NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+, Exams of Nursing

Download NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ and more Exams Nursing in PDF only on Docsity! NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+  The nurse has taught a client who is receiving prescribed alendronate. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. a. "I will take alendronate 1/2 hour before I eat breakfast. b. "I should avoid weight-bearing exercises while taking alendronate." c. "I should discontinue alendronate if I experience nausea or vomiting." d. "I will need to remain in an upright position for 30 minutes after I take alendronate. e. "I should notify my primary health care provider if I experience difficulty swallowing while taking alendronate."  The nurse has taught a client who is prescribed a low-sodium diet about appropriate food choices. Which of the following statements by the client would indicate a correct understanding of the teaching? a. "I will eat steamed, fresh broccoli with herbs and spices for an evening meal. b. "I will add cottage cheese and other dairy products to my daily diet. c. "I am glad I can still enjoy eating cereals, such as bran flakes with raisins." d. "I am glad I can eat lean meats daily because I eat ham sandwiches for an afternoon meal."  The nurse has observed a staff member tell a client with bipolar disorder that there will be consequences for making negative comments about conditions in the facility. When the nurse meets privately with the staff member, which of the following statements would be most appropriate for the nurse to make to the staff member? a. "Threatening a client can result in the immediate dismissal of a staff member." b. "Staff members who have difficulty with control issues often seek power over clients." c. "Clients have a right to complain about services without fear of punishment." d. "Staff should set limits with clients in a non-judgmental manner."  The nurse is preparing to insert a peripheral venous access device (VAD) for a client. Which of the following actions should the nurse take? a. Ask the client to open and close the fist multiple times. b. Tap the client's vein multiple times to promote dilation. c. Apply the tourniquet 9 to 10 in (22.5 to 25 cm) above the venipuncture site. d. Palpate for a vein after cleansing the selected site.  The nurse is caring for assigned clients. Which of the following clients would be at increased risk for the skin wound shown below? Select all that apply. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ a. a 65-year-old client who has a beefy, red tongue b. a 60-year-old client who is receiving a low-fiber diet c. a 55-year-old client who is exhibiting cognitive impairment d. a 70-year-old client who has a body mass index (BMI) of 24 e. a 65-year-old client who has a blood glucose level of 96 mg/dL (5.3 mmol/L)  The nurse is screening clients for those at increased risk for developing cancer. At highest risk for developing leukemia is the client who a. received more than 3 blood transfusions b. has a magnetic resonance imaging (MRI) scan annually c. has polycythemia vera and requires phlebotomy treatments d. had colon cancer and received prescribed chemotherapy treatments  The nurse is preparing to insert a peripheral venous access device (VAD) for a client who requires prescribed antibiotics intravenously. Which of the following actions by the nurse will increase the likelihood of success in initiating the VAD? Select all that apply. a. Select a vein that is visible but not palpable. b. Massage the arm distal to the selected venipuncture site. c. Apply a tourniquet tightly enough to suppress the radial pulse. d. Apply a warm compress to the client's arm for 10 to 15 minutes. e. Use the nondominant hand to hold the skin taut against the selected vein.  The nurse is preparing a staff education conference about total parenteral nutrition (TPN). Which of the following information should the nurse include? Select all that apply. a. "The TPN intravenous tubing should be changed once a week." b. "TPN can be administered through a peripherally inserted central catheter (PICC)." c. "Clients receiving TPN should be weighed daily." d. "An infusion pump is used to deliver TPN." e. "Blood glucose levels should be monitored in clients receiving TPN."  The nurse is preparing to administer a prescribed unit of packed red blood cells (PRBCs) to a client. Which of the following actions should the nurse take? a. Assess the client's recent urine output. b. Prime a Y-tubing blood administration set with lactated Ringer's solution. c. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger. d. Verify with another nurse that the client's room number is on both the blood product label and the client's identification band.  The nurse has become aware of the following client situations. The nurse should first assess the client a. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying on the right side b. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and reporting hemoptysis c. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's position d. with heart failure who has a productive cough and is restless  The nurse is caring for a client who is receiving a blood transfusion and states, "I feel chilled and am having back pain." Which of the following actions should the nurse take? Select all that apply. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ b. throw rugs c. hemiparesis d. dim lighting e. confusion 24. The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? a. dyspareunia b. hot flashes c. weight gain d. amenorrhea 25. The nurse is caring for a client who has a chest tube attached to a closed-chest drainage system. It would be a priority for the nurse to monitor the client for a. tracheal deviation b. pain at the insertion site c. subcutaneous emphysema d. redness or swelling at the insertion site 26. The home-health nurse is visiting a client with diabetes mellitus (type 1) and angina pectoris. The client is reporting diplopia and a headache, has warm, dry skin and appears confused. The nurse should first assess the client's a. apical pulse b. respirations c. capillary blood glucose level d. orientation to time, place and person 27. The nurse is caring for a client with the skin wound shown below. Which of the following interventions would facilitate the healing process? a. Administer prescribed antibiotics to prevent infection. b. Encourage a high-carbohydrate and low-protein diet. c. Establish a moist wound bed. d. Keep the wound open to air. