EXAM B Q AND A FULLY ANSWERED
1. A nurse is assessing a client for manifestations of left-sided heart failure. Which of
the following findings should the nurse - (CORRECT ANSWER)D: Cool extremities
. A Nurse is assessing a 6-month-old infant who has bacterial pneumonia. Which of
the following Manifestations Should the nurse expect? - (CORRECT
ANSWER)Nasal flaring
nurse is caring for a school-age child who was admitted to the emergency
department for acute asthma exacerbation. Which of the following actions should the
nurse take first? - (CORRECT ANSWER)Apply humidified oxygen with a simple
mask.
nurse is providing teaching about foot care to a client who has diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
- (CORRECT ANSWER)A: "I'll wash my feet every day with soap and lukewarm wate
A nurse is reviewing the medical record of a client who has decreased urinary
output. Which of the following findings should the nurse identify as a risk factor for
the development of pyelonephritis? - (CORRECT ANSWER)Diabetes mellitus
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings should the nurse expect - (CORRECT ANSWER)Fever is correct.
Rational: The nurse should expect to find a fever in the client who has acute
cholecystitis due to the inflammatory process.
B: Dyspepsia is correct.
Rational: The nurse should expect to find dyspepsia or indigestion in the client who
has acute cholecystitis due to the biliary stasis from conditions affecting the filling or
emptying of the gallbladder.
E: Eructation is correct.
Rational: The nurse should expect the client who has acute cholecystitis to exhibit
eructation, or belching, due to the biliary stasis from conditions affecting the filling or
emptying of the gallbladder.
7. A nurse is an emergency department is caring for a client who has appendicitis.
Which of the following actions should the nurse take? - (CORRECT ANSWER)Place
the client in semi-Fowler's position.
nurse is planning care for a client following collection of admission data. Which of the
following findings should the nurse identify as the priority client need? - (CORRECT
ANSWER)The client reports coughing and a change of voice whenever he eats.
A nurse is caring for a client who has respiratory acidosis due to opioid oversedation.
Which of the following actions should the nurse take first? - (CORRECT
ANSWER)Ensure a patent airway using a chin-lift maneuver
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify as being at risk for developing respiratory acidosis? - (CORRECT
ANSWER)A client who has abdominal ascite
, nurse is providing discharge teaching to the parents of a newborn about crib use.
Which of the following statements should the nurse make? - (CORRECT
ANSWER)Dressing your baby in a one-piece sleeper for bedtime will replace the
need to use a blanket or a sheet."
A nurse is reviewing the laboratory results of an adult male client who has
hyperlipidemia and is making lifestyle changes to improve his cholesterol levels.
Which of the following findings indicates to the nurse that the client has a -
(CORRECT ANSWER)HDL 50 mg/dL
nurse is providing teaching to the parent of a school-age child who has a severe bee
allergy and a new prescription for an epinephrine auto-injector. Which of the
following instructions should the nurse include? - (CORRECT ANSWER)Give a
second injection if the first fails to reverse your child's symptoms."
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take? - (CORRECT ANSWER)Stay with the client
until manifestations subside
nurse is preparing to mix NPH insulin and insulin aspart in a single syringe for a
client who has type 2 diabetes mellitus. Identify the sequence the nurse should
follow. - (CORRECT ANSWER)Inject air into the vial equal to the amount of NPH
insulin prescribed.
D: Inject air into the vial equal to the amount of insulin aspart prescribed
A: Withdraw the prescribed volume of insulin aspart into the syringe.
C: Withdraw the prescribed volume of NPH insulin into the syringe.
nurse is assessing an 18-month-old toddler who has gastroenteritis with dehydration.
The toddler is able to consume 3 mL of oral rehydration solution every 5 minutes but
still has emesis and diarrhea. Which if the following medications should the nurse
anticipate administering to the toddler? - (CORRECT ANSWER)Ondansetron
nurse is assessing for adverse medication reactions with a client who reports taking
more than the recommended dose of acetaminophen for the management of chronic
pain. Which of the following findings should the nurse identify as an adverse effect of
acetaminophen? - (CORRECT ANSWER)Elevated aspartate aminotransferase
levels
nurse is reviewing the laboratory results of a client who is scheduled for surgery and
notes a potassium level of 6 mEq/L. Which of the following ECG findings should the
nurse expect? - (CORRECT ANSWER)Tall T waves
A nurse is assessing a 6-month-old infant who has gastroenteritis with mild
dehydration. Which of th - (CORRECT ANSWER)Capillary refill greater than 2
seconds
A nurse is assessing a client who has acute pyelonephritis. Which of the following
findings should the nurse expect? - (CORRECT ANSWER)Urinary burning
1. A nurse is assessing a client for manifestations of left-sided heart failure. Which of
the following findings should the nurse - (CORRECT ANSWER)D: Cool extremities
. A Nurse is assessing a 6-month-old infant who has bacterial pneumonia. Which of
the following Manifestations Should the nurse expect? - (CORRECT
ANSWER)Nasal flaring
nurse is caring for a school-age child who was admitted to the emergency
department for acute asthma exacerbation. Which of the following actions should the
nurse take first? - (CORRECT ANSWER)Apply humidified oxygen with a simple
mask.
