amurimi
COMPREHENSIVE EXAM 3 QUESTIONS
WITH CORRECT ANSWERS
A b38-year-old bfemale bclient bis badmitted bto bthe bmental bhealth bunit bafter ba brecent bmanic
bepisode bof bspending blarge bamounts bof bmoney bon bnew bfurniture, bmaking bexcessive
blong-distance bphone bcalls, band bnot bsleeping bfor bthree bdays. bDuring bthe badmission
bprocess, bthe bclient bis bwearing ba bgreen bbathing bsuit. bWhat bintervention bshould bthe
bnurse bimplement? b- bcorrect banswers✔✔Assess bthe bclient's bneeds bfor bfood, bliquids,
band brest.
During ba bgroup btherapy bsession, ba bclient bwith bhypomania bthreatens bto bstrike banother
bclient. bWhat bintervention bis bbest bfor bthe bnurse bto bimplement? b- bcorrect banswers✔✔
Firmly binform bthe bclient bthat bacting bout banger bis bnot bacceptable.
A bclient bwho bis ba blaboratory btechnician band bhas ba bhistory bof ballergic brhinitis, basthma,
band bmultiple bfood ballergies bis bscheduled bfor bsurgery. bWhich baction bshould bthe bnurse
bimplement? b- bcorrect banswers✔✔Document ba bpossible bType bI blatex ballergy.
In breviewing bthe bmedical brecord, bthe bnurse bnotes bthat ba bclient's blast beye bexamination
brevealed ban bIOP bof b28 bmmHg. bWhat binformation bshould bthe bnurse bask bthe bclient? b-
bcorrect banswers✔✔Use bof bprescribed beye bdrops bsince blast bexam bby bophthalmologist.
Which baction bshould bthe bnurse bimplement bto bassess bfor bJVD bin ba bclient bwith bHF? b-
bcorrect banswers✔✔Observe bthe bvertical bdistention bof bthe bveins bas bthe bclient bis
bgradually belevated bto ban bupright bposition.
The bnurse bidentifies ba bclient's blaboratory bresults band bidentifies ban belevated bserum
bammonia blevel. bWhich bpathophysiological bprocess bcontributes bto bthis bfinding? b- bcorrect
banswers✔✔Failure bof bthe bliver bto bconvert bammonia babsorbed bfrom bthe bbowel bto burea.
A bclient bwith bGERD bis bunconscious band bunresponsive bto bstimuli. bThe bnurse bplaces bthe
bclient bin ba bside-lying bposition. bThe bnurse bshould bmonitor bfor bthe brisk bof bwhich
bcomplication? b- bcorrect banswers✔✔Aspiration bpneumonia.
A bclient breturns bto bthe bunit bafter babdominal bNissen bfundoplication bfor btreatment bof
bGERD. bAfter b4 bhours, bthe bnurse bdetermines bthe bclient bhas bno bdrainage bfrom bthe bNGT
band bhas babsent bbowel bsounds. bWhat baction bshould bthe bnurse bimplement? b- bcorrect
banswers✔✔Irrigate bthe bNGT bwith bnormal bsaline.
A bmale bclient bwho bis badmitted bwith ba bbleeding bpeptic bulcer bdevelops bsudden, bsevere
bupper babdominal bpain. bThe bclient bbecomes bdiaphoretic band bdraws bhis bknees bover bhis
babdomen. bWhich bfinding bshould bthe bnurse breport bto bthe bhealthcare bprovider? b- bcorrect
banswers✔✔A brigid, bboardlike babdomen.
1
, amurimi
A bclient breturns bto bthe bpostoperative bunit bafter ba bgastroduodenostomy b(Billroth bI) bfor
btreatment bof ba bperforated bulcer. bThe bhealthcare bprovider's bprescriptions binclude
bmorphine bwith ba bpatient-controlled banalgesia b(PCA), bnasogastric btube b(NGT) bto blow
bintermittent bnasogastric bsuction, band bIV bfluids band bantibiotics. bThe bclient bcomplains bof
bincreasing babdominal bpain b12 bhours bafter breturning bto bthe bsurgical bunit. bThe bnurse
bdetermines bthe bclient bhas bno bbowel bsounds, band b200 bml bof bbright bred bnasogastric
bdrainage bis bin bthe bsuction bcanister bin bthe bpast bhour. bWhat bis bthe bpriority baction bthe
bnurse bshould bimplement? b- bcorrect banswers✔✔Notify bHCP
A bclient breturns bfrom bsurgery bafter bundergoing ban babdominal-perineal bresection bwith ba
bsigmoid bcolostomy. bThe bcolostomy bis bdressed bwith bpetroleum bjelly bgauze band bdry
bgauze bdressings. bThe bperineal bincision bis bpartially bclosed bwith btwo bdrains battached bto
bJackson-Pratt bsuction bbulbs. bDuring bthe bearly bpostoperative bperiod, bthe bnurse bshould
bgive bthe bhighest bpriority bto bwhich bnursing baction? b- bcorrect banswers✔✔Maintain bdry
bperineal bdressings
What binformation bin ba bclient's bhistory bindicates bthe bhighest brisk bfactor bfor bhepatitis bC? b-
bcorrect banswers✔✔Intravenous bdrug babuse
A bclient bwith badvanced bcirrhosis band bhepatic bencephalopathy bis bmanifesting bmounting
bascites band b4+ bpitting bedema bof bthe bfeet band blegs. bThe bnurse bidentifies bfluid bleaking
bfrom bhis bskin bwhen bhe bis bturned. bWhich bintervention bis bmost bimportant bfor bthe bnurse bto
binclude bin bthe bclient's bplan bof bcare? b- bcorrect banswers✔✔Apply ba bpressure-relieving
bmattress bunder bthe bclient.
