RNSG 1517: PROTECTION AND
REGULATION SEMESTER 1 QUIZ
EXAM | COMPLETE QUESTIONS WITH
CORRECT ANSWERS AND DETAILED
RATIONALES - LATEST UPDATE 2026
The nurse is caring for an older client during the intraoperative stage. The anesthesi
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a process has already begun and the nurse has already removed the dentures, eyeg
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lasses, and hearing aids. After the nurse performs these actions, what would be the
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order the intraoperative nursing interventions should take place?
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1.The nurse should cover the client's head and feet.
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2.The client is lifted into position to prevent shearing forces.
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3.The nurse should use a small pillow under the client's head.
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4.The nurse should follow aseptic technique.
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5.The nurse should pad bony prominences to prevent pressure sores.
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6.The nurse should use warming device to prevent hypothermia.
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7.The nurse should carefully monitor the input and output of fluids including blood.
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8.The nurse should position arthritic and artificial joints carefully to prevent postopera
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tive pain. qf
9.The nurse should warm intravenous and irrigation fluids as ind - ANSWERS-
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1.The nurse should use a small pillow under the client's head.
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2.The client is lifted into position to prevent shearing forces.
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3.The nurse should position arthritic and artificial joints carefully to prevent postopera
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tive pain. qf
4.The nurse should pad bony prominences to prevent pressure sores.
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5.The nurse should use warming device to prevent hypothermia.
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6.The nurse should cover the client's head and feet.
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7.The nurse should warm intravenous and irrigation fluids as indicated by agency pol
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icy and manufacturer's recommendations.
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8.The nurse should follow aseptic technique.
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9.The nurse should carefully monitor the input and output of fluids including blood
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The nurse suspects that an intraoperative client has a distended bladder. Which met
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hod is correct to assess for this condition?
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,1.Inspect and palpate in the epigastric region.
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2.Auscultate and percuss in the inguinal areas. qf qf qf qf qf qf
3.Percuss and palpate in the hypogastric region.qf qf qf qf qf qf
4.Percuss and palpate bilaterally in the lumbar areas - ANSWERS-
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3.Percuss and palpate in the hypogastric region.qf qf qf qf qf qf
To detect a distended bladder, percussion and palpation should be performed over t
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he hypogastric region of the abdomen.
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In the postanesthesia care unit a client received intrathecal morphine intraoperatively
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to control pain. Considering the administration of this medication, what should the n
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urse include as part of the client's initial 24-hour postoperative care?
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1.Monitoring of respiratory rate hourly qf qf qf qf
2.Assessing the client for tachycardia qf qf qf qf
3.Administering naloxone every 3 to 4 hours qf qf qf qf qf qf
4.Observing the client for signs of central nervous system (CNS) excitement -
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ANSWERS-1.Monitoring of respiratory rate hourly
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Intrathecal morphine can depress respiratory function depending on the level it reach
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es within the spinal column; hourly assessments during the first 12 to 24 hours will all
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ow for early intervention with an antidote if respiratory depression needs to be correc
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ted.
The nurse is preparing an intraoperative care plan for a client. Which intervention sh
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ould be excluded from the care plan?
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1.Ensuring the client's skin integrity qf qf qf qf
2.Reviewing the preoperative instructions qf qf qf
3.Administering general anesthetic to the client qf qf qf qf qf
4.Placing the client in the correct position on the operating table - ANSWERS-
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3.Administering general anesthetic to the client qf qf qf qf qf
The nurse is providing post-
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procedure care to a client after an arthroscopy. What will be the nurse's priority while
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providing care to the client?
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1.Encouraging the client to perform exercises qf qf qf qf qf
2.Elevating the affected extremity for 12 to 24 hours qf qf qf qf qf qf qf qf
3.Assessing the neurovascular status of the client's affected limb
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4.Administering analgesics as prescribed by the primary healthcare provider - qf qf qf qf qf qf qf qf qf
ANSWERS-3.Assessing the neurovascular status of the client's affected limb.
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The priority for post-
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procedure care after arthroscopy is to assess the neurovascular status of the client's
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affected limb qf
The nurse is assessing four clients in the postoperative unit. Which client will be mon
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itored for fluid volume overload as nursing safety priority?
