B COMPLETE EXAM QUESTIONS WITH DETAILED ANSWERS| VERIFIED
ANSWERS|ALREADY GRADED A+
A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a
client whose leg is in Buck's traction. Which of the following statements indicates the AP
understands the teaching?
"The footplate works to anchor the traction."
"The footplate helps to prevent foot drop."
"The footplate keeps the client from sliding down in bed."
"The footplate prevents pressure sores on the heel." - CORRECT ANSWER-"The footplate helps
to prevent foot drop."
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease?
Intermittent claudication
Dependent rubor
Rest pain
Foot ulcers - CORRECT ANSWER-Intermittent claudication
A nurse is planning care for a client who has terminal cancer and has a prescription for
morphine. Which of the following interventions should the nurse include in the plan of care?
Instruct the client to take diphenoxylate/atropine 5 mg PO twice a day.
Instruct the client to actively cough to prevent a buildup of secretions in the airway.
,Instruct the client to stop taking the morphine if itching develops.
Instruct the client to keep room lights dim during waking hours. - CORRECT ANSWER-Instruct
the client to actively cough to prevent a buildup of secretions in the airway.
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse
about menopausal hormone therapy (HT). The nurse should inform the client that HT is not
recommended due to which of the following findings in the client's medical history?
History of dermatitis
History of breast cancer
Multiple hospitalizations for COPD
Concurrent treatment for GERD - CORRECT ANSWER-History of breast cancer
A nurse is planning care for a client following a cardiac catheterization accessed through his
femoral artery. Which of the following actions should the nurse plan to take?
Instruct the client to perform range-of-motion exercises to his lower extremities.
Perform neurovascular checks with vital signs.
Ambulate the client 1 hr following the procedure.
Restrict the client's fluid intake. - CORRECT ANSWER-Perform neurovascular checks with vital
signs.
A nurse is caring for a client who has a spinal cord injury and suspects the client is developing
autonomic dysreflexia. Which of the following actions should the nurse take first?
Check the client for a fecal impaction.
Examine the client for areas of skin breakdown.
Check the client's bladder for distention.
,Place the client in a sitting position. - CORRECT ANSWER-Place the client in a sitting position.
A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the
following findings should the nurse expect?
HCO3- 30 mEq/L
PaCO2 50 mm Hg
pH 7.45
Potassium 3.3 mEq/L - CORRECT ANSWER-PaCO2 50 mm Hg
A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a
manifestation of this diagnosis?
Hypertension
Bounding peripheral pulses
Tachycardia
Hyperglycemia - CORRECT ANSWER-Tachycardia
A staff nurse is teaching a client who has Addison's disease about the disease process. The client
asks the nurse what causes Addison's disease. Which of the following responses should the
nurse make?
"It is caused by the lack of production of insulin by the pancreas.."
"It is caused by the lack of production of aldosterone by the adrenal gland."
"It is caused by the overproduction of growth hormone by the pituitary gland."
"It is caused by the overproduction of parathormone by the parathyroid gland." - CORRECT
ANSWER-"It is caused by the lack of production of aldosterone by the adrenal gland."
, A nurse is reviewing blood pressure classifications with a group of nurses at an in-service
meeting. Which of the following should the nurse include as a risk factor for the development of
hypertension?
High-density lipoprotein (HDL) level of 70 mg/dL
A diet high in potassium.
Obstructive sleep apnea (OSA)
Taking benazepril - CORRECT ANSWER-Obstructive sleep apnea (OSA)
A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel
obstruction. The nurse should withhold which of the following medications?
Senna
Ibuprofen
Omeprazole
Zolpidem - CORRECT ANSWER-Senna
A nurse is caring for a client who is postoperative following an open reduction internal fixation
(ORIF) of a femur fracture. Which of the following parameters should the nurse include in the
evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)
Color
Temperature
Ecchymosis
Skin integrity
Sensation - CORRECT ANSWER-Color