med surg ati proctored exam (Sent)
43.rArnurserisrpreparingrtordischargerarclientrwhorhasrhalordevicerandrisrreviewingrnewrpres
criptionsrfromrtherprovider.rThernursershouldrclarifyrwhichrofrtherfollowingrprescriptionsrwithr
therprovider?
a.rIncreaserintakerofrfiber-richrfoods
b.rMayrplacerarsmallrpillowrunderrheadrwhenrsleeping
c.rMayroperaterarmotorrvehiclerwhenrnorlongerrtakingranalgesics
d.rTakerartubrbathrinsteadrofrshowersr-rcorrectranswer--
c.rMayroperaterarmotorrvehiclerwhenrnorlongerrtakingranalgesics
Arclientrwhorisrdeafrandrcommunicatesrusingrsignrlanguagerisrbeingradmittedrbyrarnurserwh
ordoesrnotrknowrsignrlanguage.rWhichrofrtherfollowingractionsrshouldrthernursertake?
a.rFamiliarizerthemselvesrwithrcommonlyrusedrsignrlanguage
b.rAskrarfamilyrmemberrtorberpresentrduringrtheradmission
c.rObtainrarboardrthatrusesrcoloredrpicturesrasrcommunication
d.rRequestranrinterpreterrduringrtherinitialrassessmentr-rcorrectranswer--
d.rRequestranrinterpreterrduringrtherinitialrassessment
Arcriticalrcarernurserisrassessingrarclientrwhorhasrsevererheadrinjury.rInrresponsertorpainfulrs
timuli,rtherclientrdoesrnotropenrherreyes,rdisplaysrdecerebraterposturing,randrmakesrincomp
rehensiblersounds.rWhichrofrtherfollowingrGlasgowrComarScalerscoresrshouldrthernurseras
signrtherclient?
a.r5
b.r2
c.r13
d.r10r-rcorrectranswer--a.r5
Arhomercarernurserisrplanningrtorusernonpharmacologicalrpainrreliefrmeasuresrforranrolderr
adultrclientrwhorhasrsevererchronicrbackrpain.rWhichrofrtherfollowingrguidelinesrshouldrthern
urseruse?
a.rDiscontinueropioidsrbeforertryingrnonpharmacologicalrmethodsrofrpainrrelief
b.rUserimageryrwithrclientsrwhorhaverdifficultyrwithrfocusrandrconcentration
c.rDistractionrchangesrtherclient'srperceptionrofrpain,rbutrdoesrnotraffectrthercause
d.rPainrreliefrfromrtheruserofrheatrandrcoldrcontinuesrforrseveralrhoursrafterrremovalrofrthe
stimulusr-rcorrectranswer--
c.rDistractionrchangesrtherclient'srperceptionrofrpain,rbutrdoesrnotraffectrthercause
Arhomerhealthrnurserisrmakingranrinitialrvisitrtorarclientrwhorhasrmultiplersclerosis.rWhichrofrt
herfollowingractionsrisrtherpriorityrforrthernursertortake?
a.rDiscussrrecommendationsrforreatingrandrswallowingrtechniques
b.rListrstrategiesrforrfamilyrcopingrwhenrdealingrwithrpossiblerrolerchanges
c.rReviewrtheruserofradaptivergroomingrdevicesrtorpromoterclientrindependence
,d.rGivertherclientrinformationraboutrtherlocalrnationalrmultiplersclerosisrsocietyr-
rcorrectranswer--a.rDiscussrrecommendationsrforreatingrandrswallowingrtechniques
Arnurserinrarclinicrisrprovidingrpreventiverteachingrtoranrolderradultrclientrduringrarwellrvisit.rT
hernursershouldrinstructrtherclientrthatrwhichrofrtherfollowingrimmunizationsrarerrecommend
edrforrhealthyradultsrafterrtheragerofr60?rSelectrAllrThatrApply
a.rHerpesrzoster
b.rInfluenza
c.rMeningococcal
d.rHumanrpapillomavirus
e.rPneumococcalrpolysaccharider-rcorrectranswer--a.rHerpesrzoster
b.rInfluenza
e.rPneumococcalrpolysaccharide
ArnurserinrarclinicrreceivesrarphonercallrfromrarclientrwhorrecentlyrstartedrtherapyrwithranrAC
Erinhibitorrandrreportsrarnaggingrdryrcough.rWhichrofrtherfollowingrresponsesrbyrthernurserisr
appropriate?
a.r"yourrcoughrmayrrequirerthatryourstoprorrchangeryourrmedication"
b.r"Increasingryourrdailyrfluidrintakermayreliminateryourrcough"
c.r"suckingronrlozengermayrreducertherfrequencyrofryourrcough"
d.rYourcoughrshouldrgorawayrinrtime"r-rcorrectranswer--
a.r"yourrcoughrmayrrequirerthatryourstoprorrchangeryourrmedication"
Arnurserinrarprovider'srofficerisrteachingrarclientraboutrtherself-
managementrofrGERD.rWhichrofrtherfollowingrinstructionsrshouldrthernurserinclude?
