EXAM ACTUAL EXAM 180 QUESTIONS AND
CORRECT ANSWERS (PROFESSOR VERIFIED) |
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Terms in this set (180)
1. A nurse in a pediatric unit is B. Tell the child they will feel discomfort during the
preparing to insert an IV catheter for catheter insertion.
7-year-
old. Which of the following actions
should the nurse take?
A. (Unable to read)
B. Tell the child they will feel
discomfort during the catheter
insertion.
C. Use a mummy restraint to hold the
child during the catheter insertion.
D. Require the parents to leave the
room during the procedure.
,2. A nurse is caring for a client who B. Absence of a bruit.
has arteriovenous fistula Which of
the
following findings should the nurse
report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge B. "I will wear loose clothing around my ICD"
teaching for a client who has an
implantable cardioverter defibrillator
which of the following statements
demonstrates understanding of the
teaching?
A. "I will soak in the tub rather and
showering"
B. "I will wear loose clothing around
my ICD"
C. "I will stop using my microwave
oven at home because of my ICD"
D. "I can hold my cellphone on the
same side of my body as the ICD"
,4. A nurse is caring for a client who is A. "Describe your feelings to me about being
at 14 weeks gestation and reports pregnant"
feelings of ambivalence about being
pregnant. Which of the following
responses should the nurse make?
A. "Describe your feelings to me
about being pregnant"
B. "You should discuss your feelings
about being pregnant with your
provider"
C. "Have you discussed these
feelings with your partner?"
D. "When did you start having these
feelings?"
5. A nurse is planning care for a client D. Administer a rectal suppository 30 minutes prior
who has a prescription for a bowel- to scheduled
training program following a spinal defecation times.
cord injury. Which of the following
actions
should the nurse include in the plan
of care?
A. Encourage a maximum fluid intake
of 1,500 ml per day.
B. Increase the amount of refined
grains in the client's diet.
C. Provide the client with a cold
drink prior to defecation.
D. Administer a rectal suppository 30
minutes prior to scheduled
defecation times.
, 6. A nurse is caring for a client who is B. Place the client in a warm shower.
in active labor and requests pain
management. Which of the following
actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during
contractions.
D. Assist the client to a supine
position.
7. a nurse in an emergency A. Below-the knee amputation
department is performing triage for
multiple
clients following a disaster in the
community. To which of the following
types
of injuries should the nurse assign
the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the
forearm