Actual Exam Questions and Correct Detailed Answers (100% Verified Answers)
1. A nurse is assessing a client who is 12hr Hgb 8.2 g/dl
postoperative following a colon re- section.
Which of the following findings should the
nurse report to the surgeon?
2. A nurse is caring for a client who has di- Desmopressin
abetes insipidus. Which of the following
medications should the nurse plan to ad-
minister?
C
3. A nurse is admitting a client who has LE Stool for occult blood - GI bleed
arthritic pain and reports taking ibupro- fen
several times daily for 3 years. Which of the
following test should the nurse monitor?
ST
4. A nurse in the emergency department is
assessing a client. Which of the follow- ing
Initiate airborne precautions
BE
actions should the nurse take first (Click on
the "Exhibit" button for addi- tional
information about the client. There are three
tabs that contain separate cate- gories of
data.)
5. A nurse is contacting the provider for a client
who has cancer and is experiencing
breakthrough pain. Which of the follow- ing Transmucosal fentanyl
prescriptions should the nurse antici- pate?
6. ST segment
, A nurse is admitting a client who reports
chest pain and has been placed on a telemetry
monitor. Which of the following should the
nurse analyze to determine whether the client
is experiencing a my- ocardial infarction?
7. A nurse is teaching a client who has ovar- Pat the skin on the radiation site to dry it
ian cancer about skin care following ra-
diation treatment. Which of the following
instructions should the nurse include?
C
8. A nurse is caring for a client who is re- LE Furosemide
ceiving a blood transfusion. The nurse
observes that the client has bounding
peripheral pulses, hypertension, and dis-
ST
tended jugular veins. The nurse should
anticipate administering which of the fol-
lowing prescribed medications?
BE
9. A nurse is assessing a client who is receiv- Apical pulse 82/min
ing magnesium sulfate IV for the treat- ment
of hypomagnesemia. Which of the following
findings indicates effectiveness of the
medication?
10. A nurse is reviewing a client's ABG results Compensated respiratory alkalosis
pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these
findings as indication of which of the fol-
lowing conditions?
,11. A nurse is caring for a client who has Hypoalbuminemia (Low due to fluid loss)
a deep partial thickness burns over 15% of her
body which of the following labs should the
nurse expect during the first 24 hours
12. A nurse is caring for a client who has
dumping syndrome following a gastrec- Have the client lie down for 30 minutes after
tomy, which of the following actions meals (Lying down after a meal slows the
should the nurse takes? movement of food within the intestines)
C
13. A nurse is preparing to administer fresh
frozen plasma to a client. Which of the LE Administer the plasma immediately after thawing
following actions should the nurse take?
14. A nurse is assessing a client who reports
ST
Hypocalcemia
numbness and tingling of his toes and ex-
hibits a positive TROUSSEAU. Which of the
following electrolyte imbalance should the
BE
nurse suspect?
15. A home health nurse is teaching a client how
to care for a peripherally central catheter in Use a 10-milliliter syringe when flushing the
his right arm. Which of the following catheter
statements should the nurse in- clude in the
teaching?
16. A nurse is caring for a client who has a
central venous access device. Which of WBC count of 16,000/ mm
, the following assessment findings should the
nurse report to the provider?
17. A nurse is providing dietary teaching to a I will spread my protein allowances over the
client who has chronic kidney disease and entire day
a decreased glomerular filtration rate. Which
of the following statements by the client
indicates an understanding of the teaching?
18. A nurse is caring for a client who has a Verify the placement with an x-ray prior to the
peripherally inserted central catheter. The initial dose
C
client is receiving an antibiotic via inter- LE
mittent IV bolus. Which of the following
actions should the nurse take?
19.
ST
A nurse is teaching a client using a me- Exhale fully before bringing the inhaler to your
tered dose rescue inhaler. Which of the lips
following statements should the nurse in-
BE
clude in the teaching?
20. A nurse is assessing the pain status of a group A client who has pancreatitis reports pain in the left
of clients. Which of the following findings shoulder
indicate a client is experiencing referred pain?
21. A nurse is caring for a client who has just
returned from surgery with an external The client's capillary refill in the left toe is 6
fixator to the left tibia. Which of the fol-
seconds (signs and symptoms of compart-
lowing assessments findings requires im-
ment syndrome)
mediate intervention by the nurse?