RNPedia PNLE NP3 Test 1 Questions With
Correct Answers
1. |Nurse |Michelle |should |know |that |the |drainage |is |normal |4 |days |after |a |sigmoid |colostomy |
when |the |stool |is:
A. |Green |liquid
B. |Solid |formed
C. |Loose, |bloody
D. |Semi |formed |- |CORRECT |ANSWER✔✔-Answer: |(C) |Loose, |bloody. |
Normal |bowel |function |and |soft-formed |stool |usually |do |not |occur |until |around |the |seventh |
day |following |surgery. |The |stool |consistency |is |related |to |how |much |water |is |being |absorbed.
2. |Where |would |nurse |Kristine |place |the |call |light |for |a |male |client |with |a |right-sided |brain |
attack |and |left |homonymous |hemianopsia?
A. |On |the |client's |right |side
B. |On |the |client's |left |side
C. |Directly |in |front |of |the |client
D. |Where |the |client |like |- |CORRECT |ANSWER✔✔-Answer: |(A) |On |the |client's |right |side. |
The |client |has |left |visual |field |blindness. |The |client |will |see |only |from |the |right |side.
3. |A |male |client |is |admitted |to |the |emergency |department |following |an |accident. |What |are |
the |first |nursing |actions |of |the |nurse?
,A. |Check |respiration, |circulation, |neurological |response.
B. |Align |the |spine, |check |pupils, |and |check |for |hemorrhage.
C. |Check |respirations, |stabilize |spine, |and |check |circulation.
D. |Assess |level |of |consciousness |and |circulation. |- |CORRECT |ANSWER✔✔-Answer: |(C) |Check |
respirations, |stabilize |spine, |and |check |circulation. |
Checking |the |airway |would |be |priority, |and |a |neck |injury |should |be |suspected.
4. |In |evaluating |the |effect |of |nitroglycerin, |Nurse |Arthur |should |know |that |it |reduces |preload |
and |relieves |angina |by:
A. |Increasing |contractility |and |slowing |heart |rate.
B. |Increasing |AV |conduction |and |heart |rate.
C. |Decreasing |contractility |and |oxygen |consumption.
D. |Decreasing |venous |return |through |vasodilation. |- |CORRECT |ANSWER✔✔-Answer: |(D) |
Decreasing |venous |return |through |vasodilation.
The |significant |effect |of |nitroglycerin |is |vasodilation |and |decreased |venous |return, |so |the |
heart |does |not |have |to |work |hard.
5. |Nurse |Patricia |finds |a |female |client |who |is |post-myocardial |infarction |(MI) |slumped |on |the |
side |rails |of |the |bed |and |unresponsive |to |shaking |or |shouting. |Which |is |the |nurse |next |action?
A. |Call |for |help |and |note |the |time.
B. |Clear |the |airway
C. |Give |two |sharp |thumps |to |the |precordium |and |check |the |pulse.
D. |Administer |two |quick |blows. |- |CORRECT |ANSWER✔✔-Answer: |(A) |Call |for |help |and |note |the
|time. |
Having |established, |by |stimulating |the |client, |that |the |client |is |unconscious |rather |than |sleep, |
the |nurse |should |immediately |call |for |help. |This |may |be |done |by |dialing |the |operator |from |the
|client's |phone |and |giving |the |hospital |code |for |cardiac |arrest |and |the |client's |room |number |to
,|the |operator, |of |if |the |phone |is |not |available, |by |pulling |the |emergency |call |button. |Noting |the
|time |is |important |baseline |information |for |cardiac |arrest |procedure.
6. |Nurse |Monett |is |caring |for |a |client |recovering |from |gastro-intestinal |bleeding. |The |nurse |
should:
A. |Plan |care |so |the |client |can |receive |8 |hours |of |uninterrupted |sleep |each |night.
B. |Monitor |vital |signs |every |2 |hours.
C. |Make |sure |that |the |client |takes |food |and |medications |at |prescribed |intervals.
D. |Provide |milk |every |2 |to |3 |hours. |- |CORRECT |ANSWER✔✔-Answer: |(C) |Make |sure |that |the |
client |takes |food |and |medications |at |prescribed |intervals. |
Food |and |drug |therapy |will |prevent |the |accumulation |of |hydrochloric |acid, |or |will |neutralize |
and |buffer |the |acid |that |does |accumulate.
7. |A |male |client |was |on |warfarin |(Coumadin) |before |admission, |and |has |been |receiving |
heparin |I.V. |for |2 |days. |The |partial |thromboplastin |time |(PTT) |is |68 |seconds. |What |should |
Nurse |Carla |do?
A. |Stop |the |I.V. |infusion |of |heparin |and |notify |the |physician.
B. |Continue |treatment |as |ordered.
C. |Expect |the |warfarin |to |increase |the |PTT.
D. |Increase |the |dosage, |because |the |level |is |lower |than |normal. |- |CORRECT |ANSWER✔✔-
Answer: |(B) |Continue |treatment |as |ordered. |
The |effects |of |heparin |are |monitored |by |the |PTT |is |normally |30 |to |45 |seconds; |the |therapeutic
|level |is |1.5 |to |2 |times |the |normal |level.
