MULTIPLE CHOICE OF QUESTIONS AND
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The nurse is caring for a client with pneumonia who now
develops initial signs of septic shock and multi organ failure.
The healthcare provider prescribes a sepsis protocol. Which
intervention is most important for the nurse to include in the
plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - CORRECT ANSWER-A) Maintain
strict intake and output.
And adolescent client is admitted to the hospital because of
writing a suicide note to a teacher at school. On the second day
of hospitalization, the nurse asked the client to meet with the
treatment team. After the team meeting, the client leaves in
tears and goes to their room. Which nursing intervention is
best?
A) Let the client rest quietly in their room for a while.
,B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - CORRECT
ANSWER-D) Go to the clients room and ask what happened.
The healthcare provider prescribes dalteparin 200 units per
kilogram subcutaneous once a day for a client who weighs 154
pounds. The medication is available and 25,000 units per
milliliter vial. How many milliliters should the nurse
administer? (Enter numerical value only. If rounding is
required, round to the nearest 10th.) - CORRECT ANSWER-0.6
NGN: The client is a 49-year-old male who reports flu like
symptoms including fever and chest congestion for four days.
He came to the emergency department last night when he was
having more difficulty breathing he has a history of 1/2 pack a
day cigarette smoking for 20 years. He has no significant
medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature
control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
,H) NPO. - CORRECT ANSWER-B) Start oxygen 3 L per minute via
nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory monitor,
NPO, sputum culture, start a peripheral IV infusion, start
oxygen 3 L per minute via nasal cannula, begin 0.9% sodium
chloride IV infusion at 150 mL per hour, acetaminophen 350
mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the
nurse collects from the supply room? SATA
A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape. - CORRECT ANSWER-D) Nasal cannula.
E) Flow meter.
NGN: states, I am feeling extremely anxious right now. The
client has decreased breath sounds in the left lower low. His
mucus membranes are dry. He has a productive cough with
thick, yellow secretions. His capillary refill is four seconds. Vital
signs, temperature 100.2. Heart rate 101 bpm, respiratory rate
28 breaths per minute, blood pressure 145/89, oxygen
saturation 90% on room air.
, (for each body system click to specify the assessment findings
that indicates hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds,
blood pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory
rate 28 bpm, productive cough. - CORRECT ANSWER-Cardiovascular:
capillary refill for seconds, blood pressure 145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory
rate 28 bpm.
NGN: The client is a 49-year-old male who reports flu like
symptoms including fever and chest congestion for four days.
He came to the emergency department last night when he was
having more difficulty breathing he has a history of 1/2 pack a
day cigarette smoking for 20 years. He has no significant
medical or surgical history.
The nurse should place the client in a _______________
position to promote _____________. - CORRECT ANSWER-Semi-
Fowler , lung expansion.
NGN: Orders: 0330: place the client on a cardio respiratory
monitor, NPO, sputum culture, start a PIV, start oxygen 3L via
nasal cannula, normal saline 150 ML per hour, acetaminophen
350mg PO every six hours for temp greater than 101F, chest x-
ray.