ATI Questions & Module Questions With Complete Solutions

ATI Questions & Module Questions With Complete Solutions. What eis ethe ecause eof ea e'non-mechanical' ebowel eobstruction? A. eA etumor eor etwisting eof ethe ebowel. e B. eConstipation. e C. eGeneral eanesthesia, enarcotics, eand ehandling eof ethe ebowel eduring esurgery. e D. eAdhesions e- e e e ecorrect eanswer.C What eshould ethe enurse eadvise ea ept. ewho ehas ediverticulosis eto eeat? A. eHigh efiber efoods. e B. eLow efiber efoods. e C. eLow ecarb efoods. e D. eHigh ecarb efoods e- e e e ecorrect eanswer.A What eshould ethe enurse eadvise ea ept. ewho ehas ediverticulitis eto eeat? A. eHigh efiber efoods. e B. eLow efiber efoods. e C e.Low ecarb efoods. e D. eHigh ecarb efoods e- e e e ecorrect eanswer.B Which eof ethe efollowing eis ean eappropriate enursing eintervention efor ea epatient ewho ehas ehad ean eEGD? A. eGive efood eand ewater eas esoon eas ethe etest eis ecompleted. e B. eEnemas euntil eclear. e C. eMonitor efor ehemorrhage er/t eorgan eperforation. e D. eAdminister ea esedative. e- e e e ecorrect eanswer.C Which eof ethe efollowing eis ean eappropriate enursing eintervention efor ea ept. ewho ehas eGERD? A. eAdvise ept. eto eremain eupright eafter emeals. e B. eWithhold efluids eduring emeal etime. e C. eAdminister ethe eappropriate eimmunoglobulin. e D. eGive ethe eprescribed esteroids ewith ehalf ea eglass eof emilk. e- e e e ecorrect eanswer.A Which eof ethe efollowing eis ea epriority efor ea ept. ewho eis ehemorrhaging efrom ea eperforated eduodenal eulcer? A. eAdminister ethe esedative eprior eto ethe ePY etest. e B. eMonitor efor eshock. e C. ePosition ethe ept. eon ehis eback ewith ea epillow eunder ehis eright eribs eand ehis eright ehand eunder ehis ehead. e D. eGuiac ehis estool. e- e e e ecorrect eanswer.B Which eof ethe efollowing eshould ethe enurse eadvise ea ept ewho ehas eulcerative ecolitis eto ecall ethe edoctor efor? eA. eOccasional eabdominal ecramping e eB. eNine emucousy ebloody estools eper eday. e eC. eSigns eof ecolon eperforation eand eperitonitis. e eD. eDiarrhea e- e e e ecorrect eanswer.C Which eof ethe efollowing epromotes erest eand ehealing eof ethe ebowel ein ea ept. ewho ehas eulcerative ecolitis? eA.High efiber ediet e eB. eMaintaining eNPO estatus eas eordered e eC. eLow ecarb ediet e eD. eAvoiding elicorice eand ecaffeine e- e e e ecorrect eanswer.B Which eof ethe efollowing enursing ediagnosis emight ebe eappropriate efor ea ept ewith eulcerative ecolitis? eA. ePain eR/T ethe epassage eof estones. e eB. eRisk efor einjury efrom efalling eR/T edizziness eand elow eBP eimmediately eafter emeals. e eC. eFatigue eR/T eblood eloss ecaused eby efrequent ebloody estools. e eD. eRisk eof einjury eR/T eauto edigestion eof ethe epancreas. e- e e e ecorrect eanswer.C A enurse eis eproviding eteaching efor ea eclient ewho ehas ea enew ediagnosis eof edumping esyndrome efollowing egastric esurgery. eWhich eof ethe efollowing eshould ebe eincluded ein ethe eteaching? A. eEat ethree emoderate-sized emeals ea eday. B. eDrink eat eleast eone eglass eof ewater ewith eeach emeal. e C. eEat ea ebedtime esnack ethat econtains ea emilk eproduct. e D. eIncrease eprotein ein ethe ediet e- e e e ecorrect eanswer.D A enurse eis ecompleting edischarge eteaching efor ea eclient ewho ehas ean einfection edue eto eHelicobacter epylori e(H. epylori). eWhich eof ethe efollowing estatements