To reduce the risk of developing a complication following balloon angioplasty, the
nurse should implement which measure? Select all that apply:
1. Monitor cardiac rhythm
2. Assess the puncture site every 8 hours
3. Measure urinary output hourly
4. Prevent flexion of the affected leg
5. Avoid lifting buttocks off the bed
Ans: Monitor cardiac rhythm
Measure urinary output hourly
Prevent flexion of the affected leg
Avoid lifting buttocks off the bed
Quiz Twelve hours post coronary artery bypass surgery (CABG), the nurse notes
the client's level of consciousness has decreased from alert to somnolent. BP
88/50, HR 130 and thready, resp 32, urinary output (UOP) has dropped from 100
ml one hour earlier to 20 mL this hour. What would be the nurse's first action?
1. Administer high flow oxygen per mask.
,2. Lower the head of the bed in order to raise BP.
3. Give the ordered Lasix to increase urinary output.
4. Re-check the BP in the other arm.
Ans: Administer high flow oxygen per mask.
Quiz A client with renal failure has returned to the unit post kidney transplant.
Which postoperative interventions should the nurse provide? Select all that apply:
1. Administer furosemide.
2. Maintain fluid replacement at 150 ml per hour for 8 hours.
3. Measure abdominal girth every 24 hours.
4. Weigh daily.
5. Measure urine output every 30 - 60 minutes.
Ans: Administer furosemide.
Weigh daily.
Measure urine output every 30 - 60 minutes.
Quiz A nurse is caring for a client admitted to the hospital for a total hip
replacement. In preparing the post-operative plan of care for this client, the nurse
recognizes which goal as the highest priority?
1. Prevent complications of shock.
,2. Prevent dislocation of prosthesis.
3. Prevent respiratory complications.
4. Prevent contractures by early ambulation.
Ans: Prevent respiratory complications.
Quiz After artificial rupture of membranes (AROM), the baseline fetal heart rate
tracking begins to show sharp decreases with a rapid recovery with and between
contractions. Which of the following actions by the RN has priority?
1. Position the client on her left side
2. Increase the IV fluid rate
3. Place the client in the knee-chest position
4. Administer oxygen per tight face mask
Ans: Place the client in the knee-chest position
Quiz A nurse is teaching a renal transplant client about self care after discharge.
As part of the information about transplant rejection, the nurse cautions the
client to notify the primary healthcare provider of which occurrence?
1. Ecchymosis of incision
2. Tenderness over the kidney
, 3. Frequent polyuria
4. Subnormal temperature
Ans: Tenderness over the kidney
Quiz A client is admitted with an acute episode of diverticulitis. What symptom
would the nurse promptly report to the primary healthcare provider?
1. Midabdominal pain radiating to the shoulder
2. Nausea and vomiting periodically for several hours
3. Abdominal rigidity with pain in the left lower quadrant
4. Elimination pattern of constipation alternating with diarrhea
Ans: Abdominal rigidity with pain in the left lower quadrant
Quiz Which nursing intervention represents secondary prevention level?
1. Teaching the effects of alcohol to elementary school children.
2. Providing care for abused women in a shelter.
3. Leading a group of adolescents in drug rehabilitation.
4. Ensuring medication compliance in a client with schizophrenia.
nurse should implement which measure? Select all that apply:
1. Monitor cardiac rhythm
2. Assess the puncture site every 8 hours
3. Measure urinary output hourly
4. Prevent flexion of the affected leg
5. Avoid lifting buttocks off the bed
Ans: Monitor cardiac rhythm
Measure urinary output hourly
Prevent flexion of the affected leg
Avoid lifting buttocks off the bed
Quiz Twelve hours post coronary artery bypass surgery (CABG), the nurse notes
the client's level of consciousness has decreased from alert to somnolent. BP
88/50, HR 130 and thready, resp 32, urinary output (UOP) has dropped from 100
ml one hour earlier to 20 mL this hour. What would be the nurse's first action?
1. Administer high flow oxygen per mask.
,2. Lower the head of the bed in order to raise BP.
3. Give the ordered Lasix to increase urinary output.
4. Re-check the BP in the other arm.
Ans: Administer high flow oxygen per mask.
Quiz A client with renal failure has returned to the unit post kidney transplant.
Which postoperative interventions should the nurse provide? Select all that apply:
1. Administer furosemide.
2. Maintain fluid replacement at 150 ml per hour for 8 hours.
3. Measure abdominal girth every 24 hours.
4. Weigh daily.
5. Measure urine output every 30 - 60 minutes.
Ans: Administer furosemide.
Weigh daily.
Measure urine output every 30 - 60 minutes.
Quiz A nurse is caring for a client admitted to the hospital for a total hip
replacement. In preparing the post-operative plan of care for this client, the nurse
recognizes which goal as the highest priority?
1. Prevent complications of shock.
,2. Prevent dislocation of prosthesis.
3. Prevent respiratory complications.
4. Prevent contractures by early ambulation.
Ans: Prevent respiratory complications.
Quiz After artificial rupture of membranes (AROM), the baseline fetal heart rate
tracking begins to show sharp decreases with a rapid recovery with and between
contractions. Which of the following actions by the RN has priority?
1. Position the client on her left side
2. Increase the IV fluid rate
3. Place the client in the knee-chest position
4. Administer oxygen per tight face mask
Ans: Place the client in the knee-chest position
Quiz A nurse is teaching a renal transplant client about self care after discharge.
As part of the information about transplant rejection, the nurse cautions the
client to notify the primary healthcare provider of which occurrence?
1. Ecchymosis of incision
2. Tenderness over the kidney
, 3. Frequent polyuria
4. Subnormal temperature
Ans: Tenderness over the kidney
Quiz A client is admitted with an acute episode of diverticulitis. What symptom
would the nurse promptly report to the primary healthcare provider?
1. Midabdominal pain radiating to the shoulder
2. Nausea and vomiting periodically for several hours
3. Abdominal rigidity with pain in the left lower quadrant
4. Elimination pattern of constipation alternating with diarrhea
Ans: Abdominal rigidity with pain in the left lower quadrant
Quiz Which nursing intervention represents secondary prevention level?
1. Teaching the effects of alcohol to elementary school children.
2. Providing care for abused women in a shelter.
3. Leading a group of adolescents in drug rehabilitation.
4. Ensuring medication compliance in a client with schizophrenia.
