FORM B REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE(BRAND NEW!!)
Terms in this set (42)
A hospice nurse is planning 3. Position the client on their side to improve breathing.
end-of-life comfort for a
client. Which of the following R: The nurse should include to position the client laterally to
interventions should the improve breathing and promote comfort.
nurse include in the plan?
1. Cover the client with
anelectric blanket if
extremities become mottled.
2. Provide
frequentfeedings during the
day. 3. Position the client on
their side to improve
breathing.
4. Remove visitors from
the room if the client
becomes restless.
,A nurse is assessing a client 3. Gradual decrease of central vision.
who had dry agerelated
macular degeneration R: The nurse should identify that a gradual decrease of central
(AMD) of the left eye. vision is a manifestation of dry AMD. As the degeneration
progresses, the client will experience a total loss of the central
Which of the following
visual field.
findings should the nurse
expect?
1. Purulent discharge
2. Pain with
blinking3. Gradual
decrease of central vision.
4. Petechiae on surround
skin.
, 1. Manually ventilate the client using a bag-valve device.
A nurse is assessing a client
who has an endotracheal R: The first action the nurse should take when using the
tube and is receiving airway, breathing, circulation approach to client care is to
disconnect the client from the ventilator and provide
mechanical ventilation. The
manual ventilation using a bag-valve device. The client is at
client is agitated and risk for injury due to hypoxia. The nurse should disconnect
appears to be in respiratory the ventilator in case the ventilator is not functioning
distress. Which of the properly to provide the client with oxygenation until further
following actions should the assessment is obtained.
nurse take first?
1. Manually ventilate
theclient using a bag-valve
device.
2. Suction the
client'sendotracheal tube.
3. Contact the
respiratorytherapist to
check the client's ventilator.
4. Obtain arterial
bloodgases from the client.
A nurse is assessing a client 2. Decreased consciousness
who has a sodium level of
124 mEq/L. Which of the R: The nurse should expect a client who has hyponatremia to
following findings should the exhibit signs of a decreased level of consciousness, including
increased confusion and lethargy.
nurse expect?
1. Reports thirst 2.
Decreased
consciousness
3. Reports constipation
4. Swollen tongue
, A nurse is assessing a client 3. Spasticity
who has MS. Which of the
following findings should R: The nurse should expect a client who has MS to exhibit
the nurse expect? spasticity due to interruption of the motor pathway in the
spinal cord. The client can have muscle hypertonicity.
1. Reduced sense of
taste.
2. Anorexia.
3. Spasticity
4. Negative
Babinski'sreflex
A nurse is assessing a client 3. The client reports a dry mouth.
who is receiving head and
neck radiation therapy to R: A dry mouth is an adverse effect of radiation therapy to
treat esophageal cancer. The the head and neck due to the damage to the salivary glands.
The client can develop tooth decay and difficulty with
nurse should identify which
swallowing. The nurse should provide the client with
of the following findings as alcohol-free mouth rinses to reduce this effect.
an adverse effect of this
treatment?
1. The client has a
productive cough. 2. The
client reports peripheral
neuropathy.
3. The client reports a
drymouth.
4. The client
reportsdiarrhea.