AH2 Test 2 Mod 7-11 Questions With Complete Solutions
A 23-year-old client with a full thickness burn is being prepared
for discharge from the hospital. Which patient education is most
important for the nurse to provide prior to discharge?
A) How to maintain home smoke detectors
B) Joining a community reintegration program
C) Learning to perform dressing changes
D) Options available for scar removal. Correct Answers C)
Learning to perform dressing changes
A 23-year-old male client who has had a full-thickness burn is
being discharged from the hospital. Which information is most
important for the nurse to provide prior to discharge?
A.) How to maintain home smoke detectors
B.) Joining a community reintegration program
C.) Learning to perform dressing changes
D.) Options available for scar removal Correct Answers C
A 25-year old patient has been admitted with a severe crushing
injury after an industrial accident. Which laboratory result will
be most important to report to the health care provider?
A. Blood urea nitrogen (BUN) of 56 mg/dl
B. Serum potassium level of 6.5 mEq/L
C. White blood cell count of 11,500/ul
D. Serum creatinine level of 2.1 mg/dl Correct Answers B)
,A 40-year-old male client who was burned was admitted under
your care. Assessment reveal she has crackles, respiratory rate
of 40/min, and is coughing up blood-tinged sputum. What action
will the nurse take first?
A.) Administer Digoxin
B.) Perform chest physiotherapy
C.) Monitor urine output
D.) Place the client in an upright position Correct Answers D.)
Place the client in an upright position
A 52-year-old man was referred to the clinic due to increased
abdominal girth. He is diagnosed with ascites by the presence of
a fluid thrill and shifting dullness on percussion. After
administering diuretic therapy, which nursing action would be
most effective in ensuring safe care?
A.) Measuring serum potassium for hyperkalemia
B.) Assessing the client for hypervolemia
C.) Measuring the client's weight weekly
D.) Documenting precise intake and output Correct Answers
D)
A 62-yr-old female patient has been hospitalized for 4 days with
acute kidney injury (AKI) caused by dehydration. Which
information will be most important for the nurse to report to the
health care provider?
A) The blood urea nitrogen (BUN) level is 67 mg/dL.
B) Urine output over an 8-hour period is 200 mL.
C) The serum potassium is 4.9 mEq/L.
,D) The creatinine level is 3.0 mg/dL. Correct Answers B)
Urine output over an 8-hour period is 200 mL.
A 72-yr-old patient with a history of benign prostatic
hyperplasia (BPH) is admitted with acute urinary retention and
elevated blood urea nitrogen (BUN) and creatinine levels.
Which prescribed therapy should the nurse implement first?
A) Draw a complete blood count.
B) Infuse normal saline at 50 mL/hr.
C) Insert urethral catheter.
D) Obtain renal ultrasound. Correct Answers C) Insert urethral
catheter.
A 74-yr-old patient who is progressing to stage 5 chronic kidney
disease asks the nurse, "Do you think I should go on dialysis?"
Which initial response by the nurse is best?
A) "Tell me more about what you are thinking regarding
dialysis."
B) "You are the only one who can make the decision about
dialysis."
C) "Many people your age use dialysis and have a good quality
of life."
D) "It depends on which type of dialysis you are considering."
Correct Answers A) "Tell me more about what you are
thinking regarding dialysis."
A 75-vear-old client is admitted to the hospital with an infected
finger of several days' duration. The client is lethargic and
confused and has a temperature of 101.3 (38.5C). Blood
, pressure of 94/50mmHg, pulse 105/min, respirations 40/min,
and shallow breathing. The assessment findings indicate which
type of shock?
a. Hypovolemic.
b. Cardiogenic
c. Anaphylactic.
d. Septic Correct Answers D)
A client arrives at the emergency department who suffered
multiple injuries from a head-on car collision. Which of the
following assessment should take the highest priority to take?
A.) Unequal pupils
B.) Irregular pulse
C.) Ecchymosis in the flank area
D.) Deviated trachea Correct Answers D. Deviated trachea
A client comes to the emergency department (ED) with severe
injury and significant blood loss. The nurse anticipates that
resuscitation will begin with which fluid?
A) Whole blood
B) 0.5% dextrose in water
C) 0.9% sodium chloride
D) Plasma protein fractions Correct Answers B) 0.5% dextrose
in water
A client comes to the emergency department (ED) with severe
injury and significant blood loss. The nurse anticipates that
resuscitation will begin with which fluid?
