solutions passed
1. When teaching a community group about
D) "Plan several ways
burn pre- vention, which education will the
of escape from the
nurse include?
home in case the
A) "Have a smoke detector in one central spot
primary exit is
in the home."
blocked."
B) "If you use home oxygen, turn it down
when you are smoking."
C)"Set your water heater temperature below
160° F."
D)"Plan several ways of escape from the home
in case the primary exit is blocked."
2. A client who sustained a recent cervical spinal cord in- C) Place the
patient in a jury reports having a throbbing headache and
feeling sitting position flushed. The client's BP is 190/110. What
is the nurse's
priority action at this time?
(Iggy Chp 40 pg 882)
A) Perform a bladder assessment
B) Insert an indwelling urinary catheter
C)Place the patient in a sitting position
D) Turn on a fan to cool the patient
3. A nurse is caring for a client who has a halo A) Purulent
fixator device with vest for a complete drainage from the pin
cervical spinal cord sites on the client's
injury. Which assessment finding will the nurse report forehead
to the HCP?
(Iggy Chp 40 pg 884)
A) Purulent drainage from the pin sites on the
client's forehead
,HCIV Unit 4 Exam questions with complete
solutions passed
B) Painful pressure injury under the collar
C)Inability to move legs or feet
D) Oxygen saturation of 95% on room air
4.
,HCIV Unit 4 Exam questions with complete
solutions passed
A client is admitted with a suspected cervical B) Manage the client's
spinal cord injury. What is the nurse's priority air- way
action for this client?
(Iggy Chp 40 Mastery Questions pg 895)
A) Assess cardiac sounds
B) Manage the client's airway
C)Check oxygen saturation level
D) Perform a neurologic assessment
5. A client was admitted to the hospital unit a D) Contact the
few min- utes ago with a new diagnosis of speech-language
right hemiparesis and aphasia, which resulted pathol- ogist to
from a TBI. Which of the schedule a swal-
following interventions is a priority for the client at this lowing
study
time?
(Iggy Chp 41 Mastery Questions pg 927)
A) Contact the physical therapist to plan care
to in- crease the client's mobility
B) Contact the occupational therapist to
assess the client's ADL ability
C)Contact the unit social worker to talk with the
family about the patient's discharge
D)Contact the speech-language pathologist to
sched- ule a swallowing study
6. What priority complication would the nurse (Iggy
suspect when assessing a client with an Workbook
electrical burn that has an entrance wound pg 196
#33)
on the right shoulder and an exit wound
A) Kidney
through the left side of the ribs?
, HCIV Unit 4 Exam questions with complete
solutions passed
failure B) Cardiac
B) Cardiac dysrhythmias dysrhythmias