REX PN EXAM final Exam COMPLETE Questions and Detailed Answers Latest
Update This Year.pdf, Exams of Nursing
The nurse notes blanching, coolness, and edema at the peripheral
intravenous (IV) site. On the basis of these findings, the nurse should
implement which action?
a. Remove the IV
b. Apply a warm compress
c. Check for a blood return
d. Measure the area of infiltration - ANSWERANSWER: a
Determine if pt is experiencing infiltration. Next, consider the harmful effects
of infiltration & determine which action to implement. Because infiltration
can be damaging to the surrounding tissue, the appropriate action is to
remove the IV to prevent further damage.
The nurse has received the client assignment for the day. Which client should
the nurse assess first?
a. The client who needs to receive subcutaneous insulin before breakfast
b. the client who has a nasogastric tube attached to intermittent suction
c. the client who is 2 days postop and is complaining of incisional pain
,d. the client who has a blood glucose level of 50mg/dL (2.8 mmol/L) and
complains of blurred vision - ANSWERANSWER: d
First establish priorities by comparing each client and deciding which is more
urgent. The client described in the correct option has a blood glucose level
and symptoms reflective of hypoglycemia. This client should be assessed first
so that treatment can be implemented.
The nurse is choosing age-appropriate toys for a toddler. Which toy is the
BEST choice for this age?
a. Puzzle
b. Toy soldiers
c. Large stacking blocks
d. A card game with large pictures - ANSWERANSWER: c
Toddlers like to master activities independently, such as stacking blocks.
Because toddlers do not have the developmental ability to determine what
could be harmful, toys that are safe need to be provided. A puzzle and toy
soldiers provide objects that can be placed in the mouth and may be harmful
for a toddler. A card game with large pictures may require cooperative play,
which is more appropriate for a school-aged child.
The nurse prepares to care for a client on contact precautions who has a
hospital-acquired infection caused by MRSA. The client has an abdominal
wound that requires irrigation and has a tracheostomy attached to a
mechanical ventilator, which requires frequent suctioning. The nurse should
assemble which necessary protective items before entering the clients room?
,a. Gloves and gown
b. Gloves and face shield
c. Gloves, gown, face shield
d. Gloves, gown, and shoe protectors - ANSWERANSWER: c
By considering possible transmission of infection, based on clients condition
due to splashes of infective material that can occur during wound irrigation
or suctioning tracheostomy.
A patient with coronary artery disease has selected guided imagery to help
cope with psychological stress. Which client statement indicates an
understanding of this stress reduction measure?
a. "This will help only if I play music at the same time."
b. "This will work for me only if I am in a quiet area."
c. "I need to do this only when I lie down in case I fall asleep"
d. "The best thing about this is that I can use it anywhere, anytime." -
ANSWERANSWER: d
Guided imagery involves the client creating an image in the mind,
concentrating on the image, and gradually becoming less aware of the
offending stimulus. It can be done anytime, anywhere; some clients may use
other relaxation techniques or play music with it.
A client with Parkinson's disease develops akinesia while ambulating,
increasing risk for falls. Which suggestion should the nurse provide to the
client to alleviate this problem?
, a. Use a wheelchair to move around
b. Stand erect and use a cane to ambulate
c. Keep the feet close together while ambulating and use a walker
d. Consciously think about walking over imaginary lines on the floor -
ANSWERANSWER: d
Clients with PD can develop bradykinesia or akinesia (freezing or no
movement). Having these clients imagine lines on the floor to walk over can
keep them moving forward while remaining safe.
An MRI study is prescribed for a client with a suspected brain tumor. The
nurse should implement which action to prepare the client for this test?
a. shave the groin for insertion of a femoral catheter
b. remove all metal-containing objects from the client
c. keep the client NPO for 6 hours before test
d. Instruct the client in inhalation techniques for the administration of the
radioisotope - ANSWERANSWER: b
All metal objects such as rings, hairpins, jewelry should be removed. In
addition, a history should be taken to ascertain whether the client has any
internal metallic devices, such as orthopedic hardware, pacemakers, or
shrapnel. NPO status is not necessary for an MRI study of the head. The groin
may be shaved for an angiogram, and inhalation of the radioisotope may be
prescribed with other types of scans but is not part of the procedures for an
MRI.
