EXAM QUESTIONS AND
ANSWERS
An68older68male68client68comes68to68the68geriatric68screening68clinic68complaining68of68pain68in68his68
left68calf.68The68nurse68notices68a68reddened68area68on68the68calf68of68his68right68leg68which68is68war
m68to68the68touch68and68suspects68it68might68be68thrombophlebitis.68Which68type68of68pain68would68
further68confirm68this68suspicion?68-68CORRECT68ANSWER68-
pain68in68the68calf68upon68exertion68that68is68relieved68by68rest68and68elevating68the68extremity.68Rati
onale
Thrombophlebitis68pain68is68relieved68by68rest68and68elevation68of68the68extremity.68It68typically68occu
rs68with68exercise68at68the68site68of68the68thrombus68and68is68aggravated68by68placing68the68extremity
68in68a68dependent68position,68such68as68standing68in68one68place.
In68preparing68to68administer68intravenous68albumin68to68a68client68following68surgery,68which68is68the68pri
ority68nursing68intervention?68(Select68all68that68apply.)68-68CORRECT68ANSWER68-
1.68set68the68albumin68to68infuse68within68468hours682.68monitor68hgb&hct683.68assess68for68increased68bl
eeding68after68administration
The68nurse68is68providing68dietary68instructions68to68a6868-year-
old68client68who68is68at68high68risk68for68the68development68of68coronary68heart68disease68(CHD).68Wh
ich68information68should68the68nurse68include?68-68CORRECT68ANSWER68-
68increase68intake68of68soluble68fiber68to6810-2568g68daily
How68should68the68nurse68position68the68electrodes68for68three68lead68telemetry68monitoring?68-
68CORRECT68ANSWER
-
white/negative68lead68at68right682nd68intercostal68space,68black/positive68at68left68intercostal68space,68
and68red/ground68at68left688/9th68rib68space
A68client68with68cirrhosis68develops68increasing68pedal68edema68and68ascites.68Which68dietary68modificatio
n68is68most68important68for68the68nurse68to68teach68this68client?68-68CORRECT68ANSWER68-
restrict68salt68and68fluid68intake
,A68client68with68a68completed68ischemic68stroke68has68a68blood68pressure68of68180/9068mmHg.68Whic
h68action68should68the68nurse68implement?68-68CORRECT68ANSWER68-give68an68antihypertensive68med
The68nurse68is68teaching68a68female68client68who68uses68a68contraceptive68diaphragm68about68reducin
g68the68risk68for68toxic68shock68syndrome68(TSS).68Which68information68should68the68nurse68include?6
8(Select68all68that68apply.)68-68CORRECT68ANSWER68-
do68not68leave68the68diaphragm68in68place68longer68than68868hours68after68intercourse682.68replace68th
e68old68diaphragm68every68368months
Which68milestone68indicates68to68the68nurse68of68successful68achievement68of68young68adulthood?68-
68CORRECT68ANSWER68-completes68education68and68becomes68self-supporting
A6832-year-
old68female68client68reports68severe68abdominal68pain68each68month68before68her68menstrual68period,
68painful68intercourse,68and68painful68defecation.68Which68additional68history68should68the68nurse68ob
tain68that68is68consistent68with68the68client's68concerns?68-68CORRECT68ANSWER68-
inability68to68get68pregnant
A68female68client68receiving68IV68vasopressin68for68esophageal68variceal68rupture68reports68to68the68n
urse68that68she68feels68substernal68tightness68and68pressure68across68her68chest.68Which68PRN68protoc
ol68should68the68nurse68initiate?68-68CORRECT68ANSWER68-start68an68IV68nitroglycerin68infusion
The68nurse68knows68that68laboratory68values68sometimes68vary68for68the68older68client.68Which68data6
8would68the68nurse68expect68to68find68when68reviewing68the68laboratory68values68of68an6880-year-
old68male?68-68CORRECT68ANSWER68-
68bacteria68in68the68urine,68slightly68increased68serum68glucose68levels
A6858-year-
old68client,68who68has68no68health68problems68asks68the68nurse68about68the68Pneumovax68vaccine.68Th
e68nurse's68response68to68the68client68should68be68based68on68which68information?68-
68CORRECT68ANSWER68-
the68immunization68is68administered68once68to68older68adults68or68persons68with68a68history68of68chr
onic68illness
A68client68taking68a68thiazide68diuretic68for68the68past68six68months68has68a68serum68potassium68lev
el68of683.68The68nurse68anticipates68which68change68in68prescription68for68the68client?68-
, 68CORRECT68ANSWER68-a68potassium68supplement68will68be68perscribed