CORRECT ANSWERS A GRADED
A /nurse /in /an /emergency /department /is /preparing /to /perform /an /ocular /irrigation /for /a
/client. /Which /of /the /following /actions /should /the /nurse /plan /to /take?
a. /Assess /the /client's /visual /acuity /prior /to /irrigation
b. /Have /the /client /turn /their /head /toward /the /unaffected /eye
c. /Hold /the /irrigator /syringe /3.81 /cm /(1.5 /in) /above /the /eye
d.
/Perform
/the
/irrigation
/with
/sterile /water /for /irrigation /- /Correct / /Answer /✔✔ /- /d. /Perform /the /irrigation /with /sterile
/water /for /irrigation
A
/nurse
/is
/preparing
/to
/administer /lactated /ringer's /via /continuous /IV /infusion /at /200 /ml/hr. /The /IV /tubing /has
/a
/drop
/factor
/of
/10
/drops/ml.
/How
/many
/gtt/min
/should
/the
/nurse
/set
/the /IV /pump /to /administer? /Round /to /near /whole /number /- /Correct / /Answer /✔✔ /- /33
/gtt/min
A
/nurse
/is
,/providing
/discharge /teaching /to /a /client /who /has /a /new /prescription /for /sublingual /nitroglycerin.
/Which /of /the /following /client /statements /indicates /an /understanding /of /the /teaching?
a. /I /can /keep /my /medications /for /1 /year /before /replacing /it
b. /I /should /lie /down /when /I /take /this /medication
c. /I /should /discontinue /this /medication /if /I /develop /a /headache
d. /
I
/can
/take
/up
/to
/five
/tablets
/in
/15
/minutes
/before
/seeking
/medical
/attention /- /Correct / /Answer /✔✔ /- /b. /I /should /lie /down /when /I /take /this /medication
A
/nurse
/is
/providing
/discharge
/teaching
/to
/an
/older
/adult
/client
/following /
a
/left
/total
/hip
/arthroplasty.
/Which /of /the /following /instructions /should /the /nurse /include /in /the /teaching?
a. /Clean /the /incision /daily /with /hydrogen /peroxide
b. /You /can /cross /your /legs /the /ankles /when /sitting /down
c. /You /should /use /an /incentive /spirometer /every /8 /hours
d.
/Install /
a
,/raised
/toilet
/seat
/in
/your /bathroom /- /Correct / /Answer /✔✔ /- /d. /Install /a /raised /toilet /seat /in /your /bathroom
A
/nurse
/is /planning /care /for /a /client /following /a /cardiac /catheterization. /Which /of /the /following
/actions /should /the /nurse /take?
a. /Keep /the /client /on /bed /rest /for /24 /hours
b. /Limit /the /client's /fluid /intake /to /1 /l /per /day
c. /Maintain /the /client's /affected /extremity /in /extension
d.
/Change
/the
/client's
/dressing
/every /
8 /hour /- /Correct / /Answer /✔✔ /- /c. /Maintain /the /client's /affected /extremity /in /extension
A
/nurse
/is
/caring
/for /
a
/client
/who
/has /
a
/lower
/extremity
/fracture
/and /a /prescription /for /crutches. /Which /of /the /following /client /statements /indicates /that
/the /client /is /adapting /to /their /role /change?
a. /
I
/will /need /to /have /my /partner /take /over /shopping /for /groceries /and /cooking /the /meals
/for /us
b. /These /crutches /will /make /it /impossible /to /care /for /my /child
c. /I /feel /bad /that /I /have /to /ask /my /partner /to /keep /the /house /clean
d.
/Its
/going /to /be /difficult /to /tell /my /parents /I /cant /take /them /to /their /appointments /anymore
/-
, /Correct /
/Answer
/✔✔ /-
/a. /
I
/will /need /to /have /my /partner /take /over /shopping /for /groceries /and /cooking /the /meals
/for /us
A
/nurse
/is
/caring
/for /
a
/client
/who
/has
/gastroenteritis.
/Which
/of
/the
/following
/assessment
/findings
/should
/the /nurse /recognize /as /an /indication /that /the /client /is /experiencing /dehydration?
a. /Pitting, /dependent /edema
b. /Distended /jugular /veins
c. /Increased /BP
d. /Decreased /BP /- /Correct / /Answer /✔✔ /- /d. /Decreased /BP
A
/nurse
/is
/caring
/for /
a
/client
/who
/has /
a
/contusion
/of
/the
/brainstem
/and