FINAL PAPER PRACTICE QUESTIONS
VERIFIED ANSWERS PROFESSIONAL STUDY
SET GRADED A+
⩥ A nurse is instructing an AP in caring for a client who has a low
platelet count as a result of chemo. Which of the following is the nurse's
priority instruction for measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP.".
Answer: A. "Don't measure the client's temp rectally."
The greatest risk to a client w/a low platelet count is injury that results in
bleeding, obtaining a temp this way increases the risk for bleeding.
⩥ A nurse is instructing a group of nursing students in measuring a
client's RR. Which of the following guidelines should the nurse include?
Select all.
A. Place the client in semi-Fowler's position
,B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates.
Answer: A, B, C
For D, this is if the rate is irregular after initial count, for E, sighs are
expected & don't need to be reported
⩥ A nurse who is admitting a client who has a fractured femur obtains a
BP reading of 140/94 mmHg. The client denies any history of HTN.
Which of the following actions should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP.
Answer: B
Perform a pain assessment would be the appropriate action to take next
⩥ A nurse is performing an admission assessment on a client. When
measuring her vital signs, the nurse finds that her radial pulse rate
68/min & her simultaneous apical pulse rate is 84/min. What is the
client's pulse deficit?.
,Answer: 16/min
the pulse deficit is the difference between the apical & radial pulse rates.
84-68=16
⩥ A nurse is caring for a client who will perform fecal occult blood
testing at home. Which of the following info should the nurse include
when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated.
Answer: D.
The stool specimens cannot be contaminated with water or urine
⩥ A nurse is talking w/a client who reports constipation. When the nurse
discusses dietary changes that can help prevent constipation, which of
the following foods should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
, D. Roast chicken & white rice.
Answer: B.
A high-fiber diet promotes normal bowel elimination
⩥ A nurse is caring for a client who has had diarrhea for the past 4 days.
When assessing the client, the nurse should expect which of the
following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema.
Answer: B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
⩥ A nurse is preparing to administer a cleansing enema to an adult client
in preparation for a diagnostic procedure. Which of the following are
appropriate steps for the nurse to take? Select all.