6001 FINAL PRACTICE QUESTIONS AND
ANSWERS
1. 1. A nurse caring for a affected person with persistent obstructive pulmonary ailment
(COPD) is aware of that hypoxia might also arise in patients with breathing issues. What
are symptoms of this extreme condition?
Select all answers that observe.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiration price
E. Pallor
F. Increased pulse rate - ANSWER-1. A, c, e, f. If a problem exists in air flow,
respiration, or perfusion, hypoxia may also arise. Hypoxia is a circumstance
wherein an insufficient quantity of oxygen is available to cells. The most
commonplace signs of hypoxia are dyspnea (trouble respiration), an expanded
blood strain with a small pulse pressure, accelerated respiratory and pulse fees,
pallor, and cyanosis.
2. 1. A nurse is worrying for an older patient with type II diabetes who is dwelling in a
protracted-time period care facility. The nurse determines that the affected person's fluid
intake and output is about 1200 mL day by day. What patient coaching might the nurse
offer for this patient? Select all that practice.
A. "Try to drink at least six to 8 glasses of water every day."
B. "Try to restrict your fluid consumption to one quart of water each day."
C. "Limit sugar, salt, and alcohol on your weight loss plan."
D. "Report facet outcomes of medicinal drugs you are taking, specially diarrhea."
E. "Temporarily boom meals containing caffeine for their diuretic impact."
F. "Weigh yourself day by day and file any modifications for your weight." - ANSWER-A,
C, D, F
Generally, fluid consumption and output averages 2,six hundred mL per day. This
patient is experiencing dehydration and must be advocated to drink more water,
preserve normal frame weight, keep away from consuming extra quantities of
merchandise high in salt, sugar, and caffeine, limit alcohol consumption, and
screen aspect outcomes of medicines, mainly diarrhea and water loss from
diuretics.
3. 1. Thirty-six hours after having surgery, a affected person has a barely multiplied frame
temperature and generalized malaise, as well as ache and redness on the surgical web
site. Which intervention is most crucial to consist of on this affected person's nursing
care plan?
, A. Document the findings and keep to display the affected person.
B. Administer antipyretics, as ordered.
C. Increase the frequency of evaluation to every hour and notify the affected person's
primary care company.
D. Increase the frequency of wound care and speak to the primary care provider for an
antibiotic order - ANSWER-A.
The evaluation findings are normal for this stage of healing following surgery. The
affected person is in the inflammatory section of the recovery method, which
entails a reaction by using the immune gadget. This acute infection is
characterized via pain, warmth, redness, and swelling on the web site of the injury
(surgery, in this situation). The patient additionally has a generalized frame
response, which includes a mildly accelerated temperature, leukocytosis, and
generalized malaise.
4. 10. A nurse is assessing a affected person who has been NPO (not anything by way of
mouth) previous to abdominal surgical treatment. The patient is ordered a clean liquid
food regimen for breakfast, to strengthen to a residence food plan as tolerated. Which
tests might indicate to the nurse that the patient's weight loss program have to no longer
be superior?
A. The patient ate up 75% of the drinks on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is smooth, nondistended, with bowel sounds.
D. The affected person reports fullness and diarrhea after breakfast. - ANSWER-D
5. 10. A nurse is explaining to a patient the anticipated impact of the application of cold to
an injured area. What response suggests that the affected person is aware the reason?
A. "I can count on to have extra pain inside the region in which the bloodless is
implemented."
B. "I have to anticipate greater drainage from the incision after the ice has been in
region."
C. "I should see less swelling and redness with the cold remedy."
D. "My incision may bleed extra when the ice is first carried out." - ANSWER-C
6. 10. A nurse is tracking a affected person who's recognized with hypokalemia. Which
nursing intervention could be appropriate for this affected person?
A. Encourage ingredients and fluids with high sodium content.
B. Administer oral K dietary supplements as ordered.
C. Caution the affected person about consuming ingredients excessive in potassium
content.
D. Discuss calcium-losing components of nicotine and alcohol use. - ANSWER-B
Nursing interventions for a affected person with hypokalemia encompass
encouraging meals high in potassium and administering oral K as ordered.
, Encouraging foods with excessive sodium content material is suitable for a
affected person with hyponatremia.
Cautioning the affected person approximately foods high in potassium is
appropriate for a affected person with hyperkalemia,
and discussing the calcium-losing components of nicotine and alcohol use is
suitable for a affected person with hypocalcemia.
