Capstone Quiz Module 3

CAPSTONE QUIZ MODULE 3 1. A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (SATA) A. Lock beds and wheelchairs when not providing care B. Administer a sedative at bedtime C. Provide information about home safety checks D. Teach balance and strengthening exercises E. Place the bedside table within the clients reach 2. A nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the following instructions should the nurse include in the teaching? A. Report any sign of infection to the provider immediately B. Expect your blood pressure to increase C. Easy bruising may occur while taking this medication D. Muscle rigidity is an expected adverse effect during the first few days of therapy 3. A nurse is teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? A. I will double my dose if I miss one B. I should take this medication on an empty stomach between meals C. I will take medication until my sore throat goes away D. I will stop taking this medication if I develop itching 4. A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first? A. A client who has pneumonia a WBC count of 11,500/mm3 and is prescribed piperacillin B. A client who is post coronary artery bypass graft (CABG) has total cholesterol of 318mg/dl and is prescribed atorvastatin C. A client who has anemia hemoglobin of 11g/dl and is prescribed epoetin alfa D. A client who has renal failure, a serum potassium of 5.8/mEq/L and is prescribed sodium polystyrene sulfonate 5. A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first? A. Administer an antiemetic to the client B. Notify housekeeping C. Prevent the client from aspirating D. Providing the client with an emesis basin 6. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child? A. Rice B. Barley C. Wheat D. Rye 7. A nurse is caring for a client who is postoperative and has a prescription stockings. which of the following actions should the nurse take? A. Check the stockings for wrinkles B. Apply the stockings while the client is sitting in a chair C. Measure the size of the client’s foot D. Remove the stockings once each day S - The Marketplace to Buy and Sell your Study Material Downloaded by: NurseJay | Distribution of this document is illegal contact: S - The Marketplace to Buy and Sell your Study Material 8. A nurse is teaching a client about which foods she should include in her low fiber diet. Which of the following statements indicates the client understands the teaching? A. A fresh pear would be a good snack option B. I can prepare refried beans for supper C. I should choose white rice as a side dish D. Bran cereal would be a good breakfast choice 9. A client is prescribed 1g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g potassium phosphate in 250ml dextrose 5% water (D5W). The nurse should set the IV pump to run at how many ml/hr? (round nearest whole number) 42 10. a nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect? A. Hip pallor B. Leg abduction C. Muscle spasms D. Leg lengthening 11. A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to clozapine? A. Fasting blood glucose 120mg/dl B. Asthma C. Hypertension D. WBC count 3,300/mm 12. A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. I will walk briskly for 30minute before bedtime B. I will have a cup of hot cocoa immediately before bedtime C. I will no longer have a glass of wine before bedtime D. I will do my muscle relaxation techniques each afternoon 13. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin? A. Elevate the head of the bed no more than 45 B. Apply cornstarch to keep sensitive skin area dry C. Massage the skin over the client’s bony prominences D. Use a transfer device to lift the client up in bed 14. A nurse is teaching an older adult client who has left sided weakness about cane use. Which of the following instructions should the nurse include? A. Hold the cane with your left hand B. Move the cane forward 18 inches with each step C. When walking move your left foot forward first D. Keep your elbow straight when you hold the cane 15. A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following intervention should the nurse include in the plan of care? Downloaded by: NurseJay | Distribution of this document is illegal S - The Marketplace to Buy and Sell your Study Material A. Monitor the client’s intake and output every 6 hr B. Administer furosemide to the client C. Check the client’s IV infusion every 8hr D. Offer the client 240 ml (8oz) of oral fluids every 4hr 16. A nurse is teaching a client who has a new diagnosis of type 1diabetes mellitus about selfadministration of insulin. Which of the following instructions should the nurse include? A. Store the current bottle of insulin at room temperature B. Massage the injection site after removing the needle C. Pull back on the plunger after injecting the insulin D. Use each syringe up to six times 17. A nurse is reviewing a clients lab result. Which of the following lab values should the nurse report