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  • Nursing Comprehensive
  • Nursing Comprehensive
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Examen

Nursing Comprehensive Exit exam

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6 páginas
2024/2025 Escrito para el año académico
Institución Nursing Comprehensive
Grado Nursing Comprehensive
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Nursing Comprehensive Exit exam Question And Correct Answers Verified A+ A nurse is caring for a client in the emergency department who complains of epigastric pain and feeling lightheaded. The client has a blood pressure of 140/80 mmHg with a heart rate of 75/min while supine and 110/65 mmHg sitting with a heart rate of 100/min. Which of the following tasks should the nurse perform next? - correct answers-Anticipate administration of intravenous crystalloid solution. A nurse is caring for a 62-year-old client who has been diagnosed with emphysema. The nurse understands that the client is at high-risk for pulmonary infection. Which of the following conditions predisposes the client to infection? - correct answers-Pooling of respiratory secretions. Which of the following methods of oxygen delivery should a nurse use to administer oxygen for a client with a drop in oxygen saturation from 96% to 88% on room air after receiving morphine to relieve pain after colon resection? (The client is resting but remains oriented and can be easily aroused by verbal stimuli.) - correct answers-Nasal cannula A nurse is caring for a woman who has undergone a radical mastectomy for breast cancer. She tells the nurse, "I'm worried because my spouse won't touch me since my breast was removed." Which of the following is the most appropriate response by the nurse? - correct answers-"How do you feel about your mastectomy?" A nurse is caring for a client who took an overdose of antidepressants and was discovered by his spouse. What is the best response by the nurse when the spouse states, "If I hadn't come home early from my business trip, my spouse might have died. I'm in a state of shock."? - correct answers-"This is a very overwhelming situation for you. Can you tell me what you are feeling now?" Which of the following pediatric clients would require prompt reporting to the authorities by the nurse? - correct answers-A 4-year-old who fell from a swing set with 1 fracture of the ulna and 2 healed fractures of the humerus on X-ray A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take? - correct answers-Keep the drainage system below the level of the client's chest at all times. Which of the following risk factors are part of the Braden Scale for Predicting Pressure Sore Risk? (Select all that apply.) - correct answers-Friction and shear Nutrition The risk factors associated with the Braden Scale include sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

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Nursing Comprehensive Exit exam Ques
AZ AZ AZ AZ




tion And Correct Answers Verified A+
AZ AZAZ AZ AZ AZ




AAZnurseAZisAZcaringAZforAZaAZclientAZinAZtheAZemergencyAZdepartmentAZwhoAZcomplainsAZofAZepi
gastricAZpainAZandAZfeelingAZlightheaded.AZTheAZclientAZhasAZaAZbloodAZpressureAZofAZ140/80AZ
mmHgAZwithAZaAZheartAZrateAZofAZ75/minAZwhileAZsupineAZandAZ110/65AZmmHgAZsittingAZwithAZaAZ
heartAZrateAZofAZ100/min.AZWhichAZofAZtheAZfollowingAZtasksAZshouldAZtheAZnurseAZperformAZnext
?AZ-AZcorrectAZanswers-AnticipateAZadministrationAZofAZintravenousAZcrystalloidAZsolution.
AAZnurseAZisAZcaringAZforAZaAZ62-year-
oldAZclientAZwhoAZhasAZbeenAZdiagnosedAZwithAZemphysema.AZTheAZnurseAZunderstandsAZthatA
ZtheAZclientAZisAZatAZhigh-

riskAZforAZpulmonaryAZinfection.AZWhichAZofAZtheAZfollowingAZconditionsAZpredisposesAZtheAZclie
ntAZtoAZinfection?AZ-AZcorrectAZanswers-PoolingAZofAZrespiratoryAZsecretions.
WhichAZofAZtheAZfollowingAZmethodsAZofAZoxygenAZdeliveryAZshouldAZaAZnurseAZuseAZtoAZadmini
sterAZoxygenAZforAZaAZclientAZwithAZaAZdropAZinAZoxygenAZsaturationAZfromAZ96%AZtoAZ88%AZonAZr
oomAZairAZafterAZreceivingAZmorphineAZtoAZrelieveAZpainAZafterAZcolonAZresection?AZ(TheAZclientA
ZisAZrestingAZbutAZremainsAZorientedAZandAZcanAZbeAZeasilyAZarousedAZbyAZverbalAZstimuli.)AZ-

