NURSING 493 Priority 1 Version 2 Exam Latest Study Guide 2023 (Questions and Answers Graded A+)

NURSING 493 Priority 1 Version 2 Exam Latest Study Guide 2023 (Questions and Answers Graded A+) A nurse in the emergency department is caring for a client who has a full-thickness burn of the thorax and upper torso. After securing the client’s airway, which of the following is the nurse’s priority intervention? a. Preventing infection b. Offering emotional support c. Providing pain management d. Initiating IV fluid resuscitation - REPEAT 16. A nurse is caring for a client who will undergo a procedure. The client states she does not want the provider to discuss the results with her partner. Which of the following is an appropriate response for the nurse to make? REPEAT a. “The provider will be tactful when talking to your partner.” b. “You have the right to decide who receives information.” c. “Is there a reason you don’t want your partner to know about your procedure?” d. “Your partner can be a great source of support for you at this time.” 17. A nurse is providing teaching about dietary recommendations to the parents of a school-age child who has acute kidney injury . Which of the following recommendations should the nurse include in the teaching? a. Provide low-calcium foods b. Provide high-phosphorus foods c. Provide low-potassium foods d. Provide high-sodium foods 18. A nurse is planning care for a school-age child who is 4 hrs. postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? REPEAT a. Apply a warm compress to the operative site every 4 hrs. b. Offer small amounts of clear liquids 6 hrs. following surgery c. Give cromolyn nebulized solution every 8 hrs. d. Administer analgesics on a scheduled basis for the first 24 hrs. 19. A nurse is assessing a client who is 8 hrs. postpartum and has been unable to void. Which of the following actions should the nurse take first? a. Pour warm water over the client’s perineum b. Offer the client a Sitz-bath c. Insert a sterile catheter d. Administer an analgesic 20. A nurse is providing nutritional teaching for an older adult client who has seizure disorder and a new prescription for phenytoin. Which of the following statements by the nurse is appropriate? a. “Limit foods that contain folic acid while taking this medication.” b. “You should expect a change in the color of your stool while taking this medication.” c. “Increase your intake of vitamin D while taking this medication.” - phenytoin complication (bone pain and weakness) d. “Plan to take this medication with antacids.” 21. A nurse is assessing a client who sustained fractures to both legs in a motor-vehicle crash. Which of the following findings indicates the client is experiencing a fat embolism? a. Petechiae on the chest and abdomen ! practice test 2016 A b. Decreased pedal pulses c. Pain unrelieved by opioid analgesics d. Crepitus at the knee joint 22. A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching? b. “Wear disposable gloves under gardening gloves while working with house plants.” c. Reset the vacuum by compressing the container d. “Respite care allows for time away from caring for your husband.” d. Clamp the catheter distal to the injection port. a. “You will have a Doppler transducer applied to your abdomen during the test.” b. “You should massage one of your nipples to stimulate contractions of your uterus.” c. “You will need blood work before and after the test.” d. “You should avoid eating or drinking for 4 hrs. before the test.” 23. A home health nurse is assessing a client who has amyotrophic lateral sclerosis (ALS) and has had recent weight loss. Which of the following is the priority admission data for the nurse to obtain? a. Changes in appetite b. Daily fluid intake c. Swallowing ability - aspirations precautions d. Prescribed medications 24. A nurse is providing discharge teaching for a client who has myelosuppression following chemotherapy treatment. Which of the following statements should the nurse include in the teaching? a. “Eat a diet rich in fresh fruits and vegetables.” c. “Children may visit as long as they’ve recently received a live influenza vaccination.” d. “Check your temperature weekly.” BONE MARROW SUPPRESSION- IMMUNOCOMPROMISED. AVOID 25. A nurse is caring for a client who has undergone a modified radical mastectomy. The client has a closed-suction drain. Which of the following actions should the nurse take? REPEAT a. Maintain the client in supine position for the first 24 hrs. b. Secure the drain to the bedding d. Position the affected extremity below the level of the client’s heart 26. A nurse is providing discharge instructions to a client who is 1-day postoperative vertical banded gastroplasty for morbid obesity. Which of the following statements demonstrates an understanding for the dietary teaching? b. “I will be limited to pureed foods for the next 6 months.” (weeks) c. “I should eat three meals per day.” d. “Vomiting is common and I will have to learn to live with it.” SERVE TO RESTRICT AND DECREASE FOOD INTAKE HELPS TO PROMOTE WT LOSS 27. A home health nurse is visiting a client whose partner states that she is overwhelmed by caring for him. When suggesting respite care, which of the following explanations should the nurse provide? a. “Respite care offers financial resources to help care for your husband.” b. “Respite care includes volunteers who will perform household tasks.” c. “Respite care provides clinicians to work with you in caring for your husband.” 