AND C /VATI PN MED SURG ACTUAL EXAM 90
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|
Terms in this set (90)
A client admitted to the C) Administer pain medication
hospital reports flank pain,
nausea, and vomiting for 24
hr. Which of the following
would be a priority nursing
action?
A) Monitor intake and
output
B) Strain the urine
C) Administer pain
medication
D) Administer an antiemetic
,A community health nurse is C) annually
assisting with planning an
immunization clinic for
older adult clients. The
nurse should advise the
clients to receive an
influenza vaccine
A) only if they are in a high-
risk group
B) every 10 yrs
C) annually
D) if the clietn has never
had influenza
A home health nurse visits a B) Evaluate the client's respiratory status
client who has COPD and
receives oxygen at 2 L/min
via nasal cannula. The client
tells the nurse she has been
having difficulty breathing.
Which of the following
nursing actions is the
priority at this time?
A) Increase the oxygen flow
to 3 L/min
B) Evaluate the client's
respiratory status
C) Call emergency services
for the client
D) Have the client cough
and expectorate secretions
,A nurse assisting with the A) check the client's eye opening in response to verbal
care of a client who is stimuli
receiving treatment
following a motor vehicle
crash. Which of the
following actions should the
nurse take to determine the
client's level of alertness?
A) check the client's eye
opening in response to
verbal stimuli
B) Check the client's
pupillary response to light
C) Check the client's motor
response to nail bed
pressure
D) Check teh client's
response to questions
about place and time
A nurse at a community C) Check the client's temperature
health clinic is caring for a
client who reports a
headache and stiff neck.
Which of the following
actions hsould the nurse
perform first?
A) obtain a throat culture
specimen
B) Perform a complete
blood count
C) Check the client's
temperature
D) Administer an oral
analgesics
, A nurse collects data on a B) Administer analgesic medication for incisional pain.
client who returned to the
unit four hr ago following a Rationale: Administer pain medication to establish
partial colectomy. Which of comfort and then attend to the other reported
the following conditions condition.
should the nurse attend to
first?
A) Change the moderately
saturated dressing.
B) Administer analgesic
medication for incisional
pain.
C) Catheterize for a
distended bladder.
D) Cough and deep
breathe client.
A nurse finds radioactive A) Follow material safety data sheet (MSDS) instructions
pellets on the surgical unit
suite floor. Which of the
following should be the
nurse's priority action?
A) Follow material safety
data sheet (MSDS)
instructions
B) Place pellets in the
biohazard area
C) Contact environment
services
D) Notify the surgical
department director.