eby ethe eclient eindicates eunderstanding eof ethe eteaching? A. e"I ewill econtinue emy eprescription efor ecorticosteroids." B. e"I ewill eschedule ea eCT escan eto emonitor eimprovement." C. e"I ewill etake ea ecombination eof emedications efor etreatment." D. e"I ewill ehave emy ethroat eswabbed eto erecheck efor ethis ebacteria. e- e e e ecorrect eanswer.C A enurse eis eproviding edischarge eteaching eto ea eclient ewho ehas ea enew eprescription efor ealuminum ehydroxide e(Amphojel). eThe enurse eshould eadvise ethe eclient eto A. etake ethe emedication ewith efood. B. emonitor efor ediarrhea. C. ewait e1 eto e2 ehr ebefore etaking eother eoral emedications. e D. emaintain ea elow-fiber ediet. e- e e e ecorrect eanswer.C A enurse eis eplanning ecare efor ea eclient ewho ehas ea esmall ebowel einstruction eand ea enasogastric e(NG) etube ein eplace. eWhich eof ethe efollowing enursing einterventions eshould ebe eincluded ein ethe eplan eof ecare? e(Select eall ethat eapply.) A. eSubtract ethe eNG edrainage efrom ethe eclient's eoutput. B. eIrrigate ethe eNG etube eevery e8 ehr. C. eAssess ebowel esounds. D. eProvide eoral ehygiene eevery e2 ehr. E. eClamp ethe eNG etube eduring eambulation. e- e e e ecorrect eanswer.C, eD, eE A enurse eis eproviding edischarge eteaching eto ea eclient ewho eis epostoperative efollowing eopen echolecystectomy ewith eT-tube eplacement. eWhich eof ethe efollowing einstructions eshould ethe enurse einclude ein ethe eteaching? e(Select eall ethat eapply.) A. eTake ebaths erather ethan eshowers. B. eClamp eT-tube efor e1 eto e2 ehr ebefore eand eafter emeals. C. eKeep ethe edrainage esystem eabove ethe elevel eof ethe egallbladder. D. eExpect eto ehave econstipation. E. eEmpty edrainage ebag eevery e8 ehr. e- e e e ecorrect eanswer.B, eE A enurse eis ereviewing enutrition eteaching efor ea eclient ewho ehas echolecystitis. eWhich eof ethe efollowing efood echoices ecan etrigger echolecystitis? A. eBrownie ewith enuts e B. eBowl eof emixed efruit e C. eGrilled eturkey D. eBaked epotato e- e e e ecorrect eanswer.A A enurse eis ecompleting epreoperative eteaching efor ea eclient ewho ewill eundergo ea elaparoscopic echolecystectomy. eWhich eof ethe efollowing eshould ebe eincluded ein ethe eteaching? A. e"The escope ewill ebe epassed ethrough eyour erectum." B. e"You emay ehave eshoulder epain eafter esurgery." C. e"The eT-tube ewill eremain ein eplace efor e1 eto e2 eweeks." D. e"You eshould elimit ehow eoften eyou ewalk efor e1 eto e2 eweeks." e- e e e ecorrect eanswer.B A enurse eis ecompleting ean eassessment eof ea eclient ewho ehas ea egastric eulcer. eWhich eof ethe efollowing eare expected efindings? e (Select eall ethat eapply.) A. eClient ereports epain erelieved eby eeating. B. eClient estates ethat epain eoften eoccurs eat enight. C. eClient ereports ea esensation eof ebloating. D. eClient estates ethat epain eoccurs e1⁄2 eto e1 ehr eafter ea emeal. E. eClient eexperiences epain eupon epalpation eof ethe eepigastric eregion. e- e e e ecorrect eanswer.C, eD, eE A enurse eis ecompleting edischarge eteaching ewith ea eclient ewho ehas eCrohn's edisease. eWhich eof ethe efollowing einstructions eshould ethe enurse einclude ein ethe eteaching? A. eDecrease eintake eof ecalorie‐dense efoods. B. eDrink ecanned eprotein esupplements. C. eIncrease eintake eof ehigh efiber efoods. D. eTake ea ebulk‐forming elaxative edaily. e- e e e ecorrect