Exam 4 LVN CHAPTER 36,37,41,42
questions n answers passed
B. Stock canned and packaged food.
C. Obtain a supply of bottled water.
E. Store a week's supply of medications. - ANS ✔✔Homeland security has received information
that there is a credible terrorist threat against the United States. What information can a nurse
provide for preparing for a potential disaster? Select all that apply.
A. Take shelter in an enclosed area of the home.
B. Stock canned and packaged food.
C. Obtain a supply of bottled water.
D. Lock all windows and doors.
E. Store a week's supply of medications.
F. Stay indoors until danger has passed.
A. The nurse selects the deltoid site
E. The nurse covers the injection site with gauze - ANS ✔✔A nurse in the military vaccinates
soldiers for smallpox. What actions are correct? Select all that apply.
A. The nurse selects the deltoid site.
B. The nurse disinfects the site with alcohol.
C. The nurse inserts the needle into the muscle.
D. The nurse massages the site of administration.
E. The nurse covers the injection site with gauze.
F. The nurse checks the site in 72 hours.
,C. Hypotension - ANS ✔✔Which side effect is the nurse most likely to detect when
administering pearls of amyl nitrite?
A. Bradycardia
B. Muscle weakness
C. Hypotension
D. Skin pallor
B. Notify respiratory therapy staff of possible need for ventilatory support for affected clients. -
ANS ✔✔An ED receives a report of an overturned truck that was transporting liquid chlorine.
What preparation should the nursing staff make first for potential admissions to the ED?
A. Contact the nursing supervisor for additional staff to care for multiple clients.
B. Notify respiratory therapy staff of possible need for ventilatory support for affected clients.
C. Call the physical therapist to initiate chest physical therapy for clients with breathing issues.
D. Contact the cardiac care physician on call to assess clients for heart damage.
C. A victim who has evidence of significant hemorrhage - ANS ✔✔When a nurse participates in
a community-wide mock disaster drill, which one of the following victims should be triaged with
a red tag indicating a need for immediate attention?
A. A victim with a compound fracture of the femur
B. A victim with 85% body surface full-thickness burns
C. A victim who has evidence of significant hemorrhage
D. A victim with a penetrating abdominal wound
, B. White blood cell (WBC) count - ANS ✔✔If the physician ordered all of the following tests on a
client with septic shock, which test result is most important for the nurse to review?
A. Blood urea nitrogen (BUN)
B. White blood cell (WBC) count
C. Erythrocyte sedimentation rate (ESR)
D. Aspartate aminotransferase (AST)
5, 3, 2, 6, 4, 1 - ANS ✔✔Place the pathophysiologic processes that accompany shock in the
sequence in which they occur. Use all the options.
1. Organ failures
2. Decreased urine output
3. Tachycardia
4. Anerobic metabolism
5. Decreased blood pressure
6. Cellular hypoxia
B. Low urine
D. Tachypnea
E. Hypotension
F. Weak pulse - ANS ✔✔Which of the following are signs manifested by a client in most types of
shock? Select all that apply.
A. Flushed, warm skin
B. Low urine output
C. Bradycardia
questions n answers passed
B. Stock canned and packaged food.
C. Obtain a supply of bottled water.
E. Store a week's supply of medications. - ANS ✔✔Homeland security has received information
that there is a credible terrorist threat against the United States. What information can a nurse
provide for preparing for a potential disaster? Select all that apply.
A. Take shelter in an enclosed area of the home.
B. Stock canned and packaged food.
C. Obtain a supply of bottled water.
D. Lock all windows and doors.
E. Store a week's supply of medications.
F. Stay indoors until danger has passed.
A. The nurse selects the deltoid site
E. The nurse covers the injection site with gauze - ANS ✔✔A nurse in the military vaccinates
soldiers for smallpox. What actions are correct? Select all that apply.
A. The nurse selects the deltoid site.
B. The nurse disinfects the site with alcohol.
C. The nurse inserts the needle into the muscle.
D. The nurse massages the site of administration.
E. The nurse covers the injection site with gauze.
F. The nurse checks the site in 72 hours.
,C. Hypotension - ANS ✔✔Which side effect is the nurse most likely to detect when
administering pearls of amyl nitrite?
A. Bradycardia
B. Muscle weakness
C. Hypotension
D. Skin pallor
B. Notify respiratory therapy staff of possible need for ventilatory support for affected clients. -
ANS ✔✔An ED receives a report of an overturned truck that was transporting liquid chlorine.
What preparation should the nursing staff make first for potential admissions to the ED?
A. Contact the nursing supervisor for additional staff to care for multiple clients.
B. Notify respiratory therapy staff of possible need for ventilatory support for affected clients.
C. Call the physical therapist to initiate chest physical therapy for clients with breathing issues.
D. Contact the cardiac care physician on call to assess clients for heart damage.
C. A victim who has evidence of significant hemorrhage - ANS ✔✔When a nurse participates in
a community-wide mock disaster drill, which one of the following victims should be triaged with
a red tag indicating a need for immediate attention?
A. A victim with a compound fracture of the femur
B. A victim with 85% body surface full-thickness burns
C. A victim who has evidence of significant hemorrhage
D. A victim with a penetrating abdominal wound
, B. White blood cell (WBC) count - ANS ✔✔If the physician ordered all of the following tests on a
client with septic shock, which test result is most important for the nurse to review?
A. Blood urea nitrogen (BUN)
B. White blood cell (WBC) count
C. Erythrocyte sedimentation rate (ESR)
D. Aspartate aminotransferase (AST)
5, 3, 2, 6, 4, 1 - ANS ✔✔Place the pathophysiologic processes that accompany shock in the
sequence in which they occur. Use all the options.
1. Organ failures
2. Decreased urine output
3. Tachycardia
4. Anerobic metabolism
5. Decreased blood pressure
6. Cellular hypoxia
B. Low urine
D. Tachypnea
E. Hypotension
F. Weak pulse - ANS ✔✔Which of the following are signs manifested by a client in most types of
shock? Select all that apply.
A. Flushed, warm skin
B. Low urine output
C. Bradycardia
