RNSG 1424 Final Exam Questions With Correct Answers 2023/2024 | Latest Update 2023/2024 (Verified )

A nurse is caring for a 2-year-old client, who weighs 25 lb (11.3 kg), and has a fractured femur. What is the nurse’s priorityassessment for this client? You Selected: a!ected leg distal to the fracture               Prep U 11/29/20, 3:08 PM Report this Question 47s Report this Question 29s Report this Question 1m 52s Correct response: a!ected leg distal to the fracture Explanation: Remediation: Add a Note Question 25 See full question A client has renal colic due to renal lithiasis. What is the nurse's !rst priority in managing care for this client? You Selected: Do not allow the client to ingest #uids. Correct response: Administer an opioid analgesic as prescribed. Explanation: Remediation: Add a Note Question 26 See full question The nurse is caring for a client who has a new prescription for amitriptyline for depression and is preparing to be discharged. What assessment is the nurse's priority? You Selected: suicidal ideation Correct response: suicidal ideation Explanation: Remediation: Add a Note Question 27 See full question A couple visiting the infertility clinic for the "rst time states that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, what would be the mostappropriate outcome for the couple to accomplish by the end of this visit? You Selected: Describe each of the potential causes and possible treatment modalities.                Prep U 11/29/20, 3:08 PM Report this Question 1m 53s Report this Question 1m 36s Report this Question 13s Correct response: Describe each of the potential causes and possible treatment modalities. Explanation: Remediation: Add a Note Question 28 See full question A client taking newly prescribed metoprolol asks the nurse what medication to take for a headache. What is the nurse’s bestresponse? You Selected: acetaminophen Correct response: acetaminophen Explanation: Remediation: Add a Note Question 29 See full question The nursing team on an oncology unit consists of a registered nurse (RN), a licensed practical/vocational nurse (LPN/VN), and one unlicensed assistive personnel (UAP). Which client should be assigned to the RN? You Selected: a 52-year-old client with lung cancer admitted for acute dyspnea Correct response: a 52-year-old client with lung cancer admitted for acute dyspnea Explanation: Remediation: Add a Note Question 30 See full question As a nurse begins the shift on the obstetrical unit, there are several new admissions. The client with which condition would be a candidate for induction? You Selected: preeclampsia Correct response:                Prep U 11/29/20, 3:08 PM Report this Question 30s Report this Question 27s preeclampsia Explanation: Remediation: Add a Note Question 31 See full question While making rounds, the nurse enters a client’s room and "nds the client on the #oor between the bed and the bathroom. In which order of priority from "rst to last should the nurse take the following actions? All options must be used. You Selected: Assess the client's current condition and vital signs. If no acute injury, get help, and carefully assist the client back to bed. Notify the client’s health care provider (HCP) and family. Document as required by the facility. Correct response: Assess the client's current condition and vital signs. If no acute injury, get help, and carefully assist the client back to bed. Notify the client’s health care provider (HCP) and family. Document as required by the facility. Explanation: Remediation: Add a Note Question 32 See full question The client becomes upset when the nurse asks if the client has an advance directive and states, “Why do I need an advance directive?” What is the mostappropriate explanation for the nurse to give this client about an advance directive? You Selected: “Let’s talk about how an advance directive enables you to have your health care preferences known to your health care providers.” Correct response: “Let’s talk about how an advance directive enables you to have your health care preferences known to your health care providers.” Explanation: Remediation: Add a Note                    Prep U 11/29/20, 3:08 PM Report this Question 13s Report this Question 42s Report this Question 43s Report this Question 1m 1s Question 33 See full question The client is admitted in septic shock. Which assessment data warrants immediate intervention by the nurse? You Selected: a urinary output of 50 mL in the past 3 hours Correct response: a urinary output of 50 mL in the past 3 hours Explanation: Remediation: Add a Note Question 34 See full question A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to #oxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable? You Selected: 7 to 14 days Correct response: 7 to 14 days Explanation: Add a Note Question 35 See full question A nurse is teaching a client with bipolar disorder about the drug carbamazepine. The nurse determines teaching was e!ective when the client states You Selected: I need to have my blood counts checked periodically.” Correct response: I need to have my blood counts checked periodically.” Explanation: Remediation: Add a Note Question 36 See full question                Prep U 11/29/20, 3:08 PM Report this Question 14s Report this Question 1m 33s After 6 months of treatment with diet and exercise, an adolescent with type 2 diabetes still has a fasting blood glucose level of 140 mg/dL (7.8 mmol/L). The health care provider (HCP) has decided to begin metformin. The client asks how the medication works. The nurse should tell the client that the medicine decreases the glucose production and performs which other function? You Selected: increases insulin