8. |A |client |undergone |ileostomy, |when |should |the |drainage |appliance |be |applied |to |the |
stoma?
, A. |24 |hours |later, |when |edema |has |subsided.
B. |In |the |operating |room.
C. |After |the |ileostomy |begin |to |function.
D. |When |the |client |is |able |to |begin |self-care |procedures. |- |CORRECT |ANSWER✔✔-Answer: |(B) |
In |the |operating |room. |
The |stoma |drainage |bag |is |applied |in |the |operating |room. |Drainage |from |the |ileostomy |
contains |secretions |that |are |rich |in |digestive |enzymes |and |highly |irritating |to |the |skin. |
Protection |of |the |skin |from |the |effects |of |these |enzymes |is |begun |at |once. |Skin |exposed |to |
these |enzymes |even |for |a |short |time |becomes |reddened, |painful, |and |excoriated.
9. |A |client |undergone |spinal |anesthetic, |it |will |be |important |that |the |nurse |immediately |
position |the |client |in:
A. |On |the |side, |to |prevent |obstruction |of |airway |by |tongue.
B. |Flat |on |back.
C. |On |the |back, |with |knees |flexed |15 |degrees.
D. |Flat |on |the |stomach, |with |the |head |turned |to |the |side. |- |CORRECT |ANSWER✔✔-Answer: |(B)
|Flat |on |back. |
To |avoid |the |complication |of |a |painful |spinal |headache |that |can |last |for |several |days, |the |client
|is |kept |in |flat |in |a |supine |position |for |approximately |4 |to |12 |hours |postoperatively. |Headaches
|are |believed |to |be |causes |by |the |seepage |of |cerebral |spinal |fluid |from |the |puncture |site. |By |
keeping |the |client |flat, |cerebral |spinal |fluid |pressures |are |equalized, |which |avoids |trauma |to |
the |neurons.
10. |While |monitoring |a |male |client |several |hours |after |a |motor |vehicle |accident, |which |
assessment |data |suggest |increasing |intracranial |pressure?
A. |Blood |pressure |is |decreased |from |160/90 |to |110/70.
B. |Pulse |is |increased |from |87 |to |95, |with |an |occasional |skipped |beat.
C. |The |client |is |oriented |when |aroused |from |sleep |and |goes |back |to |sleep |immediately.
Correct Answers
1. |Nurse |Michelle |should |know |that |the |drainage |is |normal |4 |days |after |a |sigmoid |colostomy |
when |the |stool |is:
A. |Green |liquid
B. |Solid |formed
C. |Loose, |bloody
D. |Semi |formed |- |CORRECT |ANSWER✔✔-Answer: |(C) |Loose, |bloody. |
Normal |bowel |function |and |soft-formed |stool |usually |do |not |occur |until |around |the |seventh |
day |following |surgery. |The |stool |consistency |is |related |to |how |much |water |is |being |absorbed.
2. |Where |would |nurse |Kristine |place |the |call |light |for |a |male |client |with |a |right-sided |brain |
attack |and |left |homonymous |hemianopsia?
A. |On |the |client's |right |side
B. |On |the |client's |left |side
C. |Directly |in |front |of |the |client
D. |Where |the |client |like |- |CORRECT |ANSWER✔✔-Answer: |(A) |On |the |client's |right |side. |
The |client |has |left |visual |field |blindness. |The |client |will |see |only |from |the |right |side.
3. |A |male |client |is |admitted |to |the |emergency |department |following |an |accident. |What |are |
the |first |nursing |actions |of |the |nurse?
,A. |Check |respiration, |circulation, |neurological |response.
B. |Align |the |spine, |check |pupils, |and |check |for |hemorrhage.
C. |Check |respirations, |stabilize |spine, |and |check |circulation.
D. |Assess |level |of |consciousness |and |circulation. |- |CORRECT |ANSWER✔✔-Answer: |(C) |Check |
respirations, |stabilize |spine, |and |check |circulation. |
Checking |the |airway |would |be |priority, |and |a |neck |injury |should |be |suspected.
4. |In |evaluating |the |effect |of |nitroglycerin, |Nurse |Arthur |should |know |that |it |reduces |preload |
and |relieves |angina |by:
A. |Increasing |contractility |and |slowing |heart |rate.
B. |Increasing |AV |conduction |and |heart |rate.
C. |Decreasing |contractility |and |oxygen |consumption.
D. |Decreasing |venous |return |through |vasodilation. |- |CORRECT |ANSWER✔✔-Answer: |(D) |
Decreasing |venous |return |through |vasodilation.
The |significant |effect |of |nitroglycerin |is |vasodilation |and |decreased |venous |return, |so |the |
heart |does |not |have |to |work |hard.
