CMS NR341 FINAL EXAM LATEST REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS

CMS NR341 FINAL EXAM LATEST REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? - ANSWER- Place two bed pillows between the legs when in bed. A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy? - ANSWER- Controlling hypertension A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client's immobility? - ANSWER- Confusion A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER- "I will check my urine for ketones if my blood glucose is greater than 240 mg/dL." A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching? I should withhold my metoprolol if my heart rate is above 100 bpm - ANSWER- I should lie down before taking dose of isosorbide dinitrate A nurse is teaching a client who has Graves' disease about recognizing the manifestation of thyroid storm. Which of the following findings should the nurse include in the teaching? - ANSWER- Increased temperature A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? - ANSWER- Switch the infusion to a 10% dextrose solution. A nurse is providing instructions about foot care for a client who has peripheral disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? - ANSWER- I rest in my recliner with my feet elevated for about an hour every afternoon A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? - ANSWER- I will expect my stools to be loose A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? - ANSWER- Lymphedema A nurse is caring for a client who is 2 days postoperative following below the knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse? - ANSWER- The elastic bandage will prevent a postoperative wound infection A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first? - ANSWER- Insert a large bore IV catheter A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? - ANSWER- Wash your perineal area two times each day with antimicrobial soap A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse's priority? - ANSWER- Hypotension A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the following ABG values should the nurse expect? - ANSWER- PaCO2 48 mmHg A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? - ANSWER- Maintain the client's affected extremity in extension Nurse is reviewing the medical record of a client who has nephritic syndrome. Which of the following findings should the nurse expect? - ANSWER- Proteinuria A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? - ANSWER- Hold breaths 3 to 5 seconds before exhaling A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions? - ANSWER- Upright on the edge of the bed leaning over the bedside table A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? - ANSWER- Metformin A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? - ANSWER- Decompressing A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take? - ANSWER- Flush the catheter manually with 0.9% sodium chloride Patient with lumbar puncture order, what position should nurse have him in - ANSWER- lying in bed in cannonball position (diagram 4) A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site? - ANSWER- Absence of bruit A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. Which of the following should the nurse take first? - ANSWER- Check the color of the client's skin A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? - ANSWER- Palpate the site for thrill A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? - ANSWER- Attach the dosimeter badge to patient's gown A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching - ANSWER- I'll cleanse the cannula with half strength hydrogen peroxide