QUESTIONS WITH DETAILED
VERIFIED ANSWERS
A client who had abdominal surgery 24 hrs ago suddenly
reports a pulling sensation and pain in their surgical
incision. The nurse checks the surgical wound and finds it
separated with viscera protruding. Which of the following
actions should the nurse take?
1. cover the area with saline-soaked sterile dressings
2. apply an abdominal binder snugly around the abdomen
3. Use sterile gauze to apply gentle pressure to the
exposed tissue
4. Position client supine with the hips and knees bent
5. Offer the client a warm beverage - correct answer-
1, 4
,A client who has an indwelling catheter reports a need to
urinate. Which of the following actions should the nurse
take?
1. Check to see whether the catheter is patent.
2. Reassure the client that it is not possible for them to
urinate.
3. Recatheterize the bladder with a larger-gauge catheter
4. Collect a urine specimen for analysis - correct answer-
1. Check to see whether the catheter is patent
A health care provider writes the following order for a
patient who is opioid naive who returned from the
operating room following a total hip replacement:
"fentanyl patch 100 mcg, change every 3 days" On the
basis of this order, the nurse takes the following action:
1. Calls the provider and questions the order
2. applies the patch the third post-op day
3. Applies the patch as soon as the patient reports pain
,4. Places the patch as close to the hip dressing as possible
- correct answer- 1. Calls the provider and questions
the order
A hospitalized patient tells the nurse that he has only
urinated once since yesterday. The nurse accurately refers
to this as which of the following?
Pyuria
Dysuria
Polyuria
Oliguria - correct answer- Oliguria
A new medical resident writes an order for oxycodone CR
10 mg PO q2h prn. Which part of the order does the nurse
question?
1. The drug
2. The time interval
3. The dose
, 4. The route - correct answer- 2. the time interval
A nurse attends a seminar on teaching/learning. Which
statement indicates the nurse has a good understanding
of teaching/learning?
"Teaching and learning can be separated."
"Learning is an interactive process that promotes
teaching."
"Teaching is most effective when it responds to the
learner's needs."
"Learning consists of a conscious, deliberate set of actions
designed to help the teacher." - correct answer-
"Teaching is most effective when it responds to the
learner's needs."
A nurse educator is reviewing wound healing process with
a group of nurses. The nurse educator should include in
the information which of the following alteration for
wound healing by secondary intention?