NURS 124 FINAL QUESTIONS WITH ACCURATE
ANSWERS
A client diagnosed with a deep vein thrombosis (DVT) is receiving intravenous
heparin. Which is the priority outcome for this client?
A) The client will not disturb the intravenous infusion.
B) The client will comply with dietary restrictions.
C) The client will not experience bleeding.
D) The client will keep the right leg elevated on two pillows. correct answer C
A client presents with decreased blood volume, hypotension, tachycardia, and
tachypnea during surgery. Which of the following intraoperative complications is
most likely?
A) Hypovolemia
B) Hypervolemia
C) Hypokalemia
D) Hypernatremia correct answer A
A client receiving heparin therapy for deep venous thrombosis (DVT) complains of
severe chest pain and shortness of breath. Suspecting a pulmonary embolism,
which is the priority action by the nurse?
A) Assess pulse, respirations, and blood pressure.
B) Apply oxygen and elevate the head of the bed.
C) Reassure the client and notify family members.
D) Increase the rate of heparin infusion. correct answer B
, A client recovering from abdominal surgery tells the nurse that "something
popped" in his abdominal incision. Upon inspection, the nurse finds that
evisceration has occurred. What actions by the nurse are appropriate? Select all
that apply.
A) Notify the client's surgeon.
B) Pack the client's wound with nonadherent gauze.
C) Turn the client onto his abdomen.
D) Position the client in bed with his knees bent.
E) Cover the incision with a large, saline-soaked dressing. correct answer A, D, E
A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL
in 24 hours. Which actions by the nurse are appropriate based on this data?
Select all that apply.
A) Notify the healthcare provider.
B) Place the client in a supine position.
C) Assess drainage characteristics.
D) Clamp the tube q 2 hours for 30 minutes.
E) Encourage increased fluid intake. correct answer A, C
A client with clinical depression asks the nurse for suggestions on how to improve
the quality of sleep.The client often drinks a glass of wine before bedtime to help
sleep. The client falls asleep quickly but then wakes up an hour or so later and
often feels anxious. A period of wakefulness follows, often lasting several hours.
Which of the following planning goals would be least appropriate for this client?
A) Avoid the use of alcohol late in the evening.
B) Reduce or remove environmental distractions from the bedroom.
C) Maintain a consistent bedtime.
ANSWERS
A client diagnosed with a deep vein thrombosis (DVT) is receiving intravenous
heparin. Which is the priority outcome for this client?
A) The client will not disturb the intravenous infusion.
B) The client will comply with dietary restrictions.
C) The client will not experience bleeding.
D) The client will keep the right leg elevated on two pillows. correct answer C
A client presents with decreased blood volume, hypotension, tachycardia, and
tachypnea during surgery. Which of the following intraoperative complications is
most likely?
A) Hypovolemia
B) Hypervolemia
C) Hypokalemia
D) Hypernatremia correct answer A
A client receiving heparin therapy for deep venous thrombosis (DVT) complains of
severe chest pain and shortness of breath. Suspecting a pulmonary embolism,
which is the priority action by the nurse?
A) Assess pulse, respirations, and blood pressure.
B) Apply oxygen and elevate the head of the bed.
C) Reassure the client and notify family members.
D) Increase the rate of heparin infusion. correct answer B
, A client recovering from abdominal surgery tells the nurse that "something
popped" in his abdominal incision. Upon inspection, the nurse finds that
evisceration has occurred. What actions by the nurse are appropriate? Select all
that apply.
A) Notify the client's surgeon.
B) Pack the client's wound with nonadherent gauze.
C) Turn the client onto his abdomen.
D) Position the client in bed with his knees bent.
E) Cover the incision with a large, saline-soaked dressing. correct answer A, D, E
A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL
in 24 hours. Which actions by the nurse are appropriate based on this data?
Select all that apply.
A) Notify the healthcare provider.
B) Place the client in a supine position.
C) Assess drainage characteristics.
D) Clamp the tube q 2 hours for 30 minutes.
E) Encourage increased fluid intake. correct answer A, C
A client with clinical depression asks the nurse for suggestions on how to improve
the quality of sleep.The client often drinks a glass of wine before bedtime to help
sleep. The client falls asleep quickly but then wakes up an hour or so later and
often feels anxious. A period of wakefulness follows, often lasting several hours.
Which of the following planning goals would be least appropriate for this client?
A) Avoid the use of alcohol late in the evening.
B) Reduce or remove environmental distractions from the bedroom.
C) Maintain a consistent bedtime.
