114 FINAL EXAM REVIEW QUESTIONS
AND VERIFIED ANSWERS
A bbclient bbvomits bbas bba bbnurse bbis bbinserting bbhis bboropharyngeal bbairway. bbWhat
bbwould bbbe bbthe bbmost bbappropriate bbintervention bbin bbthis bbsituation? bb
A. bbremove bbthe bbairway, bbturn bbthe bbclient bbto bbthe bbside bband bbprovide bbmouth
bbsuction, bbif bbnecessary. bb
B. bbimmediately bbremove bbthe bbairway, bbrinse bbthe bbclients bbmouth bbwith bbsterile
bbwater, bband bbreport bbthis bbto bbthe bbphysician. bb
C. bbleave bbthe bbairway bbin bbplace bband bbpromptly bbnotify bbthe bbphysician bbfor
bbfurther bbinstructions. bb
D. bbsuction bbthe bbclients bbmouth bbthrough bbthe bboropharyngeal bbairway bbto bbprevent
bbaspiration. bb- bbAnswer bbA
A bbnurse bbis bbimplementing bbthe bbprinciples bbof bbsurgical bbasepsis bbwhile bbinserting
bba bbclients bbinter bbdwelling bbcatheter. bbWhich bbof bbthe bbfollowing bbactions bbshould
bbthe bbnurse bbperform?
A. bbhold bbsterile bbobjects bbabove bbwas bbit bblevel bbto bbprevent bbaccidental
bbcontamination.
B. bbconsider bbthe bboutside bbof bbthe bbsterile bbpackage bbto bbbe bbpartially bbsterile.
C. bbconsider bbthe bbouter bb3 bbinch bbedge bbof bbthe bbsterile bbfield bbto bbbe
bbcontaminated.
D. bbopen bbthe bbsterile bbpackages bbso bbthat bbthe bbfirst bbedge bbof bbthe bbwrapper bbis
bbdirected bbtoward bbyou. bb- bbAnswer bbA
A bbnurse bbis bbcaring bbof bbt bba bbclient bbwho bbhas bba bbsurgical bbwound bbfollowing bba
bbbowel bbresection. bbThe bbnurses bbassessment bbreveals bbdehiscence bbof bbthe
bbwound bband bbthe bbnurse bbcontacts bbthe bbsurgeon. bbWhat bbcomplication bbof
bbsurgery bbhas bbthis bbclient bbexperienced? bb
A. bbthe bbedges bbof bbthe bbwound bbare bbmisaligned. bb
B. bbthere bbis bban bbaccidental bbseparation bbof bbthe bbwound.
C. bbtehre bbis bban bbaccumulation bbof bbfluid bbin bbthe bbinterstitial bbtissue bbsurrounding
bbthe bbwound. bb
D. bbthere bbis bbredness bbor bbinflammation bbof bban bbarea bbas bba bbresult bbof bbpossible
bbwound bbinfection. bb- bbAnswer bbB
A bbnurse bbis bbusing bba bbpulse bboximeter bbto bbmeasure bba bbclients bbSpO2 bbobtains
bba bbreading bbof bb90%. bbWhat bbis bbthe bbnurse's bbmost bbappropriate bbaction? bb
A. bbencourage bbthe bbclient bbto bbdo bbdeep-breathing bbexercises.
B. bbRaise bbthe bbhead bbof bbthe bbclients bbbed bbslightly, bbif bbtolerated. bb
, C. bbreview bbthe bbmedications bbthat bbthe bbclient bbhas bbtaken bbin bbthe bbpast bb90
bbminutes. bb
D. bbdocument bbthis bbexpected bbassessment bbfinding. bb- bbAnswer bbA
A bbclient bbhas bbundergone bbfoot bbsurgery bband bbwill bbuse bbcrutches bbin bbthe bbshort
bbterm. bbWhich bbof bbthe bbfollowing bbteaching bbpoints bbshould bbthe bbnurse bbprovide
bbto bbthe bbclient? bb
A. bbIf bbyou bbfeel bbtired bbwhile bbwalking bbwith bbyour bbcrutches, bbrest bbyour bbweight
bbon bbyour bbarmpits bbfor bba bbmoment bband bbthen bbcontinue bbslowly. bb
B. bbYour bbelbows bbwill bbbe bbslightly bbbend bbwhen bbyou bbare bbusing bbyour bbcrutches.
C. bbwhen bbyour bbcrutches bbfit bbright, bbmost bbof bbyour bbbody bbweight bbwill bbbe
bbsupported bbby bbyour bbarmpits.