sensitivity Correct response: increases insulin sensitivity Explanation: Remediation: Add a Note Question 37 See full question While the nurse is preparing to assist the primiparous client to the bathroom to void 6 hours after a vaginal birth under epidural anesthesia, the client says that she feels dizzy when sitting up on the side of the bed. The nurse explains that this is most likely caused by which factor? You Selected: decreased blood volume in the vascular system Correct response: decreased blood volume in the vascular system Explanation: Remediation: Add a Note Question 38 See full question A nurse is caring for a school-age client who is in the second percentile of height and weight for age as a result of an endocrine disorder. Which pharmacological intervention should the nurse anticipate? You Selected: replacement with biosynthetic growth hormone Correct response: replacement with biosynthetic growth hormone Explanation: Remediation: Add a Note               Prep U 11/29/20, 3:08 PM Report this Question 15s Report this Question 36s Report this Question 41s Question 39 See full question The nurse is assessing a client with a spinal cord injury for the development of deep vein thrombosis. Which is the most e!ective way to determine deep vein thrombosis in this client? You Selected: Measure leg girth. Correct response: Measure leg girth. Explanation: Remediation: Add a Note Question 40 See full question A nurse-manager must include which items as part of the personnel budget? You Selected: anticipated overtime payments for sta! Correct response: anticipated overtime payments for sta! Explanation: Add a Note Question 41 See full question The chart entry for a client with a fungal infection in the maxillary sinus reads Progress notes 10/15/16 1530 Client reports increased nasal discharge, a productive cough with green discharge, and increasing facial pain 60 minutes after pain medication was given. Recent vital signs: Temperature 98.2° F (37° C), Pulse 120, and Respirations 26. What is the prioritynursing action? You Selected: obtain a sputum sample Correct response: obtain a sputum sample Explanation:              Prep U 11/29/20, 3:08 PM Report this Question 37s Report this Question 16s Report this Question 46s Report this Question 37s Add a Note Question 42 See full question A nurse is administering a prescribed dose of an injection to a middle-aged client with Bell’s palsy. What are the sources of ful"llment in the middle-years of an adult client’s life? You Selected: productive activity Correct response: productive activity Explanation: Add a Note Question 43 See full question A laboring client is restless and moving frequently in the bed. She is uncomfortable but refuses pain medication when o!ered. Which of the following responses from the nurse is mosthelpful? You Selected: Stand next to her at the side of the bed. Correct response: Stand next to her at the side of the bed. Explanation: Remediation: Add a Note Question 44 See full question After the nurse counsels a primiparous, breastfeeding client about diet and nutritional needs during the lactation period, which client statement indicates a need for additional teaching? You Selected: “I should drink at least "ve glasses of #uid daily.” Correct response: “I should drink at least "ve glasses of #uid daily.” Explanation: Remediation: Add a Note Question 45 See full question                Prep U 11/29/20, 3:08 PM Report this Question 14s Report this Question 16s An elderly client, who lost 25 pounds following a fad diet, is now experiencing signs of malnutrition. The client asks the nurse, “How can these blood tests show that I am having health problems when I look so good?” What is the mostimportant information for the nurse to teach the client about the blood tests? You Selected: “If there is a de"ciency of protein, it can be identi"ed through the blood tests.” Correct response: “If there is a de"ciency of protein, it can be identi"ed through the blood tests.” Explanation: Remediation: Reference: Hinkle, J. L., & Cheever, K. H. Brunner & Suddarth’s textbook of medical-surgical nursing, 13th ed. Philadelphia: Wolters Kluwer, 2014, Chapter 5 Adult Health and Nutritional Assessment, page 69 - 70. Add a Note Question 46 See full question The nurse is caring for a client who has severe burns on the head, neck, trunk, and groin areas. Which position would be mostappropriate for preventing contractures? You Selected: supine Correct response: supine Explanation: Remediation: Add a Note Question 47 See full question A usually reliable interpreter called by the nurse to help communicate with a mother of a child who does not speak English and has brought her child in for a routine visit has yet to arrive in the clinic. The nurse has paged the interpreter several times. What should the nurse do next? You Selected: Reschedule the infant's appointment for later in the week. Correct response: Reschedule the infant's appointment for later in the week. Explanation: Add a Note              Prep U 11/29/20, 3:08 PM Report this Question 1m 9s Report this Question 26s Report this Question 1m 43s Question 48 See full question The nurse is monitoring an infant with meningitis for signs of increased intracranial pressure (ICP). The nurse should assess the infant for which signs and symptoms? Select all that apply. You Selected: bulging fontanel emesis irritability Correct response: irritability bulging fontanel emesis Explanation: Remediation: Add a Note Question 49 See full question A charge nurse is making arrangements for an elderly client newly admitted from the emergency department for treatment of suspected pyelonephritis. The charge nurse notes that the client has been