NURS100/lNURSl100lAssessmentl5l(Newl
Update)lFundamentalsloflNursing|lQsl&lAs|l
100%lCorrect|lGradelA-lWCU
QUESTION
Alnurselislreviewinglthellaboratoryltestlresultslforlalclientlwholhaslanlel-
levatedltemperature.lThelnurselshouldlidentifylwhichloflthelfollowinglfindingslislalmanifestatio
nlofldehydration?l(selectlalllthatlapply)
A.lHctl55%
B.lBloodlosmolarityl260lmOsm/kg
C.lBloodlsodiuml150lmEq/L
D.lUrinelspecificlgravityl1.035
E.lBloodlcreatininel0.6lmg/dL
Answer:
lA.lHctl55%lC.lBloodlsodiuml150lmEq/L
D.lUrinelspecificlgravityl1.035
QUESTION
Alnurselonlalmedical-
surgicallunitlislcaringlforlalgrouploflclients.lForlwhichloflthelfollowinglclientslshouldlthelnursel
expectlalprescriptionlforlfluidlrestriction?
A.lAlclientlwholhaslnewldiagnosislofladrenallinsufficiency
B.lAlclientlwholhaslheartlfailure
C.lAlclientlwholislreceivingltreatmentlforldiabeticlketoacidosis
D.lAlclientlwholhaslabdominallascites
Answer:
lB.lAlclientlwholhaslheartlfailure
QUESTION
IflalpatientlcomplainsloflIVlsitelpainlyoulshouldllllllllll
,Answer:
lD/ClthelIVlandlmoveltolalnewlsite
QUESTION
Alnurselislplanninglcarelforlalclientlwholhasldehydration.lWhichloflthelfollowinglactionslshoul
dlthelnurselinclude?
A.lAdministerlantihypertensivelonlschedule
B.lChecklthelclient'slweightleachlmorning
C.lNotifylthelproviderloflalurineloutputlgreaterlthanl30lmL/hr
D.lEncouragelindependentlambulationlfourltimeslalday
Answer:
lB.lChecklthelclient'slweightleachlmorning
QUESTION
Edema,lpallor,lcoolltemperature,lpain,landlfluidlleakagelatlanlIVlsitelarelalllsignslofllllllllll
Answer:
linfiltration
QUESTION
IflyoulsuspectlIVlsitelinfectionlyoulshouldldrawlbloodlculturelatlllllllllland
llllllllll
Answer:
lIVlsite,lotherlsideloflbody
l
QUESTION
IflIVlinfectionlislpresentlyoulshouldlchangelthelIVlcatheterleveryllllllllllllll-
lllllllllllllhourslperlpolicy
,Answer:
l72l-l96
QUESTION
JVD,lelevatedlBPlHRlRR,lcrackleslinlthellungs,lSOB,ledemalandlenlargedlspleenlorlliverlarelsi
gns/symptomslofllllllllllll
Answer:
lfluidloverload
QUESTION
Iflyourlpatientlhaslfluidloverloadlyoulshouldldolwhat?
Answer:
lstoplthelinfusion,lassesslABCs,lelevatelHOB,lplanlforldiuretics,lmodifylfluidlintake
QUESTION
WhenlalpieceloflanlIVlcatheterlbreakslofflandltravelslthroughlthelvascularlsystemlit'slcalledllllll
lll
Answer:
lcatheterlembolism
QUESTION
Alnurselislcaringlforlalclientlwholislatlhighlrisklforlaspiration.lWhichloflthelfollowinglactionsls
houldlthelnurseltake?
A.lGivelthelclientlthinlliquids
B.lInstructlthelclientltoltuckltheirlchinlwhenlswallowing
C.lHavelthelclientluselalstraw
D.lEncouragelthelclientltollieldownlandlrestlafterlmeals
Answer:
lB.lInstructlthelclientltoltuckltheirlchinlwhenlswallowing
, QUESTION
Alnurselislpreparinglalpresentationlaboutlbasiclnutrientslforlalgrouploflhighlschoollathletes.lShe
lshouldlexplainlthatlwhichloflthelfollowinglnutrientslprovideslthelbodylwithlthelmostlenergy?
A.lFat
B.lProtein
C.lGlycogen
D.lCarbohydrates
Answer:
lD.lCarbohydrates
QUESTION
Alnurselislcaringlforlalclientlwholrequireslallow-
residueldiet.lThelnurselshouldlexpectltolseelwhichloflthelfollowinglfoodslonlthelclient'slmealltr
ay?
A.lcookedlbarleylB.lpureedlbroccolilC.lvanillalcustard
D.llentillsoup
Answer:
lC.lvanillalcustard
QUESTION
Alnurselislcaringlforlalclientlwholweighsl80lkglandlisl1.6lmltall.lCalculatelthelBMIlandldeterm
inelwhetherlthislclient'slBMIlindicateslalhealthylweight,lunderweight,loverweight,lorlobese.