D. bbwe'll bbhave bbthe bbnursing bbassistant bbwatch bbyou bbwhile bbyou bbwalk bbaround
bbthe bbunit bbthe bbfirst bbtime. bb- bbAnswer bbB
A bbnurse bbis bbteaching bba bbclient bbhow bbto bbcare bbfor bbher bbdementia. bbWhich bbof
bbthe bbfollowing bbis bba bbrecommended bbteaching bbguideline? bb
A. bbremove bbyour bbdentures bbwhenever bbpossible bbin bborder bbto bbrest bbyour bbgums.
B. bbwrap bbyour bbdentures bbin bba bbclean bbnapkin bbor bbfacecloth bbwhen bbnot bbusing
bbthem.
C. bbrinse bbyour bbdentures bbin bba bbdilute bbbleach bbsolution bbat bbleast bbonce bbper
bbweek.
D. bbstore bbyour bbdentures bbin bbcold bbwater bbwhenever bbthey're bbnot bbin bbuse. bb-
bbAnswer bbD
Incentive bbSpirometer= bbinstruct bbclient bbto bb________ bbslowly bband bbas bbdeeply
bbas bbpossible bbthrough bbthe bbmouthpiece bbwithout bbusing bbthe bbnose. bb- bbAnswer
bbinhale
A bbnurse bbis bbinspecting bba bbclients bbpressure bbulcer bbdocuments bbthe bbfollowing:
bbfull bbthickness bbtissue bbloss; bbvisible bbsubcutaneous bbfat; bbno bbbone, bbtendon, bbor
bbmuscle bbvisible. bbTh bbnurse bbshould bbrecognize bbwhat bbstage bbof bbpressure
bbulcer? bb
A. bbstage bb1
B. bbstage bb2
C. bbstage bb3
D. bbstage bb4 bb- bbAnswer bbC
Negative bbpressure bbwound bbtherapy bbhas bbbeen bbordered bbfor bba bbpatient bbwho
bbneeds bbto bbbe bbtreated bbfor bba bbchronic bbwound. bbWhich bbof bbthe bbfollowing
bbwould bbbe bbincluded bbin bbthis bbclients bbplan bbof bbnursing bbcare? bb
A. bbto bbfacilitate bbadequate bbrest, bbdisconnect bbNPWT bbeach bbnight bbbetween bb2200
bband bb0700.
B. bbrecord bbthe bbquantity bbof bbdrainage bbonce bbprettify bband bbdocument bbon bbthe
bbintake bband bboutput bbrecord.
AND VERIFIED ANSWERS
A bbclient bbvomits bbas bba bbnurse bbis bbinserting bbhis bboropharyngeal bbairway. bbWhat
bbwould bbbe bbthe bbmost bbappropriate bbintervention bbin bbthis bbsituation? bb
A. bbremove bbthe bbairway, bbturn bbthe bbclient bbto bbthe bbside bband bbprovide bbmouth
bbsuction, bbif bbnecessary. bb
B. bbimmediately bbremove bbthe bbairway, bbrinse bbthe bbclients bbmouth bbwith bbsterile
bbwater, bband bbreport bbthis bbto bbthe bbphysician. bb
C. bbleave bbthe bbairway bbin bbplace bband bbpromptly bbnotify bbthe bbphysician bbfor
bbfurther bbinstructions. bb
D. bbsuction bbthe bbclients bbmouth bbthrough bbthe bboropharyngeal bbairway bbto bbprevent
bbaspiration. bb- bbAnswer bbA
A bbnurse bbis bbimplementing bbthe bbprinciples bbof bbsurgical bbasepsis bbwhile bbinserting
bba bbclients bbinter bbdwelling bbcatheter. bbWhich bbof bbthe bbfollowing bbactions bbshould
bbthe bbnurse bbperform?
A. bbhold bbsterile bbobjects bbabove bbwas bbit bblevel bbto bbprevent bbaccidental
bbcontamination.
B. bbconsider bbthe bboutside bbof bbthe bbsterile bbpackage bbto bbbe bbpartially bbsterile.
C. bbconsider bbthe bbouter bb3 bbinch bbedge bbof bbthe bbsterile bbfield bbto bbbe
bbcontaminated.
