NR324 finale exam
A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions?
" I'll apply ice to my ankle for 20 minutes every hour"
Which of the following questions should the nurse asks a 56 years old client who reports that his father died 4 years-ago from
"Have you had a colonoscopy
A nurse is teaching a client how to follow a low purine diet as prescribed by the provider for the management of gout. Which statement indicates the client understanding the teaching?
"I should avoid eating liver and other organs meals" "Liver must be eliminated from my diet."
A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation. Which of the following
"I will eat smaller meals if I feel nauseated"
A nurse is providing discharge instructions with a client with gastroesophageal reflux disease. Which of the following statements indicates an understanding of the instructions?
"I will sleep with the head of the bed elevated"
A nurse is reinforcing teaching with clients about taking high doses of oral glucocorticoids for an extended period of time to treat RA. Which of the following information should the nurse include in the teaching ?
"Monitor for compression fractures of the back and the neck"
A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following
"These organs support immunity"
. A nurse in an urgent care center is caring for a client who fell and injured her ankle. the ankle appears swollen and ecchymotic. while the client waits for the technician to take x-rays, which of the following are appropriate nursing interventions?
-apply ice to the ankle -apply a compression bandage -elevate the foot
A young adult client has received the news that her treatments for Hodgkin lymphoma has been deemed successful and that no further treatment is necessary at this time. The care team should ensure that the client receives regular health assessments in the future due to the risk of what complication?
. Hematology cancers
A nurse is preparing to administer diphenhydramine 30mg IM stat to a client with an allergic reaction. Available is diphenhydramine 50 MG. How many mL should the nurse administer? Round to the nearest tenth.
0.6mL
A nurse is preparing to titrate morphine 6mg via IV bolus to a client. The amount available is morphine 8mg/ml. How many mL should the nurse administer per dose?
0.75mg
A nurse is administering a unit of red blood cell 350mL over 3hr to a client with anemia. The nurse should set the IV pump to deliver how many mL/hr. Round to the nearest whole number?
117mL/hr
A nurse is preparing to administer metoclopramide 15 mg PO QID before meals and at bedtime for a client who has GERD. The amount available is metoclopramide 5 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
15 mL
A nurse is preparing to administer Narcan 1mg IV push. Available is Narcan 0.4 MG. How many mL should the nurse administer per dose needed round to the nearest tenth?
2.5mL
A nurse is preparing to instill 840mL of enteral nutrition via a clients gastrotomy tube over 24 hours using an infusion pump. The nurse should set the infusion pump to deliver, how many mL/hr?
35mL/hr
7. A client who has diverticulitis is being admitted to a nurse's unit. Which of the following menu selections should a nurse recommend for this client?
4-grilled chicken breast with white rice
A nurse is caring for a client who is to receive liquid medications via a Gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25mg/5ml. How many ml should the nurse administer per dose round to the nearest whole number.
50mL
A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameter should the nurse include in the evaluation of the neurovascular status of the client's affect extremity? (Select all that Apply)
A. Color B. Temperature E. Sensation
A nurse is caring for a client with Buck's traction. Which of the following actions should the nurse take? (select all that apply)
A. Monitor peripheral pulses in the affected extremity. D. Examine the skin under the traction splint. E. Assess the temperature of the affected extremity.
A nurse is reviewing laboratory values for a client who has systemic lupus erythematous (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
A. Serum creatinine
A nurse in a clinic is talking with a client who has anew diagnosis of osteoarthritis. The nurse should anticipate that the
Acetaminophen
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
Administer antibiotics to the client
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Aging Obesity Smoking
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?
Apply a moisture barrier ointment to the client's skin.
A nurse is providing a teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions include in the teaching?
Avoid drinking alcohol.
nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?
B) Western blot analysis
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?
B. Hematuria
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
CD4-T-cell count 180 cells/mm
A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?
Check to see if the suction equipment is working
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
Chronic blood lost Intestinal malabsorption syndrome.
A nurse is caring for a client who has a fractured tibia as a result of a fall. The x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should recognize this is a finding for which of the following types of fractures?
Comminuted
A nurse is assessing a client who is postoperative and finds the client's abdominal incision has eviscerated. Which of the follow the nurse take?
Cover the wound with a sterile saline soaked dressing.
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-Tcell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
D. Candidiasis
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?
D. WBC count
A nurse is teaching a client who has a prescription of a NG tube to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?
Decompress the stomach
. A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR)
A nurse is assessing a client for early manifestation of rheumatoid arthritis (RA). Which of the following changes is an
Fatigue Morning Stiffness
A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify indication of infection at the pin sites?
Fever
A nurse is providing instruction for a client with a new diagnosis of gastroesophageal reflux disease (GERD). Which of the following foods should the nurse encourage to avoid?