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A.Client with lymph node dissection
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B.Client with laparoscopic cholecystechtomy
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C.Client with surgical intervention for hemorrhoids
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,D.Client with liver transplantation - ANSWERS-A.Client with lymph node dissection
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The nursing safety priority for client A with lymph node dissection is monitoring for m
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anifestations of fluid overload. qf qf qf
The nurse is caring for different clients in a healthcare setting who are diagnosed wit
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h respiratory disorders. Which client may have the anteroposterior chest diameter eq
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ual to the lateral chest and the slope of the ribs more horizontal to the spine?
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1.Cystic Fibrosis qf
2.Bronchiectasis qf
3.Metabolic Acidosis qf qf
4.Pulmonary edema - ANSWERS-1.Cystic Fibrosis qf qf qf qf
Client 1 with cystic fibrosis may have increased anteroposterior diameter; that is, the
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anteroposterior chest diameter is equal to the lateral chest measurement and the slo qf qf qf qf qf qf qf qf qf qf qf qf
pe of the ribs are more horizontal to the spine.
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During post- qf
operative care, the nurse finds that a client has hypotension. Which priority interventi
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on does the nurse expects to begin?
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1.Starting O2 therapy qf qf
2.Inspecting the surgical incision qf qf qf
3.Administration of IV fluid boluses qf qf qf qf
4.Administration of vasoconstrictive agents - ANSWERS-1.Starting O2 therapy qf qf qf qf qf qf qf
Treatment of hypotension in postoperative clients should always begin with oxygen t
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herapy to promote oxygenation of hypoperfused organs.
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The nurse is assessing four clients in the postanesthesia care unit (PCU) who are on
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opioid treatment. Which client does the nurse expect will benefit from an immediate t
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reatment with naloxone? qf qf
A.Frequently drowsy, arousable, drifts off to sleep during conversation. RR: 15
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B.Slightly drowsy, easily aroused RR: 24 qf qf qf qf qf
C.Awake and alert RR:32 qf qf qf
D.Minimal response to verbal and physical stimulation RR:10 - ANSWERS-
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D.Minimal response to verbal and physical stimulation RR:10
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The client receives dosages of sedative and opioid drugs during the postoperative pe
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riod following surgical correction of a small bowel obstruction. What is the most critic
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al assessment to be performed as a nursing safety priority?
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1.Urinary assessment qf
2.Respiratory assessment qf
3Cardiovascular assessment qf
4Neuromuscular assessment - ANSWERS-2.Respiratory assessment qf qf qf qf
After undergoing minor surgery, a postoperative child has recovered from anesthesia
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. Which observations may indicate that the child is fit to be discharged? Select all tha
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t apply.
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1.Vital signs are stable. qf qf qf
2.Temperature is 101° F. qf qf qf
3.The child is alert and oriented.
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4.Pain rate is at baseline level. qf qf qf qf qf
, 5.Oxygen saturation is 75% on room air. - ANSWERS-1.Vital signs are stable.
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3.The child is alert and oriented.
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4.Pain rate is at baseline level.
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Which client should the nurse most likely suspect to have a bacterial infection when
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dressing the wounds of four postoperative clients?
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A.Foul odor from wound when dressing is changed
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B.Increased tenderness at wound margins qf qf qf qf
C.Erythema of the incision on each side of wound qf qf qf qf qf qf qf qf qf
D.Necrosis of skin edges - ANSWERS- qf qf qf qf qf
A.Foul odor from wound when dressing is changed
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Which type of immune preparation, made from donated blood, contains antibodies th
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at provide passive immunity?
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1.Toxoid
2.Killed vaccine qf
3.Live attenuated vaccine
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4.Specific immune globulin - ANSWERS-4.Specific immune globulin
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Specific immune globulins contain a high concentration of antibodies directed at spe
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cific antigens. Toxoid vaccines contain a bacterial toxin that has been changed to a n
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ontoxic form. Killed vaccines contain killed microbes or isolated microbes. Live atten
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uated vaccines are composed of live microbes that have been weakened or rendere
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d completely avirulent.
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Arrange the sequence of steps required to stimulate antibody-
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mediated immunity in its correct sequence.qf qf qf qf qf
1.Exposure of antigen qf qf
2.Antigen recognition qf
3.Antibody production qf
4.Antibody-antigen binding qf
5.Sensitization
6.Antigen elimination - ANSWERS-1.Exposure of antigen
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2.Antigen recognition qf
3.Sensitization
4.Antibody production qf
5.Antibody-antigen binding qf
6.Antigen elimination
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Which are examples of actively acquired specific immunity? Select all that apply.