to the provider? A. Magnesium 1.9mEq/L B. Potassium 3.6mEq/L C. Sodium 126 mEq/L D. Chloride 99 mEq/L 18. A nurse is teaching a female client who is experiencing alcohol withdrawal about chlordiazepoxide. Which of the following information should the nurse include in the teaching? A. This medication may increase your blood pressure B. Breast tenderness may occur with this medication C. You can double the dose of medication if you feel anxious D. Notify the provider if pregnancy is desired or suspected 19. A nurse is teaching a female client who has anxiety disorder about alprazolam. Which of the following information should the nurse include in the teaching? A. This medication may increase your blood pressure B. Use a reliable form of contraception while taking this medication C. If a dose is missed double the next dose of medication D. Do not eat age cheeses while taking this medication 20. A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following? A. Diarrhea B. Gastric ulcer C. Dilated pupils D. Dysrhythmias 21. A nurse manager is presenting to a group of unit nurses the categories regulated under the controlled substances Act. Which of the following medication prescriptions should the nurse include under schedule II? A. Buprenorphine hydrochloride (3) B. Hydrocodone bitartrate (2) C. Diazepam (4) D. Morphine (2) 22. A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse’s priority? A. Level of consciousness Downloaded by: NurseJay | Distribution of this document is illegal S - The Marketplace to Buy and Sell your Study Material B. Pain C. Nausea D. Gag reflex 23. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching? A. I should take this medication with food B. I should report a cough to my provider C. I should expect to have facial swelling when taking this medication D. I should increase my intake of potassium rich foods 24. A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching? A. Increase dietary intake of raw vegetables B. Limit activity C. Dink four to five glasses of water daily D. Bear down hard when defecating 25. A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms? A. Cromolyn via metered dose inhaler B. Budesonide via dry powder inhaler C. Montelukast orally D. Albuterol via jet nebulizer 26. A nurse is caring for a client who requires total parenteral nutrition (TPN). Which of the following actions should the nurse take when finding that the TPN solution is infusing too rapidly? A. Sit the client upright B. Stop the TPN infusion C. Turn the client on his left side D. Prepare to add insulin to the TPN infusion 27. A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching? A. Gelatin B. Broth C. Popsicle D. Yogurt 28. A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following actions should the nurse take? A. Wipe the area of needleless port with sterile water B. Insert the needle into the needless port at a 60 angle C. Withdraw 3 to 5 ml of urine from the port D. Don sterile gloves 29. A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis? A. Oral mucosa B. Conjunctivae C. Soles of the feet Downloaded by: NurseJay | Distribution of this document is illegal S - The Marketplace to Buy and Sell your Study Material D. Ear lobes 30. A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? A. Cough B. Tremor C. Constipation D. Bradycardia 31. A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse? A. Discuss if family members will assist with postoperative care B. Review the clients current home environment C. Identify the clients usual coping mechanism D. Determine what the client knows about the surgery 32. A nurse is completing discharge to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins that promote wound healing should the nurse include in the teaching? (SATA) A. Vitamin B12 B. Vitamin C C. Vitamin K D. Vitamin D E. Vitamin A 33. A nurse is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the nurse place at the client’s bedside? A. Defibrillator machine B. Chest tube equipment C. Central venous catheter tray D. Bag valve mask device 34. A nurse is preparing to administer aspirin 650mg PO every 12 hr. The amount available is aspirin 325mg tablets. How many tablets should the nurse administer? (nearest whole number) 2 35. A nurse should teach which of the following clients requiring crutches about how to use a three-point gait? A. A client who has a right femur fracture with no weight bearing on the affected leg B. A client who has bilateral leg braces due to paralysis of the lower extremities C. A client who has bilateral knee replacements with partial weight bearing on both legs D. A client who is able to bear full weight on both lower extremities 36. A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating? A. Explain to the client that her tray is here and place her hands on it B. Ask the client if she would prefer a liquid diet C. Assign assistive personnel to feed the client D. Describe to the client the location of the food on the tray