NSC 378 Final Questions With Complete Solutions
A 79-year-old client has been admitted to the unit. The client is
diagnosed with a left hip fracture secondary to a fall, and is
scheduled for a left total hip replacement (LTHR). The client's
comorbidities are hypertension and diabetes. The client is a full
code with no known allergies (NKA). What is the nurse's
priority action for this client? Correct Answers Pain
management
A child has ingested poisonous hydrocarbons. Which is the most
important nursing intervention? Correct Answers Keep the
child calm and relaxed
A child is hospitalized with infective endocarditis. Which
nursing intervention is most appropriate? Correct Answers
Provide diversional activities
A client diagnosed with leukemia is now experiencing
neutropenia. Which assessment is a priority for the nurse?
Correct Answers Breath sounds
A client displays signs associated with a possible ruptured AAA.
What is priority nursing intervention? Correct Answers
Prepare the client for surgical intervention
A client is a gravida 1, para 0. During the first 24 hours after
birth, she doesn't show consistent interest in her neonate. What
should the nurse do next? Correct Answers Document these
expected behaviors of the taking-in period
,A client is admitted to the hospital for exacerbation of chronic
obstructive pulmonary disease (COPD). Which of the following
would the nurse expect to find during a nursing assessment?
Correct Answers wheezing, tachycardia, restlessness
A client is admitted with paranoia and visual hallucinations
related to progressive dementia. The client continues to be
restless and have hallucinations. The nurse calls the health care
provider (HCP) and, after explaining the situation, background,
and assessment, recommends that the HCP consider writing a
prescription for which medication?` Correct Answers
sertraline
A client is admitted with shortness of breath, a brain natriuretic
peptide (BNP) level of 615 pg/mL, and pedal edema. Which of
the following actions should the nurse take next? Select all that
apply. Correct Answers IV diuretic therapy
give O2 with mask
A client is diagnosed with pancreatitis. Which assessment
finding would be of most concern to the nurse?
A. Increased serum amylase
B. Moderate right upper quadrant pain
C. Low grade fever
D. Bluish discoloration in periumbilical area Correct Answers
Bluish discoloration from periumbilical area
A client is diagnosed with pancreatitis. Which assessment would
be of most concern to the nurse? Correct Answers Bluish
discoloration in the periumbilical area
, A client is in the first hour of her recovery after a vaginal birth.
During an assessment, the lochia is moderate, bright red, and is
trickling from the vagina. The nurse locates the fundus at the
umbilicus; it is firm and midline with no palpable bladder. The
client's vital signs remain at their baseline. Based on this
information, the nurse would implement which action? Correct
Answers Report the findings to the healthcare provider (HCP)
A client is receiving epoetin alfa. Which findings indicate the
effectiveness of the drug? Correct Answers increase in RBC
A client is receiving treatment for severe depression. When
evaluating this client for suicidal ideation, a nurse checks for:
Correct Answers suicidal thoughts or plans
A client receives morphine for postoperative pain. The nurse
should... Correct Answers Assess UOP every 8 hours
A client receiving thyroid replacement therapy develops
influenza and forgets to take her thyroid replacement medicine.
The nurse understands that skipping this medication puts the
client at risk for developing which life-threatening
complication? Correct Answers Myxedema coma
A client reports severe pain in the back and joints. Upon
reviewing the client's history, the nurse notes a diagnosis of
depression and frequent hospitalizations for somatic illnesses.
What should the nurse encourage this client to do? Correct
Answers Tell the physician about the pain so that its cause can
be determined
A 79-year-old client has been admitted to the unit. The client is
diagnosed with a left hip fracture secondary to a fall, and is
scheduled for a left total hip replacement (LTHR). The client's
comorbidities are hypertension and diabetes. The client is a full
code with no known allergies (NKA). What is the nurse's
priority action for this client? Correct Answers Pain
management
A child has ingested poisonous hydrocarbons. Which is the most
important nursing intervention? Correct Answers Keep the
child calm and relaxed
A child is hospitalized with infective endocarditis. Which
nursing intervention is most appropriate? Correct Answers
Provide diversional activities
A client diagnosed with leukemia is now experiencing
neutropenia. Which assessment is a priority for the nurse?
Correct Answers Breath sounds
A client displays signs associated with a possible ruptured AAA.
What is priority nursing intervention? Correct Answers
Prepare the client for surgical intervention
A client is a gravida 1, para 0. During the first 24 hours after
birth, she doesn't show consistent interest in her neonate. What
should the nurse do next? Correct Answers Document these
expected behaviors of the taking-in period
,A client is admitted to the hospital for exacerbation of chronic
obstructive pulmonary disease (COPD). Which of the following
would the nurse expect to find during a nursing assessment?
Correct Answers wheezing, tachycardia, restlessness
A client is admitted with paranoia and visual hallucinations
related to progressive dementia. The client continues to be
restless and have hallucinations. The nurse calls the health care
provider (HCP) and, after explaining the situation, background,
and assessment, recommends that the HCP consider writing a
prescription for which medication?` Correct Answers
sertraline
A client is admitted with shortness of breath, a brain natriuretic
peptide (BNP) level of 615 pg/mL, and pedal edema. Which of
the following actions should the nurse take next? Select all that
apply. Correct Answers IV diuretic therapy
give O2 with mask
A client is diagnosed with pancreatitis. Which assessment
finding would be of most concern to the nurse?
A. Increased serum amylase
B. Moderate right upper quadrant pain
C. Low grade fever
D. Bluish discoloration in periumbilical area Correct Answers
Bluish discoloration from periumbilical area
A client is diagnosed with pancreatitis. Which assessment would
be of most concern to the nurse? Correct Answers Bluish
discoloration in the periumbilical area
, A client is in the first hour of her recovery after a vaginal birth.
During an assessment, the lochia is moderate, bright red, and is
trickling from the vagina. The nurse locates the fundus at the
umbilicus; it is firm and midline with no palpable bladder. The
client's vital signs remain at their baseline. Based on this
information, the nurse would implement which action? Correct
Answers Report the findings to the healthcare provider (HCP)
A client is receiving epoetin alfa. Which findings indicate the
effectiveness of the drug? Correct Answers increase in RBC
A client is receiving treatment for severe depression. When
evaluating this client for suicidal ideation, a nurse checks for:
Correct Answers suicidal thoughts or plans
A client receives morphine for postoperative pain. The nurse
should... Correct Answers Assess UOP every 8 hours
A client receiving thyroid replacement therapy develops
influenza and forgets to take her thyroid replacement medicine.
The nurse understands that skipping this medication puts the
client at risk for developing which life-threatening
complication? Correct Answers Myxedema coma
A client reports severe pain in the back and joints. Upon
reviewing the client's history, the nurse notes a diagnosis of
depression and frequent hospitalizations for somatic illnesses.
What should the nurse encourage this client to do? Correct
Answers Tell the physician about the pain so that its cause can
be determined
