114 FINAL EXAM REVIEW QUESTIONS
AND VERIFIED ANSWERS
A bbclient bbvomits bbas bba bbnurse bbis bbinserting bbhis bboropharyngeal bbairway. bbWhat
/2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , / 2,
bbwould bbbe bbthe bbmost bbappropriate bbintervention bbin bbthis bbsituation? bb
/2, /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
A. bbremove bbthe bbairway, bbturn bbthe bbclient bbto bbthe bbside bband bbprovide bbmouth
/2, /2, /2, /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
bbsuction, bbif bbnecessary. bb
/2, /2, /2, /2,
B. bbimmediately bbremove bbthe bbairway, bbrinse bbthe bbclients bbmouth bbwith bbsterile
/2, /2, /2, /2 , /2, /2, /2, /2, /2 , /2,
bbwater, bband bbreport bbthis bbto bbthe bbphysician. bb
/2, /2, /2, /2, /2, /2, /2, /2,
C. bbleave bbthe bbairway bbin bbplace bband bbpromptly bbnotify bbthe bbphysician bbfor bbfurther
/2, /2, /2, /2, /2 , /2 , /2, /2, /2, /2, /2, /2,
bbinstructions. bb
/2, /2,
D. bbsuction bbthe bbclients bbmouth bbthrough bbthe bboropharyngeal bbairway bbto bbprevent
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bbaspiration. bb- bbAnswer bbA
/2, /2, /2, /2,
A bbnurse bbis bbimplementing bbthe bbprinciples bbof bbsurgical bbasepsis bbwhile bbinserting
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2,
bba bbclients bbinter bbdwelling bbcatheter. bbWhich bbof bbthe bbfollowing bbactions bbshould
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 ,
bbthe bbnurse bbperform?
/2, /2, /2,
A. bbhold bbsterile bbobjects bbabove bbwas bbit bblevel bbto bbprevent bbaccidental
/2, /2 , /2, /2 , /2, /2, /2, /2, /2, /2,
bbcontamination.
/2,
B. bbconsider bbthe bboutside bbof bbthe bbsterile bbpackage bbto bbbe bbpartially bbsterile.
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
C. bbconsider bbthe bbouter bb3 bbinch bbedge bbof bbthe bbsterile bbfield bbto bbbe
/2, /2, /2, /2, /2, /2 , /2, /2 , /2, /2, /2, /2,
bbcontaminated.
/2,
D. bbopen bbthe bbsterile bbpackages bbso bbthat bbthe bbfirst bbedge bbof bbthe bbwrapper bbis
/2, /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2, /2, /2,
bbdirected bbtoward bbyou. bb- bbAnswer bbA
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A bbnurse bbis bbcaring bbof bbt bba bbclient bbwho bbhas bba bbsurgical bbwound bbfollowing bba
/2, /2, /2, /2, /2 , /2, /2 , /2, /2 , /2, /2, /2, /2, /2,
bbbowel bbresection. bbThe bbnurses bbassessment bbreveals bbdehiscence bbof bbthe
/2, /2, /2, /2, /2, /2, /2 , /2 , /2,
bbwound bband bbthe bbnurse bbcontacts bbthe bbsurgeon. bbWhat bbcomplication bbof bbsurgery
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bbhas bbthis bbclient bbexperienced? bb
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A. bbthe bbedges bbof bbthe bbwound bbare bbmisaligned. bb
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B. bbthere bbis bban bbaccidental bbseparation bbof bbthe bbwound.
/2, /2, /2 , /2, /2, /2, /2, /2,
C. bbtehre bbis bban bbaccumulation bbof bbfluid bbin bbthe bbinterstitial bbtissue bbsurrounding
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bbthe bbwound. bb
/2, /2, /2,
D. bbthere bbis bbredness bbor bbinflammation bbof bban bbarea bbas bba bbresult bbof bbpossible
/2, /2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2 , /2,
bbwound bbinfection. bb- bbAnswer bbB
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A bbnurse bbis bbusing bba bbpulse bboximeter bbto bbmeasure bba bbclients bbSpO2 bbobtains bba
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , /2,
bbreading bbof bb90%. bbWhat bbis bbthe bbnurse's bbmost bbappropriate bbaction? bb
