CMS NR341 QUESTIONS AND ANSWERS VERIFIED 100% CORRECT

CMS NR341 QUESTIONS AND ANSWERS VERIFIED 100% CORRECT 1. A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the following ABG values should the nurse expect? ANSWER: PaCO2 48 mmHg 1. A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? ANSWER: Maintain the client's affected extremity in extension 1. nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect? ANSWER: Proteinuria 1. 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? ANSWER: Hold breaths 3 to 5 seconds before exhaling 1. A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions? ANSWER: Upright on the edge of the bed leaning over the bedside table 1. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? ANSWER: Metformin 1. A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? ANSWER: Desmopressin 1. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take? ANSWER: Flush the catheter manually with 0.9% sodium chloride Patient with lumbar puncture order, what position should nurse have him in ANSWER: laying in bed in cannonball position (diagram 4) 1. A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site? ANSWER: Absence of bruit 1. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first? ANSWER: Check the color of the client's skin 1. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first? ANSWER: Check the color of the client's skin 1. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? ANSWER: Palpate the site for thrill 1. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? ANSWER: Attach the dosimeter badge to patient's gown 1. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching ANSWER: I'll cleanse the cannula with half strength hydrogen peroxide A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client? ANSWER: 5 A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? ANSWER: Potassium 6.8 mEq/L Patient with transverse colon colostomy placement should be where ANSWER: 1. Diagram will show, chose LL Abdomen A nurse is caring for a client who is postoperative following a complete thyroidectomy. which of the following findings is the priority for the nurse to report to the provider? ANSWER: Muscle twitching A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's? ANSWER: Taking amlodipine for hypertension A nurse is planning care for a client who is 8 hrs postoperative following a coronary artery bypass grafting. which of the following assessments should the nurse plan to perform first? ANSWER: Auscultate breath sounds A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure? ANSWER: insert a urinary catheter A nurse is providing discharge teaching to a client who has heart failure and instruct hi to limit sodium intake to 2g per day. which of the following statements by the client indicates an understanding of the teaching? ANSWER: " I can have a frozen fruit juice with a meal"