A 23-year-old client with a full thickness burn is being prepared
for discharge from the hospital. Which patient education is most
important for the nurse to provide prior to discharge?
A) How to maintain home smoke detectors
B) Joining a community reintegration program
C) Learning to perform dressing changes
D) Options available for scar removal. Correct Answers C)
Learning to perform dressing changes
A 23-year-old male client who has had a full-thickness burn is
being discharged from the hospital. Which information is most
important for the nurse to provide prior to discharge?
A.) How to maintain home smoke detectors
B.) Joining a community reintegration program
C.) Learning to perform dressing changes
D.) Options available for scar removal Correct Answers C
A 25-year old patient has been admitted with a severe crushing
injury after an industrial accident. Which laboratory result will
be most important to report to the health care provider?
A. Blood urea nitrogen (BUN) of 56 mg/dl
B. Serum potassium level of 6.5 mEq/L
C. White blood cell count of 11,500/ul
D. Serum creatinine level of 2.1 mg/dl Correct Answers B)
,A 40-year-old male client who was burned was admitted under
your care. Assessment reveal she has crackles, respiratory rate
of 40/min, and is coughing up blood-tinged sputum. What action
will the nurse take first?
A.) Administer Digoxin
B.) Perform chest physiotherapy
C.) Monitor urine output
D.) Place the client in an upright position Correct Answers D.)
Place the client in an upright position
A 52-year-old man was referred to the clinic due to increased
abdominal girth. He is diagnosed with ascites by the presence of
a fluid thrill and shifting dullness on percussion. After
administering diuretic therapy, which nursing action would be
most effective in ensuring safe care?
A.) Measuring serum potassium for hyperkalemia
B.) Assessing the client for hypervolemia
C.) Measuring the client's weight weekly
D.) Documenting precise intake and output Correct Answers
D)
A 62-yr-old female patient has been hospitalized for 4 days with
acute kidney injury (AKI) caused by dehydration. Which
information will be most important for the nurse to report to the
health care provider?
A) The blood urea nitrogen (BUN) level is 67 mg/dL.
B) Urine output over an 8-hour period is 200 mL.
C) The serum potassium is 4.9 mEq/L.
,D) The creatinine level is 3.0 mg/dL. Correct Answers B)
Urine output over an 8-hour period is 200 mL.
A 72-yr-old patient with a history of benign prostatic
hyperplasia (BPH) is admitted with acute urinary retention and
elevated blood urea nitrogen (BUN) and creatinine levels.
Which prescribed therapy should the nurse implement first?
A) Draw a complete blood count.
B) Infuse normal saline at 50 mL/hr.
C) Insert urethral catheter.
D) Obtain renal ultrasound. Correct Answers C) Insert urethral
catheter.
A 74-yr-old patient who is progressing to stage 5 chronic kidney
disease asks the nurse, "Do you think I should go on dialysis?"
Which initial response by the nurse is best?
A) "Tell me more about what you are thinking regarding
dialysis."
B) "You are the only one who can make the decision about
dialysis."
C) "Many people your age use dialysis and have a good quality
of life."
D) "It depends on which type of dialysis you are considering."
Correct Answers A) "Tell me more about what you are
thinking regarding dialysis."
A 75-vear-old client is admitted to the hospital with an infected
finger of several days' duration. The client is lethargic and
confused and has a temperature of 101.3 (38.5C). Blood
, pressure of 94/50mmHg, pulse 105/min, respirations 40/min,
and shallow breathing. The assessment findings indicate which
type of shock?
a. Hypovolemic.
b. Cardiogenic
c. Anaphylactic.
d. Septic Correct Answers D)
A client arrives at the emergency department who suffered
multiple injuries from a head-on car collision. Which of the
following assessment should take the highest priority to take?
A.) Unequal pupils
B.) Irregular pulse
C.) Ecchymosis in the flank area
D.) Deviated trachea Correct Answers D. Deviated trachea
A client comes to the emergency department (ED) with severe
injury and significant blood loss. The nurse anticipates that
resuscitation will begin with which fluid?
A) Whole blood
B) 0.5% dextrose in water
C) 0.9% sodium chloride
D) Plasma protein fractions Correct Answers B) 0.5% dextrose
in water
A client comes to the emergency department (ED) with severe
injury and significant blood loss. The nurse anticipates that
resuscitation will begin with which fluid?
