Questions And Answers Latest Updated
149wAwnursewiswassessingwawclientwwhowhaswawchestwtubewfollowingwawthoracotomy.wWhich
wofwthe
followingwfindingswrequireswinterventionwbywthewnurse?
a.wTidalingwwithwspontaneouswrespirations
b.wDrainagewcollectionwchamberwisw1/3wfull
c.w1wcmwofwwaterwpresentwinwthewwaterwsealwchamber
d.wSuctionwchamberwpressurewofw-20wcmwH20w-wCORRECTwwANSWER-
c.w1wcmwofwwaterwpresentwinwthewwaterwsealwchamber
175wAwnursewreceiveswawchange-of-
shiftwreportwonwfourwclients.wBasedwonwthewshiftwreportwinformation,
whichwofwthewfollowingwclientswshouldwthewnursewplanwtowassess
a.wAwclientwwhowhadwawhipwarthroplastywreportswpainwandwerythemawinwhiswcalf
b.wAwclientwwhowhaswanorexiawandwperipheralwedema
c.wAwclientwwhowhaswAddison'swdiseasewwithwawbloodwglucosewlevelwofw75wmg/dL
d.wAwclientwwhowhadwawbariumwenemaw2wdayswagowandwreportswconstipationw-
wCORRECTwwANSWER-
a.wAwclientwwhowhadwawhipwarthroplastywreportswpainwandwerythemawinwhiswcalf
Awchargewnursewiswdiscussingwthewusewofwapplyingwicewtowawclient'swinjuredwkneewwithwawne
wlywlicensedwnurse.
Whichwofwthewfollowingwshouldwthewnursewidentifywaswawbenefit?w(A/C?)
a)wSystemicwanalgesicweffect
b)wincreasewinwyourwmetabolism
c)wDecreasedwcapillarywpermeability
d)wVasodilationw-wCORRECTwwANSWER-c)wDecreasedwcapillarywpermeability
Awchargewnursewiswevaluatingwthewtimewmanagementwskillswforwnewwlicensedwnurse.wThewc
hargewnurse
shouldwintervenewwhenwawnewlywlicensedwnursewdoeswwhichwofwthewfollowing?
a)wRe-Evaluatewprioritieswhalfwaywthroughwthewshift
b)wDelegatewchangingwsterilewdressingwforwlicensedwpracticalwnurse
c)wGroupswactivitieswforwthewSamewclient
,d)wWorkswonwseveralwtaskswsimultaneouslyw-wCORRECTwwANSWER-
d)wWorkswonwseveralwtaskswsimultaneously
Awchargewnursewiswprovidingwteachingwtowawnewwlicensedwnursewonwhowwtowcleanupwsurfac
es
contaminatedwwithwblood.wWhichwofwthewfollowingwagentswsaidwthewnursewincludewinwthewte
aching?
a)wHydrogenwperoxide
b)wChlorhexidine
c)wIsopropylwalcohol
d)wChlorinewbleachw-wCORRECTwwANSWER-d)wChlorinewbleach
Awclientwatw38wweekswofwgestationwenterswthewemergencywdepartment.wThewnursewshouldwr
ecognizewthatwwhich
ofwthewfollowingwindicateswthatwthewclientwiswinwthewlatentwphasewofwlabor?
a)wThewclientwreportswthewurgewtowpush
b)wThewcervixwiswdilatedw2wcm
c)wContractionswarew2wtow3wminuteswapart
d)wThewclientwreportswnauseawandwvomitingw-wCORRECTwwANSWER-
b)wThewcervixwiswdilatedw2wcm
Awclientwwaswhavingwsuicidalwthoughtswtellswthewnursew"Itwjustwdoeswnotwseemwworthwitwany
more.wWhywnotwend
mywmisery?"wWhichwofwthewfollowingwresponseswforwthewnurseswappropriate?
a)wWhywdowyouwthinkwyourwlifewiswnotwworthwitwanymore?
b)wDowyouwhavewawplanwtowendwyourwlife?
c)wIwneedwtowknowwwhatwyouwmeanwmywmisery
d)wYouwcanwtrustwmewandwtellwmewwhatwyou'rewthinkingw-wCORRECTwwANSWER-
b)wDowyouwhavewawplanwtowendwyourwlife?
AwclientwwhowdoeswnotwspeakwEnglishwarriveswatwthewemergencywdepartmentwaccompanie
dwbywawchild.
Whichwofwthewfollowingwactionswshouldwthewnursewtake?
a.wAskwthewassistivewpersonnelwtowassistwthewclientwinwsigningwconsentwforwtreatment
b.wAskwthewchildwtowinterpretwforwthewclient.
c.wAscertainwwhatwlanguagewthewclientwspeakswandwgetwanwinterpreter.
d.wTrywtowfindwanwadultwrelativewtowhelpwthewclientwcommunicate.w-wCORRECTwwANSWER-
c.wAscertainwwhatwlanguagewthewclientwspeakswandwgetwanwinterpreter.
Awclientwwhowisw8whrwpostpartumwaskswthewnursewifwshewwillwneedwtowreceivewRhwimmunewgl
obulin.wThe
clientwiswgravidaw2,wparaw2,wandwherwbloodwtypewiswABwnegative.wThewnewbornswbloodwtype
wiswBwpositive.
Whichwofwthewfollowingwstatementswiswappropriate?
a.wYouwonlywneedwtowreceivewRhwimmunewglobulinwifwyouwhavewawpositivewbloodwtype."
b.wYouwshouldwreceivewRhwimmunewglobulinwwithinw72whourswofwdelivery."
