nurse 612-Exam 1 unit 1, 2, 3 test questions with
| | | | | | | | | |
verified answers |
An |older |adult's |dysfunctional |temperature |regulator |function |places |the |client |at |greatest |risk
|for:
A) |Acute |dementia
B) |Delayed |initiation |of |appropriate |treatment
C) |Acute |renal |failure
D) |Misdiagnosis |of |pathology |- |correct |answer |B
A |client |asks |why |his |temperature |is |always |below |98.6F. |The |nurse |responds:
A) |The |best |way |to |bring |your |body |temperature |up |to |normal |is |to |live |in |a |warmer |climate
B) |Some |people |maintain |a |core |body |temperature |of |41C |and |that |is |normal |for |them
C) |A |person's |highest |point |of |core |temperature |is |usually |first |thing |in |the |morning
D) |Normal |core |temperature |varies |between |individuals |within |the |range |of |97F |to |99.5F |- |
correct |answer |D
The |nurse |assessing |a |client |admitted |with |a |diagnosis |of |"fever |of |unknown |origin" |notes |that
|the |temperature |is |elevated, |but |the |heart |rate |is |within |normal |range. |What |further |
assessment |will |the |client |require?
A) |Test |for |Legionnaire |disease
B) |V/Q |scan |for |pulmonary |emboli
C) |Thyroid |scan |for |nodules
D) |Sedimentation |rate |for |RA |- |correct |answer |A
,A |24-year-old |woman |presents |with |fever |and |painful |swollen |cervical |lymph |nodes. |Her |blood
|work |indicates |neutrophilia |with |a |shift |to |the |left. |She |most |likely |has:
A) |A |mild |viral |infection
B) |A |mild |parasitic |infection
C) |A |severe |bacterial |infection
D) |A |severe |fungal |infection |- |correct |answer |C
A |nurse |is |providing |care |for |several |clients |on |a |neurological |unit |of |a |hospital. |With |which |of |
the |following |clients |would |the |nurse |be |justified |in |predicting |a |problem |with |
thermoregulation?
A) |A |66 |year |old |male |with |damage |to |his |thalamus |secondary |to |a |cerebral |vascular |accident
B) |A |22 |year |old |male |with |damage |to |his |cerebellum |secondary |to |a |motorcycle |accident
C) |A |45 |year |old |female |with |a |T8 |fracture |secondary |to |a |diving |accident
D) |A |68 |year |old |male |with |end |stage |neurosyphilis |- |correct |answer |A
While |sponging |a |client |who |has |a |high |temperature, |the |nurse |observes |the |client |begins |to |
shiver. |At |this |point, |the |priority |nursing |intervention |would |be |to:
A) |Administer |an |extra |does |of |aspirin
B) |Stop |sponging |the |client |and |retake |a |set |of |vital |signs
C) |Increase |the |room |temperature |by |turning |off |the |air |conditioner |and |continue |sponging |
the |client |with |warmer |water
D) |Place |a |heated |electric |blanket |on |the |client's |bed |- |correct |answer |B
A |client |has |an |increase |in |core |body |temperature. |What |assessment |findings |does |the |nurse |
expect?
A) |Flushed |skin
B) |Decreased |skin |temperature
C) |Blue |nail |beds
,D) |Decreased |urination |- |correct |answer |A
Which |of |the |following |patients |is |most |likely |to |have |impairments |to |the |wound |healing |
process? |A |patient |with:
A) |A |diagnosis |of |multiple |sclerosis |and |consequent |impaired |mobility
B) |Poorly |controlled |blood |sugars |with |small |blood |vessel |disease
C) |Chronic |obstructive |pulmonary |disease
D) |Congenital |heart |defects |and |anemia |- |correct |answer |B
A |two-day |postoperative |patient's |temperature |was |98.5F |at |3:00 |PM. |At |6:00 |PM, |the |
unlicensed |assistant |notifies |the |nurse |that |the |patient's |temperature |is |102F. |Which |of |the |
following |actions |should |the |nurse |take?