eanswer.B A enurse ein ea eclinic eis eteaching a eclient ewho ehas eulcerative colitis. eWhich eof ethe efollowing estatements eby ethe eclient eindicates eunderstanding eof ethe eteaching? A. e"I ewill eplan eto elimit efiber ein emy ediet." B. e"I ewill erestrict efluid eintake eduring emeals." C."I ewill eswitch eto eblack etea einstead eof edrinking ecoffee." D."I ewill etry eto eeat ethree emoderate eto elarge emeals ea eday." e- e e e ecorrect eanswer.A A enurse eis ecompleting ethe eadmission eassessment eof ea eclient ewho ehas eacute epancreatitis. eWhich eof ethe following efindings eis ethe epriority eto ebe ereported eto ethe eprovider? e A. eHistory eof echolelithiasis B. eSerum eamylase elevels ethree etimes egreater ethan ethe eexpected evalue C. eClient ereport eof esevere epain eradiating eto ethe eback ethat eis erated eat ean e"8" D. eHand espasms epresent ewhen eblood epressure eis echecked e- e e e ecorrect eanswer.D A enurse eis epreparing eto eadminister epancrelipase e(Viokase) eto ea eclient ewho ehas epancreatitis. eWhich eof ethe following eis ean eappropriate enursing eaction? A. eAdminister emedication e30 emin eafter ea esnack. B. eOffer ea eglass eof ewater efollowing emedication eadministration. C. eAdminister ethe emedication e30 emin ebefore emeals. D. eSprinkle ethe econtents eon epeanut ebutter. e- e e e ecorrect eanswer.B A enurse eis ecompleting ean eadmission eassessment eof ea eclient ewho ehas epancreatitis. eWhich eof ethe efollowing is ean eexpected efinding? A. ePain ein eright eupper equadrant eradiating eto eright eshoulder B. eReport eof epain ebeing eworse ewhen esitting eupright C. ePain erelieved ewith edefecation D. eEpigastric epain eradiating eto eleft eshoulder e- e e e ecorrect eanswer.D A enurse eis ereviewing ethe ehealth erecord eof ea eclient ewho ehas epancreatitis. eThe ephysical eexam ereport eby ethe eprovider eindicates ethe epresence eof eCullen's esign. eWhich eof ethe efollowing eis ean eappropriate eaction eby ethe nurse eto eidentify ethis efinding? A. eTap elightly eat ethe ecostovertebral emargin eon ethe eclient's eback. B. ePalpate ethe eclient's eright elower equadrant. C. eInspect ethe eskin earound ethe eumbilicus. D. eAuscultate ethe earea ebelow ethe eclient's escapula. e- e e e ecorrect eanswer.C A enurse eis ecompleting enutrition eteaching efor ea eclient ewho ehas epancreatitis. eWhich eof ethe efollowing statements eby ethe eclient erequires efurther eteaching? A. e"I eplan eto eeat esmall, efrequent emeals." B. e"I ewill eeat eeasy-to-digest efoods ewith elimited espice." C. e"I ewill euse eskim emilk ewhen ecooking." D. e"I eplan eto edrink eregular ecola." e- e e e ecorrect eanswer.D A epatient eis esuspected eof ehaving emultiple esclerosis. eThe eneurologist eorders evarious etest. eThe epatient's eMRI eresults eare eback eand eshow elesions eon ethe ecerebellum eand eoptic enerve. eWhat esigns eand esymptoms ebelow ewould ecorrelate ewith ethis eMRI efinding ein ea epatient ewith emultiple esclerosis? e a. eblurry evision b. epain ewhen emoving eeyes c. edysarthia e(slurred espeech) d. ebalance eand ecoordination eissues e. e"pill erolling" eof efingers eand ehands f. eheat eintolerance g. edark espots ein evision h. eptosis e(drooping eof ethe eeye) e- e e e ecorrect eanswer.A, eB, eC, eD, eG You're eperforming ea ehead-to-toe eassessment eon ea epatient ewith emultiple esclerosis. eWhen