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1.Recovery from measles qf qf
2Recovery from chickenpox qf qf
3.Maternal immunoglobulin in the neonate qf qf qf qf
4.Immunization with live or killed vaccines qf qf qf qf qf
5.Injection of human gamma immunoglobulin - ANSWERS-1.Recovery from measles
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2Recovery from chickenpox qf qf
4.Immunization with live or killed vaccines qf qf qf qf qf
Naturally acquired active- qf qf
type immunity is seen in a client who has recovered from measles or chickenpox or
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REGULATION SEMESTER 1 QUIZ
EXAM | COMPLETE QUESTIONS WITH
CORRECT ANSWERS AND DETAILED
RATIONALES - LATEST UPDATE 2026
The nurse is caring for an older client during the intraoperative stage. The anesthesi
qf qf qf qf qf qf qf qf qf qf qf qf qf
a process has already begun and the nurse has already removed the dentures, eyeg
qf qf qf qf qf qf qf qf qf qf qf qf qf
lasses, and hearing aids. After the nurse performs these actions, what would be the
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
order the intraoperative nursing interventions should take place?
qf qf qf qf qf qf qf
1.The nurse should cover the client's head and feet.
qf qf qf qf qf qf qf qf
2.The client is lifted into position to prevent shearing forces.
qf qf qf qf qf qf qf qf qf
3.The nurse should use a small pillow under the client's head.
qf qf qf qf qf qf qf qf qf qf
4.The nurse should follow aseptic technique.
qf qf qf qf qf
5.The nurse should pad bony prominences to prevent pressure sores.
qf qf qf qf qf qf qf qf qf
6.The nurse should use warming device to prevent hypothermia.
qf qf qf qf qf qf qf qf
7.The nurse should carefully monitor the input and output of fluids including blood.
qf qf qf qf qf qf qf qf qf qf qf qf
8.The nurse should position arthritic and artificial joints carefully to prevent postopera
qf qf qf qf qf qf qf qf qf qf qf
tive pain. qf
9.The nurse should warm intravenous and irrigation fluids as ind - ANSWERS-
qf qf qf qf qf qf qf qf qf qf qf
1.The nurse should use a small pillow under the client's head.
qf qf qf qf qf qf qf qf qf qf
2.The client is lifted into position to prevent shearing forces.
qf qf qf qf qf qf qf qf qf
3.The nurse should position arthritic and artificial joints carefully to prevent postopera
qf qf qf qf qf qf qf qf qf qf qf
tive pain. qf
4.The nurse should pad bony prominences to prevent pressure sores.
qf qf qf qf qf qf qf qf qf
5.The nurse should use warming device to prevent hypothermia.
qf qf qf qf qf qf qf qf
6.The nurse should cover the client's head and feet.
qf qf qf qf qf qf qf qf
7.The nurse should warm intravenous and irrigation fluids as indicated by agency pol
qf qf qf qf qf qf qf qf qf qf qf qf
icy and manufacturer's recommendations.
qf qf qf
8.The nurse should follow aseptic technique.
qf qf qf qf qf
9.The nurse should carefully monitor the input and output of fluids including blood
qf qf qf qf qf qf qf qf qf qf qf qf
The nurse suspects that an intraoperative client has a distended bladder. Which met
qf qf qf qf qf qf qf qf qf qf qf qf
hod is correct to assess for this condition?
qf qf qf qf qf qf qf
,1.Inspect and palpate in the epigastric region.
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2.Auscultate and percuss in the inguinal areas. qf qf qf qf qf qf
3.Percuss and palpate in the hypogastric region.qf qf qf qf qf qf
4.Percuss and palpate bilaterally in the lumbar areas - ANSWERS-
qf qf qf qf qf qf qf qf qf
3.Percuss and palpate in the hypogastric region.qf qf qf qf qf qf
To detect a distended bladder, percussion and palpation should be performed over t
qf qf qf qf qf qf qf qf qf qf qf qf
he hypogastric region of the abdomen.
qf qf qf qf qf
In the postanesthesia care unit a client received intrathecal morphine intraoperatively
qf qf qf qf qf qf qf qf qf qf
to control pain. Considering the administration of this medication, what should the n
qf qf qf qf qf qf qf qf qf qf qf qf qf
urse include as part of the client's initial 24-hour postoperative care?
