SOLUTIONS
-a. 130/80 Correct Answer 'When auscultating the client's
blood pressure the nurse hears the following: From 150 mmHg
to 130 mmHg: Silence, Then: a thumping sound continuing
down to 100 mmHg; muffled sound continuing down to 80
mmHg and then silence.What is the client's blood pressure?
a. 130/80
b. 150/100
c. 100/80
d. 150/100
'c. 30 minutes Correct Answer You are to assessed the
temperature of the client the next morning and found out that he
ate ice cream. How many minutes should you wait before
assessing the client's oral temperature?
a. 10 minutes b. 20 minutes c. 30 minutes d. 15 minutes
'c. see to it that the drainage tubing does not touch the level of
the urine Correct Answer How w"ill you prevent ascending
infection to
Eileen who has an indwelling catheter?
a. see to it that the drainage tubing touches the level of the urine
b. change he catheter every eight hours
c. see to it that the drainage tubing does not touch the level of
the urine
d. clean catheter may be used since urethral meatus is not a
sterile area
, 'd. Growth hormone Correct Answer All of the following
hormones are hormones secreted by the Posterior pituitary gland
except:
a. Vasopressin
b. Anti-diuretic hormone
c. Oxytocin
d. Growth hormone
a. Hypothalamus Correct Answer Somatocrinin or the Growth
hormone releasing hormone is secreted by the:
a. Hypothalamus
b. Posterior pituitary gland
c. Anterior pituitary gland
d. Thyroid gland
a. Pierce the skin quickly and smoothly at a 90 degree angle
Correct Answer In order to decrease discomfort in Z track
administration, which of the following is applicable?
a. Pierce the skin quickly and smoothly at a 90 degree angle
b. Inject the medication steadily at around 10 minutes per
millilitre
c. Pull back the plunger and aspirate for 1 minute to make sure
that the needle did not hit a blood vessel
d. Pierce the skin slowly and carefully at a 90 degree angle
a. Put the client on a sidelying position with head of bed lowered
Correct Answer When performing oral care to an unconscious
client, which of the following is a special consideration to
prevent aspiration of fluids into the lungs?
a. Put the client on a sidelying position with head of bed lowered
b. Keep the client dry by placing towel under the chin