NURS 1200 Final questions with correct answers
Then nurse observes that a male client has removed the covering from
an ice pack applied to his knee. What action should the nurse take first?
a. observe the appearance of the skin under the ice pack
b. instruct the client regarding the need for the covering
c. reapply the covering after filling with fresh ice
d. ask the client how long the ice was applied to the skin Correct Answer.-
a. observe the appearance of the skin under the ice pack
The nurse mixes 50mg of Nipride in 250mL of D5W and plans to
administer the solution at a rate of 5mcg/kg/min to a client weighing
182lbs. Using a drip factor of 60gtts/mL, how many drops per minute
should the client receive?
a. 31gtt/min
b. 62gtt/min
c. 93gtt/min
d. 124gtt/min Correct Answer.-d. 124gtt/min
The healthcare provider prescribed an IV infusion of 1000mL of lactated
ringers with 30units of pitocin to run in over 4hrs for a client who has
just delivered a 10lb infant by cesarean section. The tubing has been
changed to a 20gtt/mL administration set. The nurse plans to set the flow
rate at how many gtt/min?
a. 42 gtt/min
b. 83 gtt/min
c. 125 gtt/min
,d. 250 gtt/min Correct Answer.-b. 83 gtt/min
Which assessment data provides the most accurate termination of proper
placement of a nasogastric tube?
a. aspirating gastric contents to assure a pH value of 4 or less
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest xray obtain after the tubing was inserted
d. checking the remaining length of tubing to ensure that the correct
length was inserted Correct Answer.-c. examining a chest xray obtain after
the tubing was inserted
Three days following surgery, a male client observes his colostomy for
the first time. He becomes quite upset and tells the nurse that it is much
bigger than he expected. What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma
appearance in time.
B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help
him with his concerns.
D. Encourage the client to handle the stoma equipment to gain
confidence with the procedure. Correct Answer.-B. Instruct the client that
the stoma will become smaller when the initial swelling diminishes.
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
,through the nasogastric tube in the last two hours. What action should
the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. Correct
Answer.-B. Reposition the client on her side.
A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had
a bad bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling. Correct Answer.-C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what
year it is. What data should the nurse document that is most accurate?
A. demonstrates loss of remote memory.
B. exhibits expressive dysphasia.
, C. has a diminished attention span.
D. is disoriented to place and time. Correct Answer.-D. is disoriented to
place and time.
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
a. commend the client for selecting a high biologic protein
b. remind the client that protein is in the diet should be avoided
c. suggest that the client also select orange juice, to promote absorption
d. encourage the client to attend classes on dietary management of CKD
Correct Answer.-a. commend the client for selecting a high biologic
protein
When assisting an 82-year-old client to ambulate, it is important for the
nurse to realize that the center of gravity for an elderly person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet. Correct Answer.-B. Upper torso.
In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
Then nurse observes that a male client has removed the covering from
an ice pack applied to his knee. What action should the nurse take first?
a. observe the appearance of the skin under the ice pack
b. instruct the client regarding the need for the covering
c. reapply the covering after filling with fresh ice
d. ask the client how long the ice was applied to the skin Correct Answer.-
a. observe the appearance of the skin under the ice pack
The nurse mixes 50mg of Nipride in 250mL of D5W and plans to
administer the solution at a rate of 5mcg/kg/min to a client weighing
182lbs. Using a drip factor of 60gtts/mL, how many drops per minute
should the client receive?
a. 31gtt/min
b. 62gtt/min
c. 93gtt/min
d. 124gtt/min Correct Answer.-d. 124gtt/min
The healthcare provider prescribed an IV infusion of 1000mL of lactated
ringers with 30units of pitocin to run in over 4hrs for a client who has
just delivered a 10lb infant by cesarean section. The tubing has been
changed to a 20gtt/mL administration set. The nurse plans to set the flow
rate at how many gtt/min?
a. 42 gtt/min
b. 83 gtt/min
c. 125 gtt/min
,d. 250 gtt/min Correct Answer.-b. 83 gtt/min
Which assessment data provides the most accurate termination of proper
placement of a nasogastric tube?
a. aspirating gastric contents to assure a pH value of 4 or less
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest xray obtain after the tubing was inserted
d. checking the remaining length of tubing to ensure that the correct
length was inserted Correct Answer.-c. examining a chest xray obtain after
the tubing was inserted
Three days following surgery, a male client observes his colostomy for
the first time. He becomes quite upset and tells the nurse that it is much
bigger than he expected. What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma
appearance in time.
B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help
him with his concerns.
D. Encourage the client to handle the stoma equipment to gain
confidence with the procedure. Correct Answer.-B. Instruct the client that
the stoma will become smaller when the initial swelling diminishes.
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
,through the nasogastric tube in the last two hours. What action should
the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. Correct
Answer.-B. Reposition the client on her side.
A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had
a bad bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for
gurgling. Correct Answer.-C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what
year it is. What data should the nurse document that is most accurate?
A. demonstrates loss of remote memory.
B. exhibits expressive dysphasia.
, C. has a diminished attention span.
D. is disoriented to place and time. Correct Answer.-D. is disoriented to
place and time.
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
a. commend the client for selecting a high biologic protein
b. remind the client that protein is in the diet should be avoided
c. suggest that the client also select orange juice, to promote absorption
d. encourage the client to attend classes on dietary management of CKD
Correct Answer.-a. commend the client for selecting a high biologic
protein
When assisting an 82-year-old client to ambulate, it is important for the
nurse to realize that the center of gravity for an elderly person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet. Correct Answer.-B. Upper torso.
In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
