Nurs 370 final Actual Questions and Correct Answers
Q1
The highest priority for intervention during the first 30 minutes in treating an acute myocardial
infarction including the following(s). Select All That Apply
Answer: Oxygen therapy Morphine administration Nitroglycerin (NTG) Aspirin (ASA)
Q2
A nurse on a busy medical unit provides care for many client who requires indwelling urinary catheter
at some points during their hospital care
Answer: The nurse should recognize a heightened risk of injury associated with indwelling
catheter are in which
client?A client who has Alzheimer disease and who is acutely agitated
Q3
While auscultating the heart of a patient admitted for complications following a myocardial infarction
three weeks ago, the nurse notes the presence of a new S3 heart sounds
Answer: Based on this finding, what is the nurse's best action at this time? Assess symptoms of
left-sided heart
failure
Q4
A client with advanced venous insufficiency is confined to bedrest following orthopedic surgery. How
can the nurse best prevent skin breakdown in the client's lower extremities?
Answer: Ensure the client's heels are supported and protected
Q5
Which are the most likelypossible causes of death for this client?
Answer: Pneumonia, pulmonary embolism, and sepsis
Q6
After a sudden decline in cognition, a 77-year-old client who has been diagnosed with vascular
dementia is receiving care at home. To reduce this client's risk of future infarcts, which action should
the nurse most strongly encourage?
Answer: Rigorous control of the client's blood pressure and lipid levels
, Q7
The nurse is caring for a 78-year-old client who has had an outpatient cholecystectomy. The nurse is
getting the client up for the first walk postoperatively
Answer: To decrease the potential of orthostatic hypotension and consequent falls, what should
the nurse have
the client do? Sit in a chair for 10 minutes prior to ambulating
Q8
The nurse is administering medication to a client through a feeding tube. Which action should the nurse
take?
Answer: Flush with 50 mL of water between each medication
Q9
complications are sensitive to nursing care?
Answer: Select all that apply
Q10
patients undergoing intravenous chemotherapy for a malignancy?
Answer: Select all that apply
Q11
A client has become legally blind as a result of macular degeneration. When attempting to meet this
client's psychosocial needs, what nursing action is most appropriate?
Answer: Assess and promote the client's coping skills during interactions with the client
Q12
A client has recently received a diagnosis of gastric cancer; the nurse is aware of the importance of
assessing the client's level of anxiety. Which of the following actions is most likely to accomplish?
Answer: The client is encouraged to express fears openly
Q13
A nurse is caring for a client who has a diagnosis of gastrointestinal (GI) bleed.During shift assessment,
the nurse finds the client is tachycardiac and hypotensive, and the client has an episode of
hematemesis while the nurse is in the room
Answer: In addition to monitoring the client's vital signs and level of consciousness, what would
be a priority
nursing action for this client?Notify healthcare provider
Q1
The highest priority for intervention during the first 30 minutes in treating an acute myocardial
infarction including the following(s). Select All That Apply
Answer: Oxygen therapy Morphine administration Nitroglycerin (NTG) Aspirin (ASA)
Q2
A nurse on a busy medical unit provides care for many client who requires indwelling urinary catheter
at some points during their hospital care
Answer: The nurse should recognize a heightened risk of injury associated with indwelling
catheter are in which
client?A client who has Alzheimer disease and who is acutely agitated
Q3
While auscultating the heart of a patient admitted for complications following a myocardial infarction
three weeks ago, the nurse notes the presence of a new S3 heart sounds
Answer: Based on this finding, what is the nurse's best action at this time? Assess symptoms of
left-sided heart
failure
Q4
A client with advanced venous insufficiency is confined to bedrest following orthopedic surgery. How
can the nurse best prevent skin breakdown in the client's lower extremities?
Answer: Ensure the client's heels are supported and protected
Q5
Which are the most likelypossible causes of death for this client?
Answer: Pneumonia, pulmonary embolism, and sepsis
Q6
After a sudden decline in cognition, a 77-year-old client who has been diagnosed with vascular
dementia is receiving care at home. To reduce this client's risk of future infarcts, which action should
the nurse most strongly encourage?
Answer: Rigorous control of the client's blood pressure and lipid levels
, Q7
The nurse is caring for a 78-year-old client who has had an outpatient cholecystectomy. The nurse is
getting the client up for the first walk postoperatively
Answer: To decrease the potential of orthostatic hypotension and consequent falls, what should
the nurse have
the client do? Sit in a chair for 10 minutes prior to ambulating
Q8
The nurse is administering medication to a client through a feeding tube. Which action should the nurse
take?
Answer: Flush with 50 mL of water between each medication
Q9
complications are sensitive to nursing care?
Answer: Select all that apply
Q10
patients undergoing intravenous chemotherapy for a malignancy?
Answer: Select all that apply
Q11
A client has become legally blind as a result of macular degeneration. When attempting to meet this
client's psychosocial needs, what nursing action is most appropriate?
Answer: Assess and promote the client's coping skills during interactions with the client
Q12
A client has recently received a diagnosis of gastric cancer; the nurse is aware of the importance of
assessing the client's level of anxiety. Which of the following actions is most likely to accomplish?
Answer: The client is encouraged to express fears openly
Q13
A nurse is caring for a client who has a diagnosis of gastrointestinal (GI) bleed.During shift assessment,
the nurse finds the client is tachycardiac and hypotensive, and the client has an episode of
hematemesis while the nurse is in the room
Answer: In addition to monitoring the client's vital signs and level of consciousness, what would
be a priority
nursing action for this client?Notify healthcare provider