AZcorrectAZanswers-NasalAZcannula

AAZnurseAZisAZcaringAZforAZaAZwomanAZwhoAZhasAZundergoneAZaAZradicalAZmastectomyAZforAZbre
astAZcancer.AZSheAZtellsAZtheAZnurse,AZ"I'mAZworriedAZbecauseAZmyAZspouseAZwon'tAZtouchAZmeA
ZsinceAZmyAZbreastAZwasAZremoved."AZWhichAZofAZtheAZfollowingAZisAZtheAZmostAZappropriateAZr

esponseAZbyAZtheAZnurse?AZ-AZcorrectAZanswers-
"HowAZdoAZyouAZfeelAZaboutAZyourAZmastectomy?"
AAZnurseAZisAZcaringAZforAZaAZclientAZwhoAZtookAZanAZoverdoseAZofAZantidepressantsAZandAZwasAZ
discoveredAZbyAZhisAZspouse.AZWhatAZisAZtheAZbestAZresponseAZbyAZtheAZnurseAZwhenAZtheAZspo
useAZstates,AZ"IfAZIAZhadn'tAZcomeAZhomeAZearlyAZfromAZmyAZbusinessAZtrip,AZmyAZspouseAZmight
AZhaveAZdied.AZI'mAZinAZaAZstateAZofAZshock."?AZ-AZcorrectAZanswers-

"ThisAZisAZaAZveryAZoverwhelmingAZsituationAZforAZyou.AZCanAZyouAZtellAZmeAZwhatAZyouAZareAZfe
elingAZnow?"
WhichAZofAZtheAZfollowingAZpediatricAZclientsAZwouldAZrequireAZpromptAZreportingAZtoAZtheAZauth
oritiesAZbyAZtheAZnurse?AZ-AZcorrectAZanswers-AAZ4-year-
oldAZwhoAZfellAZfromAZaAZswingAZsetAZwithAZ1AZfractureAZofAZtheAZulnaAZandAZ2AZhealedAZfracturesAZ
ofAZtheAZhumerusAZonAZX-ray
AAZnurseAZisAZcaringAZforAZaAZclientAZwhoAZhasAZaAZchestAZtubeAZconnectedAZtoAZaAZclosedAZdrain
ageAZsystemAZandAZneedsAZtoAZbeAZtransportedAZtoAZtheAZx-
rayAZdepartment.AZWhichAZofAZtheAZfollowingAZactionsAZshouldAZtheAZnurseAZtake?AZ-
AZcorrectAZanswers-

KeepAZtheAZdrainageAZsystemAZbelowAZtheAZlevelAZofAZtheAZclient'sAZchestAZatAZallAZtimes.
WhichAZofAZtheAZfollowingAZriskAZfactorsAZareAZpartAZofAZtheAZBradenAZScaleAZforAZPredictingAZPr
essureAZSoreAZRisk?AZ(SelectAZallAZthatAZapply.)AZ-AZcorrectAZanswers-FrictionAZandAZshear
Nutrition

, TheAZriskAZfactorsAZassociatedAZwithAZtheAZBradenAZScaleAZincludeAZsensoryAZperception,AZmo
isture,AZactivity,AZmobility,AZnutrition,AZandAZfrictionAZandAZshear.
AAZnurseAZisAZplanningAZcareAZforAZaAZclientAZwhoAZhasAZacuteAZrespiratoryAZdistressAZsyndrom
e.AZWhichAZofAZtheAZfollowingAZinterventionsAZshouldAZtheAZnurseAZincludeAZinAZtheAZplan?AZ-
AZcorrectAZanswers-PlaceAZinAZproneAZposition

RespiratoryAZcardsAZfollowingAZ-AZcorrectAZanswers-
AAZnurseAZisAZcaringAZforAZaAZpostoperativeAZclientAZwhoAZhasAZaAZchestAZtubeAZconnectedAZtoAZs
uctionAZandAZaAZwaterAZsealAZdrainageAZsystem.AZWhichAZofAZtheAZfollowingAZindicatesAZtoAZtheA
ZnurseAZthatAZtheAZchestAZtubeAZisAZfunctioningAZproperly?AZ-AZcorrectAZanswers-