/2, /2, /2 , /2, /2, /2, /2, /2, /2, /2, /2,
A. bbencourage bbthe bbclient bbto bbdo bbdeep-breathing bbexercises.
/2, /2 , /2, /2, /2, /2 , /2,
B. bbRaise bbthe bbhead bbof bbthe bbclients bbbed bbslightly, bbif bbtolerated. bb
/2, /2, /2, /2, /2, /2 , /2, /2, /2, /2, /2,
, C. bbreview bbthe bbmedications bbthat bbthe bbclient bbhas bbtaken bbin bbthe bbpast bb90
/2, /2, /2 , /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
bbminutes. bb
/2, /2,
D. bbdocument bbthis bbexpected bbassessment bbfinding. bb- bbAnswer bbA
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A bbclient bbhas bbundergone bbfoot bbsurgery bband bbwill bbuse bbcrutches bbin bbthe bbshort
/2, /2, /2 , /2, /2 , /2 , /2, /2, /2, /2, /2, /2,
bbterm. bbWhich bbof bbthe bbfollowing bbteaching bbpoints bbshould bbthe bbnurse bbprovide bbto
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bbthe bbclient? bb
/2, /2, /2,
A. bbIf bbyou bbfeel bbtired bbwhile bbwalking bbwith bbyour bbcrutches, bbrest bbyour bbweight bbon
/2, /2, /2 , /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2 ,
bbyour bbarmpits bbfor bba bbmoment bband bbthen bbcontinue bbslowly. bb
/2, /2, /2, /2, /2, /2, /2, /2 , /2, /2,
B. bbYour bbelbows bbwill bbbe bbslightly bbbend bbwhen bbyou bbare bbusing bbyour bbcrutches.
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , /2,
C. bbwhen bbyour bbcrutches bbfit bbright, bbmost bbof bbyour bbbody bbweight bbwill bbbe
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bbsupported bbby bbyour bbarmpits.
/2, /2, /2, /2,
D. bbwe'll bbhave bbthe bbnursing bbassistant bbwatch bbyou bbwhile bbyou bbwalk bbaround bbthe
/2, /2, /2, /2 , /2, /2, /2 , /2, /2, /2, /2 , /2,
bbunit bbthe bbfirst bbtime. bb- bbAnswer bbB
/2, /2, /2 , /2, /2, /2 , /2,
A bbnurse bbis bbteaching bba bbclient bbhow bbto bbcare bbfor bbher bbdementia. bbWhich bbof
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bbthe bbfollowing bbis bba bbrecommended bbteaching bbguideline? bb
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A. bbremove bbyour bbdentures bbwhenever bbpossible bbin bborder bbto bbrest bbyour bbgums.
/2, /2, /2, /2, /2, /2, /2, /2 , /2, /2, /2,
B. bbwrap bbyour bbdentures bbin bba bbclean bbnapkin bbor bbfacecloth bbwhen bbnot bbusing
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbthem.
/2,
C. bbrinse bbyour bbdentures bbin bba bbdilute bbbleach bbsolution bbat bbleast bbonce bbper
/2, /2, /2 , /2 , /2, /2, /2, /2, /2, /2, /2, /2,
bbweek.
/2,
D. bbstore bbyour bbdentures bbin bbcold bbwater bbwhenever bbthey're bbnot bbin bbuse. bb-
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bbAnswer bbD
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Incentive bbSpirometer= bbinstruct bbclient bbto bb________ bbslowly bband bbas bbdeeply bbas
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bbpossible bbthrough bbthe bbmouthpiece bbwithout bbusing bbthe bbnose. bb- bbAnswer bbinhale
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A bbnurse bbis bbinspecting bba bbclients bbpressure bbulcer bbdocuments bbthe bbfollowing:
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bbfull bbthickness bbtissue bbloss; bbvisible bbsubcutaneous bbfat; bbno bbbone, bbtendon, bbor
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbmuscle bbvisible. bbTh bbnurse bbshould bbrecognize bbwhat bbstage bbof bbpressure bbulcer?
