NSG 4800 EXAM QUESTIONS AND
VERIFIED CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
The patient sustained an open fracture of the femur from an automobile accident. The nurse
should assess the client for which type of shock?
A. cardiogenic
B. hypovolemic
C. neurogenic
D. anaphylactic - CORRECT ANSWER-B. A fractured femur, especially an open fracture, can cause
much soft tissue damage and lead to significant blood loss. Hypovolemic shock can develop.
Cardiogenic shock occurs when cardiac output is decreased as a result of ineffective pumping.
Neurogenic shock occurs as a result of an impaired autonomic nervous system function.
Anaphylactic shock is the result of an allergic reaction.
The registered nurse has received a report on four clients. The nurse should first assess the
client who has:
A.Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 89%
B.Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
C.been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis
therapy
D.Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - CORRECT
ANSWER-C.
,The client admitted with Guillain-Barre' Syndrome should be assessed first because of the
possibility of rapid progression of this illness and neuromuscular respiratory failure; clients with
COPD are likely to have pulse oximetry readings of 90% related to chronic hypoxia; this client
along with the other two choices are important, but not the priority.
A client with chronic renal failure is receiving hemodialysis three times a week. What should the
nurse do to protect the fistula?
A. Take the blood pressure in the arm with the fistula.
B. Report the loss of a thrill or bruit on the arm with the fistula.
C. Maintain a pressure dressing on the shunt.
D. Start a second IV in the arm with the fistula. - CORRECT ANSWER-B. The nurse must always
auscultate for a bruit and palpate for a thrill in the arm with the fistula and promptly report the
absence of either a thrill or bruit to the health care provider as it indicates an occlusion. The
client should not have a pressure dressing on the shunt and should avoid wearing tight clothing
or carrying heavy items such as a purse over the area of the shunt to avoid restricting blood
flow in the shunt. No procedures such as IV access, blood pressure measurements, or blood
draws are done on an arm with a fistula as they could damage the fistula.
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply.
Restating
Listening
Asking the client "Why?"
Maintaining neutral responses
Providing acknowledgment and feedback
Giving advice and approval or disapproval - CORRECT ANSWER-1, 2, 4, 5. Therapeutic
communication techniques include listening, maintaining silence, maintaining neutral
responses, using broad openings and open-ended questions, focusing and refocusing, restating,
clarifying and validating, sharing perceptions, reflecting, providing acknowledgment and
feedback, giving information, presenting reality, encouraging formulation of a plan of action,
providing nonverbal encouragement, and summarizing. Asking why is often interpreted as being
, accusatory by the client and should also be avoided. Providing advice or giving approval or
disapproval are barriers to communication.
Which client should the emergency department triage nurse classify as emergent?
A client with a displaced fracture who is crying
A client with a simple laceration and soft tissue injury
A client with crushing substernal pain who is short of breath
A client with a temperature of 101°F (38.3°C) with a productive cough - CORRECT ANSWER-3, A
triage method commonly used in the emergency department consists of 3 categories:
emergent, urgent, and nonurgent. The emergent category implies that a condition exists that
poses an immediate threat to life or limb. An example of a client who fits into this category is
the client experiencing crushing substernal pain who is short of breath. The urgent category
indicates that the client should be treated quickly but that an immediate threat to life does not
exist at the moment. The client with a displaced fracture who is crying and the client with a
temperature of 101°F (38.3°C) and a productive cough would fit into this category. The
nonurgent category indicates that the client can generally tolerate waiting several hours for
health care services without a significant risk of clinical deterioration. The client with a simple
laceration and soft tissue injury would fit into this category.
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask the client
about which sign or symptom?
1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - CORRECT ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other signs and
symptoms include lethargy, personality changes, generalized edema, impaired memory, slowed
speech, cold intolerance, dry skin, muscle weakness, constipation, weight gain (10-30lbs), heavy
menstrual periods (menorrhagia), and hair loss.
VERIFIED CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
The patient sustained an open fracture of the femur from an automobile accident. The nurse
should assess the client for which type of shock?