5. |Nurse |Patricia |finds |a |female |client |who |is |post-myocardial |infarction |(MI) |slumped |on |the |
side |rails |of |the |bed |and |unresponsive |to |shaking |or |shouting. |Which |is |the |nurse |next |action?
A. |Call |for |help |and |note |the |time.
B. |Clear |the |airway
C. |Give |two |sharp |thumps |to |the |precordium |and |check |the |pulse.
D. |Administer |two |quick |blows. |- |CORRECT |ANSWER✔✔-Answer: |(A) |Call |for |help |and |note |the
|time. |
Having |established, |by |stimulating |the |client, |that |the |client |is |unconscious |rather |than |sleep, |
the |nurse |should |immediately |call |for |help. |This |may |be |done |by |dialing |the |operator |from |the
|client's |phone |and |giving |the |hospital |code |for |cardiac |arrest |and |the |client's |room |number |to
,|the |operator, |of |if |the |phone |is |not |available, |by |pulling |the |emergency |call |button. |Noting |the
|time |is |important |baseline |information |for |cardiac |arrest |procedure.
6. |Nurse |Monett |is |caring |for |a |client |recovering |from |gastro-intestinal |bleeding. |The |nurse |
should:
A. |Plan |care |so |the |client |can |receive |8 |hours |of |uninterrupted |sleep |each |night.
B. |Monitor |vital |signs |every |2 |hours.
C. |Make |sure |that |the |client |takes |food |and |medications |at |prescribed |intervals.
D. |Provide |milk |every |2 |to |3 |hours. |- |CORRECT |ANSWER✔✔-Answer: |(C) |Make |sure |that |the |
client |takes |food |and |medications |at |prescribed |intervals. |
Food |and |drug |therapy |will |prevent |the |accumulation |of |hydrochloric |acid, |or |will |neutralize |
and |buffer |the |acid |that |does |accumulate.
7. |A |male |client |was |on |warfarin |(Coumadin) |before |admission, |and |has |been |receiving |
heparin |I.V. |for |2 |days. |The |partial |thromboplastin |time |(PTT) |is |68 |seconds. |What |should |
Nurse |Carla |do?
A. |Stop |the |I.V. |infusion |of |heparin |and |notify |the |physician.
B. |Continue |treatment |as |ordered.
C. |Expect |the |warfarin |to |increase |the |PTT.
D. |Increase |the |dosage, |because |the |level |is |lower |than |normal. |- |CORRECT |ANSWER✔✔-
Answer: |(B) |Continue |treatment |as |ordered. |
The |effects |of |heparin |are |monitored |by |the |PTT |is |normally |30 |to |45 |seconds; |the |therapeutic
|level |is |1.5 |to |2 |times |the |normal |level.
8. |A |client |undergone |ileostomy, |when |should |the |drainage |appliance |be |applied |to |the |
stoma?
, A. |24 |hours |later, |when |edema |has |subsided.
B. |In |the |operating |room.
C. |After |the |ileostomy |begin |to |function.
D. |When |the |client |is |able |to |begin |self-care |procedures. |- |CORRECT |ANSWER✔✔-Answer: |(B) |
In |the |operating |room. |
The |stoma |drainage |bag |is |applied |in |the |operating |room. |Drainage |from |the |ileostomy |
contains |secretions |that |are |rich |in |digestive |enzymes |and |highly |irritating |to |the |skin. |
Protection |of |the |skin |from |the |effects |of |these |enzymes |is |begun |at |once. |Skin |exposed |to |
these |enzymes |even |for |a |short |time |becomes |reddened, |painful, |and |excoriated.
9. |A |client |undergone |spinal |anesthetic, |it |will |be |important |that |the |nurse |immediately |
position |the |client |in:
A. |On |the |side, |to |prevent |obstruction |of |airway |by |tongue.
B. |Flat |on |back.
C. |On |the |back, |with |knees |flexed |15 |degrees.
D. |Flat |on |the |stomach, |with |the |head |turned |to |the |side. |- |CORRECT |ANSWER✔✔-Answer: |(B)
|Flat |on |back. |
To |avoid |the |complication |of |a |painful |spinal |headache |that |can |last |for |several |days, |the |client
|is |kept |in |flat |in |a |supine |position |for |approximately |4 |to |12 |hours |postoperatively. |Headaches
|are |believed |to |be |causes |by |the |seepage |of |cerebral |spinal |fluid |from |the |puncture |site. |By |
keeping |the |client |flat, |cerebral |spinal |fluid |pressures |are |equalized, |which |avoids |trauma |to |
the |neurons.
10. |While |monitoring |a |male |client |several |hours |after |a |motor |vehicle |accident, |which |
assessment |data |suggest |increasing |intracranial |pressure?
A. |Blood |pressure |is |decreased |from |160/90 |to |110/70.
B. |Pulse |is |increased |from |87 |to |95, |with |an |occasional |skipped |beat.
C. |The |client |is |oriented |when |aroused |from |sleep |and |goes |back |to |sleep |immediately.