A) |Increase |intravenous |fluid |rate
B) |Notify |the |physician
C) |Document |the |temperature
D) |Offer |the |client |a |cold |drink |- |correct |answer |B
A |patient |diagnosed |with |bacterial |pneumonia |is |admitted |to |the |hospital. |The |nurse |
reviewing |the |patient's |laboratory |results |notes |an |increase |in |the |number |of |bands |in |the |
white |blood |cell |count. |Which |of |the |following |is |the |priority |action |of |the |nurse?
A) |Continuing |to |monitor |the |client's |laboratory |results; |this |is |an |expected |finding |in |an |acute
|infection
B) |Placing |the |client |in |contact |isolation |immediately
C) |Requesting |a |repeat |blood |draw |to |verify |the |findings
D) |Notifying |the |physician |of |the |abnormal |lab |result |- |correct |answer |A
The |nurse |is |caring |for |a |client |whose |temperature |is |increasing. |The |nurse |is |aware |that |the |
client |will |also |experience |an |increase |in:
, A) |White |blood |cell |count
B) |Heart |rate
C) |Respiratory |rate
D) |Blood |pressure |- |correct |answer |B
A |patient |with |a |rising |temperature |is |pale |and |has |begun |to |shiver. |The |nurse |reports |that |
the |patient |is |in |which |of |the |following |phases |of |fever |development?
A) |Prodrome
B) |Chill
C) |Flush
D) |Defervescence |- |correct |answer |B
A |client |is |said |to |be |in |the |chill |stage |of |the |fever |process |when |the |nurse |does |which |of |the |
following?
A) |Administers |an |antipyretic |medication
B) |Observes |piloerection |on |the |skin |
C) |Observes |the |client |is |sweating
D) |Determines |the |client |will |benefit |from |a |cool |sponge |bath |- |correct |answer |B
What |is |the |most |common |cause |of |drug |fever?
A) |Increased |heat |production |from |PTU
B) |Hypersensitivity |reaction |to |medication
C) |Impaired |peripheral |heat |dissipation |by |atropine
D) |Serotonin |syndrome |- |correct |answer |B
| | | | | | | | | |
verified answers |
An |older |adult's |dysfunctional |temperature |regulator |function |places |the |client |at |greatest |risk
|for:
A) |Acute |dementia
B) |Delayed |initiation |of |appropriate |treatment
C) |Acute |renal |failure
D) |Misdiagnosis |of |pathology |- |correct |answer |B
A |client |asks |why |his |temperature |is |always |below |98.6F. |The |nurse |responds:
A) |The |best |way |to |bring |your |body |temperature |up |to |normal |is |to |live |in |a |warmer |climate
B) |Some |people |maintain |a |core |body |temperature |of |41C |and |that |is |normal |for |them
C) |A |person's |highest |point |of |core |temperature |is |usually |first |thing |in |the |morning
D) |Normal |core |temperature |varies |between |individuals |within |the |range |of |97F |to |99.5F |- |
correct |answer |D
The |nurse |assessing |a |client |admitted |with |a |diagnosis |of |"fever |of |unknown |origin" |notes |that
|the |temperature |is |elevated, |but |the |heart |rate |is |within |normal |range. |What |further |
assessment |will |the |client |require?
A) |Test |for |Legionnaire |disease
B) |V/Q |scan |for |pulmonary |emboli
C) |Thyroid |scan |for |nodules
D) |Sedimentation |rate |for |RA |- |correct |answer |A
,A |24-year-old |woman |presents |with |fever |and |painful |swollen |cervical |lymph |nodes. |Her |blood
|work |indicates |neutrophilia |with |a |shift |to |the |left. |She |most |likely |has:
A) |A |mild |viral |infection
B) |A |mild |parasitic |infection
C) |A |severe |bacterial |infection
D) |A |severe |fungal |infection |- |correct |answer |C
A |nurse |is |providing |care |for |several |clients |on |a |neurological |unit |of |a |hospital. |With |which |of |
the |following |clients |would |the |nurse |be |justified |in |predicting |a |problem |with |
thermoregulation?
