ANSWERS. LATEST COMPLETE A+ GRADED
TEST.
Which information is a priority for the RN to reinforce to an older client after intravenous
pyelography? - CORRECT ANS>>Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes that the
most accurate indicator of fluid balance during the weekly visits is - CORRECT ANS>>weekly
weight
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most
important for the nurse to reinforce with the client? - CORRECT ANS>>It is critical to report
promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that
the client's blood pressure is increasing. Which action should the nurse take first? - CORRECT
ANS>>Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular
rate is controlled at 75. Which of the following findings is cause for the most concern? -
CORRECT ANS>>A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the
nurse immediately to the healthcare provider? - CORRECT ANS>>Fever of 103 degrees
Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these
points is most important to be reinforced by the nurse? - CORRECT ANS>>Until the health care
provider has determined that your ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all
the time and wishes to try acupuncture. Which of these beliefs stated by the client would be
incorrect about acupuncture? - CORRECT ANS>>The flow of life is believed to flow through
major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement made
by a student about Kawasaki disease is incorrect? - CORRECT ANS>>Kawasaki disease
occurs most often in boys, children younger than age 5 and children of Hispanic descent
, A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to
teach the client to lie in every other hour during first 12 hours after admission? - CORRECT
ANS>>Side-lying on the left with the head elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should
be reported to the health care provider? - CORRECT ANS>>minimal drainage into the urinary
collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse
enters the room in response to the call. After checking the client's pulse and respirations, what
should be the function of the second nurse? - CORRECT ANS>>Participate with the
compressions or breathing
The nurse assesses a 72-year-old client who was admitted for right sided congestive heart
failure. Which of the following would the nurse anticipate finding? - CORRECT ANS>>Jugular
vein distention
A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient
potassium should be included in the diet because hypokalemia in combination with this
medication? - CORRECT ANS>>Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a motor vehicle accident.
Which of the following neurological signs is of most concern? - CORRECT ANS>>Pupils fixed
and dilated
A 14-year-old with a history of sickle cell disease is admitted to the hospital with a diagnosis of
Vaso-occlusive crisis. Which statements by the client would be most indicative of the etiology of
this crisis - CORRECT ANS>>"I went to the health care provider last week for a cold and I have
gotten worse."
Which these findings would the nurse more closely associate with anemia in a 10-month-old
infant? - CORRECT ANS>>Pale mucosa of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is - CORRECT ANS>>Pupil responses
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest
the use of patient-controlled analgesia (PCA) with a pump? - CORRECT ANS>>A preschooler
with intermittent episodes of alertness
The nurse is about to assess a 6-month-old child with nonorganic failure-to thrive (NOFTT).
Upon entering the room, the nurse would expect the baby to be - CORRECT ANS>>Pale, thin
arms and legs, uninterested in surroundings