eyou eask ethe epatient eto emove ethe ehead eand eneck edownward ethe epatient ereports ean e"electric eshock" esensation ethat etravels edown ethe ebody. eYou ewould ereport eyour efinding eto ethe edoctor ethat ethe epatient eis eexperiencing: a. eRombergs esign b. eLhermittes esign c. eUhthoffs esign d. eHomans esign e- e e e ecorrect eanswer.B Which efinding ebelow erepresents ea epositive eRomberg eSign ein ea epatient ewith emultiple esclerosis? a. eThe epatient ereports edark espots ein ethe evisual efields eduring ethe econfrontation evisual etest b. eWhen ethe epatient ecloses ethe eeyes eand estands ewith etheir efeet etogether ethey estart eto elose etheir ebalance eand esway c. eThe epatients esigns eand esymptoms eincrease ewhen eexposed eto ehot etemps d. eThe epatient ereports ean eelectric eshock efeeling ewhen ethe ehead eand eneck eare emoved edownward e- e e e ecorrect eanswer.B 1. eA enurse eon ea emedical-surgical eunit eis eadmitting ea eclient ewho ehas ehepatitis eB ewith eascites. eWhich eof ethe efollowing eactions eshould ethe enurse einclude ein ethe eplan eof ecare? A. eInitiate econtact eprecautions. B. eWeigh eclient eweekly. C. eMeasure eabdominal egirth e7.5 ecm e(3 ein) eabove ethe eumbilicus. D. eProvide ea ehigh-calorie, ehigh-carbohydrate ediet. e- e e e ecorrect eanswer.D A enurse eis eteaching ea eclient ewho ehas ehepatitis eB eabout ehome ecare. eWhich eof ethe efollowing eshould ethe enurse einclude ein ethe eteaching? e(Select eall ethat eapply.) A. eLimit ephysical eactivity. B. eAvoid ealcohol. C. eTake eacetaminophen efor ecomfort. D. eWear ea emask ewhen ein epublic eplaces. E. eEat esmall efrequent emeals. e- e e e ecorrect eanswer.A, eB, eE A enurse eis ecaring efor ea eclient ewho eis epostprocedure efollowing elumbar epuncture eand ereports ea ethrobbing eheadache ewhen esitting eupright. eWhich eof ethe efollowing eactions eshould ethe enurse etake? e(Select eall ethat eapply.) A. eUse ethe eGlasgow eComa eScale ewhen eassessing ethe eclient. B. eAssist ethe eclient eto ea esupine eposition. C. eAdminister ean eopioid emedication. D. eEncourage ethe eclient eto eincrease efluid eintake. E. eInstruct ethe eclient eto eperform edeep ebreathing eand ecoughing eexercises. e- e e e ecorrect eanswer.B, eC, eD A enurse eis ecaring efor ea eclient ewho ehas eexperienced ea eright hemispheric estroke. eWhich eof ethe efollowing eare eexpected efindings? e(Select eall ethat eapply.) A. eImpulse econtrol edifficulty B. eLeft ehemiplegia C. eLoss eof edepth eperception D. eAphasia E. eLack eof esituational eawareness e- e e e ecorrect eanswer.A, eB, eC, eE A enurse eis ecaring efor ea eclient ewho ehas eleft ehomonymous ehemianopsia. eWhich eof ethe efollowing eis ean eappropriate enursing eintervention? A. eTeach ethe eclient eto escan eto ethe eright eto esee eobjects eon ethe eright eside eof eher ebody. B. ePlace ethe ebedside etable eon ethe eright eside eof ethe ebed. C. eOrient ethe eclient eto ethe efood eon eher eplate eusing ethe eclock emethod. D. ePlace ethe ewheelchair eon ethe eclient's eleft eside. e- e e e ecorrect eanswer.B A enurse eis eassessing ea eclient ewho ehas eexperienced ea eleft hemispheric estroke. eWhich eof ethe efollowing eis ean eexpected efinding? A. eImpulse econtrol edifficulty B. ePoor ejudgment C. eInability eto erecognize efamiliar eobjects D. eLoss eof edepth eperception e- e e e ecorrect