qf qf qf qf qf qf qf qf qf qf qf
1.Monitoring of respiratory rate hourly qf qf qf qf
2.Assessing the client for tachycardia qf qf qf qf
3.Administering naloxone every 3 to 4 hours qf qf qf qf qf qf
4.Observing the client for signs of central nervous system (CNS) excitement -
qf qf qf qf qf qf qf qf qf qf qf
ANSWERS-1.Monitoring of respiratory rate hourly
qf qf qf qf qf
Intrathecal morphine can depress respiratory function depending on the level it reach
qf qf qf qf qf qf qf qf qf qf qf
es within the spinal column; hourly assessments during the first 12 to 24 hours will all
qf qf qf qf qf qf qf qf qf qf qf qf qf qf qf
ow for early intervention with an antidote if respiratory depression needs to be correc
qf qf qf qf qf qf qf qf qf qf qf qf qf
ted.
The nurse is preparing an intraoperative care plan for a client. Which intervention sh
qf qf qf qf qf qf qf qf qf qf qf qf qf
ould be excluded from the care plan?
qf qf qf qf qf qf
1.Ensuring the client's skin integrity qf qf qf qf
2.Reviewing the preoperative instructions qf qf qf
3.Administering general anesthetic to the client qf qf qf qf qf
4.Placing the client in the correct position on the operating table - ANSWERS-
qf qf qf qf qf qf qf qf qf qf qf qf
3.Administering general anesthetic to the client qf qf qf qf qf
The nurse is providing post-
qf qf qf qf
procedure care to a client after an arthroscopy. What will be the nurse's priority while
qf qf qf qf qf qf qf qf qf qf qf qf qf qf q
providing care to the client?
f qf qf qf qf
1.Encouraging the client to perform exercises qf qf qf qf qf
2.Elevating the affected extremity for 12 to 24 hours qf qf qf qf qf qf qf qf
3.Assessing the neurovascular status of the client's affected limb
qf qf qf qf qf qf qf qf
4.Administering analgesics as prescribed by the primary healthcare provider - qf qf qf qf qf qf qf qf qf
ANSWERS-3.Assessing the neurovascular status of the client's affected limb.
qf qf qf qf qf qf qf qf qf
The priority for post-
qf qf qf
procedure care after arthroscopy is to assess the neurovascular status of the client's
qf qf qf qf qf qf qf qf qf qf qf qf qf
affected limb qf
The nurse is assessing four clients in the postoperative unit. Which client will be mon
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
itored for fluid volume overload as nursing safety priority?
qf qf qf qf qf qf qf qf
A.Client with lymph node dissection
qf qf qf qf
B.Client with laparoscopic cholecystechtomy
qf qf qf qf
C.Client with surgical intervention for hemorrhoids
qf qf qf qf qf qf
,D.Client with liver transplantation - ANSWERS-A.Client with lymph node dissection
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The nursing safety priority for client A with lymph node dissection is monitoring for m
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
anifestations of fluid overload. qf qf qf
The nurse is caring for different clients in a healthcare setting who are diagnosed wit
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
h respiratory disorders. Which client may have the anteroposterior chest diameter eq
qf qf qf qf qf qf qf qf qf qf qf
ual to the lateral chest and the slope of the ribs more horizontal to the spine?
qf qf qf qf qf qf qf qf qf qf qf qf qf qf qf
1.Cystic Fibrosis qf
2.Bronchiectasis qf
3.Metabolic Acidosis qf qf
4.Pulmonary edema - ANSWERS-1.Cystic Fibrosis qf qf qf qf
Client 1 with cystic fibrosis may have increased anteroposterior diameter; that is, the
qf qf qf qf qf qf qf qf qf qf qf qf qf
anteroposterior chest diameter is equal to the lateral chest measurement and the slo qf qf qf qf qf qf qf qf qf qf qf qf
pe of the ribs are more horizontal to the spine.
qf qf qf qf qf qf qf qf qf
During post- qf
operative care, the nurse finds that a client has hypotension. Which priority interventi
qf qf qf qf qf qf qf qf qf qf qf qf
on does the nurse expects to begin?
