N120 Final Review Q1 Exam With
Complete Solutions
A nurse is caring for a client who reports a headache following an epidural
regional nerve block. Which of the following is an appropriate nursing action?
a. Decrease the client's fluid intake.
b. Apply pressure to the puncture site.
c. Place the client's head of the bed flat.
d. Instruct the client to lie prone. - ANSWER c. Place the client's head of the bed
flat.
The nurse plans to provide preoperative teaching to an alert older man who has
hearing and vision deficits. His wife answers most questions that are directed to
the patient. Which action should the nurse take when doing the teaching?
a. Use printed materials for instruction so that the patient will have more time to
review the material.
b. Direct all the teaching toward the wife because she is the obvious support
and caregiver for the patient.
c. Provide additional time for the patient to understand preoperative instructions
and carry out procedures.
d. Ask the patient's wife to wait in the hall in order to focus preoperative
teaching with the patient himself. - ANSWER c. Provide additional time for the
patient to understand preoperative instructions and carry out procedures.
A nurse is caring for a client who arrived in the PACU following a total hip
arthroplasty. The client is not responding to verbal stimuli. Which of the
following actions should the nurse perform first?
a. Compare and contrast the peripheral pulses.
b. Apply a warm blanket.
c. Assess the client's dressings.
d. Place the client in a lateral position. - ANSWER d. Place the client in a lateral
position.
, A nurse is caring for a client who reports nausea and vomiting 2 days
postoperative after hysterectomy. Which of the following actions should the
nurse perform first?
a. Assess bowel sounds.
b. Administer antiemetic medication
c. Restart prescribed IV fluids
d. Insert a prescribed nasogastric tube. - ANSWER a. Assess bowel sounds.
A complete nutritional assessment including anthropometric measurement is
important for the patient who
a. Has a BMI of 25.5 kg/m2
b. Complains of frequent nocturia
c. Reports a 5-year history of constipation
d. Reports an unintentional weight loss of 10 lbs. in 2 months - ANSWER d.
Reports an unintentional weight loss of 10 lbs. in 2 months
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition
solution is completed before the new solution arrives on the unit. The nurse
administers
a. 20% intralipids
b. 5% dextrose solution
c. 0.45% normal saline solution
d. 5% lactated Ringer's solution - ANSWER b. 5% dextrose solution
he nurse explains to the patient with gastroesophageal reflux disease (GERD)
that this disorder:
a. Results in acid erosion of the esophagus from frequent vomiting
b. Will require surgical wrapping or repair of the pyloric sphincter to control the
symptoms
c. Is the protrusion of a portion of the stomach into the esophagus through an
opening I the diaphragm
d. Often involves relaxation of the lower esophageal sphincter, allowing stomach
contents to back up into the esophagus. - ANSWER d. Often involves relaxation
of the lower esophageal sphincter, allowing stomach contents to back up into
the esophagus.
The teaching plan for the patient being discharged after an acute episode of
upper GI bleeding includes information concerning the importance of: (Select all
that apply)
a. Only taking aspirin with milk or bread products.
b. Avoiding taking aspirin and drugs containing aspirin.
Complete Solutions
A nurse is caring for a client who reports a headache following an epidural
regional nerve block. Which of the following is an appropriate nursing action?
a. Decrease the client's fluid intake.
b. Apply pressure to the puncture site.
c. Place the client's head of the bed flat.
d. Instruct the client to lie prone. - ANSWER c. Place the client's head of the bed
flat.
The nurse plans to provide preoperative teaching to an alert older man who has
hearing and vision deficits. His wife answers most questions that are directed to
the patient. Which action should the nurse take when doing the teaching?
a. Use printed materials for instruction so that the patient will have more time to
review the material.
b. Direct all the teaching toward the wife because she is the obvious support
and caregiver for the patient.
c. Provide additional time for the patient to understand preoperative instructions
and carry out procedures.
d. Ask the patient's wife to wait in the hall in order to focus preoperative
teaching with the patient himself. - ANSWER c. Provide additional time for the
patient to understand preoperative instructions and carry out procedures.
A nurse is caring for a client who arrived in the PACU following a total hip
arthroplasty. The client is not responding to verbal stimuli. Which of the
following actions should the nurse perform first?
a. Compare and contrast the peripheral pulses.
b. Apply a warm blanket.
c. Assess the client's dressings.
d. Place the client in a lateral position. - ANSWER d. Place the client in a lateral
position.
, A nurse is caring for a client who reports nausea and vomiting 2 days
postoperative after hysterectomy. Which of the following actions should the
nurse perform first?
a. Assess bowel sounds.
b. Administer antiemetic medication
c. Restart prescribed IV fluids
d. Insert a prescribed nasogastric tube. - ANSWER a. Assess bowel sounds.
A complete nutritional assessment including anthropometric measurement is
important for the patient who
a. Has a BMI of 25.5 kg/m2
b. Complains of frequent nocturia
c. Reports a 5-year history of constipation
d. Reports an unintentional weight loss of 10 lbs. in 2 months - ANSWER d.
Reports an unintentional weight loss of 10 lbs. in 2 months
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition
solution is completed before the new solution arrives on the unit. The nurse
administers
a. 20% intralipids
b. 5% dextrose solution
c. 0.45% normal saline solution
d. 5% lactated Ringer's solution - ANSWER b. 5% dextrose solution
he nurse explains to the patient with gastroesophageal reflux disease (GERD)
that this disorder:
a. Results in acid erosion of the esophagus from frequent vomiting
b. Will require surgical wrapping or repair of the pyloric sphincter to control the
symptoms
c. Is the protrusion of a portion of the stomach into the esophagus through an
opening I the diaphragm
d. Often involves relaxation of the lower esophageal sphincter, allowing stomach
contents to back up into the esophagus. - ANSWER d. Often involves relaxation
of the lower esophageal sphincter, allowing stomach contents to back up into
the esophagus.
The teaching plan for the patient being discharged after an acute episode of
upper GI bleeding includes information concerning the importance of: (Select all
that apply)
a. Only taking aspirin with milk or bread products.
b. Avoiding taking aspirin and drugs containing aspirin.
