EXAM COMPLETE 198 QUESTIONS AND
CORRECT VERIFIED ANSWERS
The nurse is supervising the staff providing care for an 18-month-
old
hospitalized with hepatitis A. The nurse determines that the staff's
care is
appropriate if which of the following is observed?
1. The child is placed in a private room.
2. The staff removes a toy from the child's bed and takes it to the
nurse's station.
3. The staff offers the child french fries and a vanilla milkshake for a
midafternoon
snack.
4. The staff uses standard precautions. -Answer:-1
When using restraints for an agitated/aggressive patient, which of
the
,following statements should NOT influence the nurse's actions
during this
intervention?
1. The restraints/seclusion policies set forth by the institution.
2. The patient's competence.
3. The patient's voluntary/involuntary status.
4. The patient's nursing care plan. -Answer:-3
The nurse is caring for an 80-year-old client with Parkinson's
disease.
Which of the following nursing goals is MOST realistic and
appropriate in
planning care for this client?
1. Return the client to usual activities of daily living.
2. Maintain optimal function within the client's limitations.
3. Prepare the client for a peaceful and dignified death.
4. Arrest progression of the disease process in the client. -Answer:-2
A client with a peptic ulcer had a partial gastrectomy and vagotomy
,(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and
liquids. -Answer:-4
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall.
Which of
the following is the BEST indication that the patient's nutritional
status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. -Answer:-3
, A 23-year-old woman at 32-weeks gestation is seen in the
outpatient
clinic. Which of the following findings, if assessed by the nurse,
would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the
baby moves. -Answer:-1
After abdominal surgery, a client has a nasogastric tube attached to
low
suctioning. The client becomes nauseated, and the nurse observes a
decrease in the flow of gastric secretions. Which of the following
nursing
interventions would be MOST appropriate?
1. Irrigate the nasogastric tube with distilled water.