A. cardiogenic
B. hypovolemic
C. neurogenic
D. anaphylactic - CORRECT ANSWER-B. A fractured femur, especially an open fracture, can cause
much soft tissue damage and lead to significant blood loss. Hypovolemic shock can develop.
Cardiogenic shock occurs when cardiac output is decreased as a result of ineffective pumping.
Neurogenic shock occurs as a result of an impaired autonomic nervous system function.
Anaphylactic shock is the result of an allergic reaction.
The registered nurse has received a report on four clients. The nurse should first assess the
client who has:
A.Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 89%
B.Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
C.been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis
therapy
D.Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - CORRECT
ANSWER-C.
,The client admitted with Guillain-Barre' Syndrome should be assessed first because of the
possibility of rapid progression of this illness and neuromuscular respiratory failure; clients with
COPD are likely to have pulse oximetry readings of 90% related to chronic hypoxia; this client
along with the other two choices are important, but not the priority.
A client with chronic renal failure is receiving hemodialysis three times a week. What should the
nurse do to protect the fistula?
A. Take the blood pressure in the arm with the fistula.
B. Report the loss of a thrill or bruit on the arm with the fistula.
C. Maintain a pressure dressing on the shunt.
D. Start a second IV in the arm with the fistula. - CORRECT ANSWER-B. The nurse must always
auscultate for a bruit and palpate for a thrill in the arm with the fistula and promptly report the
absence of either a thrill or bruit to the health care provider as it indicates an occlusion. The
client should not have a pressure dressing on the shunt and should avoid wearing tight clothing
or carrying heavy items such as a purse over the area of the shunt to avoid restricting blood
flow in the shunt. No procedures such as IV access, blood pressure measurements, or blood
draws are done on an arm with a fistula as they could damage the fistula.
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply.
Restating
Listening
Asking the client "Why?"
Maintaining neutral responses
Providing acknowledgment and feedback
Giving advice and approval or disapproval - CORRECT ANSWER-1, 2, 4, 5. Therapeutic
communication techniques include listening, maintaining silence, maintaining neutral
responses, using broad openings and open-ended questions, focusing and refocusing, restating,
clarifying and validating, sharing perceptions, reflecting, providing acknowledgment and
feedback, giving information, presenting reality, encouraging formulation of a plan of action,
providing nonverbal encouragement, and summarizing. Asking why is often interpreted as being
, accusatory by the client and should also be avoided. Providing advice or giving approval or
disapproval are barriers to communication.
Which client should the emergency department triage nurse classify as emergent?
A client with a displaced fracture who is crying
A client with a simple laceration and soft tissue injury
A client with crushing substernal pain who is short of breath
A client with a temperature of 101°F (38.3°C) with a productive cough - CORRECT ANSWER-3, A
triage method commonly used in the emergency department consists of 3 categories:
emergent, urgent, and nonurgent. The emergent category implies that a condition exists that
poses an immediate threat to life or limb. An example of a client who fits into this category is
the client experiencing crushing substernal pain who is short of breath. The urgent category
indicates that the client should be treated quickly but that an immediate threat to life does not
exist at the moment. The client with a displaced fracture who is crying and the client with a
temperature of 101°F (38.3°C) and a productive cough would fit into this category. The
nonurgent category indicates that the client can generally tolerate waiting several hours for
health care services without a significant risk of clinical deterioration. The client with a simple
laceration and soft tissue injury would fit into this category.
A patient is being evaluated for hypothyroidism. To plan care, the nurse should ask the client
about which sign or symptom?
1) corneal abrasion
2) weight loss
3) diarrhea
4) fatigue - CORRECT ANSWER-Fatigue
Rationale: A major problem for the person with hypothyroidism is fatigue. Other signs and
symptoms include lethargy, personality changes, generalized edema, impaired memory, slowed
speech, cold intolerance, dry skin, muscle weakness, constipation, weight gain (10-30lbs), heavy
menstrual periods (menorrhagia), and hair loss.
