ANSWERS(RATED A+)
A client with an open wound has an order to irrigate the wound three times a day
with dressing change. Which of the following principles will the nurse follow? (select
all that apply) - ANSWERclean least infected to most infected,
place syringe 1 inch above wound,
clean skin around with antiseptic wipes first,
do not let solution sit in wound
Because the small intestine needs bile only a few times a day, bile is stored and
concentrated in the: - ANSWERgallbladder
The structure of the Nephron responsible for the reabsorption of water and solutes
during urine formation is the: - ANSWERProximal Convoluted Tubule
Which of the following is the major regulator of respiratory activity? - ANSWERPCO2
Which event occurs in response to an increase in thoracic volume? - ANSWERAir
moves into and through the respiratory passages
The nurse is caring for a client that had abdominal surgery 15 hours ago, what
objective signs would the nurse expect to find if the client is experiencing pain?
(Select all that apply) - ANSWERIncreased pulse
High BP
Increased respiratory depth/frequency
Diaphoresis
Which portion of the brain controls the basic vital functions of life? -
ANSWERMedulla
Which hormone is the mineralocorticoid that acts on the kidneys to regulate sodium
and potassium levels? - ANSWERAldosterone
What is the function of the thymus gland? (Select all that apply.) -
ANSWERStimulates the maturation of lymphocytes into T cells
Coordinates immune defenses
What are the effects of the release of epinephrine and norepinephrine? (Select all
that apply.) - ANSWERIncreased heart rateb.
Vasoconstrictionc.
Release of glucose reserves
Systemic circulation occurs when blood is pumped from the left ventricle of the heart
through all parts of the body and returns to the heart in the: - ANSWERRight atrium
, The nurse performing passive range-of-motion exercises for the client will move
each joint to the point of: - ANSWERPoint of pain
With lifting or moving a client up in bed, the nurse should protect his or her back by: -
ANSWERBending the knees
A nurse is about to give a client a complete bed bath. What is the best action by the
nurse to maintain the client's privacy? - ANSWERClose the curtain around patients
bed
Which enzymes are produced by the pancreas? (Select all that apply.) -
ANSWERtrypsin (protease)
lipase (steapsin)
amylase (amylopsin)
The inner surface of the small intestines contain millions of tiny finger-like projections
called: - ANSWERVilli
In a sprint race Jeremy burst out of the starting block and ran hard down the track.
About 20 meters into the race he suddenly felt a sharp pain along the back side of
his right thigh. Wincing, he slowed down and hobbled to a stop. What muscle or
muscle group has Jeremy likely injured? - ANSWERHamstring
What factors stimulate bone to grow thicker and wider in adults? - ANSWERWeight
bearing exercises
When contributing to a client's care plan, the cues and inferences that the nurse
uses to choose a nursing diagnosis /problem are: - ANSWERa. Based on data
obtained during assessment
The nurse is preparing to auscultate the apical pulse. Where should the nurse place
the stethoscope on the client' s chest? - ANSWER5th and 6th intercostal space
A nurse is contributing to the plan care of a client who has acute dysphagia. Which
of the following interventions should the nurse expect to include in the plan of care? -
ANSWERTilt head forward while swallowing
1. A nurse is caring for a client in a long-term care facility who is receiving enteral
feedings via an NG tube. Which of the following actions should the nurse take prior
to administering the tube feeding? - ANSWERTest the PH of the gastric aspirate
A nurse is caring for a client who is receiving a mechanically altered diet. Which of
the following food choices necessitates intervention by the nurse? - ANSWERPiece
of whole wheat toast
The nurse is teaching the client about a Heart Healthy Diet. Which of the following
types of foods should the client avoid since they are the most likely to raise
cholesterol levels? - ANSWERHigh in saturated fats