QUESTIONS AND 100% VERIFIED ANSWERS /GRADED A+ /
GUARANTEED PASS!!
A charge nurse is reviewing the care of a client who has a chest tube connected to a
water seal drainage system in place following thoracic surgery with a newly
licensed nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of when to notify the provider?
A. "I will notify the provider if there is a fluctuation of drainage in the tubing with
inspiration"
B. "I will notify the provider if there is continuous bubbling in the water seal
chamber"
C. "I will notify the provider if there is drainage of of 60 mL in the first hour after
surgery"
D. "I will notify the provider if there are several small, dark-red blood clots in the
tubing"
- answer-B
A circulating nurse is monitoring the temperature in a surgical suite. The nurse
should identify that cool temperature reduces a client's risk for which of the
following potential complications of surgery?
A. Malignant hyperthermia
B. Blood clots
C. Infection
D. Hypoxia
- answer-C
A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for the treatment of hypothyroidism. The client has not been
taking the medication regularly. Which of the following findings should the nurse
expect?
A. Increased urine output
B. Persistent diarrhea
C. Tachycardia
D. Hypotension
- answer-D
,A nurse caring for a client who has viral meningitis. Which of the following
actions should the nurse take?
A. Assess the client's neurologic status every 8 hour
B. Initiate droplet precautions
C. Check capillary refill at least every 4 hours
D. Place the client in a well-lit environment
- answer-C
A nurse has administered propranolol by IV bolus to a client who is having a
thyroid storm. Which of the following findings indicates that the client is having a
therapeutic response?
A. Reduction of the effects of thyroid hormone on the heart
B. Blockage of the release of thyroid hormone from the thyroid gland
C. Increase the heart sensitivity to thyroid hormone
D. Increase the uptake of thyroid hormone by the thyroid gland
- answer-A
A nurse in a emergency department is caring for a client who has a bp of 254/139
mmHg. The nurse recognize that the client is in a hypertensive crisis. Which of the
following actions should the nurse take first?
A. Initiate seizure precautions
B. Tell the client to report vision changes
C. Elevate the head of the client bed
D. Start a peripheral IV
- answer-C
A nurse in a PACU is assessing a client who is postoperative. Which of the
following findings should the nurse report to the provider?
A. Blood pressure 10% lower than baseline
B. Pain level of 4 on a 0 to 10 scale
C. Presence of inspiratory stridor
D. Small amount of sanguineous drainage on dressing
- answer-C
A nurse in a provider's office is assessing a client who has COPD. Which of the
following findings is the priority for the nurse to report to the provider?
A. Increased anterior-posterior chest diameter
B. Productive cough with green sputum
C. Clubbing of the fingers
,D. pursed-lip breathing with exertion
- answer-B
A nurse in an emergency department is assessing a client who has
bradydysrhythmia. Which of the following findings should the nurse monitor for?
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
- answer-A
A nurse in an emergency department is assessing a newly admitted client. Which
of the following actions places the client at increased risk for contracting hepatitis
B?
A. Residing in an institutional setting
B. Engaging in unprotected sexual intercourse
C. Working with hazardous chemical waste materials
D. Travelling to a foreign country
- answer-B
A nurse in an emergency department is caring for a client who had an anterior
myocardial infarction. The client's hx reveal they are 1 wk postoperative following
an open cholecystectomy. The nurse should identify that which of the following
interventions is contraindicated?
A. Administering IV morphine Sulfate
B. Administering O2 at 2L/min via nasal cannula
C. Helping the client to the beside commode
D. Assisting with thrombolytic therapy
- answer-D
A nurse in an emergency department is caring for a client who reports
costovertebral angle tenderness, nausea, and vomiting. Which of the following
laboratory values should the nurse report to the provider?
A. WBC count 15,000/mm3
B. BUN 15 mg/dL
C. Urine specific gravity 1.020
D. Urine pH 5.5
- answer-A
, A nurse in an emergency department is caring for a client who suddenly lost
consciousness and fell while at a home. The provider determines that the client had
an embolic stroke. Which of the following medications should the nurse expect to
administer?
A. Tissue Plasminogen Activator
B. Recombinant factor VIII
C. Nitroglycerin
D. Lidocaine
- answer-A
A nurse in an outpatient clinic is teaching a client who has diabetic foot ulcer about
foot care. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will let my feet air dry after washing"
B. "I will wear sandals to allow air to circulate around my feet"
C. "I will buy OTC medicine to treat the calluses on my feet
D. I will apply lotion to the dry areas of my feet but not between my toes"
- answer-D
A nurse is a women's health clinic is caring for a client who reports urinary
urgency and dysuria. Which of the following additional findings should the nurse
identify as an indication of a UTI?
A. Vaginal discharge
B. Pyuria
C. Glucosuria
D. Elevated creatinine Kinase-MB
- answer-B
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first?
A. Insert a nasogastric tube for the client
B. Administer Ceftazidime to the client
C. Identify the client's current level of pain
D. Instruct the client to remain NPO
- answer-C
A nurse is admitting a client who has hyperthyroidism. When assessing the client.
the nurse should expect which of the following findings?
A. Cold intolerance
B. Lethargy