ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
1) A client is scheduled for surgery under general anesthesia. The night before
surgery, the client tells the nurse, "I can't wait to have breakfast tomorrow." Based
on this statement, the nurse should formulate which nursing diagnosis?
1. Deficient knowledge related to food restrictions associated with anesthesia
2. Fear related to surgery
3. Risk for impaired skin integrity related to upcoming surgery
4. Ineffective coping related to the stress of surgery
Correct Answer: 1 Deficient knowledge related to food restrictions associated with
anesthesia
2) The nurse is caring for a client with skin grafts
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covering third-degree burns on the arms and legs. During dressing changes, the
nurse should be sure to:
1. apply maximum bandages to allow for absorption of drainage.
2. wrap elastic bandages distally to proximally on dependent areas.
3. wrap elastic bandages on the arms and legs, proximally to distally, to
promote venous return.
4. put on sterile gloves only when removing bandages.
Correct Answer: 2. wrap elasticbandages distally to proximally on
dependent areas.
3) A client with hyperemesis gravidarum is on a clear liquid diet. The nurse
should serve this client:
1. milk and ice pops.
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2. decaffeinated coffee and scrambled eggs.
3. tea and gelatin dessert.
4. apple juice and oatmeal.
Correct Answer: 3 tea and gelatin dessert.
4) Because of difficulties with hemodialysis, peritoneal
dialysis is initiated to treat a client's uremia. Which finding signals a significant
problem during this procedure?
1. Blood glucose level of 200 mg/dl
2. White blood cell (WBC) count of 20,000/mm3
3. Potassium level of 3.8 mEq/L
4. Hematocrit (HCT) of 35%
Correct Answer: 2 White blood cell (WBC) count of 20,000/mm3
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5) The nurse is collecting data on an 8-month-old infant during a wellness
checkup. Which of the following is a normal developmental task for an infant this
age?
1. Sitting without support
2. Saying two words
3. Feeding himself with a spoon
4. Playing patty-cake
Correct Answer: 1. Sitting without support
6) The nurse is caring for a client with tuberculosis. Which precautions should
the nurse take when providing care for this client?
Select all that apply:
1. Wear gloves when handling tissues containing sputum.
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