QUESTIONS AND CORRECT ANSWERS
A- nurse- is- caring- for- a- client- who- experienced- a- traumatic- head- injury- and- has- an-
intraventricular- catheter- (Ventriculostomy)- for- ICP- monitoring.- The- nurse- should-
monitor- the- client- for- which- of- the- following- complications- related- to- the-
ventriculostomy?:
a.- Headache
b.- Infection
c.- Aphasia
d.- Hypertension- -- CORRECT- ANSWERS-- - b.- Infection
Monitor- for- infection- and- use- strict- asepsis- to- avoid- life-threatening- meningitis.
A- nurse- is- providing- education- to- a- client- who- is- to- undergo- an- EEG- the- next- day.-
Which- of- the- following- info- should- the- nurse- include- in- the- teaching?
a.- "Do- not- wash- your- hair- the- morning- of- the- procedure."
b.- "Try- and- stay- awake- most- of- the- night- prior- to- the- procedure."
c.- "The- procedure- will- take- approximately- 15- mins."
d.- "You- will- need- to- lie- flat- for- 4- hours- after- the- procedure."- -- CORRECT- ANSWERS-
- - b.- "Try- and- stay- awake- most- of- the- night- prior- to- the- procedure."
Tell- the- client- to- remain- awake- to- provide- cranial- stress- and- increase- the-
possibility- of- abnormal- electrical- activity
,A- nurse- is- caring- for- a- client- who- is- postprocedural- following- a- lumbar- puncture-
and- reports- a- throbbing- headache- when- sitting- upright.- Which- of- the- following-
actions- should- the- nurse- take?- SATA.
a.- Use- the- GCS- scale- to- assess- the- client
b.- Assist- the- client- into- a- supine- position
c.- Administer- an- opioid- analgesic
d.- Encourage- the- client- to- increase- PO- fluid- intake
e.- Instruct- the- client- to- perform- coughing- and- deep- breathing- -- CORRECT- ANSWERS-
- - B,- D
A- nurse- is- caring- for- a- client- who- has- continuous- bladder- irrigation- following- a-
transurethral- resection- of- the- prostate- (TURP).- Which- of- the- following- findings-
should- the- nurse- report- to- the- provider?
a- Output- equal- to- the- instilled- irrigate
b.- Client- reports- bladder- spasms
c.- Viscous- urinary- output- with- clots
d.- Reports- of- strong- urge- to- urinate- -- CORRECT- ANSWERS-- - c.- Viscous- urinary-
output- with- clots
Urine- that- is- bright- red- with- clots- is- an- indication- of- arterial- bleeding.
A- nurse- is- monitoring- the- ECG- of- a- client- who- has- hypocalcemia.- Which- of- the-
following- findings- should- the- nurse- expect?
a.- Flattened- T- waves
b.- Prolonged- QT- intervals
c.- Shortened- QT- intervals
d- Widened- QRS- complexes- -- CORRECT- ANSWERS-- - b.- Prolonged- QT- intervals
, Manifestations- of- hypocalcemia- include- tingling,- numbness,- tetany,- seizures,-
prolonged- QT- intervals,- and- laryngospasm.
A- nurse- is- preparing- a- client- who- has- a- brain- tumor- for- a- CT- scan.- Which- of- the-
following- factors- affects- the- manner- in- which- the- nurse- will- prepare- the- client- for-
the- scan?
a.- No- food- or- fluids- consumed- for- 4- hours
b.- Difficulty- recalling- recent- events
c.- Development- of- hives- while- eating- shrimp
d.- Paresthesia- in- both- hands- -- CORRECT- ANSWERS-- - c.- Development- of- hives- while-
eating- shrimp
Shellfish- allergy- is- contraindication- of- use- of- contrast- media- during- a- CT- scan.
A- nurse- is- preparing- an- in-service- program- about- the- stages- of- acute- kidney- injury.-
Which- of- the- following- pieces- of- info- should- the- nurse- include- about- prerenal-
azotemia?
a.- Prerenal- azotemia- begins- prior- to- the- onset- of- symptoms
b.- Interference- with- renal- perfusion- causes- renal- azotemia
c.- Prerenal- azotemia- is- irreversible,- even- in- early- stages
d.- Infections- and- tumors- cause- prerenal- azotemia- -- CORRECT- ANSWERS-- - b.-
Interference- with- renal- perfusion- causes- prerenal- azotemia.
Prerenal- =- interference- with- renal- perfusion,- such- as- from- heart- failure- or-
hypovolemic- shock.
A- nurse- is- teaching- a- client- who- has- CAD- about- the- difference- between- angina-
pectoris- and- MI.- Which- of- the- following- should- the- nurse- identify- as- indications- of-
MI?- SATA.
a.- N/V