Capstone Exam 1
2011 Health Act that provided fitness care blessings to uninsured individuals and families -
ANS-Affordable Care Act
A customer has an NG tube and complains of nausea. Which motion by way of the nurse is
maximum suitable?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the health practitioner
D- Reposition the tube - ANS-B- irrigate the NG tube
A client who has common watery stools and a likely clostridium difficile infection is hospitilized
with dehydration. Which nursing movement ought to the chage nurse delegate to an LPN?
A- Performing ongoing tests to dtermine the patron's hydration fame
B- Explaining the purpose of ordered stool cultures to the consumer and own family
C- Administering the ordered metronidazole PO to the consumer
D- Reviewing the client's scientific history for any threat elements for diarrhea - ANS-C-
Administering the ordered metronidazole PO to the purchaser
*LPNs can't check, teach, or decide chance factors
A client with a vancomycin-resistant enterococcus (VRE) is admitted to the scientific unit. Which
movement can be delegated to the UAP who is assesting with the customer's care?
A- Teaching the customer and circle of relatives participants about means to save you
transmission of VRE
B- Communicating with other departments while the consumer is transported for ordered
assessments
C- Implementing contact precaustions whilst prociding take care of the client
D- Monitoring the effects of ordered laboratory subculture and semsitivity checks - ANS-C-
Implementing contact precautions when providing care for the patron
*cannot teach, speak with other departments about exams or display results
A consumer with peptic ulcer disease (PUD) reports darkish, coffee ground vomitus. The nurse
would recognize that this is a end result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being modified by gastric secretions
D- Fresh bleeding in the epigastric belly place - ANS-C- blood being chagned via epigastric
secretions
A customer with ulcerative colitis is receiving mesalamin 800 mg PO TID. Whic assessment is
most critical for the nurse to perform to evaluate the effectiveness of the medicine?
, A- Respiratory Rate
B- Blood strain
C- Bowel styles
D- White blood cellular count number - ANS-C- bowel styles
A health facility will get hold of a huge quantity of customers due to a magor catastrophe inside
the city. Which client may be discharged first?
A- 49 12 months antique girl 24 hours postop after hysterectomy
B- sixty six 12 months antique male 5 days submit op after general hip replacement
C- seventy nine yr old girl admitted 12 hours in the past with pyrlonephritis
D- 82 12 months antique female admitted five days ago with a stage 3 stress ulcer - ANS-B-
sixty six yr old male five days post op after total hip replacement
*suppose who's maximum stable and could be most secure to move home
A hospitilized affected person with AIDS has a nursing prognosis of Imbalanced Nutrition: Less
than Body Requirements related to nausea and anorexia. Which nursing movement is maximum
suitable to delegate to an LPN who is presenting care to this affected person?
A- Administering oxandrolone 5 mg each day
B- Assessing the affected person for other dietary danger factors
C- Developing a plan of care to enhance the affected person's appetite
D- Providing commands about a excessive-calorie, high protein diet - ANS-A- administering
oxandrolone five mg day by day
*LPNs can not investigate, develop care plans or train
A male consumer tells the nurse that he is concerned that he might also have a belly ulcer, due
to the fact he is experiencing heartburn and a dull growing ache this is relieved whilst he eats.
What is the first-rate reaction by the nurse?
A- Encourage the clent to move right now to the ED for remedy
B- Tell the purchaser to regulate his ingesting conduct becaus ehe eats too much meals, too
speedy
C- Encourage the patron to acquire a complete physical examination considering that those
signs are steady with an ulcer
D- Tell the patron that eating a massive dinner closer to bedtime will help relieve the signs -
ANS-C- inspire the patron to reap a entire physical exam due to the fact that these signs and
symptoms are sonsistent with an ulcer
A Nurse is caring for a customers on the med-surg unit. Which purchaser is most at hazard to
broaden a nosocomial infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with complete thickness burns, an NG tube and a Foley - ANS-D- Full thickness burn,
NG tube and Foley
2011 Health Act that provided fitness care blessings to uninsured individuals and families -
ANS-Affordable Care Act
A customer has an NG tube and complains of nausea. Which motion by way of the nurse is
maximum suitable?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the health practitioner
D- Reposition the tube - ANS-B- irrigate the NG tube
A client who has common watery stools and a likely clostridium difficile infection is hospitilized
with dehydration. Which nursing movement ought to the chage nurse delegate to an LPN?