Fried fish dinner
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?
History of ibuprofen use
A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements understanding of the teaching? (select all that apply)
I will sleep with the head of my bed elevated" "I will consume less caffeine and fewer spice food" "I will try not gain weight"
A nurse is caring for a client who has an unrepaired femur fracture of the mid shaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Instruct the client to wiggle his toes
A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that the client has multiple and widespread raised, purplish-blown skin lesions. The nurse should recognize that these findings indicate which of the following conditions?
Kaposi's sarcoma
A nurse is caring for a client with cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values treatment is effective?
Prealbumin 30 mg/dL
A nurse is providing patient education to a client with rheumatoid arthritis about increasing physical rest as part of the treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client?
Reduced joint stress
A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
Relief of gastrointestinal pain
A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?
Surgeon
A nurse is caring for a client who reports low back pain and ask the nurse for specific exercise recommendation. Which of the following should the nurse suggest?
Swimming.
A nurse in an urgent care center is caring for a client with greenstick fracture of the forearm. The nurse should explain
The bone is cracked lengthwise but did not break all the way trough.
a nurse is receiving the cause of gout with a group of nurse. Which of the following statements should the nurse make?
The intra articular deposition of urate crystal cause inflammation"
A nurse on a cancer unit is caring for a client who has breast cancer. The nurse would consider implementing neutropenic precautions when the clients WBC is?
a. 2,000mm3 c. 11,500 mm3
A group of nurses is discussing risk factors for transmission of HIV from clients. Which of the following individual should the nurses identify as being at the greatest risk for contracting HIV?
a. A Phlebotomist that collects blood from clients with HIV
A nurse is providing care for 4 clients in a medical surgical unit, which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? SATA
a. A client with postoperative delirium c. A client with protein calorie malnutrition catheterization 4 hours ago e. A client that has right sided heart failure and is obese
A client admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is most likely the best choice for this patient?
a. Blueberries b. Tofu
A nurse is caring for a client that is HIV positive and is one day postop following appendectomy. The nurse should wear a gown as PPE when taking which of the following actions?
a. Completing a dressing change
A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?
a. Increased respiratory rate from 18-44
A nurse is planning to perform a blood transfusion for a clients. Which of the following action should the nurse plan to take? SATA
a. Insert an intravenous with a 19-gauge needle b. Check the expiration dates of the blood products with a second nurse e. Check vital signs before transfusion.
The nurse is caring for a client who needs a daily increase of calcium intake to reduce the risk of osteoporosis. Choose the food that's good for the vegetarian clients
a. Steam broccoli
A nurse is planning care for a client with pernicious anemia. Which of the following interventions should the nurse plan to administer?
a. Vitamin B12 injections
A nurse is caring for a client with a diagnosis of malnutrition and is started on TPN. The nurse should monitor the client for which of the following complications. SATA
a. fluid imbalance C. electrolyte imbalance D. high blood glucose level E. infection at the central line insertion site
A client has been newly diagnosed with a wound infection and questions the nurse about how the immune system functions. The nurse discusses that the immune system is activated after the failure of which body defends?
b. Antigen antibody response
After receiving a diagnosis of acute lymphatic leukemia, a client is visibly distraught stating "I have no idea where to go from here". How should the nurse prepare to meet this clients' psychosocial needs?
b. Assess the client's specific needs for education and support
The medical nurse is aware that clients with sickle cell anemia benefits from understanding what situations can precipitate a sickle cell crisis.? When teaching a client with sickle cell anemia about strategies to prevent crises, what measures should the nurse recommend?
b. Avoiding cold temperatures and ensuring sufficient hydration
A nurse is creating an instruction plan for a client with thrombocytopenia. Which of the instructions should the nurse include? SATA
b. Blow nose gently c. Lubricate lips with water soluble ointments d. Brush teeth with a soft toothbrush e. Limit fruits consumption
. A nurse is caring for a client with HIV. Which of the following lab values should the nurse report to the PCP?
b. CD4-T- cell Count 180 cells/mm
A nurse is caring for a client with multiple lacerations. Which of the following factors are likely to delay wound healing? SATA
b. Citrus allergy c. Obesity d. Smoking e. Low serum albumin
A nurse is caring for a client that is two days post-op following abdominal surgery. The nurse notices that the client's wound has eviscerated. After calling for help, what should the nurse do next?
b. Cover the area with a sterile dressing moistened with 0.9% sodium chloride
89-year-old clients is admitted with a diagnosis of acute pulmonary edema and complaints of fatigue and dyspnea. The client has a history of anemia hypertension cardiomegaly and osteoporosis. Cardiac catheterization reveals an ejection fraction of 35%. Based on this information which nursing diagnosis is most appropriate for this client?
