EXAM QUESTIONS AND VERIFIED ANSWERS(100% CORRECT
ANSWERS)ALREADY GRADED A+ ASSURED/NEWEST
UPDATE .
When taking a health history, which information collected by
the nurse correlates most directly to a diagnosis of chronic
peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L) -
ANSWER-A. History of intermittent claudication
A client is receiving enoxaparin 30mg subcutaneously twice a
day. In assessing for adverse effects of the medication, which
serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - ANSWER-C. Platelet count
,The nurse is caring for a 24-month-old toddler who has sensory
sensitivity, difficulty engaging in social interactions, and has
not yet spoken two-word phrases. Which assessment should
the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - ANSWER-A. The
Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is
the nurse's legal responsibility with regard to obtaining written
consent?
A. Explain the surgical procedure to the client and ask the client
to sign the consent form
B. Ask the client or a family member to sign the surgical
consent form
C. Determine that the surgical consent form has been signed
and is included in the client's record.
D. Validate the client's understanding of the surgical procedure
to be conducted - ANSWER-C. Determine that the surgical
consent form has been signed and is included in the client's
record
,A client with hyperthyroidism is admitted to the postoperative
unit after a subtotal thyroidectomy. Which of the client's
serum laboratory values requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANSWER-C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells
some "lumpy places" in her breasts and that her nipples
sometimes leak a yellowish fluid. She has an appointment with
her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for
breast feeding.
B. Reschedule the client's prenatal appointment for the
following day
C. Explain that this normal secretion can be assessed at the
next visit
D. Recommend that the client start wearing a supportive
brassiere - ANSWERC. Explain that this normal secretion can
be assessed at the next visit
While the nurse is assessing an older client's fall risk, the
client reports living at home alone and never falling. Which
, action should the nurse take? A. Inform the client that falls
occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's
statement
C. Continue to obtain client data needed to complete the fall
risk survey
D. Place the client on a high fall risk protocol because of
advanced age - ANSWER-C. Continue to obtain client data
needed to complete the fall risk survey
The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situations and
perceived stress. In addition to information about prescribed
medication and administration, which instruction should the
nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - ANSWER-B.
Practice using muscle relaxation techniques
A young woman with multiple sclerosis just received several
immunizations in preparation for moving into a college
dormitory. Two days later, she reports to the nurse that she is