PNH301 final | Vancouver Island University | UPDATED Questions
with 100% Verified Answers
Question: In a severely anemic patient, the nurse would expect to find: a. dyspnea and tachycardia b. cyanosis
and pulmonary edema c. cardiomegaly and pulmonary fibrosis d. ventricular dysrhythmias and wheezing
Answer:
a. dyspnea + tachycardia
Question: When obtaining assessment data from a client with a microcytic, hypochromic anemia, what would
the nurse question the client about? a. folic acid intake b. dietary intake of iron c. Hx of gastric surgery d. Hx of
sickle cell anemia
Answer:
b. dietary intake of iron
Question: Nursing interventions for a client w/ severe anemia r/t PUD include which of the following?
(SATA): a. giving instructions in high-iron diet b. taking VS q8h c. monitoring stools for occult blood d.
teaching self-injection of erythropoietin e. administering cobalamin (V.B12) injections
Answer:
a, c - high iron diet - monitor stools for blood
Question: Which nursing management actions apply for a client in sickle cell crisis? (SATA): a. monitoring
CBC b. providing optimal pain management and O2 therapy c. doing blood transfusions if required and iron
chelation d. recommending rest as needed and DVT prophylaxis e. administering IV iron and a diet high in iron
content
Answer:
a, b, c, d -monitor cbc -pain management + o2 -blood transfusions; iron chelation -rest prn + dvt prophylaxis
Question: The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema. After
teaching regarding this drug, the nurse determines that further instruction is needed when the client says which
of the following? a. "I can expect the medication dose may need to be adjusted" b. "I only need to take this drug
until my symptoms are improved" c. "I can expect to return to normal function with the use of this drug" d. "I
will report any chest pain or difficulty breathing to the doctor right away"
Answer:
b. levothyroxine is lifelong treatment
Question: Which of the following are important nursing intervention(s) when caring for a patient w/ Cushing's
syndrome? (SATA): a. restrict protein intake b. monitor blood glucose levels c. observing signs of hypotension
d. administer medication in equal doses e. protect the client from exposure to infection
, Answer:
b + e - monitor blood glucose - protect client from infection
Question: How does the nurse instruct the client who is taking corticosteroids to control adverse effects of drug
therapy? a. increase calcium intake to 1500mg/day b. perform glucose monitoring for hypoglycemia c. obtain
immunizations due to high risk for infections d. avoid abrupt position changes b/c of orthostatic hypotension
Answer:
a. increase calcium intake
Question: What does the nurse teach the client regarding the best time to take corticosteroids for replacement
purposes? a. once a day @ bedtime b. every other day on awakening c. on arising and in the late afternoon d. @
consistent intervals every 6-8 hrs
Answer:
c. on arising and in the late afternoon
Question: When would the nurse suspect an ankle sprain for the client being seen at urgent care centre? a.
client was hit by another soccer player on the field b. client has ankle pain after sprinting around the track c.
client dropped 4.5kg weight on his lower leg at the gym. d. client had a twisting injury while running bases
during a baseball game.
Answer:
d. twisting injury while running bases
Question: The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup that healing
is indicated by which of the following? a. callus formation b. complete bony union c. hematoma at the fracture
site d. presence of granulation tissue
Answer:
a. callus formation
Question: Which of the following indicates a neurovascular problem during the nurses assessment of a client
with a fracture? a. exaggeration of extremity movement b. increased redness and heat below the injury c.
