KAPLAN MEDICAL SURGICAL COMPREHENSIVE AND EXAM FOCUSED EXAM WITH OVER 200 QUESTIONS AND CORRECT ANSWERS| VERIFIED!

A nurse is updating a plan of care after an evaluation of a client who has dysphagia. Which of the following interventions should the nurse include in the plan? a) Ask the client to tilt their head back when swallowing b) Have the client sit upright for 1 hour following meals. c) Administer liquids to the client using a syringe. d) Allow the client to rest of 10 min prior to eating. - Answer b) Have the client sit upright for 1 hour following meals. A nurse is assessing the IV infusion site of client who reports pain at the site. The site is red and there is warmth along the course of the vein. Which of the following actions should the nurse take? a) initiate a new IV line below the original insertion site. b) discontinue the infusion. c) raise the head of the bed. d) obtain a culture from the area of the insertion site. - Answer b) discontinue the infusion. A nurse is preparing to perform a routine abdominal assessment for a client. Which of the following actions should the nurse take? a) document shiny, taut skin as an expected finding. b) perform palpitation after auscultation. c) listen for 1 minute before documenting absent bowel sounds. d) perform auscultation immediately after the client has consumed a meal. - Answer b) perform palpitation after auscultation. A nurse is discussion immunity with a client who has received an immunization. The nurse should identify that an immunization functions as part of the which of following types of immunity? a) passive immunity. b) active immunity. c) cellular immunity. d) acquired immunity. - Answer d) acquired immunity. A nurse is reviewing the medical records of a group of older adult clients. The nurse should identify that which of the following is a risk factor that places older clients at an increased risk for developing infections? a) overproduction of lymphocytes. b) elevated albumin levels. c) lowered immune system function. d) increased body fat. - Answer c) lowered immune system function. A nurse is teaching the client who has asthma the use of a metered dose inhaler. Which of the following instructions should the nurse include in the teaching? a) hold your breath for 6 seconds after inhaling the medication. b) do not shake the medication in the inhaler. c) inhale the medication deeply for 5 seconds. d) hold the inhaler 3 inches away from your mouth. - Answer c) inhale the medication deeply for 5 seconds. A nurse is assessing the pain level of a client who has dementia and difficulty communicating. Which of the following pain assessment techniques should the nurse use? a) numerical pain scale. b) faces pain scale c) verbal description d) behavioural indicators - Answer d) behavioural indicators. A nurse in an emergency department is monitoring the hydration status of a client who is receiving oral rehydration. Which of the following findings should the nurse identify as requiring further interventions? a) heart rate 120/min b) BP 121/74 mmHg c) Temperature 37.78C (100F) d) Urine specific gravity 1.020 - Answer a) heart rate 120/min A nurse in a provider's office is assessing the motor skill development of a 15 month old toddler during a well child visit. Which of the following gross motor skills should the nurse expect? a) takes several steps on tip toes. b) walks without assistance using a wide stance. c) has an accentuated cervical curvature when standing. d) stands with the feet turned slightly inward. - Answer b) walks without assistance using a wide stance. A nurse is teaching a group of parents and guardians about safety risks for adolescents. Which of the following statements should the nurse include in the teaching? a) "exploring the environment commonly leads to injuries for this age group" b) "most injuries sustained during this time of life are caused by developing motor skills" c) "at this age, peer influence to participate in high-risk behaviours can lead to injury" d) "the risk for injuries sustained during this age are often a result of a change in cognitive function" - Answer c) "at this age, peer influence to participate in high-risk behaviours can lead to injury" A nurse is caring for a client who expresses anxiety about an upcoming surgery. Which of the following actions should the nurse take? a) ask the client to describe their feelings. b) discuss the competency of the surgeon with the client. c) inform the client that others have had the procedure without problems. d) ask the client why they are experiencing anxiety. - Answer a) ask the client to describe their feelings. A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the teaching? a) "I need to have an attorney sign my advance directives" b) "I have a living will that outlines my wishes if I am unable to make decisions" c) "I must have a family member appointed to make my health care decisions" d) "I will need to sign a document stating that I want to be resuscitated if I required CPR" - Answer b) "I have a living will that outlines my wishes if I am unable to make decisions" A client just had an upper GI X-ray procedure. Which information is most important for the nurse to give the client? a. Save stool specimen after 48 hours b. Take a laxative after 72 hours if no stool c. Clear liquid diet only for 24 hours then a regular diet d. Drink large amounts of fluid for 72 hours - Answer d. Drink large amounts of fluid for 72 hours A client experiences anaphylactic shock caused by a reaction to a medication. IV diphenhydramine is administered, and the client appears to be recovering. Which VS is the most important for the nurse to monitor for the next several hours? a. Respirations b. Blood pressure c. Pulse d. Temperature - Answer a. Respirations A client with heart failure is to be weighed daily. The client asks why this is necessary. Which is the best information for the nurse to give the client? a. Helps determine if the medication is working b. Shows how activity affects activity intolerance c. Is an indication of the fluid status in the body d. Determines the number of calories for the diet - Answer c. Is an indication of the fluid status in the body A client is diagnosed with glaucoma. The client asks the nurse why eye drops are necessary. Which response by the nurse is best? a. "The drops keep your eye pressure low and help maintain your vision." b. "How can we help you use the drops better? You need to follow the directions." c. "Does using the drops bother you? Did you ask your eye care provider?" d. "Unfortunately, you are not a candidate for the surgery and need the drops." - Answer a. "The...