Final review nur168 Questions With
Complete Solutions
A client asks a nurse if it is possible to contract a disease by
donating blood. How would the nurse respond? Correct
Answers "There is no way you can contract a disease by giving
blood."
A client comes to the clinic complaining of abdominal pain.
Which first question would be most appropriate for the nurse to
ask to facilitate the assessment? Correct Answers What
activities exaggerate the pain
A client has a physician's order for NPO (nothing by mouth)
following abdominal surgery to repair a bowel obstruction. The
client has a nasogastric tube inserted to low intermittent suction.
The client requires intravenous therapy for what purpose?
Correct Answers Replace fluid and electrolytes
A client has been recently diagnosed with diabetes. He is seen in
the emergency room every day with high blood sugar. The client
apologizes to the nurse for bothering them every day, but he
cannot give himself insulin injections. What should the nurse's
response be? Correct Answers Has someone taught you how to
take them?
A client has had a head injury affecting the brain stem. What is
located in the brain stem that may affect respiratory function?
Correct Answers Respiratory center
,A client is experiencing hypoxia. Which of the following
nursing diagnoses would be appropriate? Correct Answers
Anxiety
A client is having a blood transfusion, but the fluid is dripping
very slowly. The blood has been infusing for more than four
hours. What should the nurse do next? Correct Answers
Discontinue the blood transfusion.
A client is taking a diuretic that increases her urinary output.
What would be an appropriate nursing diagnosis on which to
base an educational plan? Correct Answers Risk for Deficient
Fluid Volume
A client is taking diuretics. What should the nurse teach the
client about his urine? Correct Answers Urine will be a pale
yellow color.
A client tells the nurse that he is very worried about his surgery.
Which of the following responses by the nurse is a cliche?
Correct Answers Don't worry, everything will be fine.
A client visits the health care facility for a scheduled physical
assessment. What should the nurse do when physically assessing
the quality of the client's oxygenation? Select all that apply.
Correct Answers - Monitor the client's respiratory rate.
- Check the symmetry of the client's chest.
- Observe the breathing pattern and effort.
A client with a urinary tract infection is to be discharged from
the health care facility. After teaching the client about measures
, to prevent UTIs, the nurse determines that the education was
successful when the client states which of the following?
Correct Answers I need to void after sexual intercourse
A client with dehydration is being administered IV fluids.
During her rounds, the nurse noticed that the skin immediately
surrounding the IV site was reddish in color and showing signs
of inflammation. The nurse recognizes that what phenomenon is
likely responsible? Correct Answers Phlebitis
A client's PaCO2 is abnormal on an ABG report. Which of is the
most likely be the medical diagnosis? Correct Answers Chronic
obstructive pulmonary disease
A group of nursing students is working together on a
presentation for their clinical instructor. One student in the
group participates by arguing and attempting to block each step
of the process of this presentation. The student's behavior is
causing frustration for the others and slowing their progress.
Which of the following best describes the role this individual
student is playing in relationship to the group dynamics?
Correct Answers self-serving
A home care client reports weakness and leg cramps. Per order,
the nurse draws blood and requests a potassium level. What is
the rationale for this request? Correct Answers The nurse
recognizes these symptoms of hypokalemia
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the
nurse, " I have had a lot of pain in my abdomen." What type of
Complete Solutions
A client asks a nurse if it is possible to contract a disease by
donating blood. How would the nurse respond? Correct
Answers "There is no way you can contract a disease by giving
blood."
A client comes to the clinic complaining of abdominal pain.
Which first question would be most appropriate for the nurse to
ask to facilitate the assessment? Correct Answers What
activities exaggerate the pain
A client has a physician's order for NPO (nothing by mouth)
following abdominal surgery to repair a bowel obstruction. The
client has a nasogastric tube inserted to low intermittent suction.
The client requires intravenous therapy for what purpose?
Correct Answers Replace fluid and electrolytes
A client has been recently diagnosed with diabetes. He is seen in
the emergency room every day with high blood sugar. The client
apologizes to the nurse for bothering them every day, but he
cannot give himself insulin injections. What should the nurse's
response be? Correct Answers Has someone taught you how to
take them?
A client has had a head injury affecting the brain stem. What is
located in the brain stem that may affect respiratory function?
Correct Answers Respiratory center
,A client is experiencing hypoxia. Which of the following
nursing diagnoses would be appropriate? Correct Answers
Anxiety
A client is having a blood transfusion, but the fluid is dripping
very slowly. The blood has been infusing for more than four
hours. What should the nurse do next? Correct Answers
Discontinue the blood transfusion.
A client is taking a diuretic that increases her urinary output.
What would be an appropriate nursing diagnosis on which to
base an educational plan? Correct Answers Risk for Deficient
Fluid Volume
A client is taking diuretics. What should the nurse teach the
client about his urine? Correct Answers Urine will be a pale
yellow color.
A client tells the nurse that he is very worried about his surgery.
Which of the following responses by the nurse is a cliche?
Correct Answers Don't worry, everything will be fine.
A client visits the health care facility for a scheduled physical
assessment. What should the nurse do when physically assessing
the quality of the client's oxygenation? Select all that apply.
Correct Answers - Monitor the client's respiratory rate.
- Check the symmetry of the client's chest.
- Observe the breathing pattern and effort.
A client with a urinary tract infection is to be discharged from
the health care facility. After teaching the client about measures
, to prevent UTIs, the nurse determines that the education was
successful when the client states which of the following?
Correct Answers I need to void after sexual intercourse
A client with dehydration is being administered IV fluids.
During her rounds, the nurse noticed that the skin immediately
surrounding the IV site was reddish in color and showing signs
of inflammation. The nurse recognizes that what phenomenon is
likely responsible? Correct Answers Phlebitis
A client's PaCO2 is abnormal on an ABG report. Which of is the
most likely be the medical diagnosis? Correct Answers Chronic
obstructive pulmonary disease
A group of nursing students is working together on a
presentation for their clinical instructor. One student in the
group participates by arguing and attempting to block each step
of the process of this presentation. The student's behavior is
causing frustration for the others and slowing their progress.
Which of the following best describes the role this individual
student is playing in relationship to the group dynamics?
Correct Answers self-serving
A home care client reports weakness and leg cramps. Per order,
the nurse draws blood and requests a potassium level. What is
the rationale for this request? Correct Answers The nurse
recognizes these symptoms of hypokalemia
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the
nurse, " I have had a lot of pain in my abdomen." What type of
