VNSG 1423 Exam #1 Questions With
Answers 100% Solved
A nurse is caring for an 82-year-old patient who was admitted to the health care
facility for tachypnea and tachycardia. Which rationale below supports the
clients condition? - ANSWER The heart and lungs work together to provide
circulation of nutrients and oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's
respiratory rate. Which guideline should the nurse include? - ANSWER Count
each ventilation as one breathe Ch 17 pg.322-323
A nurse is caring for a client that has a fractured femur, the BP reading 140/49
mm Hg in the left arm. Which action should the nurse take first? - ANSWER Ask
the client if he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a
sitting position to go to the bathroom. The client faints. The nursing student
understands that the cause of fainting is due to - ANSWER Reduced
vasoconstriction of the arteries. Ch 17 pg 329
When measuring the blood pressure after placing the cuff correctly on the arm,
the nurse would assess, which of the following? - ANSWER palpate the artery.
Ch 17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines
for transmission based precautions. Which personal protective measures
should the nurse implement? Select all that apply (2/4) - ANSWER Enter airborne
infection isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
A nurse is caring for a client that has been placed in contact-based precaution
due to infectious diarrhea. The nurse should follow the CDC's guidelines by
performing which intervention? - ANSWER wash hands, put on gloves and gown
before entering the room. Ch 14, pg 236
, A nurse has a sterile package and has placed it on a clean surface in
preparation of an invasive procedure. What is the rationale for unfolding the first
flap farthest from the body? - ANSWER The nurse risks reaching across the
sterile package. Ch 22, pg 428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the
following items listed below are considered sterile and can be touched by the
nurse? Select all that apply (3/5) - ANSWER A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile
procedure. The nurse recognizes that which of the following has contaminated
the field? - ANSWER The nurse moistens a cotton ball with sterile normal saline
and places it on the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered
sterile. Which part of the syringe and or needle was correctly identified by the
nursing student as being sterile? - ANSWER hub on the needle. Ch 22, pg 429-
430
When opening a wrapper containing sterile gloves the nurse opens the outer
wrapper and discards it, positions the inner wrapped so the cuffs of the gloves
are towards the nurse and maintains sterility by touching the 1-inch vertical
flaps of the inside wrapper. What is the nurse's next step? - ANSWER Use non
dominant hand to pick up the glove by the cuff Ch 22, pg 433, step 5
A nurse is assessing an adult client who has a fever, and a pulse rate of 102
bpm. The nurse would expect the respiration rate to be: - ANSWER tachypneic
Ch17, pg. 323
A nurse is reviewing with a newly hired nurse the difference in localized
infection versus a systemic infection. The nurse inddicated understanding when
she states which of the following are manifestations of a systemic infection?
select all that apply (3/5) - ANSWER fever
malaise
increase pulse and respiratory rate
edema
pain or tenderness
Ch 14, pg 230
Answers 100% Solved
A nurse is caring for an 82-year-old patient who was admitted to the health care
facility for tachypnea and tachycardia. Which rationale below supports the
clients condition? - ANSWER The heart and lungs work together to provide
circulation of nutrients and oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's
respiratory rate. Which guideline should the nurse include? - ANSWER Count
each ventilation as one breathe Ch 17 pg.322-323
A nurse is caring for a client that has a fractured femur, the BP reading 140/49
mm Hg in the left arm. Which action should the nurse take first? - ANSWER Ask
the client if he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a
sitting position to go to the bathroom. The client faints. The nursing student
understands that the cause of fainting is due to - ANSWER Reduced
vasoconstriction of the arteries. Ch 17 pg 329
When measuring the blood pressure after placing the cuff correctly on the arm,
the nurse would assess, which of the following? - ANSWER palpate the artery.
Ch 17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines
for transmission based precautions. Which personal protective measures
should the nurse implement? Select all that apply (2/4) - ANSWER Enter airborne
infection isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
A nurse is caring for a client that has been placed in contact-based precaution
due to infectious diarrhea. The nurse should follow the CDC's guidelines by
performing which intervention? - ANSWER wash hands, put on gloves and gown
before entering the room. Ch 14, pg 236
, A nurse has a sterile package and has placed it on a clean surface in
preparation of an invasive procedure. What is the rationale for unfolding the first
flap farthest from the body? - ANSWER The nurse risks reaching across the
sterile package. Ch 22, pg 428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the
following items listed below are considered sterile and can be touched by the
nurse? Select all that apply (3/5) - ANSWER A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile
procedure. The nurse recognizes that which of the following has contaminated
the field? - ANSWER The nurse moistens a cotton ball with sterile normal saline
and places it on the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered
sterile. Which part of the syringe and or needle was correctly identified by the
nursing student as being sterile? - ANSWER hub on the needle. Ch 22, pg 429-
430
When opening a wrapper containing sterile gloves the nurse opens the outer
wrapper and discards it, positions the inner wrapped so the cuffs of the gloves
are towards the nurse and maintains sterility by touching the 1-inch vertical
flaps of the inside wrapper. What is the nurse's next step? - ANSWER Use non
dominant hand to pick up the glove by the cuff Ch 22, pg 433, step 5
A nurse is assessing an adult client who has a fever, and a pulse rate of 102
bpm. The nurse would expect the respiration rate to be: - ANSWER tachypneic
Ch17, pg. 323
A nurse is reviewing with a newly hired nurse the difference in localized
infection versus a systemic infection. The nurse inddicated understanding when
she states which of the following are manifestations of a systemic infection?
select all that apply (3/5) - ANSWER fever
malaise
increase pulse and respiratory rate
edema
pain or tenderness
Ch 14, pg 230