A- Performing ongoing tests to dtermine the patron's hydration fame
B- Explaining the purpose of ordered stool cultures to the consumer and own family
C- Administering the ordered metronidazole PO to the consumer
D- Reviewing the client's scientific history for any threat elements for diarrhea - ANS-C-
Administering the ordered metronidazole PO to the purchaser
*LPNs can't check, teach, or decide chance factors
A client with a vancomycin-resistant enterococcus (VRE) is admitted to the scientific unit. Which
movement can be delegated to the UAP who is assesting with the customer's care?
A- Teaching the customer and circle of relatives participants about means to save you
transmission of VRE
B- Communicating with other departments while the consumer is transported for ordered
assessments
C- Implementing contact precaustions whilst prociding take care of the client
D- Monitoring the effects of ordered laboratory subculture and semsitivity checks - ANS-C-
Implementing contact precautions when providing care for the patron
*cannot teach, speak with other departments about exams or display results
A consumer with peptic ulcer disease (PUD) reports darkish, coffee ground vomitus. The nurse
would recognize that this is a end result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being modified by gastric secretions
D- Fresh bleeding in the epigastric belly place - ANS-C- blood being chagned via epigastric
secretions
A customer with ulcerative colitis is receiving mesalamin 800 mg PO TID. Whic assessment is
most critical for the nurse to perform to evaluate the effectiveness of the medicine?
, A- Respiratory Rate
B- Blood strain
C- Bowel styles
D- White blood cellular count number - ANS-C- bowel styles
A health facility will get hold of a huge quantity of customers due to a magor catastrophe inside
the city. Which client may be discharged first?
A- 49 12 months antique girl 24 hours postop after hysterectomy
B- sixty six 12 months antique male 5 days submit op after general hip replacement
C- seventy nine yr old girl admitted 12 hours in the past with pyrlonephritis
D- 82 12 months antique female admitted five days ago with a stage 3 stress ulcer - ANS-B-
sixty six yr old male five days post op after total hip replacement
*suppose who's maximum stable and could be most secure to move home
A hospitilized affected person with AIDS has a nursing prognosis of Imbalanced Nutrition: Less
than Body Requirements related to nausea and anorexia. Which nursing movement is maximum
suitable to delegate to an LPN who is presenting care to this affected person?
A- Administering oxandrolone 5 mg each day
B- Assessing the affected person for other dietary danger factors
C- Developing a plan of care to enhance the affected person's appetite
D- Providing commands about a excessive-calorie, high protein diet - ANS-A- administering
oxandrolone five mg day by day
*LPNs can not investigate, develop care plans or train
A male consumer tells the nurse that he is concerned that he might also have a belly ulcer, due
to the fact he is experiencing heartburn and a dull growing ache this is relieved whilst he eats.
What is the first-rate reaction by the nurse?
A- Encourage the clent to move right now to the ED for remedy
B- Tell the purchaser to regulate his ingesting conduct becaus ehe eats too much meals, too
speedy
C- Encourage the patron to acquire a complete physical examination considering that those
signs are steady with an ulcer
D- Tell the patron that eating a massive dinner closer to bedtime will help relieve the signs -
ANS-C- inspire the patron to reap a entire physical exam due to the fact that these signs and
symptoms are sonsistent with an ulcer
A Nurse is caring for a customers on the med-surg unit. Which purchaser is most at hazard to
broaden a nosocomial infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with complete thickness burns, an NG tube and a Foley - ANS-D- Full thickness burn,
NG tube and Foley
