Professional Nursing Exam 3

A client who can't tolerate oral feedings begins receiving intermittent enteral feedings. When monitoring for evidence of intolerance to these feedings, the nurse must remain alert for: a. diaphoresis, vomiting, and diarrhea. b. manifestations of electrolyte disturbances. c. manifestations of hypoglycemia. d. constipation, dehydration, and hypercapnia.

a. diaphoresis, vomiting, and diarrhea.

During a routine physical examination on a 75-year-old female client, a nurse notes that the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was always 5 feet and 1/2? (1.7 m) tall." Which statement is the best response by the nurse? A. "After age 40, height may show a gradual decrease as a result of spinal compression" b. "After menopause, the body's bone density declines, resulting in a gradual loss of height." c. "There may be some slight discrepancy between the measuring tools used." d. "The posture begins to stoop after middle age."

b. "After menopause, the body's bone density declines, resulting in a gradual loss of height."

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of his activity limitations when he states that he will need to wear the brace for which length of time? a. 2 to 4 weeks b. 6 to 8 weeks c. 10 to 12 weeks d. 14 to 16 weeks

b. 6-8 weeks

Which group is at the greatest risk for osteoporosis? a. Men b. Caucasian women c. Asian women d. African American women

b. Caucasian women

Assessment of a client reveals signs and symptoms of Paget's disease. Which of the following would be most likely? a.Skull narrowing b. Lordosis c. Long bone bowing d. Waddling gait

c. Long bone bowing

The nurse is to administer a cyclic feeding through a gastric tube. It is most important for the nurse to a. Check the residual volume before the feeding. b. Accurately assess the amount of fluid infused. c. Elevate the head of the bed to 45 degrees. d. Change the tube feeding container and tubing.

c. elevate the head of the bed to 45 degrees

A patient being treated for pyloric obstruction has a nasogastric (NG) tube in place to decompress the stomach. The nurse routinely checks for a residual amount that would indicate obstruction. Choose that amount. a. 150 mL b. 250 mL c. 350 mL d. 450 mL

d. 450 ml

Peptic ulcer disease occurs more frequently in people with which blood type? a. O b. A c. AB d. B

a. O

Which sign may be helpful in identifying carpal tunnel syndrome? a. Tinel's b. Babinski's c. Brudzinski's d. Kernig's

a. Tinel's

The nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching? a. "Use your continuous passive motion machine (CPM) 2 hours each day." b. "You need to perform weight-bearing exercises twice a week." c. "You need to limit the amount of protein and calcium in your diet." d. "You will receive IV antibiotics for 3 to 6 weeks."

d. "You will receive IV antibiotics for 3 to 6 weeks."

Which assessment findings would the nurse expect in a client diagnosed with osteomyelitis? a. Thrombocytopenia and ecchymosis b. Pruritus and uremic frost c. Petechiae over the chest and abnormal ABGs d. Leukocytosis and localized bone pain

d. Leukocytosis and localized bone pain

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: a. a sedentary lifestyle and smoking. b. a history of hemorrhoids and smoking. c. alcohol abuse and a history of acute renal failure. d. alcohol abuse and smoking.

d. alcohol abuse and smoking

A client with a traumatic amputation of the right lower leg is refusing to look at the leg. Which action by the nurse is most appropriate? a. Provide wound care without discussing the amputation. b. Request a referral to occupational therapy. c. Encourage the client to perform range-of-motion (ROM) exercises to the right leg. d. Provide feedback on the client's strengths and available resources.

d. provide feedback on the client's strengths and available resources.