TESTED QUESTIONS SOLVED
◉ A client who is wheelchair bound demonstrates positive Thomas
test after admission to the rehabilitation unit. The healthcare
provider prescribes positioning the client prone for 30 minutes
three times each day to prevent further flexion contractures. Based
on this finding, what change in the client's plan of care should the
nurse expect? Answer: There may be a delay in the rehabilitation
process
◉ Prostaglandin E2 (Prostin E2) is prescribed for client who had a
missed spontaneous abortion. Which finding should the nurse
expect? An increase in Answer: Uterine contractions
◉ A client with a general anxiety disorder is pacing the hallway. The
client tells the nurse,"My heart is just racing and sometimes it feels
like it's fluttering. I'm feeling short of breath and dizzy." What action
should the nurse implement first? Answer: Obtain the client's signs
◉ 44. A 22-year-old is involved in a motor vehicle collision and the
spinal cord is severed at the second cervical spine (C-2). What is the
most likely outcome of this injury? Answer: Death at the scene of the
accident due to respiratory arrest
,◉ A nurse plans to call the healthcare provider to report an 0600
serum potassium level of 2 mEq/L, but the charge nurse tells the
nurse that the healthcare provider does not like to receive early
morning calls and will make rounds later in the morning. What
action should the nurse take? Answer: Disregard the advice of the
charge nurse and contact the healthcare provider immediately to
report the laboratory value
◉ The nurse should carefully assess the client with which urinary
problem for fluid volume deficit? Answer: Polyuria
◉ What nursing intervention should the nurse include in the plan of
care for a client following a bone marrow aspiration? Answer: Use of
a compression dressing for firm pressure to the site
◉ An outcome for treatment of peripheral vascular disease is, "The
client will have decreased venous congestion". What client behavior
would indicate to the nurse that this outcome has been met?
Answer: Avoids prolonged sitting or standing
◉ When assessing a client, the nurse notices a pulsation below the
umbilicus. Upon auscultation of the area, a "swishing" sound is
detected. Based on these findings, what additional assessment
should the nurse perform? Answer: Measure the blood pressure
,◉ An alert and oriented client requiring droplet precautions is
placed in a private room at the end of the hallway. Several days later,
the nurse finds that the client is restless and anxious. What action
should the nurse implement? Answer: Encourage family members to
maintain a regular visitation schedule
◉ An estrogen preparation is prescribed for a client with prostate
cancer. The nurse should instruct the client to seek immediate
medical attention if what condition should develop? Answer: Pain in
the calves of the legs
◉ A client with carpal tunnel syndrome is in the out-patient surgical
unit after an endoscopic carpal tunnel release. What instructions
should the nurse provide the client regarding postoperative care?
Answer: Elevate the hand above the heart
◉ Which client should the nurse assess first? A client with Answer:
An inguinal hernia who has developed abdominal distention and
fever in the last 8 hours
◉ A client with a chest tube develops sepsis and dyspnea. Based on
findings in the client's medical record, which prescription should the
nurse implement first? Click on each chart tab for additional
information. Please be sure to scroll to the bottom right corner of
each tab to view all information contained in the client's medical
record.) Answer: Initiate ..
, ◉ The nurse is teaching a client with COPD about health promotion
activities. What is the most important advice the nurse should give
this client? Answer: "If you have not already done so, quit smoking"
◉ A client at 38-weeks gestation complains of abdominal pain. The
nurse notes that her abdomen is rigid. What is the probable cause of
these findings? Answer: Abruptio placenta
◉ The nurse assess the perineum of a client who is complaining of
perineal pain 6 hours after a normal delivery, and finds that the
client has small perineal (vulvar) hematomas. Based on this
assessment finding, which treatment should the nurse implement?
Answer: Apply cold packs to the perineum
◉ Family members of a client who is in hospice care discuss with the
nurse their fears that their loved one's death will be painful. Which
intervention should the nurse implement? Answer: Provide teaching
about available pain control options that might be helpful
◉ Which nurse's behavior is a breach of client confidentiality
according to the Health Insurance Portable Accountability Act
(HIPAA) regulations? Answer: Takes home a daily report sheet with
the information of the team's client's