NURS 640 REVIEW EXAM ALL TEST QUESTIONS
AND ANSWERS SURE A+
✔✔A client is diagnosed with acute peripheral arterial occlusion. The nurse should
prepare to provide which of the following interventions for this client? - ✔✔intravenous
heparin therapy is usually the first intervention
✔✔A client receiving a heparin infusion is demonstrating signs of acute bleeding. Which
of the following should the nurse prepare to administer to this client? - ✔✔Protamine
Sulfate
✔✔clients blood pressure measurements have a 20 mmHg difference between the
upper extremity readings. Which of the following does this assessment finding suggest
to the nurse? - ✔✔subclavian steal syndrome
✔✔The nurse is assessing a client for risks in the development of varicose veins. Which
of the following findings would increase this clients risk? - ✔✔thrombophlebitis, obesity,
prolonged standing, pregnancy, and liver or pancreas dysfunction
✔✔A client is having laboratory tests conducted to confirm a diagnosis of
arteriosclerosis. Which of the following laboratory values would support this clients
medical diagnosis? - ✔✔cholesterol, LDL, HDL, and triglycerides.
, ✔✔The nurse is assessing a client diagnosed with a peripheral arterial occlusion. Which
of the following will the nurse assess in this client? - ✔✔e six Ps: pulseless, pain, pallor,
paresthesia, paralysis, and poikilocythemia
✔✔The nurse is instructing a client recovering from arterial aneurysm repair. Which of
the following should be included in these instructions? - ✔✔imit lifting to 15 to 20 lbs;
limit activity for up to 8 weeks after the surgery; use a pillow to splint when coughing;
and notify the physician for pain, redness, or swelling around the incision
✔✔The nurse is utilizing the Wells Scale to assess a client for deep vein thrombosis.
Which of the following is assessed when using this scale? - ✔✔treatment or diagnosis
of cancer, recent immobility for greater than 3 days, recovery from surgery during which
the client received general or regional anesthesia within 12 weeks, entire leg swollen,
and pitting edema confined to the symptomatic leg
✔✔A client is diagnosed with a venous stasis ulcer on the foot. Which of the following
will be included in this clients plan of care - ✔✔oral antibiotics if infection is present,
cover the wound with hydrocolloidal dressing if indicated to promote the formation of
granulation tissue, provide pain medication with debridement
✔✔Before administering an antacid, the nurse should instruct a client that this
medication works in the: - ✔✔stomach to neutralize stomach acids
✔✔The nurse is assessing a client diagnosed with gastroesophageal reflux disease.
Which of the following should be included in this assessment? - ✔✔Presence of pyrosis
or heartburn should be assessed in this client.
✔✔During an assessment, the nurse determines a client is at risk for ulcerative
stomatitis and gum disease because the client has a history of: - ✔✔smoking
✔✔A client is diagnosed with a swallowing disorder. The nurse realizes that which type
of diet would be indicated for this client - ✔✔mechanical soft
✔✔To support the nutritional needs of a client with dysphagia, the nurse realizes that all
of the following are mechanisms to provide enteral feeding - ✔✔NG Tube
PEG Tube
J Tube
✔✔A client is scheduled for diagnostic tests to determine the ability to swallow. Which
of the following diagnostic tests will provide the best information regarding this clients
status? - ✔✔videofluoroscopy or a modified barium swallow
AND ANSWERS SURE A+
✔✔A client is diagnosed with acute peripheral arterial occlusion. The nurse should
prepare to provide which of the following interventions for this client? - ✔✔intravenous
heparin therapy is usually the first intervention
✔✔A client receiving a heparin infusion is demonstrating signs of acute bleeding. Which
of the following should the nurse prepare to administer to this client? - ✔✔Protamine
Sulfate
✔✔clients blood pressure measurements have a 20 mmHg difference between the
upper extremity readings. Which of the following does this assessment finding suggest
to the nurse? - ✔✔subclavian steal syndrome
✔✔The nurse is assessing a client for risks in the development of varicose veins. Which
of the following findings would increase this clients risk? - ✔✔thrombophlebitis, obesity,
prolonged standing, pregnancy, and liver or pancreas dysfunction
✔✔A client is having laboratory tests conducted to confirm a diagnosis of
arteriosclerosis. Which of the following laboratory values would support this clients
medical diagnosis? - ✔✔cholesterol, LDL, HDL, and triglycerides.
, ✔✔The nurse is assessing a client diagnosed with a peripheral arterial occlusion. Which
of the following will the nurse assess in this client? - ✔✔e six Ps: pulseless, pain, pallor,
paresthesia, paralysis, and poikilocythemia
✔✔The nurse is instructing a client recovering from arterial aneurysm repair. Which of
the following should be included in these instructions? - ✔✔imit lifting to 15 to 20 lbs;
limit activity for up to 8 weeks after the surgery; use a pillow to splint when coughing;
and notify the physician for pain, redness, or swelling around the incision
✔✔The nurse is utilizing the Wells Scale to assess a client for deep vein thrombosis.
Which of the following is assessed when using this scale? - ✔✔treatment or diagnosis
of cancer, recent immobility for greater than 3 days, recovery from surgery during which
the client received general or regional anesthesia within 12 weeks, entire leg swollen,
and pitting edema confined to the symptomatic leg
✔✔A client is diagnosed with a venous stasis ulcer on the foot. Which of the following
will be included in this clients plan of care - ✔✔oral antibiotics if infection is present,
cover the wound with hydrocolloidal dressing if indicated to promote the formation of
granulation tissue, provide pain medication with debridement
✔✔Before administering an antacid, the nurse should instruct a client that this
medication works in the: - ✔✔stomach to neutralize stomach acids
✔✔The nurse is assessing a client diagnosed with gastroesophageal reflux disease.
Which of the following should be included in this assessment? - ✔✔Presence of pyrosis
or heartburn should be assessed in this client.
✔✔During an assessment, the nurse determines a client is at risk for ulcerative
stomatitis and gum disease because the client has a history of: - ✔✔smoking
✔✔A client is diagnosed with a swallowing disorder. The nurse realizes that which type
of diet would be indicated for this client - ✔✔mechanical soft
✔✔To support the nutritional needs of a client with dysphagia, the nurse realizes that all
of the following are mechanisms to provide enteral feeding - ✔✔NG Tube
PEG Tube
J Tube
✔✔A client is scheduled for diagnostic tests to determine the ability to swallow. Which
of the following diagnostic tests will provide the best information regarding this clients
status? - ✔✔videofluoroscopy or a modified barium swallow
