D439 EXAM QUESTIONS AND CORRECT
ANSWERS!!
A nurse discovers that a client is taking natural herbal remedies. Which intervention is
most important for the nurse to do?
Communicate the supplement use to the primary health-care provider
Which condition places a client at the highest risk for developing an infection?
Burns over more than 20% of the body
The nurse is caring for a group of clients experiencing various medical conditions. Which
condition places the client at the highest risk for a wound infection?
Puncture of the foot by a nail
When collecting a 24-hour urine specimen for creatinine clearance, it is MOST
important for the nurse to do which of the following?
Ask if a preservative is present in the container.
Your patient will be using crutches for mobility. After educating the patient on how to
adjust the crutches to fit correctly, you assess how well the patient understood the
instructions. What findings demonstrate that the crutches were adjusted correctly by the
patient? Select all that apply
When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
The patient has a 2-3 finger width distance between the axillae and crutch rest pad
Why is a client with fever often predisposed to pressure ulcers?
Increased metabolism causes increased oxygen needs that cannot be met
Which of the following are primary risk factors for pressure ulcers? Select all that apply
, Low-protein diet
Lengthy surgical procedures
Fever
A client has thick, tenacious respiratory secretions. Which should the nurse do to
liquefy the client's respiratory secretions?
Encourage the client to drink more fluid
An unconscious client who had oral surgery is admitted to the post anesthesia care unit.
In which position should the nurse place the client?
Lateral
An emancipated minor is willing to participate in a clinical trial for a new drug. Whose
signature is required on the informed consent form before the minor can participate in the
trial?
The emancipated minor
When the nurse is administering medication to a confused client, the client says, "This
pill looks different from the one I had before." Which should the nurse do first?
Check the original medication prescription
The primary health-care provider prescribes oxygen via a simple face mask at a flow
rate of 6 liters. The nurse explains the procedure to the client and maintains standard
precaution. Place the following steps in the order in which they should be implemented.
1) Attach the flowmeter to the wall oxygen source.
2) Attach the prefilled humidifier to the flowmeter.
3) Attach the face mask tubing to the humidifier
4) Place the mask on the client's face from the bridge of the nose to under the chin
5) Secure the elastic bands around the back of the client's head.
6) Turn the oxygen flowmeter on to 6 liters.
ANSWERS!!
A nurse discovers that a client is taking natural herbal remedies. Which intervention is
most important for the nurse to do?
Communicate the supplement use to the primary health-care provider
Which condition places a client at the highest risk for developing an infection?
Burns over more than 20% of the body
The nurse is caring for a group of clients experiencing various medical conditions. Which
condition places the client at the highest risk for a wound infection?
Puncture of the foot by a nail
When collecting a 24-hour urine specimen for creatinine clearance, it is MOST
important for the nurse to do which of the following?
Ask if a preservative is present in the container.
Your patient will be using crutches for mobility. After educating the patient on how to
adjust the crutches to fit correctly, you assess how well the patient understood the
instructions. What findings demonstrate that the crutches were adjusted correctly by the
patient? Select all that apply
When the patient grips the hand grips of the crutches the elbow bends at about 30 degrees.
The patient has a 2-3 finger width distance between the axillae and crutch rest pad
Why is a client with fever often predisposed to pressure ulcers?
Increased metabolism causes increased oxygen needs that cannot be met
Which of the following are primary risk factors for pressure ulcers? Select all that apply
, Low-protein diet
Lengthy surgical procedures
Fever
A client has thick, tenacious respiratory secretions. Which should the nurse do to
liquefy the client's respiratory secretions?
Encourage the client to drink more fluid
An unconscious client who had oral surgery is admitted to the post anesthesia care unit.
In which position should the nurse place the client?
Lateral
An emancipated minor is willing to participate in a clinical trial for a new drug. Whose
signature is required on the informed consent form before the minor can participate in the
trial?
The emancipated minor
When the nurse is administering medication to a confused client, the client says, "This
pill looks different from the one I had before." Which should the nurse do first?
Check the original medication prescription
The primary health-care provider prescribes oxygen via a simple face mask at a flow
rate of 6 liters. The nurse explains the procedure to the client and maintains standard
precaution. Place the following steps in the order in which they should be implemented.
1) Attach the flowmeter to the wall oxygen source.
2) Attach the prefilled humidifier to the flowmeter.
3) Attach the face mask tubing to the humidifier
4) Place the mask on the client's face from the bridge of the nose to under the chin
5) Secure the elastic bands around the back of the client's head.
6) Turn the oxygen flowmeter on to 6 liters.
