A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to develop a
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nosocomial infection?
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A- clinet with alcohol abuse admitted for detox
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B- Client with Type I diabetes and peripheral neuropathy
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C- Client recovering from a choleystectomy
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D- Client with full thickness burns, an NG tube and a Foley <CORRECT ANSWER>D- Full
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thickness burn, NG tube and Foley
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*Think immunosupression and avenues for infection
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A nurse is caring for clients in the ICU. Which client may be transferred to the step-down
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neuro unit?
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A- Client with head injury and seizure
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B- Client with an ischemic stroke 4 days ago with confusion
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C- Client who is 1-day post op after a transshpenoidal craniotomy with a cerebrospinal fluid
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leak
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D-Client with bacterial meningitis and a Glasgow coma sale of 7 <CORRECT ANSWER>B-
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client with an ischemic stroke 4 days ago with confusion.
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*Think what is normal and what is abnormal- who is most stable
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After a change of shift, you are assinged to care for the following clients, Which client should
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you assess first?
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A- 60 year old client on a ventilator for whom a sterile sputum specimen must be sent to
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the lab
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B- 55 year old with COPD and a pulse oximetry reading from the previous shift of 90%
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C- 70 year old with pneumonia who needs to be started on IV antibiotics
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,NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions
D- 50 year old with asthma who complains of shortness of breath after using a
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bronchodilator <CORRECT ANSWER>D- 50 year old with asthma who complains of shortness
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of breath after using a brochodilator
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*Think ABCs, also not the desired effect of the brochodilator treatment; should be improved.
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The nurse just received report on the surgical ward. Which client should be assessed first?
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A- Peptic ulcer disease scheduled for a laparosopic choleycystectomy in 4 hours
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B- Multiple injuries after a motor vehicle crash
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C- Graves disease scheduled for a thyroidectomy
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D- Post-appendectomy waiting for discharge <CORRECT ANSWER>B- multiple injuries
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following a motor vehicle crash
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*think who is most unstable
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A hospital will receive a large number of clients because of a magor disaster in the city.
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Which client can be discharged first?
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A- 49 year old female 24 hours postop after hysterectomy
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B- 66 year old male 5 days post op after total hip replacement
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C- 79 year old female admitted 12 hours ago with pyrlonephritis
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D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer <CORRECT
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ANSWER>B- 66 year old male 5 days post op after total hip replacement
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*think who is most stable and would be safest to go home
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A nurse just received report on her client's at the first of the shift. Which client should be
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assessed first?
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A- 45 year old woman with a BP of 90/60 and hot, dry skin
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, NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions
B- 37 year old man with BP 130/70, sleeping quietly in his bed
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C- 25 year old woman with fruity breath, excessive thrist and polyphagia
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D- 16 year old boy with irritability and tremor <CORRECT ANSWER>C- 25 year old woman
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with fruity breath, excessive thirst and polyphagia
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*who is showing definite signs of a problem not just questionable ones
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The staff nurse receives on her assignment for the shift. Which client should she assess first?
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A- A client reporting a headache with a pain score 3/10
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B- A client with frequent watery diarrhea, abdominal pain, nausea
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C- A client with respirations of 20 and O2 sat of 94% on room ait
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D- A client with nausea after taking oral contrast for abdominal CT scan <CORRECT
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ANSWER>B- A client with frequent watery diarrhea, abdominal pain and nausea
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*think about dehyration and electrolyte inbalance
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The client with COPD tells the CNA that he did not get his annual flu shot this year and has
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not had a pneumonia vaccination. You would be sure to instruct the CNA to report which of
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these?
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A- Blood pressure of 152/84 mmHg
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B- Respiratory rate of 27 breaths per minute
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C- Heart rate of 92 beats/min
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D- Oral temperature of 38.4 <CORRECT ANSWER>D- Oral temperature of 38.4
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*most indicitive of infection
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When assessing a 22-year old client who required emergency surgery and multiple
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transfusion 3 days ago, you find that the client looks anxious and has labred respirations at
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