exam
WITH VERIFFIED QUESTION AND
ANSWERS BEST VERSION!!
, A charge nurse receives a call from the house supervisor requesting room assignments
for four new clients. Based on the admission diagnoses, which of the following clients
requires a private room?A. An older adult client who was admitted with aspiration
pneumonia B. A client who reports having fever, night sweats, and cough for 2 days C.
A client who has diabetes mellitus and is presenting with acute ketoacidosis D. A
client who has a compound fracture of the right femur - CORRECT ANSWERS-B. A client
who reports having fever, night sweats, and cough for 2 days A critical care nurse is
assessing a client who has a severe head injury. In response to painful stimuli the
client does not open her eyes, displays decerebrate posturing, and makes
incompressible sounds. Which of the following Glasgow coma scale scores should the
nurse assign the client? A. 2 B. 5 C. 10 D. 13 - CORRECT ANSWERS-B. 5
A nurse in a long-term care facility is caring for a bedridden client. Which of the
following findings should alert the nurse to a potential complication of the client's
immobility? A. Confusion B. Polyuria C. Blurred vision D. Diarrhea - CORRECT ANSWERS-A.
Confusion
A nurse in the emergency department is caring for a client who has a gunshot wound to
the abdomen. Which of the following should the nurse take first? A. Check the color of
the client's skin B. Prepare the client's clothing C. Remove all the clients clothing
D. Administer an opioid analgesic - CORRECT ANSWERS-A. Check the color of the client's
skin
A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first? A. Administer IV
therapy B.. Insert a large bore IV catheter C. Monitor urine output D. Obtain a blood
specimen for type and crossmatch - CORRECT ANSWERS-B. Insert a large bore IV catheter
A nurse in the intensive care unit is caring for a client who has the following ABG
results: pH 7.30; HCO3 19 mEq/L, PaCO2 with the expected reference range A.
respiratory alkalosis B. Respiratory acidosis C. Metabolic acidosis D. Metabolic
alkalosis - CORRECT ANSWERS-C. Metabolic acidosis A nurse is administering furosemide
80 mg PO twice daily to a client who has pulmonary edema. Which of the following
assessment findings indicates to the nurse that the medication is effective? A.
Elevation in blood pressure B. Adventitious breath sounds C. Weight loss of 1.8 kg
(4lb) in the past 24 hr D. Respiratory rate of 24/min - CORRECT ANSWERS-C. Weight loss
of 1.8 kg (4lb) in the past 24 hr A nurse is assessing a client following the
insertion of a central venous catheter. Which of the following findings indicates a
pneumothorax? A. Diminished breath sounds B. Distended neck veins C. Irregular heart