Answer:
lBMIl=l31.25l(obese)
BMI=lweightl(kg)l/lheightl(m^2)
QUESTION
Update)lFundamentalsloflNursing|lQsl&lAs|l
100%lCorrect|lGradelA-lWCU
QUESTION
Alnurselislreviewinglthellaboratoryltestlresultslforlalclientlwholhaslanlel-
levatedltemperature.lThelnurselshouldlidentifylwhichloflthelfollowinglfindingslislalmanifestatio
nlofldehydration?l(selectlalllthatlapply)
A.lHctl55%
B.lBloodlosmolarityl260lmOsm/kg
C.lBloodlsodiuml150lmEq/L
D.lUrinelspecificlgravityl1.035
E.lBloodlcreatininel0.6lmg/dL
Answer:
lA.lHctl55%lC.lBloodlsodiuml150lmEq/L
D.lUrinelspecificlgravityl1.035
QUESTION
Alnurselonlalmedical-
surgicallunitlislcaringlforlalgrouploflclients.lForlwhichloflthelfollowinglclientslshouldlthelnursel
expectlalprescriptionlforlfluidlrestriction?
A.lAlclientlwholhaslnewldiagnosislofladrenallinsufficiency
B.lAlclientlwholhaslheartlfailure
C.lAlclientlwholislreceivingltreatmentlforldiabeticlketoacidosis
D.lAlclientlwholhaslabdominallascites
Answer:
lB.lAlclientlwholhaslheartlfailure
QUESTION
IflalpatientlcomplainsloflIVlsitelpainlyoulshouldllllllllll
,Answer:
lD/ClthelIVlandlmoveltolalnewlsite
QUESTION
Alnurselislplanninglcarelforlalclientlwholhasldehydration.lWhichloflthelfollowinglactionslshoul
dlthelnurselinclude?
A.lAdministerlantihypertensivelonlschedule
B.lChecklthelclient'slweightleachlmorning
C.lNotifylthelproviderloflalurineloutputlgreaterlthanl30lmL/hr
D.lEncouragelindependentlambulationlfourltimeslalday
Answer:
lB.lChecklthelclient'slweightleachlmorning
QUESTION
Edema,lpallor,lcoolltemperature,lpain,landlfluidlleakagelatlanlIVlsitelarelalllsignslofllllllllll
Answer:
linfiltration
QUESTION
IflyoulsuspectlIVlsitelinfectionlyoulshouldldrawlbloodlculturelatlllllllllland
llllllllll
Answer:
lIVlsite,lotherlsideloflbody
l
QUESTION
IflIVlinfectionlislpresentlyoulshouldlchangelthelIVlcatheterleveryllllllllllllll-
lllllllllllllhourslperlpolicy
,Answer:
l72l-l96
QUESTION
JVD,lelevatedlBPlHRlRR,lcrackleslinlthellungs,lSOB,ledemalandlenlargedlspleenlorlliverlarelsi
gns/symptomslofllllllllllll
Answer:
lfluidloverload
QUESTION
Iflyourlpatientlhaslfluidloverloadlyoulshouldldolwhat?
Answer:
lstoplthelinfusion,lassesslABCs,lelevatelHOB,lplanlforldiuretics,lmodifylfluidlintake
QUESTION
WhenlalpieceloflanlIVlcatheterlbreakslofflandltravelslthroughlthelvascularlsystemlit'slcalledllllll
lll
Answer:
lcatheterlembolism
QUESTION
Alnurselislcaringlforlalclientlwholislatlhighlrisklforlaspiration.lWhichloflthelfollowinglactionsls
houldlthelnurseltake?
A.lGivelthelclientlthinlliquids
B.lInstructlthelclientltoltuckltheirlchinlwhenlswallowing
C.lHavelthelclientluselalstraw
D.lEncouragelthelclientltollieldownlandlrestlafterlmeals
Answer:
lB.lInstructlthelclientltoltuckltheirlchinlwhenlswallowing
, QUESTION
Alnurselislpreparinglalpresentationlaboutlbasiclnutrientslforlalgrouploflhighlschoollathletes.lShe
lshouldlexplainlthatlwhichloflthelfollowinglnutrientslprovideslthelbodylwithlthelmostlenergy?
A.lFat
B.lProtein
C.lGlycogen
D.lCarbohydrates
Answer:
lD.lCarbohydrates
QUESTION
Alnurselislcaringlforlalclientlwholrequireslallow-
residueldiet.lThelnurselshouldlexpectltolseelwhichloflthelfollowinglfoodslonlthelclient'slmealltr
ay?
A.lcookedlbarleylB.lpureedlbroccolilC.lvanillalcustard
D.llentillsoup
Answer:
lC.lvanillalcustard
QUESTION
Alnurselislcaringlforlalclientlwholweighsl80lkglandlisl1.6lmltall.lCalculatelthelBMIlandldeterm
inelwhetherlthislclient'slBMIlindicateslalhealthylweight,lunderweight,loverweight,lorlobese.
Answer:
lBMIl=l31.25l(obese)
BMI=lweightl(kg)l/lheightl(m^2)
QUESTION