ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
Amclientmwithmamproductivemcoughmhasmobtainedmamsputummspecimenmformculturemasminstructed.m
Whatmismthembestminitialmnursingmaction?
A.mAdministermthemfirstmdosemofmantibioticmtherapy
B.mObservemthemcolor,mconsistency,mandmamountmofmsputum
C.mEncouragemthemclientmtomconsumemplentymofmwarmmliquids
D.mSendmthemspecimenmtomthemlabmformanalysism-
mCORRECTmANSWERSmB.mObservemthemcolor,mconsistency,mandmamountmofmsputum
AmclientmismbroughtmtomthemEDmbymambulanceminmcardiacmarrestmwithmcardiopulmonarymresuscitati
onm(CPR)minmprogress.mThemclientmismintubatedmandmismreceivingm100%moxygenmpermself-
inflatingm(ambu)mbag.mThemnursemdeterminesmthatmthemclientmismcyanotic,mcold,mandmdiaphoretic.m
Whichmassessmentmismmostmimportantmformthemnursemtomobtain?
A.mBreathmsoundsmovermbilateralmlungmfields.
B.mCarotidmpulsationmduringmcompressions
C.mDeepmtendonmreflexes
D.mCorembodymtemperaturem-mCORRECTmANSWERSmA.mBreathmsoundsmovermbilateralmlungmfields.
,AftermamhospitalizationmformSyndromemofmInappropriatemAntidiureticmHormonem(SIADH),mamclientm
developsmpontinemmyselinolysis.mWhichminterventionmshouldmthemnursemimplementmfirst?
A.mReorientmclientmtomhismroom
B.mPlacemampatchmonmonemeye
C.mEvaluatemclient'smabilitymtomswallow
D.mPerformmrangemofmmotionmexercisesm-mCORRECTmANSWERSmA.mReorientmclientmtomhismroom
Ammalemclientmwithmheartmfailurem(HF)mcallsmthemclinicmandmreportsmthatmhemcannotmputmhismshoes
monmbecausemtheymaremtoomtight.mWhichmadditionalminformationmshouldmthemnursemobtain?
A.mWhatmtimemdidmhemtakemhismlastmmedications?
B.mHasmhismweightmchangedminmthemlastmseveralmdays?
C.mIsmhemstillmablemtomtightenmhismbeltmbuckle?
D.mHowmmanymhoursmdidmhemsleepmlastmnight?m-
mCORRECTmANSWERSmB.mHasmhismweightmchangedminmthemlastmseveralmdays?
Anmoldermadultmwomanmwithmamlongmhistorymofmchronicmobstructivempulmonarymdiseasem(COPD)mi
smadmittedmwithmprogressivemshortnessmofmbreathmandmampersistentmcough.mShemismanxiousmandmi
smcomplainingmofmamdrymmouth.mWhichminterventionmshouldmthemnursemimplement?
A.mAdministermamprescribedmsedative
B.mEncouragemclientmtomdrinkmwater
C.mApplymamhigh-flowmventurimmask
D.mAssistmhermtomanmuprightmpositionm-mCORRECTmANSWERSmD.mAssistmhermtomanmuprightmposition
Amclientmwithmamhistorymofmasthmamandmbronchitismarrivesmatmthemclinicmwithmshortnessmofmbreath
,mproductivemcoughmwithmthickenedmtenaciousmmucous,mandmtheminabilitymtomwalkmupmamflightmofm
,stairsmwithoutmexperiencingmbreathlessness.mWhichmactionmismmostmimportantmformthemnursemtomi
nstructmthemclientmaboutmself-care?
A.mIncreasemthemdailymintakemofmoralmfluidsmtomliquefymsecretions
B.mAvoidmcrowdedmenclosedmareasmtomreducempathogenmexposure
C.mCallmthemclinicmifmundesirablemsidemeffectsmofmmediationsmoccur
D.mTeachmanxietymreductionmmethodsmformfeelingsmofmsuffocationm-
mCORRECTmANSWERSmA.mIncreasemthemdailymintakemofmoralmfluidsmtomliquefymsecretions
Amcardiacmcatherterizationmofmamclientmwithmheartmdiseasemindicatesmthemfollowingmblockages:m95
%mproximalmleftmanteriormdescendingm(LAD),m99%mproximalmcircumflex,mandm?m%mproximalmrightmc
oronarymarterym(RCA).mThemclientmlatermasksmthemnursem"whatmdoesmallmthismmeanmformme?"mWha
tminformationmshouldmthemnursemprovide?
A.mBloodmsupplymtomthemheartmismdiminishedmbymartheroscleroticmlesions,mwhichmnecessitatemlifes
tylemchanges.
B.mBloodmvesselsmsupplyingmthempumpingmchambermhavemblockagesmindicatingmampastmheartmattac
k.
C.mThreemmainmarteriesmhavemmajormblockages,mwithmonlym1mtom5%mofmbloodmflowmgettingmthroug
hmtomthemheartmmuscle.
D.mThemheartmismnotmreceivingmenoughmblood,msomtheremismamriskmofmheartmfailuremandmfluidmretent
ion.m-
mCORRECTmANSWERSmC.mThreemmainmarteriesmhavemmajormblockages,mwithmonlym1mtom5%mofmbloo
dmflowmgettingmthroughmtomthemheartmmuscle.
Amclientmwhomweighsm175mpoundsmismreceivingmIVmbolusmdosemofmheparinm80munits/kg.mThemhepar
inmismavailableminmam2mmlmvial,mlabeledm10,000munits/ml.mHowmmanymmlmshouldmthemnursemadmini
ster?m(Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth.)m-
mCORRECTmANSWERSm0.6mml
, Whatminformationmshouldmthemnursemincludeminmthemteachingmplanmofmamclientmdiagnosedmwithmg
astroesophagealmrefluxmdiseasem(GERD)?
A.mSleepmwithoutmpillowsmatmnightmtommaintainmneckmalignment.
B.mAdjustmfoodmintakemtomthreemfullmmealsmpermdaymandmnomsnacks.
C.mMinimizemsymptomsmbymwearingmloose,mcomfortablemclothing
D.mAvoidmparticipationminmanymaerobicmexercisemprogramsm-
mCORRECTmANSWERSmC.mMinimizemsymptomsmbymwearingmloose,mcomfortablemclothing
Themnursemismcaringmformamclientmwithmamlowermleftmlobempulmonarymabscess.mWhichmpositionmsho
uldmthemnurseminstructmthemclientmtommaintain?
A.mleftmlateral
B.mSupine,mkneesmflexed
C.mDorsalmrecumbent
D.mKnee-chestm-mCORRECTmANSWERSmA.mleftmlateral
Amclientmwithmcholelithiasismhasmamgallstonemlodgedminmthemcommonmbilemductmandmismunablemtom
eatmormdrinkmwithoutmbecomingmnauseatedmandmvomiting.mWhichmfindingmshouldmthemnursemrepo
rtmtomthemhealthcaremprovider.
A.mBelching
B.mAmbermurine
C.mYellowmsclera
D.mFlatulencem-mCORRECTmANSWERSmC.mYellowmsclera