a.r"eatrarlightrmealr1rhourrbeforerbedtime"
b.r"sleeprwithrheadrofryourrbedrelevatedr6rinches"
c.r"increaseryourrcaloricrintakerbyr250rcaloriesrperrday"
d.r"lierdownrforr30rminrafterreachrmeal"r-rcorrectranswer--
b.r"sleeprwithrheadrofryourrbedrelevatedr6rinches"
Arnurserinranremergencyrdepartmentrisrpreparingrtorperformranrocularrirrigationrforrarclient.r
Whichrofrtherfollowingractionsrshouldrthernurserplanrtortake?
a.rAssessrtherclient'srvisualracuityrpriorrtorirrigation
b.rHavertherclientrturnrtheirrheadrtowardrtherunaffectedreye
c.rHoldrtherirrigatorrsyringer3.81rcmr(1.5rin)raboverthereye
d.rPerformrtherirrigationrwithrsterilerwaterrforrirrigationr-rcorrectranswer--
d.rPerformrtherirrigationrwithrsterilerwaterrforrirrigation
Arnurserinrtheremergencyrdepartmentrisrassessingrarclient.rWhichrofrtherfollowingractionsrsh
ouldrthernursertakerfirst?rExhibit
a.rObtainrarsputumrsamplerforrculture
b.rAdministerrondansetron
c.rInitiaterairbornerprecautions
d.rPreparertherclientrforrarchestrx-rayr-rcorrectranswer--c.rInitiaterairbornerprecautions
, Arnurserinrtheremergencyrdepartmentrisrcaringrforrarclientrwhorhasrargunshotrwoundrtorthera
bdomen.rWhichrofrtherfollowingractionsrshouldrthernursertakerfirst?
a.rCheckrthercolorrofrtherclient'srskin
b.rRemoverallrofrtherclient'srclothing
c.rAdministerranropioidranalgesic
d.rPreparertherclientrforrperiorbitalrlavager-rcorrectranswer--
a.rCheckrthercolorrofrtherclient'srskin
Arnurserinrtheremergencyrdepartmentrisrcaringrforrarclientrwhorisrinrhypovolemicrshock.rWhi
chrofrtherfollowingractionsrshouldrthernursertakerfirst?
a.rObtainrarbloodrspecimenrforrtyperandrcrossmatch
b.rInsertrarlarge-borerIVrcatheter
c.rAdministerrIVrtherapy
d.rMonitorrurineroutputr-rcorrectranswer--b.rInsertrarlarge-borerIVrcatheter
ArnurserinrtherPACUrisrassessingrarclientrwhorisrpostoperativerfollowingrgeneralranesthesia
.rWhichrofrtherfollowingrfindingsrisrtherpriorityrtoraddress?
a.rVomitingruponrarousal
b.rDecreasedrbodyrtemperature
c.rIndistinct,rramblingrspeech
d.rPiloerectionrofrtherskinr-rcorrectranswer--a.rVomitingruponrarousal
Arnurserinrtherpost-
anesthesiarcarerunitrisrassessingrarclientrfollowingranrappendectomyrandrfindsrar2-
cmr(3/4in)rarearofrbloodronrtherpostoperativerdressing.rWhichrofrtherfollowingractionsrshould
rthernursertake?
a.rApplyrpressure
b.rLoosenrtherdressing
c.rCirclertherdrainage
d.rApplyrarnewrdressingr-rcorrectranswer--c.rCirclertherdrainage
Arnurserisrarplanningrcarerforrarclientrwhorhasrfull-
thicknessrburnsronrtherlowerrextremities.rWhichrofrtherfollowingrinterventionsrshouldrthernur
serinclude?
a.rApplyrnewrglovesrwhenralternatingrbetweenrwoundrcarersites
b.rProviderardietrofrfreshrfruitsrandrvegetablesrforrtherclient
c.rLimitrvisitationrtimerforrtherclient'srchildrenrtor40rminrperrday
d.rCleanrtherequipmentrinrtherclient'srroomroncerperrweekr-rcorrectranswer--
a.rApplyrnewrglovesrwhenralternatingrbetweenrwoundrcarersites
Arnurserisradmittingrarclientrtorarmedicalrunitrfollowingrplacementrofrarpermanentrpacemaker
.rWhichrofrtherfollowingrfindingsrrequiresrfurtherrassessmentrbyrthernurse?
