NSG 4800 Comprehensive Review Questions || with Complete
Solution.
The nurse is caring for assigned clients. Which of the following actions is appropriate for the
nurse to take?
A. Having a client with pertussis wear a surgical mask during transport
B. Wearing a respirator mask when caring for a client who has impetigo
C. Initiating airborne precautions for a client diagnosed with epiglottitis
D. Placing a client who had a stem cell transplant in contact isolation correct answers A. Having
a client with pertussis wear a surgical mask during transport
Pertussis is droplet precautions which requires the patient to wear a mask during transport and
requires the nurse to wear gloves, gown, surgical mask and a private room. The other diseases
are incorrectly matched to their isolation type.
The nurse is caring for a client who is currently prescribed bedrest. Which of the following
actions should the nurse take to help prevent the development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
B. Determine if the client is using the incentive spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow correct answers A. Instruct the client to perform leg
exercises
While other interventions are correct, they are to prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help with PE's specifically.
The nurse is planning care for a client who has end-stage cirrhosis of the liver with
encephalopathy. Which of the following interventions should the nurse be prepared to implement
to decrease the client's ammonia level?
A. Restrict the client's intake of fluid
, B. Administer prescribed Vitamin K
C. Administered prescribe diuretics
D. Reduce the client's intake of protein correct answers D. Reduce the client's intake of protein
The byproduct of protein is amino acids, which results in higher levels of ammonia. This is the
only intervention that would help decrease the ammonia level.
The nurse is caring for a client who is suspected of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures correct answers A. Initiate droplet precautions
While all are important interventions, initiating droplet precautions should be the priority.
The nurses talking with the parent of a three-year-old child who states, "I am concerned that my
child is in constant motion and is unable to sit long enough to listen to a story. I am wondering if
my child may be hyperactive?" Which of the following responses is most appropriate for the
nurse to make?
A. At three years of age, it is hard to tell.
B. I am not seeing any signs of hyperactivity.
C. Describe when and where this occurs.
D. It is normal for parents to worry about hyperactivity in their children. correct answers C.
Describe when and where this occurs.
The nurse has provided dietary teaching to a client who has a history of other sclerosis and a
recent laboratory test indicating an increased cholesterol level. Which of the following
statements by the client indicates a need for follow up?
A. I flavor my fish with lemon juice
Solution.
The nurse is caring for assigned clients. Which of the following actions is appropriate for the
nurse to take?
A. Having a client with pertussis wear a surgical mask during transport
B. Wearing a respirator mask when caring for a client who has impetigo
C. Initiating airborne precautions for a client diagnosed with epiglottitis
D. Placing a client who had a stem cell transplant in contact isolation correct answers A. Having
a client with pertussis wear a surgical mask during transport
Pertussis is droplet precautions which requires the patient to wear a mask during transport and
requires the nurse to wear gloves, gown, surgical mask and a private room. The other diseases
are incorrectly matched to their isolation type.
The nurse is caring for a client who is currently prescribed bedrest. Which of the following
actions should the nurse take to help prevent the development of a pulmonary embolus?
A. Instruct the client to perform leg exercises
B. Determine if the client is using the incentive spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow correct answers A. Instruct the client to perform leg
exercises
While other interventions are correct, they are to prevent atelectasis and pressure ulcers. Leg
exercises is the only intervention that would help with PE's specifically.
The nurse is planning care for a client who has end-stage cirrhosis of the liver with
encephalopathy. Which of the following interventions should the nurse be prepared to implement
to decrease the client's ammonia level?
A. Restrict the client's intake of fluid
, B. Administer prescribed Vitamin K
C. Administered prescribe diuretics
D. Reduce the client's intake of protein correct answers D. Reduce the client's intake of protein
The byproduct of protein is amino acids, which results in higher levels of ammonia. This is the
only intervention that would help decrease the ammonia level.
The nurse is caring for a client who is suspected of having bacterial meningitis. Which of the
following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures correct answers A. Initiate droplet precautions
While all are important interventions, initiating droplet precautions should be the priority.
The nurses talking with the parent of a three-year-old child who states, "I am concerned that my
child is in constant motion and is unable to sit long enough to listen to a story. I am wondering if
my child may be hyperactive?" Which of the following responses is most appropriate for the
nurse to make?
A. At three years of age, it is hard to tell.
B. I am not seeing any signs of hyperactivity.
C. Describe when and where this occurs.
D. It is normal for parents to worry about hyperactivity in their children. correct answers C.
Describe when and where this occurs.
The nurse has provided dietary teaching to a client who has a history of other sclerosis and a
recent laboratory test indicating an increased cholesterol level. Which of the following
statements by the client indicates a need for follow up?
A. I flavor my fish with lemon juice
