Practical Nursing Adult Medical-Surgical Nursing – ||Final Exam Questions||.pdf

Practical Nursing Adult Medical-Surgical Nursing – Final V V V V V V




Exam Questions V V




1. Maintainabductionoftheclient'srightlegwhileinbed.: Anurseiscaringforaclient whois3 V V V V V V V V V V V V V V V V V V V




dayspostoperativefollowingatotalrighthiparthroplasty. Whichofthe followingactionsshould thenurse take?
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Use a traction boot to keep the client's right leg internally rotated. Have
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the client sit in a reclining chair when out of bed.
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Maintain abduction of the client's right leg while in bed. Encourage
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the client to perform passive range-of-motion exercises.
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2. "You feel like you want to discontinue treatment?": Anurseiscaringforaclientwhohas
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terminal pancreatic cancer. The client states, "I don't think I can go on any longer." Which of the following responses should the nur
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make?
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"Are you experiencing abdominal pain?"
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"You should talk about this with the people you're closest to." "Many
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people who have cancer feel this way."
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"Youfeellikeyouwanttodiscontinuetreatment?"
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3. Implement recommendations from the speech-language pathologist.: A nurse is V V V V V V V V




contributing to the plan of care for a client who is having diflculty eating following a stroke. Which of the following actions should
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the nurse take first?
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Collaboratewithadietitian. V V V




Ensure that the client is provided with a high-ber diet.
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Implement recommendations from the speech-language pathologist. V V V V V




Request a referral for an occupational therapist.
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4. Keep the client in a side-lying position.: Anurseiscontributingtotheplanofcareforaclient
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who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify
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the priority?
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,Encourage the clienttoparticipateinself-care.
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Assist the client with active range-of-motion exercises. Keep
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the client in a side-lying position.
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Maintaintheclient'sbodyalignment
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, 5. Herpes zoster: A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the
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nurserecommend for this agegroup?
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Meningococcal
Herpes zoster
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Human papillomavirus (HPV) Measles, mumps, and rubella (MMR)
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6. Instruct the client to swish the medication in their mouth.: A nurse is contributing to the plan of V V V V V V V V V V V V V V V V V




care for a client who has a new prescription for nystatin suspension for oral candidiasis. Which of the following interventions should
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the nurse include in the plan?
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Use a commercial mouthwash before taking the medication.
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VInstruct the client to swish the medication in their mouth. V V V V V V V V V




Discontinuethe medicationassoon asthe lesionsarehealed. V V V V V V V V V




Combine the medication with applesauce
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7. intermittent straight catheter (clear tube with blue top): Anurseispreparingtoperform V V V V V V V V V V V V V




intermittent urinary catheterization for a female client who has been unable to void following surgery 6 hr ago. Which of the
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following catheters should the nurse use to perform this procedure?
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8. Hyperactivebowel sounds:Anurseispreparingtoauscultatethebowelsoundsofaclientwhohasa V V V V V V V V V V V V V V V V V




mechanicalbowelobstructioninthedescending colon. When listening inthe leftupperquadrant,the nurseshould identify
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this sound as which of the following?
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Hyperactive bowel sounds V V




Frictionrub
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Normal bowel sounds V V




Abdominal bruit
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9. Encourage the client to complete ADLs.: Anurseiscontributingtotheplanofcareforaclient V V V V V V V V V V V V V V V V V




whohasmultiple sclerosis andistakingdantrolenetomanage musclespasms. Whichofthe followinginterventions should th
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nurse include?
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Apply hot packs to the client's muscles. Schedule
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physical therapy in the afternoon
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