Update This Year.pdf, Exams of Nursing
The nurse notes blanching, coolness, and edema at the peripheral
intravenous (IV) site. On the basis of these findings, the nurse should
implement which action?
a. Remove the IV
b. Apply a warm compress
c. Check for a blood return
d. Measure the area of infiltration - ANSWERANSWER: a
Determine if pt is experiencing infiltration. Next, consider the harmful effects
of infiltration & determine which action to implement. Because infiltration
can be damaging to the surrounding tissue, the appropriate action is to
remove the IV to prevent further damage.
The nurse has received the client assignment for the day. Which client should
the nurse assess first?
a. The client who needs to receive subcutaneous insulin before breakfast
b. the client who has a nasogastric tube attached to intermittent suction
c. the client who is 2 days postop and is complaining of incisional pain
,d. the client who has a blood glucose level of 50mg/dL (2.8 mmol/L) and
complains of blurred vision - ANSWERANSWER: d
First establish priorities by comparing each client and deciding which is more
urgent. The client described in the correct option has a blood glucose level
and symptoms reflective of hypoglycemia. This client should be assessed first
so that treatment can be implemented.
The nurse is choosing age-appropriate toys for a toddler. Which toy is the
BEST choice for this age?
a. Puzzle
b. Toy soldiers
c. Large stacking blocks
d. A card game with large pictures - ANSWERANSWER: c
Toddlers like to master activities independently, such as stacking blocks.
Because toddlers do not have the developmental ability to determine what
could be harmful, toys that are safe need to be provided. A puzzle and toy
soldiers provide objects that can be placed in the mouth and may be harmful
for a toddler. A card game with large pictures may require cooperative play,
which is more appropriate for a school-aged child.
The nurse prepares to care for a client on contact precautions who has a
hospital-acquired infection caused by MRSA. The client has an abdominal
wound that requires irrigation and has a tracheostomy attached to a
mechanical ventilator, which requires frequent suctioning. The nurse should
assemble which necessary protective items before entering the clients room?
,a. Gloves and gown
b. Gloves and face shield
c. Gloves, gown, face shield
d. Gloves, gown, and shoe protectors - ANSWERANSWER: c
By considering possible transmission of infection, based on clients condition
due to splashes of infective material that can occur during wound irrigation
or suctioning tracheostomy.
A patient with coronary artery disease has selected guided imagery to help
cope with psychological stress. Which client statement indicates an
understanding of this stress reduction measure?
a. "This will help only if I play music at the same time."
b. "This will work for me only if I am in a quiet area."
c. "I need to do this only when I lie down in case I fall asleep"
d. "The best thing about this is that I can use it anywhere, anytime." -
ANSWERANSWER: d
Guided imagery involves the client creating an image in the mind,
concentrating on the image, and gradually becoming less aware of the
offending stimulus. It can be done anytime, anywhere; some clients may use
other relaxation techniques or play music with it.
A client with Parkinson's disease develops akinesia while ambulating,
increasing risk for falls. Which suggestion should the nurse provide to the
client to alleviate this problem?
, a. Use a wheelchair to move around
b. Stand erect and use a cane to ambulate
c. Keep the feet close together while ambulating and use a walker
d. Consciously think about walking over imaginary lines on the floor -
ANSWERANSWER: d
Clients with PD can develop bradykinesia or akinesia (freezing or no
movement). Having these clients imagine lines on the floor to walk over can
keep them moving forward while remaining safe.
An MRI study is prescribed for a client with a suspected brain tumor. The
nurse should implement which action to prepare the client for this test?
a. shave the groin for insertion of a femoral catheter
b. remove all metal-containing objects from the client
c. keep the client NPO for 6 hours before test
d. Instruct the client in inhalation techniques for the administration of the
radioisotope - ANSWERANSWER: b
All metal objects such as rings, hairpins, jewelry should be removed. In
addition, a history should be taken to ascertain whether the client has any
internal metallic devices, such as orthopedic hardware, pacemakers, or
shrapnel. NPO status is not necessary for an MRI study of the head. The groin
may be shaved for an angiogram, and inhalation of the radioisotope may be
prescribed with other types of scans but is not part of the procedures for an
MRI.