a.rSneezing
b.rHiccups
c.rPresencerofrarsharprspikerpriorrtortherQRSrcomplexronrtherECG
43.rArnurserisrpreparingrtordischargerarclientrwhorhasrhalordevicerandrisrreviewingrnewrpres
criptionsrfromrtherprovider.rThernursershouldrclarifyrwhichrofrtherfollowingrprescriptionsrwithr
therprovider?
a.rIncreaserintakerofrfiber-richrfoods
b.rMayrplacerarsmallrpillowrunderrheadrwhenrsleeping
c.rMayroperaterarmotorrvehiclerwhenrnorlongerrtakingranalgesics
d.rTakerartubrbathrinsteadrofrshowersr-rcorrectranswer--
c.rMayroperaterarmotorrvehiclerwhenrnorlongerrtakingranalgesics
Arclientrwhorisrdeafrandrcommunicatesrusingrsignrlanguagerisrbeingradmittedrbyrarnurserwh
ordoesrnotrknowrsignrlanguage.rWhichrofrtherfollowingractionsrshouldrthernursertake?
a.rFamiliarizerthemselvesrwithrcommonlyrusedrsignrlanguage
b.rAskrarfamilyrmemberrtorberpresentrduringrtheradmission
c.rObtainrarboardrthatrusesrcoloredrpicturesrasrcommunication
d.rRequestranrinterpreterrduringrtherinitialrassessmentr-rcorrectranswer--
d.rRequestranrinterpreterrduringrtherinitialrassessment
Arcriticalrcarernurserisrassessingrarclientrwhorhasrsevererheadrinjury.rInrresponsertorpainfulrs
timuli,rtherclientrdoesrnotropenrherreyes,rdisplaysrdecerebraterposturing,randrmakesrincomp
rehensiblersounds.rWhichrofrtherfollowingrGlasgowrComarScalerscoresrshouldrthernurseras
signrtherclient?
a.r5
b.r2
c.r13
d.r10r-rcorrectranswer--a.r5
Arhomercarernurserisrplanningrtorusernonpharmacologicalrpainrreliefrmeasuresrforranrolderr
adultrclientrwhorhasrsevererchronicrbackrpain.rWhichrofrtherfollowingrguidelinesrshouldrthern
urseruse?
a.rDiscontinueropioidsrbeforertryingrnonpharmacologicalrmethodsrofrpainrrelief
b.rUserimageryrwithrclientsrwhorhaverdifficultyrwithrfocusrandrconcentration
c.rDistractionrchangesrtherclient'srperceptionrofrpain,rbutrdoesrnotraffectrthercause
d.rPainrreliefrfromrtheruserofrheatrandrcoldrcontinuesrforrseveralrhoursrafterrremovalrofrthe
stimulusr-rcorrectranswer--
c.rDistractionrchangesrtherclient'srperceptionrofrpain,rbutrdoesrnotraffectrthercause
Arhomerhealthrnurserisrmakingranrinitialrvisitrtorarclientrwhorhasrmultiplersclerosis.rWhichrofrt
herfollowingractionsrisrtherpriorityrforrthernursertortake?
a.rDiscussrrecommendationsrforreatingrandrswallowingrtechniques
b.rListrstrategiesrforrfamilyrcopingrwhenrdealingrwithrpossiblerrolerchanges
c.rReviewrtheruserofradaptivergroomingrdevicesrtorpromoterclientrindependence
,d.rGivertherclientrinformationraboutrtherlocalrnationalrmultiplersclerosisrsocietyr-
rcorrectranswer--a.rDiscussrrecommendationsrforreatingrandrswallowingrtechniques
Arnurserinrarclinicrisrprovidingrpreventiverteachingrtoranrolderradultrclientrduringrarwellrvisit.rT
hernursershouldrinstructrtherclientrthatrwhichrofrtherfollowingrimmunizationsrarerrecommend
edrforrhealthyradultsrafterrtheragerofr60?rSelectrAllrThatrApply
a.rHerpesrzoster
b.rInfluenza
c.rMeningococcal
d.rHumanrpapillomavirus
e.rPneumococcalrpolysaccharider-rcorrectranswer--a.rHerpesrzoster
b.rInfluenza
e.rPneumococcalrpolysaccharide
ArnurserinrarclinicrreceivesrarphonercallrfromrarclientrwhorrecentlyrstartedrtherapyrwithranrAC
Erinhibitorrandrreportsrarnaggingrdryrcough.rWhichrofrtherfollowingrresponsesrbyrthernurserisr
appropriate?
a.r"yourrcoughrmayrrequirerthatryourstoprorrchangeryourrmedication"
b.r"Increasingryourrdailyrfluidrintakermayreliminateryourrcough"
c.r"suckingronrlozengermayrreducertherfrequencyrofryourrcough"
d.rYourcoughrshouldrgorawayrinrtime"r-rcorrectranswer--
a.r"yourrcoughrmayrrequirerthatryourstoprorrchangeryourrmedication"
Arnurserinrarprovider'srofficerisrteachingrarclientraboutrtherself-
managementrofrGERD.rWhichrofrtherfollowingrinstructionsrshouldrthernurserinclude?
