NU 325 Health Assessment – Final Exam Review Questions
University of Pennsylvania Complete Q&A Study Resource
The |client |is |diagnosed |with |a |benign |brain |tumor. |Which |of |the |following |features |of |a |benign |tumor
|is |of |most |concern |to |the |nurse? |- |answersTumor |pressure |against |normal |tissues
The |client |is |receiving |a |vesicant |antineoplastic |for |treatment |of |cancer. |Which |assessment |finding |
would |require |the |nurse |to |take |immediate |action? |- |answersExtravasation
A |client |has |been |receiving |chemotherapy. |Upon |assessing |the |client |during |morning |rounds, |the |
nurse |notes |the |client |is |now |bleeding |from |intravenous |and |venipuncture |sites. |Stool |is |positive |for |
occult |blood. |The |client |is |requesting |to |sit |in |a |chair |for |a |meal. |The |nurse |implements |the |following |
interventions: |(Select |all |that |apply.) |- |answers-Assess |level |of |consciousness.
-Apply |pressure |to |the |bleeding |sites.
-Check |intake |and |output |records.
A |nurse |is |planning |the |care |of |an |older |adult |client |who |will |soon |be |discharged |home |after |
treatment |for |a |fractured |hip. |In |an |effort |to |prevent |future |fractures, |the |nurse |should |encourage |
what |actions? |Select |all |that |apply. |- |answers-Regular |bone |density |testing
-A |high-calcium |diet
-Use |of |falls |prevention |precautions
-Weight-bearing |exercise
Which |actions |by |the |nurse |demonstrate |an |understanding |of |caring |for |a |client |in |traction? |Select |all
|that |apply. |- |answers-Placing |a |trapeze |on |the |bed
-Ensuring |that |the |weights |are |hanging |freely
-Assessing |the |client's |alignment |in |the |bed
-Frequently |assessing |pain |level
What |is |the |priority |action |when |the |circulating |nurse |is |completing |a |second |verification |of |the |
surgical |procedure |and |surgical |site? |- |answersObtain |the |attention |of |all |members |of |the |surgical |
team.
During |the |preoperative |assessment, |the |client |mentions |allergies |to |avocados, |bananas, |and |
hydrocodone. |What |is |the |priority |action |by |the |nurse? |- |answersNotify |the |surgical |team |to |remove |
all |latex-based |items.
A |PACU |nurse |is |caring |for |a |postoperative |client |who |received |general |anesthesia |and |has |a |hard, |
plastic |oral |airway |in |place. |The |patient |has |clear |lung |sounds, |even |and |unlabored |respirations |of |16,
University of Pennsylvania Complete Q&A Study Resource
The |client |is |diagnosed |with |a |benign |brain |tumor. |Which |of |the |following |features |of |a |benign |tumor
|is |of |most |concern |to |the |nurse? |- |answersTumor |pressure |against |normal |tissues
The |client |is |receiving |a |vesicant |antineoplastic |for |treatment |of |cancer. |Which |assessment |finding |
would |require |the |nurse |to |take |immediate |action? |- |answersExtravasation
A |client |has |been |receiving |chemotherapy. |Upon |assessing |the |client |during |morning |rounds, |the |
nurse |notes |the |client |is |now |bleeding |from |intravenous |and |venipuncture |sites. |Stool |is |positive |for |
occult |blood. |The |client |is |requesting |to |sit |in |a |chair |for |a |meal. |The |nurse |implements |the |following |
interventions: |(Select |all |that |apply.) |- |answers-Assess |level |of |consciousness.
-Apply |pressure |to |the |bleeding |sites.
-Check |intake |and |output |records.
A |nurse |is |planning |the |care |of |an |older |adult |client |who |will |soon |be |discharged |home |after |
treatment |for |a |fractured |hip. |In |an |effort |to |prevent |future |fractures, |the |nurse |should |encourage |
what |actions? |Select |all |that |apply. |- |answers-Regular |bone |density |testing
-A |high-calcium |diet
-Use |of |falls |prevention |precautions
-Weight-bearing |exercise
Which |actions |by |the |nurse |demonstrate |an |understanding |of |caring |for |a |client |in |traction? |Select |all
|that |apply. |- |answers-Placing |a |trapeze |on |the |bed
-Ensuring |that |the |weights |are |hanging |freely
-Assessing |the |client's |alignment |in |the |bed
-Frequently |assessing |pain |level
What |is |the |priority |action |when |the |circulating |nurse |is |completing |a |second |verification |of |the |
surgical |procedure |and |surgical |site? |- |answersObtain |the |attention |of |all |members |of |the |surgical |
team.
During |the |preoperative |assessment, |the |client |mentions |allergies |to |avocados, |bananas, |and |
hydrocodone. |What |is |the |priority |action |by |the |nurse? |- |answersNotify |the |surgical |team |to |remove |
all |latex-based |items.
A |PACU |nurse |is |caring |for |a |postoperative |client |who |received |general |anesthesia |and |has |a |hard, |
plastic |oral |airway |in |place. |The |patient |has |clear |lung |sounds, |even |and |unlabored |respirations |of |16,