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bb
/2,
A. bbstage bb1
/2, /2,
B. bbstage bb2
/2, /2,
C. bbstage bb3
/2, /2,
D. bbstage bb4 bb- bbAnswer bbC
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Negative bbpressure bbwound bbtherapy bbhas bbbeen bbordered bbfor bba bbpatient bbwho /2, /2 , /2, /2, /2, /2, /2, /2, /2 , /2,
bbneeds bbto bbbe bbtreated bbfor bba bbchronic bbwound. bbWhich bbof bbthe bbfollowing bbwould
/2, /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2 , /2, /2,
bbbe bbincluded bbin bbthis bbclients bbplan bbof bbnursing bbcare? bb
/2, /2, /2, /2, /2 , /2, /2, /2, /2, /2,
A. bbto bbfacilitate bbadequate bbrest, bbdisconnect bbNPWT bbeach bbnight bbbetween bb2200
/2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
bband bb0700.
/2, /2,
B. bbrecord bbthe bbquantity bbof bbdrainage bbonce bbprettify bband bbdocument bbon bbthe
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
bbintake bband bboutput bbrecord.
/2, /2, /2 , /2,
C. bbchange bbthe bbwound bbdressing bbdaily, bbor bbmore bbfrequently bbis bbexcessive
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bboutput bbis bbnoted.
/2, /2, /2 ,
D. bbremove bbthe bbtransparent bbdressing bbif bba bbleak bbis bbnoted. bb- bbAnswer bbB
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AND VERIFIED ANSWERS
A bbclient bbvomits bbas bba bbnurse bbis bbinserting bbhis bboropharyngeal bbairway. bbWhat
/2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , / 2,
bbwould bbbe bbthe bbmost bbappropriate bbintervention bbin bbthis bbsituation? bb
/2, /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
A. bbremove bbthe bbairway, bbturn bbthe bbclient bbto bbthe bbside bband bbprovide bbmouth
/2, /2, /2, /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
bbsuction, bbif bbnecessary. bb
/2, /2, /2, /2,
B. bbimmediately bbremove bbthe bbairway, bbrinse bbthe bbclients bbmouth bbwith bbsterile
/2, /2, /2, /2 , /2, /2, /2, /2, /2 , /2,
bbwater, bband bbreport bbthis bbto bbthe bbphysician. bb
/2, /2, /2, /2, /2, /2, /2, /2,
C. bbleave bbthe bbairway bbin bbplace bband bbpromptly bbnotify bbthe bbphysician bbfor bbfurther
/2, /2, /2, /2, /2 , /2 , /2, /2, /2, /2, /2, /2,
bbinstructions. bb
/2, /2,
D. bbsuction bbthe bbclients bbmouth bbthrough bbthe bboropharyngeal bbairway bbto bbprevent
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbaspiration. bb- bbAnswer bbA
/2, /2, /2, /2,
A bbnurse bbis bbimplementing bbthe bbprinciples bbof bbsurgical bbasepsis bbwhile bbinserting
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2,
bba bbclients bbinter bbdwelling bbcatheter. bbWhich bbof bbthe bbfollowing bbactions bbshould
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 ,
bbthe bbnurse bbperform?
/2, /2, /2,
A. bbhold bbsterile bbobjects bbabove bbwas bbit bblevel bbto bbprevent bbaccidental
/2, /2 , /2, /2 , /2, /2, /2, /2, /2, /2,
bbcontamination.
/2,
B. bbconsider bbthe bboutside bbof bbthe bbsterile bbpackage bbto bbbe bbpartially bbsterile.
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
C. bbconsider bbthe bbouter bb3 bbinch bbedge bbof bbthe bbsterile bbfield bbto bbbe
/2, /2, /2, /2, /2, /2 , /2, /2 , /2, /2, /2, /2,
bbcontaminated.
