EXAM NEWEST 2O24 COMPLETE 160
QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY
GRADED A+
137. The nurse is interacting with a female client who is diagnostic with
postpartum depression. Which findings should the nurse document as an
objective signs of depression? (Select all that apply) ✔✔ANSWER-B) Avoid eyes
contact
D) Has a disheveled appearance E) Interacts with felt effect
138. A client who is hospitalized and recently diagnosed with Addison's disease
is now confused and lethargic. Which actions should the nurse implement?
(Select all that apply) ✔✔ANSWER-A) Measure capillary glucose level
B) Monitor cardiac telemetry pattern
E) Initiate fall risk precautions
139. 61-An older client is admitted for repair of a broken hip. To reduce the risk
for infection in the postoperative period, which nursing care interventions
should the nurse include in the client's plan of care? (Select all that apply)
✔✔ANSWER-A) Teach client to use incentive spirometer q2 hours while awake
B) Remove urinary catheter as soon as possible and encourage voiding
140. An older adult client admitted to the stroke unit after recovery from the
acute phrase of an ischemic cerebral vascular accident (CVA). Which
intervention should the nurse include in the plan of care during convalescence
and rehabilitation? (Select all that apply.) ✔✔ANSWER-Measure neurological
vital signs every 4 hours
,D) Encourage family to participate in the client's care E) Play classical music in
room while client is awake
141. To reduce the risk of symptoms exacerbation for a client with multiple
sclerosis (MS), which instructions should the nurse include in the client's
discharge plan? (Select all that apply). ✔✔ANSWER-A) Practice relaxation
exercises
C) Space activities to allow for rest periods
D) Avoid persons with infections
142. While assessing a client's chest tube (CT), the nurse discovers bubbling in
the water seal chamber of the chest tube collection device. The client's vital
signs are: blood pressure of 80/40 mmHg, heart rate 120 beats/minutes,
respiratory rate 32 breaths/minutes, oxygen saturation 88%. Which
interventions should the nurse implement? (Select all that apply). ✔✔ANSWER-
A) Provide supplemental oxygen
B) Auscultate bilateral lung fields
D) Reinforce occlusive CT dressing
143. After an explosion at a factory one of the workers approaches the nurse
and says "I am an unlicensed assistive personnel (UAP) at the local hospital."
Which of these tasks
should the nurse assign to this worker who wants to help during the care of the
wounded workers? ✔✔ANSWER-C) Palpate pulses
144. Which of these clients would the nurse recommend to keep in the hospital
during an internal disaster at the agency? ✔✔ANSWER-D) A young adult in the
second day of treatment for an overdose of acetometaphen
145. The mother of a toddler who is being treated for pesticide poisoning asks:
"Why is activated charcoal used? What does it do?" What is the nurse's best
response? ✔✔ANSWER-"The charcoal absorbs the poison and forms a
compound that doesn't hurt your child."
, 146. The nurse is to administer a new medication to a client. Which actions are
in the best interest of the client? Verify the order for the medication. Prior to
giving the medication
the nurse should say ✔✔ANSWER-B) "What is your name? What allergies do you
have?" then check the client's name band and allergy band As the room is
entered say
147. Several clients are admitted to an adult medical unit. The nurse would
ensure airborne precautions for a client with which medical condition?
✔✔ANSWER-B) A positive purified protein derivative with an abnormal chest x-
ray
148. After an unsuccessful resuscitation attempt, the nurse calls the family of
the deceased. The family wish to see the body before it is taken to the funeral
home. Which interventions should the nurse take to prepare the body before the
family enters the room? (Select all that apply) ✔✔ANSWER-C) Place a small
pillow under the head
D) Remove resuscitation equipment from the room E) Gently close the eyes
149. A client is scheduled to receive an oral solution of radioactive iodine (131I).
In order to reduce hazards, the priority information for the nurse to include
during the instructions
to the client is which of these statements? ✔✔ANSWER-In the initial 48 hours
avoid contact with children and pregnant women, and after urination or
defecation flush the commode twice.
150. The nurse is assigned to a client newly diagnosed with active tuberculosis.
Which of these protocols would be a priority for the nurse to implement?
✔✔ANSWER-Place client in a negative pressure private room and have all who
enter the room use masks with shields
151. The charge nurse is planning assignments on a medical unit. Which client
should be assigned to the PN? ✔✔ANSWER-C) Irrigate and redress a leg wound