7. 10. When planning take care of a patient with continual lung disorder who is receiving
oxygen through a nasal cannula, what does the nurse count on?
A. The oxygen have to be humidified.
B. The charge will be no more than 2 to 3 L/min or less.
C. Arterial blood gases could be drawn each 4 hours to assess drift rate.
D. The rate will be 6 L/min or more. - ANSWER-b. A fee higher than 3 L/min may
smash the hypoxic drive that stimulates respirations inside the medulla in a
affected person with chronic lung ailment. Oxygen delivered at low rates does not
necessarily need to be humidified, and arterial blood gases are not required at
normal intervals to decide the flow fee.
8. 11. A nurse is administering 500 mL of saline technique to a affected person over 10
hours. The administration set supplies 60 gtts/min. Determine the infusion rate to
administer thru gravity infusion.
Place your solution on the road supplied below. - ANSWER-Ans: 50 gtts/min. When
administering 500 mL of solution over 10 hours, and the set promises 60 gtts/mL,
the nurse would use the subsequent formula:
gtt/min= 500x60/600= 50gtt/min
eleven. A nurse is presenting patient coaching regarding the use of poor-strain wound
remedy. Which clarification offers the maximum correct statistics to the patient?
A. The therapy is used to acquire extra blood loss and prevent the formation of a scab.
B. The remedy will save you contamination, making sure that the wound heals with much
less scar tissue.
C. The remedy presents a wet surroundings and stimulates blood glide to the wound.
D. The therapy irrigates the wound to hold it unfastened from debris and extra wound
fluid. - ANSWER-c. Negative-stress wound therapy (or topical terrible strain [TNP])
promotes wound recovery and wound closure via the utility of uniform terrible
strain on the wound bed, discount in bacteria in the wound, and the removal of
extra wound fluid, whilst supplying a moist wound healing surroundings.
The terrible strain results in mechanical tension at the wound tissues, stimulating
cellular proliferation, blood glide to wounds, and the growth of new blood vessels.
It is used to deal with a ramification of acute or continual wounds, wounds with
heavy drainage, wounds failing to heal, or restoration slowly.
, 9. 11. A nurse is securing a patient's endotracheal tube with tape and observes that the
tube intensity changed for the duration of the retaping. Which motion could be
appropriate associated with this incident?
A. Instruct assistant to inform the number one care provider.
B. Assess the affected person's crucial signs and symptoms.
C. Remove the tape, alter the intensity to ordered depth and reapply the tape.
D. No movement is needed as intensity will regulate mechanically - ANSWER-c. The
tube depth have to be maintained at the equal degree until otherwise ordered with
the aid of the doctor. If the intensity adjustments, the nurse need to do away with
the tape, regulate the tube to ordered depth, and reapply the tape
10.eleven. A affected person who is moved to a health facility mattress following throat
surgical treatment is ordered to get hold of non-stop tube feedings through a small-bore
nasogastric tube. Following placement of the tube, which nursing movement would the
nurse provoke to make sure accurate placement of the tube?
11.A. Auscultate the bowel sounds.
12.B. Measure the gastric aspirate pH.
13.C. Measure the amount of residual in the tube.
14.D. Order radiographic examination of the tube. - ANSWER-D
15.12. A nurse is beginning a peripheral venous get right of entry to IV infusion for a patient.
Following the technique, the nurse observes that the fluid does no longer drift easily into
the vein and the pores and skin across the insertion site is edematous and cool to touch.
What will be the nurse's subsequent action associated with these findings?
16.A. Reposition the extremity and lift the peak of the IV pole.
17.B. Apply stress to the dressing on the IV.
18.C. Pull the catheter out barely and reinsert it.
19.D. Put on gloves; dispose of the catheter; follow pressure with a sterile pad. -
ANSWER-D
20.12. After an initial pores and skin assessment, the nurse files the presence of a
reddened area that has blistered. According to identified staging systems, this ulcer
might be categorized as:
21.
22.A. Stage I
23.B. Stage II
24.C. Stage III
25.D. Stage IV - ANSWER-B ; A degree II strain ulcer includes partial thickness loss of
dermis and affords as a shallow open ulcer with a crimson crimson wound mattress,
without slough. It can also present as an intact or open/ruptured serum-crammed blister.
26.12. What action does the nurse perform to follow secure method when using a portable
oxygen cylinder?
27.
