FINAL TEST BANK
A nurse caring for a client who has an infected wound removes a dressing saturated with blood and
purulent drainage. How should the nurse dispose of the dressing material?
A. Discard the dressing in the bedside trash receptacle.
B. Dispose of the dressing in a biohazardous waste container.
C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle. -
CORRECT ANSWER -B. Dispose of the dressing in a biohazardous waste container.
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous
pyelogram. Which of the following statements should the nurse report to the provider?
A. "I drink at least 2 quarts of fluid every day."
B. "The last time I voided it was painful and red-tinged."
C. "My period ended 2 days ago."
D. "I don't eat shellfish because it gives me hives." - CORRECT ANSWER -D. "I don't eat shellfish because
it gives me hives."
A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride (NaCl) 500 mL
IV to infuse 10 mEq/hr. The dnurse dshould dset dthe dIV dpump dto ddeliver dhow dmany dmL/hr? d(Round
dthe danswer dto dthe dnearest dwhole dnumber. dUse da dleading dzero dif dit dapplies. dDo dnot duse da
dtrailing dzero.)
CALCULATION d- dCORRECT dANSWER d-125 dmL/hr
A dnurse dworking dfor da dhome dagency dis dassessing dan dolder dadult dmale dclient. dWhich dof dthe
dfollowing dfindings dis dthe dpriority dfor dthe dnurse dto daddress?
,A. Swollen dgums
B. Pruritus
C. Urinary dHesitancy
D. Dysphagia d- dCORRECT dANSWER d-D. dDysphagia
A dnurse dis dgoing dto dgive da dpresentation dabout dpreventing ddeep-vein dthrombosis d(DVT). dWhich dof
dthe dfollowing dshould dthe dnurse dinclude das da drisk dfactor dfor dthis ddisorder? d(Select dall dthat
dapply.)
BMI dof d20
Recent dlong dflight
dHypertension
High dcalcium dintake
Immobility d- dCORRECT dANSWER d-Flights
dImmobility
A dnurse dis dteaching da dclient dwho dhas da dprescription dof da dnasogastric dtube d(NG) dto dtreat da
dpyloric dobstruction. dWhich dof dthe dfollowing drationales dfor dthe duse dof dthe dnasogastric dtube
dshould dthe dnurse dinclude din dthe dteaching?
A. Determine dthe dpH dof dthe dgastric dsecretions.
B. Supply dnutrients dvia dtube dfeedings.
C. Decompress dthe dstomach.
D. Administer dmedications. d- dCORRECT dANSWER d-C. dDecompress dthe dstomach.
, A dnurse dprovides da dback dmassage das da dpalliative dcare dmeasure dto da dclient dwho dis
dunconscious, dgrimacing, dand drestless. dWhich dof dthe dfollowing dfindings dshould dthe dnurse
didentify das dindicating da dtherapeutic dresponse? d(Select dall dthat dapply.)
The dshoulders ddroop.
dThe dfacial dmuscles
drelax.
The drespiratory drate dincreases.
The dpulse dis dwithin dthe dexpected drange.
The dclient ddraws dhis dlegs dup dinto da dfetal dposition. d- dCORRECT dANSWER d-The dshoulders
ddroop. dThe dfacial dmuscles drelax.
The dpulse dis dwithin dthe dexpected drange.
A dnurse dis dassessing da dclient dwho dis dpostoperative dand dhas danemia ddue dto dexcess dblood dloss
dfollowing dsurgery. dWhich dof dthe dfollowing dfindings dshould dthe dnurse dexpect?
A. Fatigue
B. Hypertension
C. Bradycardia
D. Diarrhea d- dCORRECT dANSWER d-A. dFatigue
A dnurse dis dreviewing dthe darterial dblood dgas d(ABG) dresults dof da dclient dwho dthe dprovider dsuspects
dhas dmetabolic dacidosis. dWhich dof dthe dfollowing dresults dshould dthe dnurse dexpect dto dsee?
A. pH dbelow d7.35
B. HCO3 dabove d26 dmEq/L
C. PaO2 dbelow d70 dmmHg
D. PaCO2 dabove d45 dmmHg d- dCORRECT dANSWER d-A. dpH dbelow d7.35