NURS 480 EXAM QUESTIONS AND ANSWERS GRADED A++

NURS 480 EXAM QUESTIONS AND ANSWERS GRADED A++ Terms in this set (100) 1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect? Intense pain with movement 2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following manifestations indicates a hemolytic transfusion reaction? Chills 3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? Place two bed pillows between the legs when in bed 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross- reactivity to which of the following substances Latex 5 A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? Hold breaths about 3 to 5 seconds before exhaling 6 A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8mEq/L. Which of the following interventions should the nurse implement first? Initiate cardiac monitoring for the clients 7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take? Hang the drainage bag below the client's abdomen 8 A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)? Disequilibrium with movement 9 A nurse is planning care for a client who is one day postoperative Following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care? apply compression stockings to the lower extremities 10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of the following prescriptions should the nurse expect to receive from the provider? (click on the "exhibit" button for additional information about the client. There are 3 tabs that contain separate categories of data.) Furosemide 40mg IV bolus every 6 hr 11 A nurse is providing a discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching? " I should expect less than 25 mL of secretions per day in the drainage devices" 12 A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following statements should the nurse include I the first teaching? "Exhale Fully before bringing the inhaler to your lips " 13 A nurse is caring for a client who has been receiving total parental nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider? Calcium level 11.5 mg/dL 14 A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider? May operate a motor vehicle when no longer taking analgesics A nurse is setting up a sterile field before preforming a dressing change on a client who is postoperative. Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that apply) -Grasp 2.5cm (1 in) of the outer edge to open the surgical wrap. -Open the first flap of the sterile package toward the nurse's body. -Place a surgical pack with a sterile drape on the work surface. 16 A nurse is an emergency department is preparing a client for emergency surgery. The clients blood alcohol level is 180mg/dL. Which of the following actions is the nurse's priority? Insert an NG tube 17 A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the first sign of deteriorating neurological status? Altered level of Consciousness 18 A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse Identify as an indication of melanoma? Flat lesion with irregular borders 19 A nurse is caring for a client who has diabetes insipidus. Which Of the following medications should the nurse plan to administer. Desmopressin 20 A nurse is preparing to assist with the insertion of a non-tunneled Central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take. Place the client's head on the bed lower than the foot. (Trendelenburg) 21 A nurse is caring for a client who had an arterial revascularization of the lower extremity. Which of the following is the priority action the nurse should plan to take after contacting the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) a) Increase the insulin rate per protocol. ??? b) Increase the heparin infusion rate per protocol. c) Change the PCA timing of the patient control bolus to every 15 min. d) Start an IV fluid bolus of 0.9% sodium chloride 500mL to infuse over 1hr Start an IV bolus 0.9% NS 500 mL to infuse over 1 hour 22 A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching? Drink 2 to 3 L of fluids daily. 23 A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client? "Describe your daily medication schedule." 24 A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first ? Stop the infusion.