PROCTORED EXAM | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | ACTUAL EXAM
A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl ---------CORRECT ANSWER-----------------b. Urine specific
gravity 1.001 (<1.005)
A nurse is planning care for a client who has pulmonary embolism. Which
of the following interventions should the nurse include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours ---------CORRECT ANSWER-------------
----a. initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is recovering from a
sickle cell crisis. Which of the following instructions should the nurse
include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination ---------CORRECT ANSWER-----------------
a. Avoid extremely hot or cold temperatures
,A nurse in the emergency department is caring for a client who is in
hypovolemic shock. Which of the following actions should the nurse take
first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
c. administer IV therapy
d. monitor urine output ---------CORRECT ANSWER-----------------b. insert a
large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the
following findings indicates adequate circulation of the graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill ---------CORRECT ANSWER-----------------d. palpable thrill
A nurse is assessing a client who has heart failure and is receiving a loop
diuretic. Which of the following findings indicates hypokalemia?
a. oliguria
b. hypertension
c. muscle weakness
d. positive Chvostek's sign ---------CORRECT ANSWER-----------------c.
muscle weakness
A nurse is caring for a client who is 2 days postoperative following a below-
the-knee amputation and asks about the purpose of maintaining an elastic
bandage around the residual limb of the extremity. Which of the following is
an appropriate response by the nurse?
a. the elastic bandage will prevent a post-op wound infection
b. the elastic bandage will prevent excessive edema
c. the elastic bandage will keep the sutures from loosening
d. the elastic bandage will keep you from seeing the surgical site ---------
CORRECT ANSWER-----------------b. the elastic bandage will prevent
excessive edema
, A nurse is planning care for a client who is 8 hour post-op following a
coronary artery bypass grafting. Which of the following assessments should
the nurse plan to perform first?
a. examine the surgical incision for drainage
b. auscultate breath sounds
c. palpate pulses distal to the graft donor site
d. measure the client's core body temperature ---------CORRECT
ANSWER-----------------b. auscultate breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which
of the following instructions should the nurse include in the discharge plan?
a. you will need cryotherapy for 1 to 2 weeks.
b. you will need to take an antiviral medication for 6 months
c. you will need 3 follow-up blood tests within a 24 month period
d. you will need to be monitored for 15 minutes after receiving each
medication dose. ---------CORRECT ANSWER-----------------c. you will need
3 follow-up blood tests within a 24 month period
A nurse is caring for a client who has hypotension, cool clammy skin,
tachycardia, and tachypnea. In which of the following ositions should the
nurse place the client?
a. reverse trendelenburg
b. feet elevated
c. high-fowlers
d. side lying ---------CORRECT ANSWER-----------------c. high-fowlers
A nurse is teaching a client how to use a quad cane for ambulation follwing
a right-hemisheric stroke. Which of the following client actions indicates an
understanding of the teaching?
a. client takes a step before advancing the cane
b. client holds the cane with the left hand