assigned to a semiprivate room with another client who has the same last name. What should the nurse do "rst? You Selected: Ask the admissions department to assign the elderly client to a new room. Correct response: Ask the admissions department to assign the elderly client to a new room. Explanation: Add a Note Question 50 See full question When prepping a client for a hemorrhoidectomy, which would be most important prior to the patient going to the operating room? You Selected: analgesics Correct response: an enema Explanation:                  Prep U 11/29/20, 3:08 PM Report this Question 16s Report this Question 12s Report this Question 16s Remediation: Add a Note Question 51 See full question After birth of a male neonate at 38 weeks’ gestation, the nurse dries the neonate and places him skin to skin on his mother’s chest to prevent which condition? You Selected: metabolism of brown adipose tissue Correct response: metabolism of brown adipose tissue Explanation: Remediation: Add a Note Question 52 See full question A healthcare facility plans to evaluate and revise the plan of care for a client based on the client's medical records. The physician, dietitian, and nurse involved in the client's care are required to collate all information for easy access. Which style do you think the agency is following to record the client details? You Selected: SOAP charting Correct response: SOAP charting Explanation: Remediation: Add a Note Question 53 See full question Twenty-four hours after undergoing kidney transplantation, a client develops a hyperacute rejection. To correct this problem, the nurse should prepare the client for You Selected: removal of the transplanted kidney. Correct response: removal of the transplanted kidney. Explanation:                Prep U 11/29/20, 3:08 PM Report this Question 13s Report this Question 1m 20s Report this Question 2m 21s Remediation: Add a Note Question 54 See full question A client has had multiple sclerosis (MS) for 15 years and has received various drug therapies. What is the primaryreason why the nurse has found it di$cult to evaluate the e!ectiveness of the drugs that the client has used? You Selected: The client experiences spontaneous remissions from time to time. Correct response: The client experiences spontaneous remissions from time to time. Explanation: Remediation: Add a Note Question 55 See full question The triage nurse is giving a telephone report to the receiving nurse in the labor and birth unit. The multigravida client is 8 cm dilated and is being transferred to the labor and birth unit. How should the labor and birth nurse manage the next ten minutes with the client? Select all that apply. You Selected: Begin fetal monitoring. Assess comfort needs of the client. Call other sta! to set up the birthing table. Determine support systems for the client. Correct response: Begin fetal monitoring. Call other sta! to set up the birthing table. Assess comfort needs of the client. Determine support systems for the client. Explanation: Remediation: Add a Note Question 56 See full question                   Prep U 11/29/20, 3:08 PM Report this Question 3m 36s Report this Question 12s A newer nurse is working on a medical-surgical unit that frequently admits clients with issues that may cause ethical dilemmas. Which situation(s) would be appropriate for the nurse to forward for ethics committee review? Select all that apply. You Selected: A confused client with cancer whose advanced directive indicates a wish for cardiopulmonary resuscitation, whose 4 children all want do not resuscitate orders. A client who was recently seen smoking who is on the lung transplant list. The 16-year-old child of a Jehovah Witness couple who wants a blood transfusion although parents are refusing consent. Correct response: A confused client with cancer whose advanced directive indicates a wish for cardiopulmonary resuscitation, whose 4 children all want do not resuscitate orders. The 16-year-old child of a Jehovah Witness couple who wants a blood transfusion although parents are refusing consent. A client who was recently seen smoking who is on the lung transplant list. Explanation: Remediation: Add a Note Question 57 See full question A 24-year-old client, diagnosed with acute osteomyelitis in the left leg, has acute pain in the leg that intensi"es on movement. The client has a temperature of 101° F (38.3° C) and a reddened, warm area in the midcalf region over the shaft of the tibia. Based on this information, what should the nurse do? You Selected: Prepare the client for possible left lower leg amputation. Correct response: Develop a plan for pain management. Explanation: Remediation: Add a Note Question 58 See full question A female client with bulimia nervosa reports that her major problem is eating too much food in a short period of time and then vomiting. Which short-term goal is the mostimportant? You Selected: Determine the amount of food the client will eat without purging. Correct response:                Prep U 11/29/20, 3:08 PM 51s Your selection and the correct area, market by the green box. Report this Question Report this Question 14s Determine the amount of food the client will eat without purging. Explanation: Remediation: Add a Note Question 59 See full question What area of the chest would the nurse monitor for suprasternal retractions in an infant diagnosed with bronchiolitis? You Selected: Explanation: Add a Note Question 60 See full question In caring for a client with vasovagal syncope, the nurse should know that the associated temporary loss of consciousness is most commonly related to You Selected: bradyarrhythmia. Correct response: bradyarrhythmia. Explanation: Remediation: