HH 4 test 2 Exam Questions With Complete Solutions
. During the postoperative period, what should the client with an
above-the-knee amputation be told about the negative effect of
routinely elevating the residual limb?
a. The flexed position can promote hip flexion contracture.
b. This position reduces the development of phantom pain.
c. This position promotes clot formation at the incision site and
thigh.
d. Unnecessary movement of the extremity can cause wound
dehiscence. Correct Answer a
A client experiencing transient ischemic attacks is scheduled for
a carotid endarterectomy. What does the nurse explain to the
client about the purpose of this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs during a stroke in
evolution
c. To prevent a stroke by removing atherosclerotic plaques
blocking cerebral blood flow
d. To provide a circulatory bypass around thrombotic plaques
obstructing cranial circulation Correct Answer c
A client has been told that she has elevated liver enzyme caused
by NAFLD. Which of the following instructions should the
nurse's teaching plan include?
a. Have genetic testing performed.
b. Follow a heart-healthy diet and a regular exercise program.
c. Lose weight quickly within the next 4 weeks.
d. Avoid using alcohol until the liver enzyme levels return to
normal. Correct Answer b
,A client is suspected of having an intracranial tumour. The signs
and symptoms include memory deficits, visual disturbances,
weakness of right upper and lower extremities, and personality
changes. The nurse recognizes that the tumour is most likely
located in which of the following areas?
a. The frontal lobe
b. The parietal lobe
c. The occipital lobe
d. The temporal lobe Correct Answer a
A client who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full
liquid diet is started postoperatively. What are these symptoms
most indicative of?
a. An intolerance to the feedings
b. Extension of the tumour into the aorta
c. Leakage of fluid or foods into the mediastinum
d. Esophageal perforation with fistula formation into the lung
Correct Answer c
A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a. The client is able to tolerate prolonged immobilization.
b. The client cannot tolerate the surgery for a closed reduction.
c. A temporary cast would be too unstable to provide normal
mobility.
d. Adequate alignment cannot be obtained by other nonsurgical
methods. Correct Answer d
,A client with a stable, closed fracture of the 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 health care provider?
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 the fingers Correct Answer d
A client with a stroke is scheduled for angiography. Which of
the following can this test detect?
a. Presence of increased intracranial pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebrospinal fluid Correct Answer
c
A client with acute hepatitis B is being discharged in 2 days.
Which of the following instructions should the nurse include in
the discharge teaching plan?
a. Resume alcohol as soon as he is symptom free.
b. Use a condom during sexual intercourse.
c. Have family members get an injection of immune globulin.
d. Follow a low-protein, moderate-carbohydrate, moderate-fat
diet. Correct Answer b
A client with advanced cirrhosis asks the nurse why his
abdomen is so swollen. The nurse's response is based on
knowledge of which of the following?
, a. A lack of clotting factors promotes the collection of blood in
the abdominal cavity.
b. Portal hypertension and hypoalbuminemia cause a fluid shift
into the peritoneal space.
c. Decreased peristalsis in the gastrointestinal tract contributes to
gas formation and distension of the bowel.
d. Bile salts in the blood irritate the peritoneal membranes,
causing edema and pocketing of fluid Correct Answer b
A client with diabetes has a serum glucose level of 36 mmol/L
and is unresponsive. Following assessment of the client, the
nurse suspects diabetic ketoacidosis (DKA) rather than
hyperosmolar hyperglycemic state (HHS), based on which
finding?
a. Polyuria
b. Severe dehydration
c. Rapid, deep respirations
d. Decreased serum potassium Correct Answer c
A client with hepatitis A is in the acute phase. Which of the
following should be considered in the nurse's plan of care?
a. Pruritus is a common condition with jaundice in this phase.
b. The client is most likely to transmit the disease during this
phase.
c. Gastrointestinal symptoms are not as severe in hepatitis A as
they are in hepatitis B.