eanswer.C A enurse eis edeveloping ea eplan eof ecare efor ea eclient ewho eis escheduled efor ea ecerebral eangiogram ewith econtrast edye. eWhich eof ethe efollowing estatements eby ethe eclient eshould ethe enurse ereport eto ethe eprovider? e(Select eall ethat eapply) A. e"I ethink eI emay ebe epregnant" B. e"I etake eCoumadin" C. e"I etake eantihypertensive emedication" D. e"I eam eallergic eto eshrimp" E. e"I eate ea elight ebreakfast ethis emorning:" e- e e e ecorrect eanswer.A, eB, eD, eE A enurse eis eassessing ea eclient efor emanifestations eof ePD. eWhich eof ethe efollowing eare eexpected efindings? e(SATA) A. eDecreased evision B. ePill-rolling C. eShuffling egait D. eDrooling E. eBilateral eankle eedema F. eLack eof efacial eexpression e- e e e ecorrect eanswer.B, eC, eD, eF A enurse eis ecaring efor ea eclient ewho ehas emultiple esclerosis. eWhich eof ethe efollowing efindings eshould ethe enurse eexpect? A. eFluctuations ein eblood epressure B. eLoss eof ecognitive efunction C. eIneffective eCough D. eDrooping eeye elids e- e e e ecorrect eanswer.B A enurse eis eproviding eteaching eto ea eclient ewho ehas ea enew ediagnosis eof eParkinson's edisease. eOn ewhich eof ethe efollowing emedications eshould ethe enurse eprepare eto einstruct ethe eclient? A. ePiperacillin/tazobactam e B. eLevothyroxine C. eLevodopa/carbidopa e D. eCarbamazepine e- e e e ecorrect eanswer.C A enurse eis eassessing ea eclient ewho ehas eParkinson's edisease. eWhich eof ethe efollowing emanifestations eshould ethe enurse eexpect? A. ePruritus B. eHypertension e C. eBradykinesia e D. eXerostomia e- e e e ecorrect eanswer.C A enurse eis ebeginning ea ephysical eassessment eof ea eclient ewho ehas ea enew ediagnosis eof emultiple esclerosis. eWhich eof ethe efollowing efindings eshould ethe enurse eexpect? e(Select eall ethat eapply.) A. eAreas eof eparesthesia B. eInvoluntary eeye emovements C. eAlopecia D. eIncreased esalivation E. eAtaxia e- e e e ecorrect eanswer.A, eB, eE A enurse eis ecaring efor ea eclient ewho ehas eexperienced ea eright-hemispheric estroke. eWhich eof ethe efollowing eare eexpected efindings? e(select eall ethat eapply) A. eImpulse econtrol edifficulty B. eLeft ehemiplegia C. eLoss eof eDepth eperception D. eAphasia E. eLack eof eawareness e- e e e ecorrect eanswer.A, eB, eC, eE A enurse eis ecaring efor ea eclient ewho ehas eleft ehomonymous ehemianopsia. eWhich eof ethe efollowing eis ean eappropriate enursing eintervention? A. eTeach ethe eclient eto escan eto ethe eright eto esee eobjects eon ethe eright eside eof eher ebody. B. ePlace ethe eclient's ebedside etable eon ethe eright eside eof ethe ebed. C. eOrient ethe eclient eto ethe efood eon eher eplate eusing ethe eclock emethod. D. ePlace ethe eclient's ewheelchair eon eher eleft eside. e- e e e ecorrect eanswer.B A enurse eis eplanning ecare efor ea eclient ewho ehas edysphagia eand ehas ea enew edietary eprescription. eWhich eof ethe efollowing eshould ethe enurse einclude ein ethe eplan eof ecare? e(select eall ethat eapply) A. eHave ea esuction eequipment eavailable efor euse B. eUse ethickened eliquids. C. ePlace efood eon ethe eclient's eunaffected eside eof eher emouth. D. eAssign ean eassistive epersonnel eto efeed ethe eclient eslowly. E. eTeach ethe eclient eto eswallow ewith eher eneck eflexed. e- e e e ecorrect eanswer.A, eB, eC, eE A enurse eis eassessing ea eclient ewho ehas eexperienced