nurse is providing teaching about foot care to a client who has diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
- (CORRECT ANSWER)A: "I'll wash my feet every day with soap and lukewarm wate
A nurse is reviewing the medical record of a client who has decreased urinary
output. Which of the following findings should the nurse identify as a risk factor for
the development of pyelonephritis? - (CORRECT ANSWER)Diabetes mellitus
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings should the nurse expect - (CORRECT ANSWER)Fever is correct.
Rational: The nurse should expect to find a fever in the client who has acute
cholecystitis due to the inflammatory process.
B: Dyspepsia is correct.
Rational: The nurse should expect to find dyspepsia or indigestion in the client who
has acute cholecystitis due to the biliary stasis from conditions affecting the filling or
emptying of the gallbladder.
E: Eructation is correct.
Rational: The nurse should expect the client who has acute cholecystitis to exhibit
eructation, or belching, due to the biliary stasis from conditions affecting the filling or
emptying of the gallbladder.
7. A nurse is an emergency department is caring for a client who has appendicitis.
Which of the following actions should the nurse take? - (CORRECT ANSWER)Place
the client in semi-Fowler's position.
nurse is planning care for a client following collection of admission data. Which of the
following findings should the nurse identify as the priority client need? - (CORRECT
ANSWER)The client reports coughing and a change of voice whenever he eats.
A nurse is caring for a client who has respiratory acidosis due to opioid oversedation.
Which of the following actions should the nurse take first? - (CORRECT
ANSWER)Ensure a patent airway using a chin-lift maneuver
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify as being at risk for developing respiratory acidosis? - (CORRECT
ANSWER)A client who has abdominal ascite
, nurse is providing discharge teaching to the parents of a newborn about crib use.
Which of the following statements should the nurse make? - (CORRECT
ANSWER)Dressing your baby in a one-piece sleeper for bedtime will replace the
need to use a blanket or a sheet."
A nurse is reviewing the laboratory results of an adult male client who has
hyperlipidemia and is making lifestyle changes to improve his cholesterol levels.
Which of the following findings indicates to the nurse that the client has a -
(CORRECT ANSWER)HDL 50 mg/dL
nurse is providing teaching to the parent of a school-age child who has a severe bee
allergy and a new prescription for an epinephrine auto-injector. Which of the
following instructions should the nurse include? - (CORRECT ANSWER)Give a
second injection if the first fails to reverse your child's symptoms."
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take? - (CORRECT ANSWER)Stay with the client
until manifestations subside
nurse is preparing to mix NPH insulin and insulin aspart in a single syringe for a
client who has type 2 diabetes mellitus. Identify the sequence the nurse should
follow. - (CORRECT ANSWER)Inject air into the vial equal to the amount of NPH
insulin prescribed.
D: Inject air into the vial equal to the amount of insulin aspart prescribed
A: Withdraw the prescribed volume of insulin aspart into the syringe.
C: Withdraw the prescribed volume of NPH insulin into the syringe.
nurse is assessing an 18-month-old toddler who has gastroenteritis with dehydration.
The toddler is able to consume 3 mL of oral rehydration solution every 5 minutes but
still has emesis and diarrhea. Which if the following medications should the nurse
anticipate administering to the toddler? - (CORRECT ANSWER)Ondansetron
nurse is assessing for adverse medication reactions with a client who reports taking
more than the recommended dose of acetaminophen for the management of chronic
pain. Which of the following findings should the nurse identify as an adverse effect of
acetaminophen? - (CORRECT ANSWER)Elevated aspartate aminotransferase
levels
nurse is reviewing the laboratory results of a client who is scheduled for surgery and
notes a potassium level of 6 mEq/L. Which of the following ECG findings should the
nurse expect? - (CORRECT ANSWER)Tall T waves
A nurse is assessing a 6-month-old infant who has gastroenteritis with mild
dehydration. Which of th - (CORRECT ANSWER)Capillary refill greater than 2
seconds
A nurse is assessing a client who has acute pyelonephritis. Which of the following
findings should the nurse expect? - (CORRECT ANSWER)Urinary burning