d. Extrahepatic manifestations of glomerulonephritis and
polyarteritis are common in this phase. Correct Answer b
. During the postoperative period, what should the client with an
above-the-knee amputation be told about the negative effect of
routinely elevating the residual limb?
a. The flexed position can promote hip flexion contracture.
b. This position reduces the development of phantom pain.
c. This position promotes clot formation at the incision site and
thigh.
d. Unnecessary movement of the extremity can cause wound
dehiscence. Correct Answer a
A client experiencing transient ischemic attacks is scheduled for
a carotid endarterectomy. What does the nurse explain to the
client about the purpose of this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs during a stroke in
evolution
c. To prevent a stroke by removing atherosclerotic plaques
blocking cerebral blood flow
d. To provide a circulatory bypass around thrombotic plaques
obstructing cranial circulation Correct Answer c
A client has been told that she has elevated liver enzyme caused
by NAFLD. Which of the following instructions should the
nurse's teaching plan include?
a. Have genetic testing performed.
b. Follow a heart-healthy diet and a regular exercise program.
c. Lose weight quickly within the next 4 weeks.
d. Avoid using alcohol until the liver enzyme levels return to
normal. Correct Answer b
,A client is suspected of having an intracranial tumour. The signs
and symptoms include memory deficits, visual disturbances,
weakness of right upper and lower extremities, and personality
changes. The nurse recognizes that the tumour is most likely
located in which of the following areas?
a. The frontal lobe
b. The parietal lobe
c. The occipital lobe
d. The temporal lobe Correct Answer a
A client who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full
liquid diet is started postoperatively. What are these symptoms
most indicative of?
a. An intolerance to the feedings
b. Extension of the tumour into the aorta
c. Leakage of fluid or foods into the mediastinum
d. Esophageal perforation with fistula formation into the lung
Correct Answer c
A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a. The client is able to tolerate prolonged immobilization.
b. The client cannot tolerate the surgery for a closed reduction.
c. A temporary cast would be too unstable to provide normal
mobility.
d. Adequate alignment cannot be obtained by other nonsurgical
methods. Correct Answer d
,A client with a stable, closed fracture of the 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 health care provider?
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 the fingers Correct Answer d
A client with a stroke is scheduled for angiography. Which of
the following can this test detect?
a. Presence of increased intracranial pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebrospinal fluid Correct Answer
c
A client with acute hepatitis B is being discharged in 2 days.
Which of the following instructions should the nurse include in
the discharge teaching plan?
a. Resume alcohol as soon as he is symptom free.
b. Use a condom during sexual intercourse.
c. Have family members get an injection of immune globulin.
d. Follow a low-protein, moderate-carbohydrate, moderate-fat
diet. Correct Answer b
A client with advanced cirrhosis asks the nurse why his
abdomen is so swollen. The nurse's response is based on
knowledge of which of the following?
, a. A lack of clotting factors promotes the collection of blood in
the abdominal cavity.
b. Portal hypertension and hypoalbuminemia cause a fluid shift
into the peritoneal space.
c. Decreased peristalsis in the gastrointestinal tract contributes to
gas formation and distension of the bowel.
d. Bile salts in the blood irritate the peritoneal membranes,
causing edema and pocketing of fluid Correct Answer b
A client with diabetes has a serum glucose level of 36 mmol/L
and is unresponsive. Following assessment of the client, the
nurse suspects diabetic ketoacidosis (DKA) rather than
hyperosmolar hyperglycemic state (HHS), based on which
finding?
a. Polyuria
b. Severe dehydration
c. Rapid, deep respirations
d. Decreased serum potassium Correct Answer c
A client with hepatitis A is in the acute phase. Which of the
following should be considered in the nurse's plan of care?
a. Pruritus is a common condition with jaundice in this phase.
b. The client is most likely to transmit the disease during this
phase.
c. Gastrointestinal symptoms are not as severe in hepatitis A as
they are in hepatitis B.
d. Extrahepatic manifestations of glomerulonephritis and
polyarteritis are common in this phase. Correct Answer b