/2,
D. bbopen bbthe bbsterile bbpackages bbso bbthat bbthe bbfirst bbedge bbof bbthe bbwrapper bbis
/2, /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2, /2, /2,
bbdirected bbtoward bbyou. bb- bbAnswer bbA
/2, /2, /2, /2, /2, /2,
A bbnurse bbis bbcaring bbof bbt bba bbclient bbwho bbhas bba bbsurgical bbwound bbfollowing bba
/2, /2, /2, /2, /2 , /2, /2 , /2, /2 , /2, /2, /2, /2, /2,
bbbowel bbresection. bbThe bbnurses bbassessment bbreveals bbdehiscence bbof bbthe
/2, /2, /2, /2, /2, /2, /2 , /2 , /2,
bbwound bband bbthe bbnurse bbcontacts bbthe bbsurgeon. bbWhat bbcomplication bbof bbsurgery
/2, /2, /2, /2, /2, /2 , /2 , /2 , /2, /2, /2,
bbhas bbthis bbclient bbexperienced? bb
/2, /2, /2 , /2, /2,
A. bbthe bbedges bbof bbthe bbwound bbare bbmisaligned. bb
/2, /2, /2, /2, /2, /2, /2, /2,
B. bbthere bbis bban bbaccidental bbseparation bbof bbthe bbwound.
/2, /2, /2 , /2, /2, /2, /2, /2,
C. bbtehre bbis bban bbaccumulation bbof bbfluid bbin bbthe bbinterstitial bbtissue bbsurrounding
/2, /2, /2, /2, /2, /2 , /2, /2, /2, /2, /2,
bbthe bbwound. bb
/2, /2, /2,
D. bbthere bbis bbredness bbor bbinflammation bbof bban bbarea bbas bba bbresult bbof bbpossible
/2, /2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2 , /2,
bbwound bbinfection. bb- bbAnswer bbB
/2, /2, /2, /2, /2,
A bbnurse bbis bbusing bba bbpulse bboximeter bbto bbmeasure bba bbclients bbSpO2 bbobtains bba
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , /2,
bbreading bbof bb90%. bbWhat bbis bbthe bbnurse's bbmost bbappropriate bbaction? bb
/2, /2, /2 , /2, /2, /2, /2, /2, /2, /2, /2,
A. bbencourage bbthe bbclient bbto bbdo bbdeep-breathing bbexercises.
/2, /2 , /2, /2, /2, /2 , /2,
B. bbRaise bbthe bbhead bbof bbthe bbclients bbbed bbslightly, bbif bbtolerated. bb
/2, /2, /2, /2, /2, /2 , /2, /2, /2, /2, /2,
, C. bbreview bbthe bbmedications bbthat bbthe bbclient bbhas bbtaken bbin bbthe bbpast bb90
/2, /2, /2 , /2, /2, /2, /2, /2, /2 , /2, /2 , /2,
bbminutes. bb
/2, /2,
D. bbdocument bbthis bbexpected bbassessment bbfinding. bb- bbAnswer bbA
/2, /2, /2, /2 , /2, /2, /2, /2,
A bbclient bbhas bbundergone bbfoot bbsurgery bband bbwill bbuse bbcrutches bbin bbthe bbshort
/2, /2, /2 , /2, /2 , /2 , /2, /2, /2, /2, /2, /2,
bbterm. bbWhich bbof bbthe bbfollowing bbteaching bbpoints bbshould bbthe bbnurse bbprovide bbto
/2, /2 , /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbthe bbclient? bb
/2, /2, /2,
A. bbIf bbyou bbfeel bbtired bbwhile bbwalking bbwith bbyour bbcrutches, bbrest bbyour bbweight bbon
/2, /2, /2 , /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2 ,
bbyour bbarmpits bbfor bba bbmoment bband bbthen bbcontinue bbslowly. bb
/2, /2, /2, /2, /2, /2, /2, /2 , /2, /2,
B. bbYour bbelbows bbwill bbbe bbslightly bbbend bbwhen bbyou bbare bbusing bbyour bbcrutches.
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2 , /2 , /2,
C. bbwhen bbyour bbcrutches bbfit bbright, bbmost bbof bbyour bbbody bbweight bbwill bbbe
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbsupported bbby bbyour bbarmpits.