28.A. Checking the quantity of oxygen in the cylinder before the use of it
29.B. Using a cylinder for a patient transfer that shows available oxygen is 500 psi
30.C. Placing the oxygen cylinder on the stretcher subsequent to the patient
ANSWERS
1. 1. A nurse caring for a affected person with persistent obstructive pulmonary ailment
(COPD) is aware of that hypoxia might also arise in patients with breathing issues. What
are symptoms of this extreme condition?
Select all answers that observe.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiration price
E. Pallor
F. Increased pulse rate - ANSWER-1. A, c, e, f. If a problem exists in air flow,
respiration, or perfusion, hypoxia may also arise. Hypoxia is a circumstance
wherein an insufficient quantity of oxygen is available to cells. The most
commonplace signs of hypoxia are dyspnea (trouble respiration), an expanded
blood strain with a small pulse pressure, accelerated respiratory and pulse fees,
pallor, and cyanosis.
2. 1. A nurse is worrying for an older patient with type II diabetes who is dwelling in a
protracted-time period care facility. The nurse determines that the affected person's fluid
intake and output is about 1200 mL day by day. What patient coaching might the nurse
offer for this patient? Select all that practice.
A. "Try to drink at least six to 8 glasses of water every day."
B. "Try to restrict your fluid consumption to one quart of water each day."
C. "Limit sugar, salt, and alcohol on your weight loss plan."
D. "Report facet outcomes of medicinal drugs you are taking, specially diarrhea."
E. "Temporarily boom meals containing caffeine for their diuretic impact."
F. "Weigh yourself day by day and file any modifications for your weight." - ANSWER-A,
C, D, F
Generally, fluid consumption and output averages 2,six hundred mL per day. This
patient is experiencing dehydration and must be advocated to drink more water,
preserve normal frame weight, keep away from consuming extra quantities of
merchandise high in salt, sugar, and caffeine, limit alcohol consumption, and
screen aspect outcomes of medicines, mainly diarrhea and water loss from
diuretics.
3. 1. Thirty-six hours after having surgery, a affected person has a barely multiplied frame
temperature and generalized malaise, as well as ache and redness on the surgical web
site. Which intervention is most crucial to consist of on this affected person's nursing
care plan?
, A. Document the findings and keep to display the affected person.
B. Administer antipyretics, as ordered.
C. Increase the frequency of evaluation to every hour and notify the affected person's
primary care company.
D. Increase the frequency of wound care and speak to the primary care provider for an
antibiotic order - ANSWER-A.
The evaluation findings are normal for this stage of healing following surgery. The
affected person is in the inflammatory section of the recovery method, which
entails a reaction by using the immune gadget. This acute infection is
characterized via pain, warmth, redness, and swelling on the web site of the injury
(surgery, in this situation). The patient additionally has a generalized frame
response, which includes a mildly accelerated temperature, leukocytosis, and
generalized malaise.
4. 10. A nurse is assessing a affected person who has been NPO (not anything by way of
mouth) previous to abdominal surgical treatment. The patient is ordered a clean liquid
food regimen for breakfast, to strengthen to a residence food plan as tolerated. Which
tests might indicate to the nurse that the patient's weight loss program have to no longer
be superior?
A. The patient ate up 75% of the drinks on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is smooth, nondistended, with bowel sounds.
D. The affected person reports fullness and diarrhea after breakfast. - ANSWER-D
5. 10. A nurse is explaining to a patient the anticipated impact of the application of cold to
an injured area. What response suggests that the affected person is aware the reason?
A. "I can count on to have extra pain inside the region in which the bloodless is
implemented."
B. "I have to anticipate greater drainage from the incision after the ice has been in
region."
C. "I should see less swelling and redness with the cold remedy."
D. "My incision may bleed extra when the ice is first carried out." - ANSWER-C
6. 10. A nurse is tracking a affected person who's recognized with hypokalemia. Which
nursing intervention could be appropriate for this affected person?
A. Encourage ingredients and fluids with high sodium content.
B. Administer oral K dietary supplements as ordered.
C. Caution the affected person about consuming ingredients excessive in potassium
content.
D. Discuss calcium-losing components of nicotine and alcohol use. - ANSWER-B
Nursing interventions for a affected person with hypokalemia encompass
encouraging meals high in potassium and administering oral K as ordered.
, Encouraging foods with excessive sodium content material is suitable for a
affected person with hyponatremia.
Cautioning the affected person approximately foods high in potassium is
appropriate for a affected person with hyperkalemia,
and discussing the calcium-losing components of nicotine and alcohol use is
suitable for a affected person with hypocalcemia.
7. 10. When planning take care of a patient with continual lung disorder who is receiving
oxygen through a nasal cannula, what does the nurse count on?
