NSG 4800 EXAM
NSG 4800 EXAM QUESTIONS AND ANSWERS GRADED A+
The nurse is monitoring a client in the immediate postpartum period for
signs of hemorrhage. Which sign, if noted, would be an early sign of
excessive blood loss?
A .temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 102 beats/minute
C. A blood pressure change from 130/88 to 124/80 mm Hg
D. An increase in the respiratory rate from 18 to 22 breaths/minute -
correct answer B, During the fourth stage of labor, the maternal blood
pressure, pulse, and respiration should be checked every 15 minutes
during the first hour. An increasing pulse is an early sign of excessive
blood loss because the heart pumps faster to compensate for reduced
blood volume. A slight increase in temperature is normal. The blood
pressure decreases as the blood volume diminishes, but a decreased
blood pressure would not be the earliest sign of hemorrhage. The
respiratory rate is slightly increased from normal.
,NSG 4800 EXAM
The nurse in the ambulatory care unit is providing home care
instructions to a client after cryotherapy for the treatment of malignant
skin lesions. Which statement would be most appropriate for the nurse
to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care provider
in 1 week." - correct answer 3, Cryotherapy involves the local application of
liquid nitrogen to the lesion; this causes cell death and tissue
destruction. Tissue freezing is followed in 1 to 2 days by hemorrhagic
blister formation; therefore, ice is not applied to the site. The
application of a warm, damp washcloth intermittently to the site will
provide relief of any discomfort. The nurse instructs the client to clean
the site with the prescribed solution to prevent secondary infection. A
topical antibiotic also may be prescribed. Alcohol would cause irritation
to the skin. There is no reason for the client to avoid showering or
bathing.
The registered nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the
client who is
A.12 years old with Autism who is starting a new school and recently
had a URI (upper respiratory tract infection)
B.39 years old, has type 2 Diabetes Mellitus, is homeless and had a
recent Hemoglobin A1c of 13%
, NSG 4800 EXAM
C.52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and is employed as a mail carrier
D.79 years old, has bipolar and schizophrenia, lives alone and reports
hearing non threatening voices. - correct answer B
A client with uncontrolled Diabetes Mellitus would require the greatest
number of disciplines (multidisciplinary) to manage their care i.e.
Medicine, Nursing, Social Work, Nutritionist; the other choices do not
require as many providers of care to meet their needs.
A client is scheduled to begin therapy with carbamazepine. The nurse
should assess the results of which test(s) before administering the first
dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count - correct answer D. Carbamazepine may be used
to treat a seizure disorder. It can cause leukopenia, anemia,
thrombocytopenia, and, very rarely, fatal aplastic anemia. To reduce the
risk of serious hematological effects, a complete blood cell count should
be done before treatment and periodically thereafter. This medication
should be avoided in clients with preexisting hematological
abnormalities. The client also is told to report the occurrence of fever,
sore throat, pallor, weakness, infection, easy bruising, and petechiae.
The results of the remaining tests listed in the options are not
associated with the use of this medication.
NSG 4800 EXAM QUESTIONS AND ANSWERS GRADED A+
The nurse is monitoring a client in the immediate postpartum period for
signs of hemorrhage. Which sign, if noted, would be an early sign of
excessive blood loss?
A .temperature of 100.4°F (38°C)
B. An increase in the pulse rate from 88 to 102 beats/minute
C. A blood pressure change from 130/88 to 124/80 mm Hg
D. An increase in the respiratory rate from 18 to 22 breaths/minute -
correct answer B, During the fourth stage of labor, the maternal blood
pressure, pulse, and respiration should be checked every 15 minutes
during the first hour. An increasing pulse is an early sign of excessive
blood loss because the heart pumps faster to compensate for reduced
blood volume. A slight increase in temperature is normal. The blood
pressure decreases as the blood volume diminishes, but a decreased
blood pressure would not be the earliest sign of hemorrhage. The
respiratory rate is slightly increased from normal.
,NSG 4800 EXAM
The nurse in the ambulatory care unit is providing home care
instructions to a client after cryotherapy for the treatment of malignant
skin lesions. Which statement would be most appropriate for the nurse
to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care provider
in 1 week." - correct answer 3, Cryotherapy involves the local application of
liquid nitrogen to the lesion; this causes cell death and tissue
destruction. Tissue freezing is followed in 1 to 2 days by hemorrhagic
blister formation; therefore, ice is not applied to the site. The
application of a warm, damp washcloth intermittently to the site will
provide relief of any discomfort. The nurse instructs the client to clean
the site with the prescribed solution to prevent secondary infection. A
topical antibiotic also may be prescribed. Alcohol would cause irritation
to the skin. There is no reason for the client to avoid showering or
bathing.
The registered nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the
client who is
A.12 years old with Autism who is starting a new school and recently
had a URI (upper respiratory tract infection)
B.39 years old, has type 2 Diabetes Mellitus, is homeless and had a
recent Hemoglobin A1c of 13%
, NSG 4800 EXAM
C.52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and is employed as a mail carrier
D.79 years old, has bipolar and schizophrenia, lives alone and reports
hearing non threatening voices. - correct answer B
A client with uncontrolled Diabetes Mellitus would require the greatest
number of disciplines (multidisciplinary) to manage their care i.e.
Medicine, Nursing, Social Work, Nutritionist; the other choices do not
require as many providers of care to meet their needs.
A client is scheduled to begin therapy with carbamazepine. The nurse
should assess the results of which test(s) before administering the first
dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count - correct answer D. Carbamazepine may be used
to treat a seizure disorder. It can cause leukopenia, anemia,
thrombocytopenia, and, very rarely, fatal aplastic anemia. To reduce the
risk of serious hematological effects, a complete blood cell count should
be done before treatment and periodically thereafter. This medication
should be avoided in clients with preexisting hematological
abnormalities. The client also is told to report the occurrence of fever,
sore throat, pallor, weakness, infection, easy bruising, and petechiae.
The results of the remaining tests listed in the options are not
associated with the use of this medication.