ea eleft-hemispheric estroke. eWhich eof ethe efollowing eis ean eexpected efinding? A. eImpulse econtrol edifficulty B. ePoor eJudgement C. eInability eto erecognize efamiliar eobjects D. eLoss eof edepth eperception e- e e e ecorrect eanswer.C A epatient ewith eParkinson's eDisease ehas eslow emovements ethat eaffects etheir eswallowing, efacial eexpressions, eand eability eto ecoordinate emovements. eAs ethe enurse eyou ewill edocument ethe epatient ehas a. eAkinesia b. eFreeze eup etremors c. eBradykinesia d. ePill erolling e- e e e ecorrect eanswer.C You're epreparing eto ehelp ethe eneurologist ewith econducting ea eTensilon etest. eWhich eantidote ewill eyou ehave eon ehand ein ecase eof ean eemergency? a. eAtropine b. eProtamine esulfate c. eNarcan d. eLeucovorin e- e e e ecorrect eanswer.A Select eall ethe esigns eand esymptoms ebelow ethat ecan epresent ein emyasthenia egravis: a. erespiratory efailure b. eincreased esalvation c. ediplopia d. eptosis e. eslurred espeech f. erestlessness h. emask elike eexpression i. edifficulty eswallowing e- e e e ecorrect eanswer.A,C,D,E,F,H,I A eyoung eadult eis ehospitalized eafter ean eaccident ethat eresulted ein ea ecomplete etransection eof ethe espinal ecord eat ethe elevel eof eC7. eThe enurse einforms ethe epatient ethat eafter erehabilitation, ethe elevel eof efunction ethat eis emost elikely eto eoccur eis ethe eability eto: A. eBreathe ewith erespiratory esupport B. eDrive ea evehicle ewith ehand econtrols C. eAmbulate ewith elong-leg ebraces eand ecrutches D. eUse ea epowered edevice eto ehandle eeating eutensils e- e e e ecorrect eanswer.B The enurse eis ecaring efor ea epatient eadmitted eone eweek eago ewith ean eacute espinal ecord einjury. eWhich eof ethe efollowing eassessment efindings ewould ealert ethe enurse eto ethe epresence eof eautonomic edysreflexia? A. eTachycardia B. eHypotension C. eHot, edry eskin e D. eThrobbing eheadache e- e e e ecorrect eanswer.D When eplanning ecare efor ea epatient ewith ea eC5 espinal ecord einjury, ewhich enursing ediagnosis eis ethe ehighest epriority? A. eRisk efor eimpairment eof etissue eintegrity ecaused eby eparalysis B. eAltered epatterns eof eurinary eelimination ecaused eby equadriplegia C. eAltered efamily eand eindividual ecoping ecaused eby ethe eextent eof etrauma D. eIneffective eairway eclearance ecaused eby ehigh ecervical espinal ecord einjury e- e e e ecorrect eanswer.D Which eof ethe efollowing esigns eand esymptoms ein ea epatient ewith ea eT4 espinal ecord einjury eshould ealert ethe enurse eto ethe epossibility eof eautonomic edysreflexia? A. eHeadache eand erising eblood epressure e B. eIrregular erespirations eand eshortness eof ebreath C. eDecreased elevel eof econsciousness eor ehallucinations e D. eAbdominal edistension eand eabsence eof ebowel esounds e- e e e ecorrect eanswer.A Which eof ethe efollowing einterventions eshould ethe enurse eperform ein ethe eacute ecare eof ea epatient ewith eautonomic edysreflexia? A. eUrinary ecatheterization e B. eAdministration eof ebenzodiazepines C. eSuctioning eof ethe epatient's eupper eairway D. ePlacement eof ethe epatient ein ethe eTrendelenburg epositio e- e e e ecorrect eanswer.A During eassessment eof ea epatient ewith ea espinal ecord einjury eat ethe elevel eof eT2 eat ethe erehabilitation ecentre, ewhich eof ethe efollowing efindings ewould econcern ethe enurse ethe emost? A. eA eheart erate eof e92 