Correct Answers
When assessing a client's blood pressure, the nurse notes that the blood
pressure reading in the right arm is 10 mm Hg higher than the blood pressure
reading in the left arm. The nurse understands that this finding:
1.is a normal occurrence.
2.may indicate atherosclerosis.
3.can be attributed to aortic disease.
4.indicates lymphedema ✔️Ans - 1.is a normal occurrence.
Tip: When auscultating blood pressures, readings between the arms can vary
as much as 10 mm Hg and are often higher in the right arm. Readings that
differ by 15 mm Hg or more suggest atherosclerosis or disease of the aorta.
Lymphedema is swelling in one or more extremities that is the result from
impaired flow of the lymphatic system.
A nurse is caring for a client admitted with cardiovascular disease. During the
assessment of the client's lower extremities, the nurse notes that the client
has thin, shiny skin, decreased hair growth, and thickened toenails. The nurse
understands that this may indicate:
1.Venous insufficiency
2.Arterial Insufficiency
3.Phlebitis
4.Lymphedema ✔️Ans - 2.Arterial Insufficiency
A nurse must establish and maintain an airway in a client who has
experienced a near-drowning in the ocean. For which potential danger should
the nurse assess the client?
1.Alkalosis
2.Renal failure
3.Hypervolemia
4.Pulmonary edema ✔️Ans - 4.Pulmonary edema
, A client reaches the point of acceptance during the stages of dying. What
response should the nurse expect the client to exhibit?
1.Apathy
2.Euphoria
3.Detachment
4.Emotionalism ✔️Ans - 3.Detachment
Immediately after receiving spinal anesthesia a client develops hypotension.
To what physiological change does the nurse attribute the decreased blood
pressure?
1.Dilation of blood vessels
2.Decreased response of chemoreceptors
3.Decreased strength of cardiac contractions
4.Disruption of cardiac accelerator pathways ✔️Ans - 1.Dilation of blood
vessels
When a client files a lawsuit against a nurse for malpractice, the client must
prove that there is a link between the harm suffered and actions performed by
the nurse that were negligent. This is known as:
1.Evidence
2.Tort discovery
3.Proximate cause
4.Common cause ✔️Ans - 3.Proximate cause
Several recently licensed practical nurses are discussing whether they should
purchase personal professional liability insurance. Which statement indicates
the most accurate information about professional liability insurance?
1."If you have liability insurance, you are more likely to be sued."
2."Your employer provides you with the liability insurance you will need."
3."Liability insurance is not available for nursing professionals working in a
hospital."
4."Personal liability insurance offers representation if the State Board of
Nursing files charges against you." ✔️Ans - 4."Personal liability insurance
offers representation if the State Board of Nursing files charges against you."