decreased sensation distal to the fracture site d. purulent drainage at the site of an open fracture
Answer:
c. decreased sensation distal to the fracture site
Question: A client with a stable, closed fracture of humerus caused by trauma to the arm has a temporary splint
with bulky padding applied with an elastic bandage. For which of the following symptoms would the nurse
suspect compartment syndrome and notify the physician? a. increasing edema of the limb b. muscle spasms of
the lower arm c. rebounding pulse at the fracture site d. pain when passively extending fingers
, Answer:
d. pain when passively extending fingers
Question: A client with RA (rheumatoid) is scheduled for an arthroplasty, how should the nurse explain the
purpose of this procedure? (SATA): a. to fuse the joint b. to replace the joint c. to prevent further damage d. to
improve or maintain ROM e. to decrease the amount of destruction in the joint
Answer:
b + d - to replace the joint - to improve or maintain ROM
Question: What should the nurse teach a client recovering from a total hip replacement to avoid? a. sleeping on
the abdomen b. sitting with the legs crossed c. abduction exercises of the affected leg d. bearing weight on the
affected leg for 6 weeks
Answer:
b. sitting with legs crossed
Question: Which of the following individuals does the nurse identify as being high risk for low back pain?
(SATA): a. 63 yo man who is a long distance truck driver b. 36 yo construction worker who is 190cm tall and
weighs 118kg c. 38 yo female yoga instructor who is 170cm tall and weighs 59kg d. 30 yo male nurse who
works on an orthopaedic unit and smokes e. 44 yo female chef with prior compression fracture of the spine
Answer:
a, b, d, e
Question: The nurse is teaching a client with osteopenia, what is important to include in the teaching plan? a.
lose weight b. stop smoking c. eat a high protein diet d. start swimming for exercise
Answer:
b. stop smoking
Question: A client is seen at the clinic with fever, muscle aches, sore throat with yellowish exudate, and
headache. Which of the following does the nurse anticipate that the collaborate management will include?
(SATA): a. antiviral agents to treat influenza b. treatment with antibiotics starting ASAP c. a throat culture or
rapid strep antigen test d. supportive care, including cool, bland liquids e. comprehensive history to determine
possible etiology
Answer:
c, d, e - throat culture or rapid antigen test - supportive care - history to determine cause
Question: What clinical manifestations should the nurse expect when assessing a client with pneumococcal
pneumonia? a. fever, chills + productive cough with purulent sputum b. nonproductive cough and night sweats
that are usually self- limiting c. gradual onset of nasal stuffiness, sore throat, and purulent productive cough d.
abrupt onset of fever, nonproductive cough and formation of lung abscesses
with 100% Verified Answers
Question: In a severely anemic patient, the nurse would expect to find: a. dyspnea and tachycardia b. cyanosis
and pulmonary edema c. cardiomegaly and pulmonary fibrosis d. ventricular dysrhythmias and wheezing
Answer:
a. dyspnea + tachycardia
Question: When obtaining assessment data from a client with a microcytic, hypochromic anemia, what would
the nurse question the client about? a. folic acid intake b. dietary intake of iron c. Hx of gastric surgery d. Hx of
sickle cell anemia
Answer:
b. dietary intake of iron
Question: Nursing interventions for a client w/ severe anemia r/t PUD include which of the following?
(SATA): a. giving instructions in high-iron diet b. taking VS q8h c. monitoring stools for occult blood d.
teaching self-injection of erythropoietin e. administering cobalamin (V.B12) injections
Answer:
a, c - high iron diet - monitor stools for blood
Question: Which nursing management actions apply for a client in sickle cell crisis? (SATA): a. monitoring
CBC b. providing optimal pain management and O2 therapy c. doing blood transfusions if required and iron
chelation d. recommending rest as needed and DVT prophylaxis e. administering IV iron and a diet high in iron
content
Answer:
a, b, c, d -monitor cbc -pain management + o2 -blood transfusions; iron chelation -rest prn + dvt prophylaxis
Question: The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema. After
teaching regarding this drug, the nurse determines that further instruction is needed when the client says which
of the following? a. "I can expect the medication dose may need to be adjusted" b. "I only need to take this drug
until my symptoms are improved" c. "I can expect to return to normal function with the use of this drug" d. "I
will report any chest pain or difficulty breathing to the doctor right away"
Answer:
b. levothyroxine is lifelong treatment
Question: Which of the following are important nursing intervention(s) when caring for a patient w/ Cushing's
syndrome? (SATA): a. restrict protein intake b. monitor blood glucose levels c. observing signs of hypotension
d. administer medication in equal doses e. protect the client from exposure to infection
, Answer:
b + e - monitor blood glucose - protect client from infection
Question: How does the nurse instruct the client who is taking corticosteroids to control adverse effects of drug
therapy? a. increase calcium intake to 1500mg/day b. perform glucose monitoring for hypoglycemia c. obtain
immunizations due to high risk for infections d. avoid abrupt position changes b/c of orthostatic hypotension
Answer:
a. increase calcium intake
Question: What does the nurse teach the client regarding the best time to take corticosteroids for replacement
purposes? a. once a day @ bedtime b. every other day on awakening c. on arising and in the late afternoon d. @
consistent intervals every 6-8 hrs
Answer:
c. on arising and in the late afternoon
Question: When would the nurse suspect an ankle sprain for the client being seen at urgent care centre? a.