B. eA ereddened earea eover ethe epatient's ecoccyx C. eMarked eperspiration eon ethe epatients eface eand earms D. eA elight einspiratory ewheeze eon eauscultation eof ethe elungs e- e e e ecorrect eanswer.C The enurse eis ecaring efor ethe eclient ewho ehas esuffered espinal ecord einjury. eThe enurse efurther emonitors ethe eclient efor esigns eof eautonomic edysreflexia eand esuspects ethis ecomplication eif ewhich esign/symptom eis enoted? A. eSudden etachycardia B. ePallor eof ethe eface eand eneck C. eSevere, ethrobbing eheadache D. eSevere eand esudden ehypotension e- e e e ecorrect eanswer.C A epatient ehas esuffered ea espinal ecord einjury eafter ea ediving eaccident. eWhen efirst ebrought eto ethe eemergency eroom, ethe epatient eis esuffering efrom espinal eshock. eWhich esymptoms ebest edescribe ethis econdition? A. eFlaccid eparalysis eand eanesthesia ein ethe elower eextremities e B. eHypotension, eheadache, eand eblurred evision C. eBack epain, emuscle espasms, eand edifficulty ewalking D. eDecreased evenous ereturn eand eskin ebreakdown ein ethe eextremities e- e e e ecorrect eanswer.A Which eof ethe efollowing efactors eincrease ethe erisk eof espinal ecord einjury? eSelect eall ethat eapply. A. eUnderlying ekidney edisease B. eMale egender C. eAfrican eAmerican eor eAsian eethnicity D. eAge ebetween e16 eand e30 E. eUnderlying earthritis e- e e e ecorrect eanswer.B, eD, eE A ethrombus emay ecause ewhich eof ethe efollowing econditions? A. eCluster eheadache B. eAutonomic edysreflexia C. eCVA D. eMultiple esclerosis e- e e e ecorrect eanswer.C When eexplaining eneuro eanatomy eto ea eclient ewhich eof ethe efollowing estatements emade eby ethe enurse eis ecorrect? A. eThe ebrain eand espinal ecord eare eseparated eby ethe eneurofibrillatory etangles. B. eThe ebrain eand espinal ecord eare econnected eby ethe ecorpus ecallosum. C. eThe ebrain eand espinal ecord eare econnected eby ethe etentorium. D. eThe ebrain eand espinal ecord eare eone econtinuous estructure. e- e e e ecorrect eanswer.C Which ecrainial enerves eare eassessed ewhen ethe enurse ehas ethe epatient emove ethe eeyes ethroughout ethe esix ecardinal efields? A. eIII, eIV, eVI B. eII,V,VII C. eVII,IX, eX D. eIX,X,XII e- e e e ecorrect eanswer.A A e68-year-old efemale eclient ewho ereceived etreatment efor ea efracture eis eto ebe edischarged ebecause eher ehealing eis ealmost ecomplete. eWhich eof ethe efollowing enursing eactions eis emost ecritical efor ethe eclient? A. eAdvise ethe eclient eto eavoid ered emeat. B. eAdvise ethe eclient eto ekeep ethe eaffected elimb ein ean eelevated eposition. C. eEducate ethe eclient eabout ethe eeffects eof emenopause. D. eExplore efactors erelated eto ethe eclient's ehome eenvironment. e- e e e ecorrect eanswer.D A eclient ehas eundergone ean eexternal efixation. eWhich eof ethe efollowing eis ethe emost eimportant enursing eaction eto ebe etaken efor esuch ea eclient? A. ePerform epin ecare. B. ePlan ethe eclient's ediet. C. eMonitor ethe eclient's eurine eoutput. D. eMonitor ethe eclient's eblood epressure. e- e e e ecorrect eanswer.A A eclient ehas eundergone ehip esurgery. eWhich eof ethe efollowing edietary esuggestions ewould ehelp ethe eclient eprevent econstipation? A. eIntake eof ea ehigh-protein ediet B. eIntake eof ea ediet erich ein epotassium C. eIntake eof edairy eproducts D. eIntake eof ea ehigh-fiber ediet e- e e e ecorrect eanswer.D A