D. bbopen bbthe bbsterile bbpackages bbso bbthat bbthe bbfirst bbedge bbof bbthe bbwrapper bbis
bbdirected bbtoward bbyou. bb- bbAnswer bbA
A bbnurse bbis bbcaring bbof bbt bba bbclient bbwho bbhas bba bbsurgical bbwound bbfollowing bba
bbbowel bbresection. bbThe bbnurses bbassessment bbreveals bbdehiscence bbof bbthe
bbwound bband bbthe bbnurse bbcontacts bbthe bbsurgeon. bbWhat bbcomplication bbof
bbsurgery bbhas bbthis bbclient bbexperienced? bb
A. bbthe bbedges bbof bbthe bbwound bbare bbmisaligned. bb
B. bbthere bbis bban bbaccidental bbseparation bbof bbthe bbwound.
C. bbtehre bbis bban bbaccumulation bbof bbfluid bbin bbthe bbinterstitial bbtissue bbsurrounding
bbthe bbwound. bb
D. bbthere bbis bbredness bbor bbinflammation bbof bban bbarea bbas bba bbresult bbof bbpossible
bbwound bbinfection. bb- bbAnswer bbB
A bbnurse bbis bbusing bba bbpulse bboximeter bbto bbmeasure bba bbclients bbSpO2 bbobtains
bba bbreading bbof bb90%. bbWhat bbis bbthe bbnurse's bbmost bbappropriate bbaction? bb
A. bbencourage bbthe bbclient bbto bbdo bbdeep-breathing bbexercises.
B. bbRaise bbthe bbhead bbof bbthe bbclients bbbed bbslightly, bbif bbtolerated. bb
, C. bbreview bbthe bbmedications bbthat bbthe bbclient bbhas bbtaken bbin bbthe bbpast bb90
bbminutes. bb
D. bbdocument bbthis bbexpected bbassessment bbfinding. bb- bbAnswer bbA
A bbclient bbhas bbundergone bbfoot bbsurgery bband bbwill bbuse bbcrutches bbin bbthe bbshort
bbterm. bbWhich bbof bbthe bbfollowing bbteaching bbpoints bbshould bbthe bbnurse bbprovide
bbto bbthe bbclient? bb
A. bbIf bbyou bbfeel bbtired bbwhile bbwalking bbwith bbyour bbcrutches, bbrest bbyour bbweight
bbon bbyour bbarmpits bbfor bba bbmoment bband bbthen bbcontinue bbslowly. bb
B. bbYour bbelbows bbwill bbbe bbslightly bbbend bbwhen bbyou bbare bbusing bbyour bbcrutches.
C. bbwhen bbyour bbcrutches bbfit bbright, bbmost bbof bbyour bbbody bbweight bbwill bbbe
bbsupported bbby bbyour bbarmpits.
D. bbwe'll bbhave bbthe bbnursing bbassistant bbwatch bbyou bbwhile bbyou bbwalk bbaround
bbthe bbunit bbthe bbfirst bbtime. bb- bbAnswer bbB
A bbnurse bbis bbteaching bba bbclient bbhow bbto bbcare bbfor bbher bbdementia. bbWhich bbof
bbthe bbfollowing bbis bba bbrecommended bbteaching bbguideline? bb
A. bbremove bbyour bbdentures bbwhenever bbpossible bbin bborder bbto bbrest bbyour bbgums.
B. bbwrap bbyour bbdentures bbin bba bbclean bbnapkin bbor bbfacecloth bbwhen bbnot bbusing
bbthem.
C. bbrinse bbyour bbdentures bbin bba bbdilute bbbleach bbsolution bbat bbleast bbonce bbper
bbweek.
D. bbstore bbyour bbdentures bbin bbcold bbwater bbwhenever bbthey're bbnot bbin bbuse. bb-
bbAnswer bbD
Incentive bbSpirometer= bbinstruct bbclient bbto bb________ bbslowly bband bbas bbdeeply
bbas bbpossible bbthrough bbthe bbmouthpiece bbwithout bbusing bbthe bbnose. bb- bbAnswer
bbinhale
A bbnurse bbis bbinspecting bba bbclients bbpressure bbulcer bbdocuments bbthe bbfollowing:
bbfull bbthickness bbtissue bbloss; bbvisible bbsubcutaneous bbfat; bbno bbbone, bbtendon, bbor
bbmuscle bbvisible. bbTh bbnurse bbshould bbrecognize bbwhat bbstage bbof bbpressure
bbulcer? bb
A. bbstage bb1
B. bbstage bb2
C. bbstage bb3
D. bbstage bb4 bb- bbAnswer bbC
Negative bbpressure bbwound bbtherapy bbhas bbbeen bbordered bbfor bba bbpatient bbwho
bbneeds bbto bbbe bbtreated bbfor bba bbchronic bbwound. bbWhich bbof bbthe bbfollowing
bbwould bbbe bbincluded bbin bbthis bbclients bbplan bbof bbnursing bbcare? bb
A. bbto bbfacilitate bbadequate bbrest, bbdisconnect bbNPWT bbeach bbnight bbbetween bb2200
bband bb0700.
B. bbrecord bbthe bbquantity bbof bbdrainage bbonce bbprettify bband bbdocument bbon bbthe
bbintake bband bboutput bbrecord.