a.r"eatrarlightrmealr1rhourrbeforerbedtime"
b.r"sleeprwithrheadrofryourrbedrelevatedr6rinches"
c.r"increaseryourrcaloricrintakerbyr250rcaloriesrperrday"
d.r"lierdownrforr30rminrafterreachrmeal"r-rcorrectranswer--
b.r"sleeprwithrheadrofryourrbedrelevatedr6rinches"
Arnurserinranremergencyrdepartmentrisrpreparingrtorperformranrocularrirrigationrforrarclient.r
Whichrofrtherfollowingractionsrshouldrthernurserplanrtortake?
a.rAssessrtherclient'srvisualracuityrpriorrtorirrigation
b.rHavertherclientrturnrtheirrheadrtowardrtherunaffectedreye
c.rHoldrtherirrigatorrsyringer3.81rcmr(1.5rin)raboverthereye
d.rPerformrtherirrigationrwithrsterilerwaterrforrirrigationr-rcorrectranswer--
d.rPerformrtherirrigationrwithrsterilerwaterrforrirrigation
Arnurserinrtheremergencyrdepartmentrisrassessingrarclient.rWhichrofrtherfollowingractionsrsh
ouldrthernursertakerfirst?rExhibit
a.rObtainrarsputumrsamplerforrculture
b.rAdministerrondansetron
c.rInitiaterairbornerprecautions
d.rPreparertherclientrforrarchestrx-rayr-rcorrectranswer--c.rInitiaterairbornerprecautions
, Arnurserinrtheremergencyrdepartmentrisrcaringrforrarclientrwhorhasrargunshotrwoundrtorthera
bdomen.rWhichrofrtherfollowingractionsrshouldrthernursertakerfirst?
a.rCheckrthercolorrofrtherclient'srskin
b.rRemoverallrofrtherclient'srclothing
c.rAdministerranropioidranalgesic
d.rPreparertherclientrforrperiorbitalrlavager-rcorrectranswer--
a.rCheckrthercolorrofrtherclient'srskin
Arnurserinrtheremergencyrdepartmentrisrcaringrforrarclientrwhorisrinrhypovolemicrshock.rWhi
chrofrtherfollowingractionsrshouldrthernursertakerfirst?
a.rObtainrarbloodrspecimenrforrtyperandrcrossmatch
b.rInsertrarlarge-borerIVrcatheter
c.rAdministerrIVrtherapy
d.rMonitorrurineroutputr-rcorrectranswer--b.rInsertrarlarge-borerIVrcatheter
ArnurserinrtherPACUrisrassessingrarclientrwhorisrpostoperativerfollowingrgeneralranesthesia
.rWhichrofrtherfollowingrfindingsrisrtherpriorityrtoraddress?
a.rVomitingruponrarousal
b.rDecreasedrbodyrtemperature
c.rIndistinct,rramblingrspeech
d.rPiloerectionrofrtherskinr-rcorrectranswer--a.rVomitingruponrarousal
Arnurserinrtherpost-
anesthesiarcarerunitrisrassessingrarclientrfollowingranrappendectomyrandrfindsrar2-
cmr(3/4in)rarearofrbloodronrtherpostoperativerdressing.rWhichrofrtherfollowingractionsrshould
rthernursertake?
a.rApplyrpressure
b.rLoosenrtherdressing
c.rCirclertherdrainage
d.rApplyrarnewrdressingr-rcorrectranswer--c.rCirclertherdrainage
Arnurserisrarplanningrcarerforrarclientrwhorhasrfull-
thicknessrburnsronrtherlowerrextremities.rWhichrofrtherfollowingrinterventionsrshouldrthernur
serinclude?
a.rApplyrnewrglovesrwhenralternatingrbetweenrwoundrcarersites
b.rProviderardietrofrfreshrfruitsrandrvegetablesrforrtherclient
c.rLimitrvisitationrtimerforrtherclient'srchildrenrtor40rminrperrday
d.rCleanrtherequipmentrinrtherclient'srroomroncerperrweekr-rcorrectranswer--
a.rApplyrnewrglovesrwhenralternatingrbetweenrwoundrcarersites
Arnurserisradmittingrarclientrtorarmedicalrunitrfollowingrplacementrofrarpermanentrpacemaker
.rWhichrofrtherfollowingrfindingsrrequiresrfurtherrassessmentrbyrthernurse?
a.rSneezing
b.rHiccups
c.rPresencerofrarsharprspikerpriorrtortherQRSrcomplexronrtherECG