A. The oxygen have to be humidified.
B. The charge will be no more than 2 to 3 L/min or less.
C. Arterial blood gases could be drawn each 4 hours to assess drift rate.
D. The rate will be 6 L/min or more. - ANSWER-b. A fee higher than 3 L/min may
smash the hypoxic drive that stimulates respirations inside the medulla in a
affected person with chronic lung ailment. Oxygen delivered at low rates does not
necessarily need to be humidified, and arterial blood gases are not required at
normal intervals to decide the flow fee.
8. 11. A nurse is administering 500 mL of saline technique to a affected person over 10
hours. The administration set supplies 60 gtts/min. Determine the infusion rate to
administer thru gravity infusion.
Place your solution on the road supplied below. - ANSWER-Ans: 50 gtts/min. When
administering 500 mL of solution over 10 hours, and the set promises 60 gtts/mL,
the nurse would use the subsequent formula:
gtt/min= 500x60/600= 50gtt/min
eleven. A nurse is presenting patient coaching regarding the use of poor-strain wound
remedy. Which clarification offers the maximum correct statistics to the patient?
A. The therapy is used to acquire extra blood loss and prevent the formation of a scab.
B. The remedy will save you contamination, making sure that the wound heals with much
less scar tissue.
C. The remedy presents a wet surroundings and stimulates blood glide to the wound.
D. The therapy irrigates the wound to hold it unfastened from debris and extra wound
fluid. - ANSWER-c. Negative-stress wound therapy (or topical terrible strain [TNP])
promotes wound recovery and wound closure via the utility of uniform terrible
strain on the wound bed, discount in bacteria in the wound, and the removal of
extra wound fluid, whilst supplying a moist wound healing surroundings.
The terrible strain results in mechanical tension at the wound tissues, stimulating
cellular proliferation, blood glide to wounds, and the growth of new blood vessels.
It is used to deal with a ramification of acute or continual wounds, wounds with
heavy drainage, wounds failing to heal, or restoration slowly.
, 9. 11. A nurse is securing a patient's endotracheal tube with tape and observes that the
tube intensity changed for the duration of the retaping. Which motion could be
appropriate associated with this incident?
A. Instruct assistant to inform the number one care provider.
B. Assess the affected person's crucial signs and symptoms.
C. Remove the tape, alter the intensity to ordered depth and reapply the tape.
D. No movement is needed as intensity will regulate mechanically - ANSWER-c. The
tube depth have to be maintained at the equal degree until otherwise ordered with
the aid of the doctor. If the intensity adjustments, the nurse need to do away with
the tape, regulate the tube to ordered depth, and reapply the tape
10.eleven. A affected person who is moved to a health facility mattress following throat
surgical treatment is ordered to get hold of non-stop tube feedings through a small-bore
nasogastric tube. Following placement of the tube, which nursing movement would the
nurse provoke to make sure accurate placement of the tube?
11.A. Auscultate the bowel sounds.
12.B. Measure the gastric aspirate pH.
13.C. Measure the amount of residual in the tube.
14.D. Order radiographic examination of the tube. - ANSWER-D
15.12. A nurse is beginning a peripheral venous get right of entry to IV infusion for a patient.
Following the technique, the nurse observes that the fluid does no longer drift easily into
the vein and the pores and skin across the insertion site is edematous and cool to touch.
What will be the nurse's subsequent action associated with these findings?
16.A. Reposition the extremity and lift the peak of the IV pole.
17.B. Apply stress to the dressing on the IV.
18.C. Pull the catheter out barely and reinsert it.
19.D. Put on gloves; dispose of the catheter; follow pressure with a sterile pad. -
ANSWER-D
20.12. After an initial pores and skin assessment, the nurse files the presence of a
reddened area that has blistered. According to identified staging systems, this ulcer
might be categorized as:
21.
22.A. Stage I
23.B. Stage II
24.C. Stage III
25.D. Stage IV - ANSWER-B ; A degree II strain ulcer includes partial thickness loss of
dermis and affords as a shallow open ulcer with a crimson crimson wound mattress,
without slough. It can also present as an intact or open/ruptured serum-crammed blister.
26.12. What action does the nurse perform to follow secure method when using a portable
oxygen cylinder?
27.
28.A. Checking the quantity of oxygen in the cylinder before the use of it
29.B. Using a cylinder for a patient transfer that shows available oxygen is 500 psi
30.C. Placing the oxygen cylinder on the stretcher subsequent to the patient