eclient eis escheduled efor ea ejoint ereplacement esurgery. eWhich eof ethe efollowing eactions eshould ea enurse etake eat ethis estage? A. eEnsure eadequate efluid eintake ebefore ethe esurgery. B. eWithhold eintake eof esolid efood ebefore ethe esurgery. C. eWithhold eadministration eof easpirin ebefore ethe esurgery. D. eEnsure eadequate esleep ebefore ethe esurgery. e- e e e ecorrect eanswer.C A eclient eis escheduled efor ea ejoint ereplacement esurgery. eWhich eof ethe efollowing eactions eshould ea enurse etake eat ethis estage? A. eEnsure eadequate efluid eintake ebefore ethe esurgery. B. eWithhold eintake eof esolid efood ebefore ethe esurgery. C. eWithhold eadministration eof easpirin ebefore ethe esurgery. D. eEnsure eadequate esleep ebefore ethe esurgery. e- e e e ecorrect eanswer.C A eclient's ecast eis eremoved. eThe eclient eis eworried ebecause ethe eskin eappears emottled eand eis ecovered ewith ea eyellowish ecrust. eWhat eadvice eshould ethe enurse egive ethe eclient eto eaddress ethe eskin eproblem? A. eConsult ea eskin especialist. B. eScrub ethe earea evigorously eto eremove ethe ecrust. C. eApply elotions eand etake ewarm ebaths eor esoaks. D. eAvoid eharsh esunlight. e- e e e ecorrect eanswer.C A eclient ewho eis eimmobilized eafter ean eorthopedic esurgery eis eat erisk efor ethe epooling eof ehis eor eher esecretions. eWhich eof ethe efollowing enursing eactions ewill ehelp eminimize ethe erisk? A. eEncourage ethe eclient eto esneeze ehard. B. eTurn ethe eclient eat eleast eevery e2 ehours. C. eAdminister eanalgesics eas eprescribed. D. eElevate ethe eaffected eextremity eand euse ecold eapplications. e- e e e ecorrect eanswer.B A eclient ewho eis eundergoing eskeletal etraction ecomplains eof epressure eon ebony eareas. eWhich eof ethe efollowing enursing eactions ewould ecomfort ethe eclient? A. eAssist ewith erange-of-motion eand eisometric eexercises. B. eChange ethe eclient's eposition ewithin eprescribed elimits. C. eAdminister eprescribed eanalgesics. D. eApply ewarm ecompresses. e- e e e ecorrect eanswer.B A eclient ewith easthma eas ewell eas ea emusculoskeletal edisorder eis eprescribed ecalcium ecarbonate eas etreatment efor ethe emusculoskeletal edisorder. eWhat eadvice, erelated eto ethe eintake eof ecalcium ecarbonate, eshould ethe enurse egive eto ethe eclient? A. eTake eother edrugs e1 eto e2 ehours eafter etaking ecalcium ecarbonate. B. eAvoid eperforming estrenuous eactivity efor e1 eto e2 ehours eafter etaking ecalcium ecarbonate. C. eTake ecalcium ecarbonate ebefore ebedtime. D. eIngest ecalcium ecarbonate ewith eplenty eof emilk e- e e e ecorrect eanswer.A A eclient ewith ea etraumatic einjury eis eadministered ea eprescribed enarcotic eanalgesic efor epain erelief. eFor ewhich eof ethe efollowing esigns eand esymptoms eshould ethe enurse eclosely emonitor? A.Allergic ereactions B. eHypotension C. eRespiratory edepression D. eJoint einflammation e- e e e ecorrect eanswer.C A emale eclient, ean eace eprofessional etennis eplayer, esprains ehis eright eankle eduring ea etennis ematch. eThe eclient eis eimmediately erushed eto ethe enurse, ewho eprovides ehim ewith efirst-aid ecare. eWhich eof ethe efollowing eimmediate ecombination eof etreatments eshould ethe enurse eprovide eto ethe eclient? A.Heat, ecompression, eanalgesics, eand eexercise B.Rest, eheat, ecompression, eand eelevation C.Rest, eice, ecompression, eand eelevation