/2, /2, /2, /2,
D. bbwe'll bbhave bbthe bbnursing bbassistant bbwatch bbyou bbwhile bbyou bbwalk bbaround bbthe
/2, /2, /2, /2 , /2, /2, /2 , /2, /2, /2, /2 , /2,
bbunit bbthe bbfirst bbtime. bb- bbAnswer bbB
/2, /2, /2 , /2, /2, /2 , /2,
A bbnurse bbis bbteaching bba bbclient bbhow bbto bbcare bbfor bbher bbdementia. bbWhich bbof
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2 , /2, /2,
bbthe bbfollowing bbis bba bbrecommended bbteaching bbguideline? bb
/2, /2, /2, /2, /2, /2, /2 , /2 ,
A. bbremove bbyour bbdentures bbwhenever bbpossible bbin bborder bbto bbrest bbyour bbgums.
/2, /2, /2, /2, /2, /2, /2, /2 , /2, /2, /2,
B. bbwrap bbyour bbdentures bbin bba bbclean bbnapkin bbor bbfacecloth bbwhen bbnot bbusing
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbthem.
/2,
C. bbrinse bbyour bbdentures bbin bba bbdilute bbbleach bbsolution bbat bbleast bbonce bbper
/2, /2, /2 , /2 , /2, /2, /2, /2, /2, /2, /2, /2,
bbweek.
/2,
D. bbstore bbyour bbdentures bbin bbcold bbwater bbwhenever bbthey're bbnot bbin bbuse. bb-
/2, /2, /2, /2, /2, /2 , /2 , /2, /2, /2, /2, /2,
bbAnswer bbD
/2, /2,
Incentive bbSpirometer= bbinstruct bbclient bbto bb________ bbslowly bband bbas bbdeeply bbas
/2, /2, /2, /2, /2, /2, /2 , /2, /2, /2,
bbpossible bbthrough bbthe bbmouthpiece bbwithout bbusing bbthe bbnose. bb- bbAnswer bbinhale
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 ,
A bbnurse bbis bbinspecting bba bbclients bbpressure bbulcer bbdocuments bbthe bbfollowing:
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2 ,
bbfull bbthickness bbtissue bbloss; bbvisible bbsubcutaneous bbfat; bbno bbbone, bbtendon, bbor
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
bbmuscle bbvisible. bbTh bbnurse bbshould bbrecognize bbwhat bbstage bbof bbpressure bbulcer?
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2 ,
bb
/2,
A. bbstage bb1
/2, /2,
B. bbstage bb2
/2, /2,
C. bbstage bb3
/2, /2,
D. bbstage bb4 bb- bbAnswer bbC
/2, /2, /2, /2, /2,
Negative bbpressure bbwound bbtherapy bbhas bbbeen bbordered bbfor bba bbpatient bbwho /2, /2 , /2, /2, /2, /2, /2, /2, /2 , /2,
bbneeds bbto bbbe bbtreated bbfor bba bbchronic bbwound. bbWhich bbof bbthe bbfollowing bbwould
/2, /2, /2, /2, /2, /2, /2 , /2, /2, /2, /2 , /2, /2,
bbbe bbincluded bbin bbthis bbclients bbplan bbof bbnursing bbcare? bb
/2, /2, /2, /2, /2 , /2, /2, /2, /2, /2,
A. bbto bbfacilitate bbadequate bbrest, bbdisconnect bbNPWT bbeach bbnight bbbetween bb2200
/2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
bband bb0700.
/2, /2,
B. bbrecord bbthe bbquantity bbof bbdrainage bbonce bbprettify bband bbdocument bbon bbthe
/2, /2, /2, /2 , /2, /2, /2, /2, /2, /2, /2,
bbintake bband bboutput bbrecord.
/2, /2, /2 , /2,
C. bbchange bbthe bbwound bbdressing bbdaily, bbor bbmore bbfrequently bbis bbexcessive
/2, /2, /2, /2, /2 , /2, /2, /2, /2, /2 ,
bboutput bbis bbnoted.
/2, /2, /2 ,
D. bbremove bbthe bbtransparent bbdressing bbif bba bbleak bbis bbnoted. bb- bbAnswer bbB
/2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2, /2,