,c.w"BothwyouwandwyourwbabywshouldwreceivewRhwimmunewglobulinwatwyourw-
weekwappointment."
d.w"immunewglobulinwiswnotwnecessarywsincewthiswiswyourwsecondwpregnancy."w-
wCORRECTwwANSWER-
b.wYouwshouldwreceivewRhwimmunewglobulinwwithinw72whourswofwdelivery."
Awclientwwithwthewleftwlegwcastwiswusingwcrutcheswforwambulation.wThewnursewrecognizeswclie
ntwneedswfurther
instructionwofwthewclient
a)wFlexeswelbowswatw30wdegreeswwhenwusingwthewhandgrips
b)wMaintainsw3wtow4wfingerwwidthwbetweenwthewcrutchwpadwandwaxilla
c)wPlaceswthewcrutchesw6wincheswinwfrontwandwsidewofweachwfootwwhenwstanding.
d)wPusheswupwfromwawchairwwithwcrutcheswonwthewunaffectedwside.w-
wCORRECTwwANSWER-
b)wMaintainsw3wtow4wfingerwwidthwbetweenwthewcrutchwpadwandwaxilla
Awcommunitywhealthwnursewiswteachingwawgroupwofwadultswaboutwthewimportancewofwhealthw
screenings.
ThewnursewshouldwincludewAfricanwAmericanwmaleswalmostwtwicewaswlikelywaswcaucasianw
maleswto
experiencewwhichwofwthewfollowing?
a)wtesticularwCancer
b)wObesity
c)wStroke
d)wMelanomaw-wCORRECTwwANSWER-c)wStroke
Awnursewadministerswawdosewofwmetoclopramidewtowawclientwpriorwtowchemotherapywtreatm
ent.wWhich
ofwthewfollowingwmedicationswshouldwthewnursewadminister?
a.wAlbuterolwsulfate
b.wHydromorphone
c.wDiphenhydramine
d.wAmitriptylinew-wCORRECTwwANSWER-c.wDiphenhydramine
Awnursewandwanwassistivewpersonnelwarewcaringwforwawgroupwofwclients.wWhichwofwthewfollow
ingwtaskswis
appropriatewforwthewnursewtowdelegatewanwAP?
a)wApplyingwcondomwcatheterwforwclientwforwspinalwcordwinjury
b)wAdministrativeworalwfluidswtowclientwwaswdysphasia
c)wDocumentingwthewreportwofwpainwfromwclientwwhowiswpostoperative
d)wReviewingwactivewrangewofwmotionwexerciseswwithwawclientwwhowiswhadwawstrokew-
wCORRECTwwANSWER-b)wAdministrativeworalwfluidswtowclientwwaswdysphasia
Awnursewassesseswanwolderwadultwclientwwithwthewdecreasewcaloricwintakewandwweightwloss.
wWhichwofwthe
followingwfindingswshouldwthewnursewreportwtowthewproviderwimmediately?
, a)wThewclinicwexperienceswcoughingwandwwheezingwafterweating.
b)wThewclientwreportswabdominalwpainwatwawfivewonwawscalewofw0wtow10.
c)wThewclientwexperiencewiswawdropwinwoxygenwsaturationwtow91%wwhileweating.
d)wThewclientwreportswawburningwsensationwinwepigastricwarea.w-wCORRECTwwANSWER-
a)wThewclinicwexperienceswcoughingwandwwheezingwafterweating.
Awnursewcaringwforwawclientwwhowiswreceivingwtotalwparentalwnutrition.wWhichwofwthewfollowin
g
assessmentwfindingswrequiredwimmediatewinterventionwbywthewnurse?
a.wprealbuminwlevelwofw20wmg/dL
b.wWeightwincreasewofwtwowkg/day
c.wTemperaturewofw37.6°C
d.wBloodwglucosewlevelwofw120wmg/dLw-wCORRECTwwANSWER-
b.wWeightwincreasewofwtwowkg/day
Awnursewcaringwforwthewclientwwhowhaswawcastwduewtowawcompoundwfracturewtowthewrightwank
le.wWhichwofwthe
followingwfindingswrequireswimmediatewintervention?
a)wpruirituswunderwthewcast
b)wLocalizedwstabbingwpainwuponwmovement
c)wparesthesiawofwthewdistalwextremity
d)wEdemawpresentwwhenwlegwiswinwthewdependentwpositionw-wCORRECTwwANSWER-
c)wparesthesiawofwthewdistalwextremity
Awnursewdiscoverswthatwthewwrongwdosagewofwmedicationwwaswgivenwtowclient.wWhenwdeter
mining
whatwactionwtowtakewyourwshouldwrecognizewthatwwhichwofwthewfollowingwethicalwprinciplesws
houldwbewapplied?
a)wUtility
b)wPaternalism
c)wVeracity
d)wFidelityw-wCORRECTwwANSWER-c)wVeracity
Awnursewfromwthewstatewhealthwdepartmentwthiswiswinstructingwawgroupwnurseswregardingwre
portablewinfections.
WhichwofwthewfollowingwinfectionswshouldwthewnursewreportwtowthewCDC?
a)wCandidawalbicans
b)wHerpeswsimplexwvirusw2
c)wstaphylococcuswaureus
d)wLymewdiseasew-wCORRECTwwANSWER-d)wLymewdisease
Awnursewhaswbeenwcaringwforwawfemalewclientwwhowhaswbruiseswonwherwarmswthatwshewexpl
ainswarewawresultwof
physicalwabusewbywherwhusband.wThewclientwstates,w"Iwdon'twknowwhowwmuchwlongerwIwcanw
takewthis,wbutwI'm