Comprehensive Exam test with correct answers 2023

Comprehensive Exam test with correct answers 2023 A nurse is caring for a newborn whose parent asks why her baby is receiving vitamin K. The nurse should explain to the parents that the newborn should receive vitamin K to prevent which of the following? - CORRECT ANSWER-A. Bleeding B. Potassium deficiency C. Infection D. Hyperbilirubinemia Ans: A A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? - CORRECT ANSWER-A. Instills 100 mL of air into the NG tube after checking for residual B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hrs. C. Adds 20 mL of blue dye to each feeding to help detect aspiration D. Keeps the head of the bed elevated to 45 deg for 1 hr after feeding Ans: D A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse recommend as having the highest amount of vitamin A? - CORRECT ANSWER-A. 1 medium raw carrot B. 1/2 cup cooked spinach C. 1/2 cup cooked butternut squash D. 1 cup sliced cantaloupe Ans: A An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN? - CORRECT ANSWER-A. Collection of a stool specimen B. Preparation of a client's postoperative bed C. Administration of a unit of packed RBCs D. Insertion of a nasogastric tube Ans: D A nurse on a med-surg unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client has the ability to sign the informed consent? - CORRECT ANSWER-A. The client's partner tells the nurse that the client understands the procedure B. The nurse locates the provider's prescription for the surgical procedure C. The nurse witnesses the provider's explanation of the procedure D. The client is able to accurately describe the upcoming procedure Ans: D A nurse is caring for a client who is receiving total parenteral nutrition (TPN) solution by continuous IV infusion at 60 mL/hr. The nurse discovers the infusion pump has stopped working. Which of the following actions should the nurse take while waiting for a new infusion pump? - CORRECT ANSWER-A. Administer the TPN solution at the same rate using manual drip tubing B. Offer the client oral fluids in place of the TPN solution C. Infuse 0.9% sodium chloride solution using manual drip tubing at 30 mL/hr D. Provide dextrose 10% in water solution using manual drip tubing at 60 mL/hr. Ans: D The nurse is assessing a client who has schizophrenia and is taking chlorpromazine. Which of the following findings is the priority for the nurse to report to the provider? - CORRECT ANSWER-A. Temperature 39.4 degree C (103 F) B. Headache C. Constipation D. Vomiting Ans: A A nurse is teaching the parent of a school-age child about administering ear drops. Which of the following responses by the parent indicates an understanding of the teaching? - CORRECT ANSWER-A. I should administer the ear drops as soon as I remove them from the refrigerator B. I should pull the top of her ear upward and back while instilling the medication C. I should massage behind the ear after I instill the drops D. I should have her lie on the affected side for a few minutes after I put the drops in her ear Ans: B A nurse is assessing a client who is experiencing autonomic dysreflexia. Which of the following findings should the nurse expect? Select all that apply - CORRECT ANSWERA. Nystagmus B. Facial Flushing C. Diplopia D. Nasal Congestion E. Headache Ans: B, D, E A nurse is caring for a client who has a deficit with cranial nerve (CN) II. Which of the following actions should the nurse plan? - CORRECT ANSWER-A. Keep the client resting in bed B. Ask the client to restate directions C. Clear objects from the client's walking area D. Evaluate the client's ability to swallow Ans: C A nurse is planning care for a client who has thrombocytopenia. Which of the following instructions should the nurse include in the client's plan of care? - CORRECT ANSWER-A. Avoid venipunctures when possible B. Restrict visitors to family members C. Limit oral fluid intake to between meals D. Prohibit fresh flowers in the client's room Ans: A A nurse in the delivery room is caring for a newborn immediately after birth. Which of the following actions should the nurse take first? - CORRECT ANSWER-A. Dry the newborn B. Assign the first Apgar score to the newborn C. Place an identification bracelet on the newborn D. Obtain the newborn's weight Ans: A A nurse is assessing a newborn who was just admitted to the nursery and is sleeping. For which of the following findings should the nurse intervene? - CORRECT ANSWERA. A pink body and slightly blue hands and feet B. Respiratory rate 40/min C. Axillary temperature 36.2 degree C (97.2 F) D. Apical pulse 136/min Ans: C A nurse is assessing a client who has a stage II pressure ulcer. Which of the following wound characteristics should the nurse expect? - CORRECT ANSWER-A. Muscle damage B. Partial-thickness skin loss C. Visible subcutaneous tissue D. Tendon exposure Ans: B A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take? - CORRECT ANSWER-A. Include chicken broth in the toddler's diet B. Feed the toddler the BRAT diet C. Initiate oral rehydration therapy for the toddler D. Offer the toddler flavored gelatin Ans: C A nurse is caring for a client who had a recent stroke. Prior to transferring the client to the bedside commode, which of the following actions should the nurse take first? - CORRECT ANSWER-A. Ask for help with a two-person assist transfer B. Assess the client for functional limitations C. Request a mechanical life device D. Medicate the client for pain Ans: B A nurse is counseling a couple who have been unsuccessful at conceiving for more than a year. Which of the following statements should the nurse make to help the couple cope with prolonged infertility? - CORRECT ANSWER-A. Would you like information regarding some support groups? B. Couples usually get pregnant when they stop trying C. Have you considered adoption? D. In time, the treatments you receive here will be effective. Ans: A A nurse is caring for an adolescent client who has a new diagnosis of terminal cancer. When discussing the client's prognosis with her parents, the nurse should recognize which of the following responses by the parents as an example of rationalization? - CORRECT ANSWER-A. Our child wouldn't have this terminal diagnosis if the doctor had diagnosed the cancer sooner B. Let's go on that family vacation we've got planned. We will deal with this when we return C. Maybe this is better for our child because we don't want her to suffer through chemotherapy treatments D. This isn't possible, just last week the doctor said that she was responding well to treatment Ans: C A nurse is caring for a client who vomits on a reusable BP cuff. Which of the following actions should the nurse take? - CORRECT ANSWER-A. Place the BP cuff in a labeled bag to send it for decontamination B. Immediately rinse the BP cuff in hot running water C. Dispose of the contaminated BP cuff in the bag lining the trash can D. Clean the BP cuff with a chlorine bleach solution Ans: A A nurse is teaching the parents of a toddler about snacks. Which of the following foods should the nurse recommend? - CORRECT ANSWER-A. Popcorn B. Steamed carrots C. Celery sticks D. Marshmallows Ans: B A nurse is providing teaching to a client who has hepatitis A. Which of the following instructions should the nurse include? - CORRECT ANSWER-A. Use a 1:100 chlorine bleach solution to clean kitchen surfaces B. Seal non-washable items in a plastic bag for 2 weeks C. Wear a surgical mask when in public D. Limit family visits to 30 min periods Ans: A A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which of the following client statements should the nurse identify as an indication that the client understands the teaching? - CORRECT ANSWER-A. I should report a change in the color of my stools B. I can take acetaminophen to treat a headache C. I will take a calcium supplement while taking this medication D. I will return in a month to have my blood tested Ans: A A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following clinical manifestations should the nurse expect? - CORRECT ANSWER-A. Hypersensitivity to criticism B. Feelings of emptiness C. Grandiose thoughts D. Reclusive behavior