b. Ineffective airway clearance d. Altered peripheral tissue perfusion
A nurse is planning the care of a client with diagnosis of sickle cell disease who has been admitted for the treatment of an acute vaso-occlusive crisis. What nursing diagnosis should the nurse prioritize in the client plan of care.
b. Ineffective tissue perfusion related to thrombosis
. A nurse on a telemetry unit is caring for a client who has crohn's disease and the calcium level is 8mg/dl. Which of the following changes in the client's electrocardiogram with the nurse expect to see? SATA
b. Prolonged QT interval e. Prolonged St segment
A nurse is assessing a client's immune function by reviewing the lab value of the cellular response of the thymus cells. The nurse should recognize that which of the following conditions is affected by T cells?
b. Transplant rejection
a nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease? which of the following information should the nurse include?
both are inflammatory
A nurse is planning nutritional instructions for a client experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?
c. 1 cup (200g) canned black beans
A nurse is providing instructions to a client with a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the instructions?
c. Aplastic anemia results from decreased bone marrow production of red blood cells
A client has been diagnosed with ulcerative colitis and the nurse is preparing for discharge client education. What should be included in the client education plan regarding diet?
c. Avoid dairy and high fiber foods
The clinical nurse educator is presenting health promotion education to a client who will be treated for non-Hodgkin lymphoma on an out-client basis. The nurse should recommend which of the following actions?
c. Avoiding highly crowded public places
A nurse is providing instructions to a client with GERD about ways to manage this condition. Which of the following instructions should the nurse include?
c. Eat four small meals each day
A nurse is reviewing the medical record of a client with a peptic ulcer. Which of the following findings should the nurse record for this condition?
c. History of NSAIDs use
A nurse is reviewing the PCPs prescriptions for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take?
c. Insert an NG tube
A nurse is caring for a client that the PCP suspects might have pernicious anemia. The nurse should expect the PCP to prescribe which of the following diagnostic test?
c. Intrinsic factor blocking antibodies
A nurse is assessing a client with a puncture wound on the right foot. Which of the following findings is a manifestation of acute osteomyelitis?
c. Localized erythema
A nurse is admitting a client who exhibits signs and symptoms of a nutritional deficit. Inadequate intake of what nutrient increases a client's susceptibility to infection?
c. Proteins
A nurse is assessing a client with a left lower arm fracture. Which of the following findings indicates impaired venous return to the affected arm?
d) increasing edema
The nurse is providing care for a client whose inflammatory bowel disease has necessitated hospital treatment. Which of the following is most likely to be included in the patient's medication regimen?
d. Anti-cholinergic medications 30 minutes before a meal
A client has had an ileostomy created for the treatment of irritable bowel disease and the client is now preparing for discharge. What should the client be taught about changing this device in the home setting?
d. Apply a skin barrier to the peristomal skin prior to applying the pouch
A woman who is in her third trimester of pregnancy has been experiencing an exacerbation of iron deficiency anemia in recent weeks. When providing the client with nutritional guidelines and meal suggestions. What foods would be most likely to increase the woman's iron stores?
d. Beef liver accompanied by orange juice
. A nurse is instructing a client with a history of ulcerative colitis and a new diagnosis of anemia which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of anemia
d. Chronic blood loss.
A nurse is completing dietary instructions on consuming a low fiber diet for a client with ulcerative colitis. Which of the following foods should be eliminated in the client diet?
d. Dried apricots
A client with poorly controlled diabetes has managed end stage renal failure and consequent. When receiving this client treatment plan the nurse should anticipate the use of what drug?
d. Epoetin alfa
A nurse is monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
d. Generalized Urticaria
Imbalanced nutrition can be characterized by excessive or deficient food intake. What potential effect of imbalanced nutrition should be noted?
d. Prolonging confinement to bed
Which laboratory test will the nurse consider most important in planning care for a client with Crohn's disease who exhibit severe weight loss, dry skin and muscle wasting?
d. Serum albumin
A nurse is monitoring a client with peptic ulcer disease, which of the following findings is an indication of a perforation?
d. Sudden abdominal pain
A client newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission assessment, the client asks the nurse to explain the disease. What should the nurse explain to this explain to this client?
d. There could be decreased production of platelets
Which of the following signs and symptoms indicate compartment syndrome? select all that apply.
numbness Parasthesia
A nurse is assessing a client that is receiving a blood transfusion. Which of the following findings is a manifestation of a hemolytic reaction?
reports of lower back pain
A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. which intervention should the nurse include in the plan?
wipe perianal area with warm water and apply a barrier cream