A) |A |66 |year |old |male |with |damage |to |his |thalamus |secondary |to |a |cerebral |vascular |accident
B) |A |22 |year |old |male |with |damage |to |his |cerebellum |secondary |to |a |motorcycle |accident
C) |A |45 |year |old |female |with |a |T8 |fracture |secondary |to |a |diving |accident
D) |A |68 |year |old |male |with |end |stage |neurosyphilis |- |correct |answer |A
While |sponging |a |client |who |has |a |high |temperature, |the |nurse |observes |the |client |begins |to |
shiver. |At |this |point, |the |priority |nursing |intervention |would |be |to:
A) |Administer |an |extra |does |of |aspirin
B) |Stop |sponging |the |client |and |retake |a |set |of |vital |signs
C) |Increase |the |room |temperature |by |turning |off |the |air |conditioner |and |continue |sponging |
the |client |with |warmer |water
D) |Place |a |heated |electric |blanket |on |the |client's |bed |- |correct |answer |B
A |client |has |an |increase |in |core |body |temperature. |What |assessment |findings |does |the |nurse |
expect?
A) |Flushed |skin
B) |Decreased |skin |temperature
C) |Blue |nail |beds
,D) |Decreased |urination |- |correct |answer |A
Which |of |the |following |patients |is |most |likely |to |have |impairments |to |the |wound |healing |
process? |A |patient |with:
A) |A |diagnosis |of |multiple |sclerosis |and |consequent |impaired |mobility
B) |Poorly |controlled |blood |sugars |with |small |blood |vessel |disease
C) |Chronic |obstructive |pulmonary |disease
D) |Congenital |heart |defects |and |anemia |- |correct |answer |B
A |two-day |postoperative |patient's |temperature |was |98.5F |at |3:00 |PM. |At |6:00 |PM, |the |
unlicensed |assistant |notifies |the |nurse |that |the |patient's |temperature |is |102F. |Which |of |the |
following |actions |should |the |nurse |take?
A) |Increase |intravenous |fluid |rate
B) |Notify |the |physician
C) |Document |the |temperature
D) |Offer |the |client |a |cold |drink |- |correct |answer |B
A |patient |diagnosed |with |bacterial |pneumonia |is |admitted |to |the |hospital. |The |nurse |
reviewing |the |patient's |laboratory |results |notes |an |increase |in |the |number |of |bands |in |the |
white |blood |cell |count. |Which |of |the |following |is |the |priority |action |of |the |nurse?
A) |Continuing |to |monitor |the |client's |laboratory |results; |this |is |an |expected |finding |in |an |acute
|infection
B) |Placing |the |client |in |contact |isolation |immediately
C) |Requesting |a |repeat |blood |draw |to |verify |the |findings
D) |Notifying |the |physician |of |the |abnormal |lab |result |- |correct |answer |A
The |nurse |is |caring |for |a |client |whose |temperature |is |increasing. |The |nurse |is |aware |that |the |
client |will |also |experience |an |increase |in:
, A) |White |blood |cell |count
B) |Heart |rate
C) |Respiratory |rate
D) |Blood |pressure |- |correct |answer |B
A |patient |with |a |rising |temperature |is |pale |and |has |begun |to |shiver. |The |nurse |reports |that |
the |patient |is |in |which |of |the |following |phases |of |fever |development?
A) |Prodrome
B) |Chill
C) |Flush
D) |Defervescence |- |correct |answer |B
A |client |is |said |to |be |in |the |chill |stage |of |the |fever |process |when |the |nurse |does |which |of |the |
following?
A) |Administers |an |antipyretic |medication
B) |Observes |piloerection |on |the |skin |
C) |Observes |the |client |is |sweating
D) |Determines |the |client |will |benefit |from |a |cool |sponge |bath |- |correct |answer |B
What |is |the |most |common |cause |of |drug |fever?
A) |Increased |heat |production |from |PTU
B) |Hypersensitivity |reaction |to |medication
C) |Impaired |peripheral |heat |dissipation |by |atropine
D) |Serotonin |syndrome |- |correct |answer |B