28. A nurse is collecting a specimen for urinalysis and culture from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take during collection? a. Obtain the urinalysis specimen before the culture specimen. b. Collect 2 mL or urine for each specimen. c. Drain the specimen from the drainage bag. a. “It should take me 30 to 60 minutes to eat a meal” 29. A nurse is caring for four clients. Which of the following clients should the nurse care for first? a. A client who has hypothyroidism and is stuporous b. The client has a history of asthma b. A client who has a burn requiring a sterile dressing change c. A client who received a chemotherapy treatment and reports nausea d. A client who had an appendectomy 2 days ago and has diminished bowel sounds 30. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication to using lavender? a. The client has a history of alcohol use disorder c. The client takes Vitamin C daily d. The client takes furosemide twice daily 31. A nurse is providing discharge teaching to a client following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching? a. “I won’t cross my legs when I sit in a chair.” b. “I don’t need to use a walker when walking around my house.” c. “I will stay in bed for 3 days after returning home before starting leg exercises.” d. “I will bend over at my hips to tie my shoes.” bend at your knees 32. A nurse is assessing a client who is experiencing a pulmonary embolism. Which of the following manifestations should the nurse expect? a. Hypertension b. Dyspnea -confirmed c. Bradycardia d. Frothy sputum 33. A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse determines that cranial nerve XI is intact when the client performs which of the following actions? a. Shrugs his shoulders b. Frowns symmetrically c. Sticks his tongue out d. Identifies a sour taste cra 34. A nurse is preparing to administer lactated Ringer’s 500 mL IV to infuse over 4 hrs. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.) · 31 gtt/min 4x60= 240mins 500/240 = 2.08 x 15 gtt = 31.25 or 31 35. A nurse is teaching an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching? a. HbA1c level greater than 8% b. HbA1c level less than 7% c. Blood glucose level less than 60 mg/dL before breakfast d. Blood glucose level greater than 200 mg/dL at bedtime 36. A nurse is caring for a client who develops a lower left leg deep-vein thrombosis following surgery. Which of the following NURSING 493 priority 1 VERSION 2 exam latest 100%correct (verified) questions and answers A+ HIGHERFLER SCORE actions should the nurse take? a. Apply warm, moist compresses to the affected extremity NURSING 493 priority 1 VERSION 2 exam latest 100%correct (verified) questions and answers A+ HIGHERFLER SCORE b. Check for the presence of a Homan’s sign c. Form a 5 cm (2 in) cuff at the top of the ant embolism stocking d. Massage the left lower extremity 37. A nurse working in an acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings should the nurse expect? a. Euphoric mood b. All-or-nothing thinking c. Hypochondriasis d. Disorganized speech 38. A nurse is developing a nutritional care plan for a client who has COPD with severe dyspnea. To promote intake, which of the following instructions is appropriate to include in the plan of care? a. Administer a bronchodilator after meals b. Ambulate the client before each meal c. Offer the client three large meals each day d. Limit fluid intake with meals 39. A nurse is caring for four clients who are scheduled for surgery the same day. Which of the following laboratory values indicates the need for intervention before surgery? a. WBC 9,800/mm3 b. Creatinine 0.9 mg/dL 1.0 is normal c. Fasting blood glucose 108 mg/dL d. Potassium level 5.2 mEq/L REPEAT - 3.5 - 5.0 mEq = 40. A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team? a. Social worker b. Respiratory therapist c. Speech-language pathologist d. Occupational therapist 41. A nurse in an oncology clinic receives a call from the partner of a client who has pancreatic cancer. The partner tells the nurse that she is able to manage the client’s physical care, but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make? a. Community outreach center b. Respite care c. Skilled nursing facility d. Restorative care 42. A nurse is caring for a client who has deep-vein thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Click on the “Exhibit” button below for additional client information. There are three tabs that contain separate categories of data.) a. Massage the affected extremity every 4 hrs. b. Administer acetaminophen c. Withhold heparin IV infusion - not enough info d. Position the client with the affected extremity lower than the heart