||ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST EXAM |
JUST RELEASED!!
In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
B. often follows relocation to new surroundings (Relocation (B) often results
in confusion among elderly clients-- moving is stressful for anyone. (A) is
stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for
confusion.)
,A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care
C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment
of the client's ability to perform a task, while (A and B) are subjective
measures. (D) is
important, but is less of a priority than the the nurse's assessment of the
client's ability to complete wound care.)
,A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery the
next day. What question is most important for the nurse to include during the
preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?"
B. "What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used during the
operative period. (A and C) are appropriate questions for long-term dietary
counseling. The nature of the surgery and anesthesia will determine the
need for a clear liquid diet (D), rather than the client's preference.)
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should the
nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water.
D. Encourage additional oral intake of juices and water.
, Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention
D. Assess the bladder for distention (Urinary retention is the inability to void
all urine collected in the bladder, which leads to uncomfortable bladder
distention (D). (A
and B) are useful actions to protect the skin of a client with urinary
incontinence. (C) may worsen the bladder distention.)
A client with acute hemorrhagic anemia is to receive four units of packed RBCs
as
rapidly as possible. Which intervention is most important for the nurse to
implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match.
D. Ensure the accuracy of the blood type match.
(ALL interventions should be implemented prior to administering blood, but
(D) has the highest priority. Any time blood is administered the nurse
should ensure the
accuracy of the blood type match in order to prevent a possible hemolytic
reaction.)