qf qf qf qf qf qf
1.Starting O2 therapy qf qf
2.Inspecting the surgical incision qf qf qf
3.Administration of IV fluid boluses qf qf qf qf
4.Administration of vasoconstrictive agents - ANSWERS-1.Starting O2 therapy qf qf qf qf qf qf qf
Treatment of hypotension in postoperative clients should always begin with oxygen t
qf qf qf qf qf qf qf qf qf qf qf
herapy to promote oxygenation of hypoperfused organs.
qf qf qf qf qf qf
The nurse is assessing four clients in the postanesthesia care unit (PCU) who are on
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
opioid treatment. Which client does the nurse expect will benefit from an immediate t
qf qf qf qf qf qf qf qf qf qf qf qf qf qf
reatment with naloxone? qf qf
A.Frequently drowsy, arousable, drifts off to sleep during conversation. RR: 15
qf qf qf qf qf qf qf qf qf qf
B.Slightly drowsy, easily aroused RR: 24 qf qf qf qf qf
C.Awake and alert RR:32 qf qf qf
D.Minimal response to verbal and physical stimulation RR:10 - ANSWERS-
qf qf qf qf qf qf qf qf qf
D.Minimal response to verbal and physical stimulation RR:10
qf qf qf qf qf qf qf
The client receives dosages of sedative and opioid drugs during the postoperative pe
qf qf qf qf qf qf qf qf qf qf qf qf
riod following surgical correction of a small bowel obstruction. What is the most critic
qf qf qf qf qf qf qf qf qf qf qf qf qf
al assessment to be performed as a nursing safety priority?
qf qf qf qf qf qf qf qf qf
1.Urinary assessment qf
2.Respiratory assessment qf
3Cardiovascular assessment qf
4Neuromuscular assessment - ANSWERS-2.Respiratory assessment qf qf qf qf
After undergoing minor surgery, a postoperative child has recovered from anesthesia
qf qf qf qf qf qf qf qf qf qf
. Which observations may indicate that the child is fit to be discharged? Select all tha
qf qf qf qf qf qf qf qf qf qf qf qf qf qf qf
t apply.
qf
1.Vital signs are stable. qf qf qf
2.Temperature is 101° F. qf qf qf
3.The child is alert and oriented.
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4.Pain rate is at baseline level. qf qf qf qf qf
, 5.Oxygen saturation is 75% on room air. - ANSWERS-1.Vital signs are stable.
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3.The child is alert and oriented.
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4.Pain rate is at baseline level.
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Which client should the nurse most likely suspect to have a bacterial infection when
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dressing the wounds of four postoperative clients?
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A.Foul odor from wound when dressing is changed
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B.Increased tenderness at wound margins qf qf qf qf
C.Erythema of the incision on each side of wound qf qf qf qf qf qf qf qf qf
D.Necrosis of skin edges - ANSWERS- qf qf qf qf qf
A.Foul odor from wound when dressing is changed
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Which type of immune preparation, made from donated blood, contains antibodies th
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at provide passive immunity?
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1.Toxoid
2.Killed vaccine qf
3.Live attenuated vaccine
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4.Specific immune globulin - ANSWERS-4.Specific immune globulin
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Specific immune globulins contain a high concentration of antibodies directed at spe
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cific antigens. Toxoid vaccines contain a bacterial toxin that has been changed to a n
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ontoxic form. Killed vaccines contain killed microbes or isolated microbes. Live atten
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uated vaccines are composed of live microbes that have been weakened or rendere
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d completely avirulent.
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Arrange the sequence of steps required to stimulate antibody-
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mediated immunity in its correct sequence.qf qf qf qf qf
1.Exposure of antigen qf qf
2.Antigen recognition qf
3.Antibody production qf
4.Antibody-antigen binding qf
5.Sensitization
6.Antigen elimination - ANSWERS-1.Exposure of antigen
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2.Antigen recognition qf
3.Sensitization
4.Antibody production qf
5.Antibody-antigen binding qf
6.Antigen elimination
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Which are examples of actively acquired specific immunity? Select all that apply.
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1.Recovery from measles qf qf
2Recovery from chickenpox qf qf
3.Maternal immunoglobulin in the neonate qf qf qf qf
4.Immunization with live or killed vaccines qf qf qf qf qf
5.Injection of human gamma immunoglobulin - ANSWERS-1.Recovery from measles
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2Recovery from chickenpox qf qf
4.Immunization with live or killed vaccines qf qf qf qf qf
Naturally acquired active- qf qf
type immunity is seen in a client who has recovered from measles or chickenpox or
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