FluctuationAZofAZtheAZfluidAZlevelAZwithinAZtheAZwaterAZsealAZchamber
nurseAZisAZmonitoringAZaAZclientAZwhoAZhasAZaAZchestAZtubeAZinAZplaceAZconnectedAZtoAZwallAZsu
ctionAZdueAZtoAZrightAZsidedAZpneumothorax.AZTheAZclientAZcomplainsAZofAZchestAZburning.AZWh
ichAZofAZtheAZfollowingAZactionsAZshouldAZtheAZnurseAZtake?AZ-AZcorrectAZanswers-
repositionAZtheAZclient
AAZnurseAZisAZcaringAZforAZaAZclientAZwhoAZhasAZaAZthree-
AZchamberAZclosedAZchestAZtubeAZsystem.AZWhichAZofAZtheAZfollowingAZactionsAZshouldAZtheAZnu

rseAZtakeAZafterAZnoticingAZaAZriseAZinAZtheAZwaterAZsealAZchamberAZwithAZclientAZinspiration?AZ-
AZcorrectAZanswers-continueAZtoAZmonitorAZtheAZclient

AAZnurseAZisAZobservingAZtheAZclosedAZchestAZdrainageAZsystemAZofAZaAZclientAZwhoAZisAZ24AZhrAZ
postAZthoracotomy.AZTheAZnurseAZnotesAZslow,AZsteadyAZbubblingAZinAZtheAZsuctionAZcontrolAZc
hamber.AZWhichAZofAZtheAZfollowingAZactionsAZshouldAZtheAZnurseAZtake?AZ-AZcorrectAZanswers-
ContinueAZtoAZmonitorAZclient'sAZrespiratoryAZstatus
AAZnurseAZisAZassessingAZaAZclientAZwhoAZwillAZundergoAZabdominalAZsurgeryAZinAZ2AZhr.AZTheAZc
lientAZreportsAZbeingAZnervousAZaboutAZtheAZsurgery,AZlastAZhadAZfoodAZandAZfluidsAZatAZ2330AZth
eAZpreviousAZevening,AZandAZsignedAZtheAZsurgicalAZconsentAZ2AZdaysAZago.AZWhichAZofAZtheAZfo
llowingAZisAZanAZappropriateAZnursingAZactionAZregardingAZtheseAZfindings?AZ-
AZcorrectAZanswers-DocumentAZtheAZfindingsAZinAZtheAZclient'sAZmedicalAZrecord.

AAZnurseAZinAZtheAZpost-
anesthesiaAZcareAZunitAZisAZcaringAZforAZaAZclientAZwhoAZisAZpostoperativeAZfollowingAZaAZthorac
otomyAZandAZlobectomy.AZWhichAZofAZtheAZfollowingAZpostoperativeAZassessmentsAZshouldAZt
heAZnurseAZgiveAZhighestAZpriorityAZto?AZ-AZcorrectAZanswers-ArterialAZbloodAZgases.

TheAZeffectivenessAZofAZoxygenationAZisAZmonitoredAZusingAZpulseAZoximetryAZandAZarterialAZ
AZ

bloodAZgases.
AAZnurseAZisAZassessingAZaAZclientAZfollowingAZaAZbronchoscopy.AZWhichAZofAZtheAZfollowingAZfi
ndingsAZshouldAZtheAZnurseAZreportAZtoAZtheAZprovider?AZ-AZcorrectAZanswers-Bronchospasms

BronchospasmsAZcanAZindicateAZtheAZclientAZisAZhavingAZdifficultyAZmaintainingAZaAZpatentAZair
way.
Blood-
tingedAZsputum,AZaAZdry,AZnonproductiveAZcough,AZandAZaAZsoreAZthroatAZareAZexpectedAZfindin
gsAZfollowingAZaAZbronchoscopy.
AAZnurseAZisAZcaringAZforAZaAZclientAZwhoAZisAZscheduledAZforAZaAZthoracentesis.AZPriorAZtoAZtheAZ
procedure,AZwhichAZofAZtheAZfollowingAZactionsAZshouldAZtheAZnurseAZtake?AZ-
AZcorrectAZanswers-PositionAZtheAZclientAZupright,AZleaningAZoverAZtheAZbedsideAZtable.

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Subido en
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