemiaplduepltoplexcessplbl
oodpllossplfollowingplsurgery.plWhichplofpltheplfollowingplfindingsplshouldpltheplnurseplexpect?
A.plFatigue
B.plHypertension
C.plBradycardia
D.plDiarrheapl-plANS--A.plFatigue
Aplnurseplisplreviewingpltheplarterialplbloodplgaspl(ABG)plresultsplofplaplclientplwhopltheplprovider
plsuspectsplhasplmetabolicplacidosis.plWhichplofpltheplfollowingplresultsplshouldpltheplnurseplex
pectpltoplsee?
A.plpHplbelowpl7.35
B.plHCO3plabovepl26plmEq/L
C.plPaO2plbelowpl70plmmHg
D.plPaCO2plabovepl45plmmHgpl-plANS--A.plpHplbelowpl7.35
, Aplhospiceplnurseplisplreviewingpltheplprescriptionsplforplaplclientplwhoplisplreceivingplpalliativepl
care.plWhichplofpltheplfollowingplprescriptionsplshouldpltheplnurseplexpect?
pl(Selectplallplthatplapply.)
Provideplskinplcareplwithplaplmoistureplbarrierplcream.
AdministerplartificialpltearplPRN.
Obtainplvitalplsignspleverypl2plhr.
Performplmouthplcarepleveryplhour.
Administerploxygenpl2L/minplviaplnasalplcannula.pl-plANS--
Provideplskinplcareplwithplaplmoistureplbarrierplcream.
AdministerplartificialpltearplPRN.
Performplmouthplcarepleveryplhour.
Administerploxygenpl2L/minplviaplnasalplcannula.
Aplnurseplisplplanningplcareplforplaplclientplwhoplisplpostoperativeplandplatplriskplofplparalyticplileu
s.plWhichplofpltheplfollowingplinterventionsplshouldpltheplnurseplplanpltopltakepltoplpromoteplperis
talsis?
A.plIncreaseplambulation.
B.plDecreaseplfluidplintake.
C.plIncreaseplproteinplintake.
D.plOfferpltheplclientpltheplbedpanpleverypl2plhr.pl-plANS--A.plIncreaseplambulation.
Aplnurseplhasplcompletedplcareplproceduresplforplaplclientplwhoplrequiresplairborneplprecaution
s.plWhichplofpltheplfollowingplitemsplofplpersonalplprotectiveplequipmentpl(PPE)plshouldpltheplnu
rseplremovepllast?
A.plMask
B.plGloves
C.plGown
D.plGogglespl-plANS--A.plMask
Aplnurseplisplprovidingplteachingpltoplanplassistiveplpersonnelpl(AP)plaboutplcaringplforplclientspl
withplrestraints.plWhichplofpltheplfollowingplstatementsplbypltheplAPplindicatesplanplunderstandi
ngplofpltheplteaching?
A.pl"Iplwillpltieplrestraintsplinpldoubleplknots."
B.pl"Iplwillpltieplaplrestraintpltopltheplportionplofpltheplbedplthatplmovesplwhenpltheplheadplofpltheplbe
dplisplmoved."
C.pl"Iplwillplensureplthatplrestraintsplfitpltightlyplagainstpltheplclient."
D.pl"Iplwillplputplfourplsideplrailsplupplifplaplclientplisplconfused."pl-plANS--
B.pl"Iplwillpltieplaplrestraintpltopltheplportionplofpltheplbedplthatplmovesplwhenpltheplheadplofpltheplbe
dplisplmoved."
Aplnurseplisplteachingplaplnewplgroupplofplassistiveplpersonnelpl(AP)plaboutpltheplimportanceplof
plhandplhygiene.plWhichplofpltheplfollowingplstatementsplshouldpltheplnurseplinclude?