A bfemale bclient barrives bat bthe bclinic bbecause bher bboyfriend breceived bthe bresults bof ba
bGram bstain bsmear bthat brevealed bthe bpresence bof bNeisseria bgonorrhoeae. bThe bclient
btells bthe bnurse bthat bshe bhas bnot bhad bany bsymptoms band balmost bdid bnot bcome bto bthe
bclinic. bWhat binformation bshould bthe bnurse bprovide bthe bclient? b- bcorrect banswers✔✔
Gonorrhea bis boften basymptomatic bin bwomen bbecause bthe binfection bis bnot bvisible.
A bclient bwith ban bopen breduction band bapplication bof ban bexternal bfixator bfor bopen,
bcomminuted bfractures bof bthe btibia band bfibula bbegins bto bcomplain bof bsevere bpain bin bthe
baffected bleg, bwhich bis bnot brelieved bby banalgesics. bThe bclient bsays bthe btoes bare bnumb
band btingling, balthough bthey bappear bpink. bWhat baction bshould bthe bnurse bimplement? b-
bcorrect banswers✔✔Notify bHCP
A bclient bis bcomatose bupon barrival bto bthe bemergency bdepartment bafter bfalling bfrom ba
broof. bThe bclient bflexes bwith bpainful bstimuli, band bthe bnurse bdetermines bthe bclient's
bGlasgow bComa bScale b(GCS) bis b6. bWhich bintervention bshould bthe bnurse bprepare bto
bimplement bto bmaintain bthe bclient's bairway? b- bcorrect banswers✔✔A bnasopharyngeal
btube.
The bnurse bis bevaluating bthe bexternal bfetal bmonitor band bidentifies bvariable bfetal bheart
brate b(FHR) bdecelerations. bThe bnurse brecognizes bthat bthis bchange bin bthe bFHR bpattern
2
COMPREHENSIVE EXAM 3 QUESTIONS
WITH CORRECT ANSWERS
A b38-year-old bfemale bclient bis badmitted bto bthe bmental bhealth bunit bafter ba brecent bmanic
bepisode bof bspending blarge bamounts bof bmoney bon bnew bfurniture, bmaking bexcessive
blong-distance bphone bcalls, band bnot bsleeping bfor bthree bdays. bDuring bthe badmission
bprocess, bthe bclient bis bwearing ba bgreen bbathing bsuit. bWhat bintervention bshould bthe
bnurse bimplement? b- bcorrect banswers✔✔Assess bthe bclient's bneeds bfor bfood, bliquids,
band brest.
During ba bgroup btherapy bsession, ba bclient bwith bhypomania bthreatens bto bstrike banother
bclient. bWhat bintervention bis bbest bfor bthe bnurse bto bimplement? b- bcorrect banswers✔✔
Firmly binform bthe bclient bthat bacting bout banger bis bnot bacceptable.
A bclient bwho bis ba blaboratory btechnician band bhas ba bhistory bof ballergic brhinitis, basthma,
band bmultiple bfood ballergies bis bscheduled bfor bsurgery. bWhich baction bshould bthe bnurse
bimplement? b- bcorrect banswers✔✔Document ba bpossible bType bI blatex ballergy.
In breviewing bthe bmedical brecord, bthe bnurse bnotes bthat ba bclient's blast beye bexamination
brevealed ban bIOP bof b28 bmmHg. bWhat binformation bshould bthe bnurse bask bthe bclient? b-
bcorrect banswers✔✔Use bof bprescribed beye bdrops bsince blast bexam bby bophthalmologist.
Which baction bshould bthe bnurse bimplement bto bassess bfor bJVD bin ba bclient bwith bHF? b-
bcorrect banswers✔✔Observe bthe bvertical bdistention bof bthe bveins bas bthe bclient bis
bgradually belevated bto ban bupright bposition.
The bnurse bidentifies ba bclient's blaboratory bresults band bidentifies ban belevated bserum
bammonia blevel. bWhich bpathophysiological bprocess bcontributes bto bthis bfinding? b- bcorrect
banswers✔✔Failure bof bthe bliver bto bconvert bammonia babsorbed bfrom bthe bbowel bto burea.
A bclient bwith bGERD bis bunconscious band bunresponsive bto bstimuli. bThe bnurse bplaces bthe
bclient bin ba bside-lying bposition. bThe bnurse bshould bmonitor bfor bthe brisk bof bwhich
bcomplication? b- bcorrect banswers✔✔Aspiration bpneumonia.
