In Class Quizzes (Weeks 1-5)

Week 1 A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take? A. Ensure adequate nutrition B. Prevent aspiration C. Relieve the client's pain D. Promote oral hygiene

B

Week 1 A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? A. Elevating her feet B. Massaging her legs C. Ambulating soon after surgery D. Flexing her ankles

B

Week 1 A nurse is caring for a client who is going to have a bone marrow biopsy under conscious sedation. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make? A. "I can understand because you must be very worried about what the biopsy will show." B. "I will call your doctor and tell him you still have questions about the procedure." C. "The biopsy can be uncomfortable, but I will try to keep you as comfortable as possible." D. "Relax, you'll be asleep for most of the procedure and you won't remember a thing."

C

Week 1 A nurse is teaching a class about providing emergency care for clients who have a sports-related injury. Which of the following information should the nurse include? A. Apply heat to the injury during the first 12 hr. B. Maintain the affected extremity in a dependent position. C. Compress the injury for 24 hr. D. Perform passive range of motion (ROM) to an injured joint.

C

Week 1 A nurse is planning care for a client who is postoperative and at risk for paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis? A. Increase ambulation B. Increase protein intake C. Decrease fluid intake D. Offer the client the bedpan every 2 hr

A

Week 4 The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate? A. Radial pulse in the left arm B. Radial pulse in the right arm C. Brachial pulse in the right arm D. Brachial pulse in the left arm

A

Week 1 A nurse is developing a plan of care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following? (Select all that apply.) A. Disturbed body image B. Infection C. Anxiety D. Impaired skin integrity E. Fluid volume deficit

A, B, C, D

Week 4 A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.) A. Smoking B. Hypercholesterolemia C. Genetic predisposition D. Hypertension E. Obesity

A, B, D, E

Week 1 A nurse is teaching a client about how to use a patient-controlled analgesia (PCA) pump. Which of the following instructions should the nurse include in the teaching? A. "Ask a family member to push the patient-control button when the client is sleeping." B. "Use the pain scale to determine if you need to self-administer." C. "Several bolus doses are infused if the button is pushed repeatedly within a 5 to 10 minute timeframe before lock-out." D. "There is a 30 minute lock-out limit programmed on your PCA pump."

B

Week 4 A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe? A. Lipase B. Troponin (I) C. B-type natriuretic peptide BNP D. Aspartate aminotransferase (AST)

B

Week 4 A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take? A. Elevate the head of the bed 45 degrees B. Have the patient lay flat in bed C. Keep the patient NPO for 4 hours D. Keep the affected leg slightly flexed

B

Week 4 A nurse on a cardiac unit is caring for a client who is on telemetry. The nurse recognizes the client's heart rate is 46/min and notifies the provider. Which of the following prescriptions might be appropriate for this client? A. Defibrillation B. Pacemaker insertion C. Administration of IV Coumadin D. Synchronized cardioversion

B

Week 4 Which one of these is a sign and symptom for atrial fibrillation (A-fib)? A. Decreased heart rate B. Irregular apical pulse C. Regular radial pulse D. Decreased respiratory rate

B

Interpret the strip: (1) Irregular rhythm (2) Rapid heart rate (3) Heart palpitations (4) Lightheadedness (5) Extreme fatigue (6) Shortness of breath (7) Chest pain (8) The most common type of treated heart arrhythmia A. Ventricular fibrillation B. Sinus tachycardia C. Atrial fibrillation D. Supraventricular tachycardia

C

Week 4 A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG? A. Sinus tachycardia B. Sinus bradycardia C. Atrial fibrillation D. First degree AV block

C

Week 4 A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include? A. The patient cannot travel by air due to security screenings B. The patient can carry their ICD in a small pocket C. The patient should hold their cell phone on the side opposite of the ICD D. The patient should avoid use of small electronic devices

C

Week 1 A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache? A. Darken the client's room and close the door B. Elevate the head of the bed to 30 degrees C. Administer pain medication D. Increase fluid intake

D

Week 1 A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make? A. "You might feel a slight tingling while the test is being done." B. "The radioactivity from the dye lasts only a few hours." C. "The test will be complete in 30 to 60 minutes." D. "I will need to apply electrodes to your chest and extremities."

D

Week 1 A nurse is teaching a client who is preoperative how to do deep-breathing exercises and cough effectively after surgery. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll breathe deeply and cough every 4 hours." B. "I'll use the incentive spirometer when I can get out of bed. C. "I'll ask for pain medication after I do the exercises." D. "I'll splint my incision with a pillow to cough."

D

Week 4 A nurse is caring for a patient on the cardiac telemetry floor. The nurse recognizes the patient is in atrial fibrillation (A-fib). The patient's vitals are: HR 126, BP: 121/78; RR: 24; What medication(s) would you expect the provider to prescribe? A. Flexiril B. None of the above C. Tylenol D. Losartan E. 81 mg aspirin

E