EXAM 180 Questions and Answers
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take? A. Administer
the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings
should the nurse report to the provider? A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
3. A nurse is caring for a client who is comatose and has advance directives that indicate the client
does not want life-sustaining measures. The client’s family want the client to have life-sustaining
measures. Which of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
,D. Encourage mthe mfamily mto mcontact man mattorney. m
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4. mA mnurse mis mcaring mfor ma mclient mwho mwears mglasses. mWhich mof mthe mfollowing mactions mshould mthe
nurse mtake? mA. m
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Store mthe mglasses min ma mlabeled mcase. m
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B. Clean mthe mglasses mwith mhot mwater. m
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C. Clean mthe mglasses mwith ma mpaper mtowel. m
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D. Store mthe mglasses mon mthe mbedside mtable. m
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5. mA mnurse mis mteaching ma mgroup mof mnewly mlicensed mnurses mabout mmeasures mto mtake mwhen
caring mfor ma mclient mwho mis mon mcontact mprecautions. mWhich mof mthe mfollowing mshould mthe
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nurse minclude min mthe mteaching? mA. mRemove mthe mprotective mgown mafter mthe mclient’s mroom. m
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B. Place mthe mclient min ma mroom mwith mnegative mpressure. m
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C. Wear mgloves mwhen mproviding mcare mto mthe mclient. m
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D. Wear ma mmask mwhen mchanging mthe mlinens min mthe mclient’s mroom. m
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6.A mnurse mis mplanning mon mcare mfor ma mclient mwho mis mrecovering mfrom man macute mmyocardial
infarction mthat moccurred m3 mdays mago. mWhich mof mthe mfollowing minstructions mshould mthe mnurse
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include? mA. mPerform man mECG mevery m12 mhr. mB. mPlace mthe mclient min ma msupine mposition mwhile
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resting. m
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C. Draw ma mtroponin mlevel mevery m4hr. m
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D. Obtain ma mcardiac mrehabilitation mconsultation. m
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7. mThe mnurse mis mreviewing mthe mmedical mrecord mof ma mclient mwho mis mrequesting mcombination moral
contraceptives. m
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Which mof mthe mfollowing mconditions min mthe mclient’s mhistory mis ma mcontradiction mto mthe muse mof moral
contraceptives? mA. mHyperthyroidism. m
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B. Thrombophlebitis. m
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C. Diverticulosis. m
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D. Hypocalcemia. m
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8 mA mnurse mis mcaring mfor ma mclient mwho mrequest mthe mcreation mof ma mliving mwill. mWhich mof mthe
following mactions mshould mthe mnurse mtake? m
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A. Schedule ma mmeeting mbetween mthe mhospital methics mcommittee mand mthe mclient. m
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B. Evaluate mthe mclient’s munderstanding mof mlife-sustaining mmeasures. m
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C. Determine mthe mclient’s mpreferences mabout mpost mmortem mcare. m
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D. Request ma mconference mwith mthe mclient’s mfamily. m