A bclient breturns bto bthe bunit bafter babdominal bNissen bfundoplication bfor btreatment bof
bGERD. bAfter b4 bhours, bthe bnurse bdetermines bthe bclient bhas bno bdrainage bfrom bthe bNGT
band bhas babsent bbowel bsounds. bWhat baction bshould bthe bnurse bimplement? b- bcorrect
banswers✔✔Irrigate bthe bNGT bwith bnormal bsaline.
A bmale bclient bwho bis badmitted bwith ba bbleeding bpeptic bulcer bdevelops bsudden, bsevere
bupper babdominal bpain. bThe bclient bbecomes bdiaphoretic band bdraws bhis bknees bover bhis
babdomen. bWhich bfinding bshould bthe bnurse breport bto bthe bhealthcare bprovider? b- bcorrect
banswers✔✔A brigid, bboardlike babdomen.
1
, amurimi
A bclient breturns bto bthe bpostoperative bunit bafter ba bgastroduodenostomy b(Billroth bI) bfor
btreatment bof ba bperforated bulcer. bThe bhealthcare bprovider's bprescriptions binclude
bmorphine bwith ba bpatient-controlled banalgesia b(PCA), bnasogastric btube b(NGT) bto blow
bintermittent bnasogastric bsuction, band bIV bfluids band bantibiotics. bThe bclient bcomplains bof
bincreasing babdominal bpain b12 bhours bafter breturning bto bthe bsurgical bunit. bThe bnurse
bdetermines bthe bclient bhas bno bbowel bsounds, band b200 bml bof bbright bred bnasogastric
bdrainage bis bin bthe bsuction bcanister bin bthe bpast bhour. bWhat bis bthe bpriority baction bthe
bnurse bshould bimplement? b- bcorrect banswers✔✔Notify bHCP
A bclient breturns bfrom bsurgery bafter bundergoing ban babdominal-perineal bresection bwith ba
bsigmoid bcolostomy. bThe bcolostomy bis bdressed bwith bpetroleum bjelly bgauze band bdry
bgauze bdressings. bThe bperineal bincision bis bpartially bclosed bwith btwo bdrains battached bto
bJackson-Pratt bsuction bbulbs. bDuring bthe bearly bpostoperative bperiod, bthe bnurse bshould
bgive bthe bhighest bpriority bto bwhich bnursing baction? b- bcorrect banswers✔✔Maintain bdry
bperineal bdressings
What binformation bin ba bclient's bhistory bindicates bthe bhighest brisk bfactor bfor bhepatitis bC? b-
bcorrect banswers✔✔Intravenous bdrug babuse
A bclient bwith badvanced bcirrhosis band bhepatic bencephalopathy bis bmanifesting bmounting
bascites band b4+ bpitting bedema bof bthe bfeet band blegs. bThe bnurse bidentifies bfluid bleaking
bfrom bhis bskin bwhen bhe bis bturned. bWhich bintervention bis bmost bimportant bfor bthe bnurse bto
binclude bin bthe bclient's bplan bof bcare? b- bcorrect banswers✔✔Apply ba bpressure-relieving
bmattress bunder bthe bclient.
A bfemale bclient barrives bat bthe bclinic bbecause bher bboyfriend breceived bthe bresults bof ba
bGram bstain bsmear bthat brevealed bthe bpresence bof bNeisseria bgonorrhoeae. bThe bclient
btells bthe bnurse bthat bshe bhas bnot bhad bany bsymptoms band balmost bdid bnot bcome bto bthe
bclinic. bWhat binformation bshould bthe bnurse bprovide bthe bclient? b- bcorrect banswers✔✔
Gonorrhea bis boften basymptomatic bin bwomen bbecause bthe binfection bis bnot bvisible.
A bclient bwith ban bopen breduction band bapplication bof ban bexternal bfixator bfor bopen,
bcomminuted bfractures bof bthe btibia band bfibula bbegins bto bcomplain bof bsevere bpain bin bthe
baffected bleg, bwhich bis bnot brelieved bby banalgesics. bThe bclient bsays bthe btoes bare bnumb
band btingling, balthough bthey bappear bpink. bWhat baction bshould bthe bnurse bimplement? b-
bcorrect banswers✔✔Notify bHCP
A bclient bis bcomatose bupon barrival bto bthe bemergency bdepartment bafter bfalling bfrom ba
broof. bThe bclient bflexes bwith bpainful bstimuli, band bthe bnurse bdetermines bthe bclient's
bGlasgow bComa bScale b(GCS) bis b6. bWhich bintervention bshould bthe bnurse bprepare bto
bimplement bto bmaintain bthe bclient's bairway? b- bcorrect banswers✔✔A bnasopharyngeal
btube.
The bnurse bis bevaluating bthe bexternal bfetal bmonitor band bidentifies bvariable bfetal bheart
brate b(FHR) bdecelerations. bThe bnurse brecognizes bthat bthis bchange bin bthe bFHR bpattern
2