client was hit by another soccer player on the field b. client has ankle pain after sprinting around the track c.
client dropped 4.5kg weight on his lower leg at the gym. d. client had a twisting injury while running bases
during a baseball game.
Answer:
d. twisting injury while running bases
Question: The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup that healing
is indicated by which of the following? a. callus formation b. complete bony union c. hematoma at the fracture
site d. presence of granulation tissue
Answer:
a. callus formation
Question: Which of the following indicates a neurovascular problem during the nurses assessment of a client
with a fracture? a. exaggeration of extremity movement b. increased redness and heat below the injury c.
decreased sensation distal to the fracture site d. purulent drainage at the site of an open fracture
Answer:
c. decreased sensation distal to the fracture site
Question: A client with a stable, closed fracture of humerus caused by trauma to the arm has a temporary splint
with bulky padding applied with an elastic bandage. For which of the following symptoms would the nurse
suspect compartment syndrome and notify the physician? a. increasing edema of the limb b. muscle spasms of
the lower arm c. rebounding pulse at the fracture site d. pain when passively extending fingers
, Answer:
d. pain when passively extending fingers
Question: A client with RA (rheumatoid) is scheduled for an arthroplasty, how should the nurse explain the
purpose of this procedure? (SATA): a. to fuse the joint b. to replace the joint c. to prevent further damage d. to
improve or maintain ROM e. to decrease the amount of destruction in the joint
Answer:
b + d - to replace the joint - to improve or maintain ROM
Question: What should the nurse teach a client recovering from a total hip replacement to avoid? a. sleeping on
the abdomen b. sitting with the legs crossed c. abduction exercises of the affected leg d. bearing weight on the
affected leg for 6 weeks
Answer:
b. sitting with legs crossed
Question: Which of the following individuals does the nurse identify as being high risk for low back pain?
(SATA): a. 63 yo man who is a long distance truck driver b. 36 yo construction worker who is 190cm tall and
weighs 118kg c. 38 yo female yoga instructor who is 170cm tall and weighs 59kg d. 30 yo male nurse who
works on an orthopaedic unit and smokes e. 44 yo female chef with prior compression fracture of the spine
Answer:
a, b, d, e
Question: The nurse is teaching a client with osteopenia, what is important to include in the teaching plan? a.
lose weight b. stop smoking c. eat a high protein diet d. start swimming for exercise
Answer:
b. stop smoking
Question: A client is seen at the clinic with fever, muscle aches, sore throat with yellowish exudate, and
headache. Which of the following does the nurse anticipate that the collaborate management will include?
(SATA): a. antiviral agents to treat influenza b. treatment with antibiotics starting ASAP c. a throat culture or
rapid strep antigen test d. supportive care, including cool, bland liquids e. comprehensive history to determine
possible etiology
Answer:
c, d, e - throat culture or rapid antigen test - supportive care - history to determine cause
Question: What clinical manifestations should the nurse expect when assessing a client with pneumococcal
pneumonia? a. fever, chills + productive cough with purulent sputum b. nonproductive cough and night sweats
that are usually self- limiting c. gradual onset of nasal stuffiness, sore throat, and purulent productive cough d.
abrupt onset of fever, nonproductive cough and formation of lung abscesses