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ 28. The nurse has taught a client with bipolar I disorder who is experiencing a manic episode and is receiving prescribed lithium. Which of the following statements by the client would indicate a correct understanding of the teaching? a. "I will increase my oral fluid intake to 2 to 3 L daily while taking the medication." b. "I will experience an improvement in my condition 5 weeks after starting the medication." c. "I should decrease my intake of dietary sodium after starting the medication." d. "I should limit time spent in a sauna to 1 hour weekly while taking the medication." 29. The nurse is preparing to administer prescribed lorazepam 2 mg, IV, now to a client who is scheduled for surgery in 30 minutes. The nurse is unfamiliar with the dosage for the medication. Which of the following actions should the nurse take first? a. Check the medication dosage in a medication reference book. b. Ask another nurse whether the prescribed dose is a safe dose. c. Clarify that the dose is correct with the primary health care provider. d. Contact the pharmacist to verify the safe dosage range for the medication. 30. The nurse is teaching a client newly diagnosed with diverticulosis. Which of the following information should the nurse include? a. "Limit your daily fluid intake to 2 L to avoid bloating." b. "You may be prescribed a bulk-forming laxative." c. "Limit your intake of dairy products such as milk and yogurt." d. "You should avoid consuming cooked vegetables." 31. The nurse is planning a staff education conference about the prevention of urinary tract infections (UTI) in children. Which of the following information should the nurse include? Select all that apply. a. "Teach the child to perform Kegel exercises." b. "Encourage the child to empty their bladder completely." c. "Encourage the child to maintain an adequate fluid intake." d. "Teach the child how to properly cleanse their perineal area." e. "Offer the child noncarbonated, decaffeinated beverage choices." 32. The nurse is teaching a client who is scheduled for a 24-hour urine collection. Which of the following information should the nurse include? Select all that apply. a. "You will be asked to urinate when starting the collection, and the initial urine will be discarded." b. "A sign will be posted on the bathroom door as a reminder to save your urine." c. "You will be asked to void at the end of the designated time period to complete the urine collection." d. "You should discard urine that is dark or pink in color." e. "The collected urine will be sent to the laboratory at the end of each shift." 33. The nurse from a maternity unit has been assigned to the emergency department (ED) to assist with clients injured in an external disaster. It would be most appropriate to assign the maternity nurse to the a. 10-year-old client who needs a dressing applied to a partial-thickness (second-degree) burn of the left anterior thorax b. 25-year-old client with a hemoglobin (Hgb) of 7.8 g/dL (78 g/L) who is receiving a second unit of packed red blood cells (PRBCs) c. 30-year-old client who has an open fracture of the tibia and is crying NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ d. 45-year-old client with contusions of the thorax who is reporting chest pain on inspiration 34. The home-health nurse is assigned to the following clients who live within 3 miles (4.8 km) of each other. The nurse should first see the client who has a a. percutaneous endoscopic gastrostomy (PEG) tube and whose family member will administer the first tube feeding today b. central venous access device (VAD) for chemotherapy and is reporting burning with urination c. pressure ulcer (Stage I) and is reporting that the hydrocolloid dressing has fallen off d. transverse colostomy and will be changing the ostomy appliance for the first time today 35. The nurse is preparing a staff education conference about infant development. Select, in the correct order, the developmental milestones for an infant. All options must be used. a. rolls from the abdomen to the back Correct order: B, A, C, E, D b. raises the head from a prone position c. sits unsupported d. walks with one hand held e. stands while holding onto furniture 36. The nurse has attended a staff education conference about spinal shock following acute spinal cord injury. Follow-up is required if the nurse states that manifestations of spinal shock include a. bowel dysfunction b. bladder dysfunction c. spastic paralysis below the level of injury d. loss of sensation below the level of injury 37. The nurse has taken a nutritional history from parents of clients. It would be a priority for the nurse to follow up with the a. 5-month-old client whose only source of nutrition is 5 formula feedings daily b. 7-month-old client who eats several crackers as finger food c. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice and 3 servings of infant cereal d. 1-year-old client whose typical food intake includes 4 breast-feedings and 3 servings of cooked vegetables, pears or sliced cheese 38. The nurse has received the following information about assigned clients. The nurse should first assess the client with a. esophageal varices who is reporting feeling nauseous b. angina pectoris who had an episode of chest pain 1 hour ago that resolved with rest c. end-stage renal disease (ESRD) who has a serum potassium level of 5.2 mEq/L (5.2 mmol/L) d. chronic obstructive pulmonary disease (COPD) who has a pulse oximetry reading of 90% 39. The nurse has taught a client with a hiatal hernia. Which of the following statements by the client would indicate a correct understanding of the teaching? a. "I will consume 3 regular-sized meals daily." b. "Wearing an abdominal binder can help relieve symptoms." c. "I should elevate the head of the bed on 6-in (15-cm) blocks." d. "Eating foods with a high fat content will increase gastric emptying." 40. The nurse from an inpatient psychiatric unit is leading a support group for clients. It would be a NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ Which of the following statements by the caregiver would require follow-up? a. "I have been applying petroleum jelly to keep the client's lips moist." b. "I have been offering healthy foods frequently to keep up the client's strength." c. "A blowing fan seems to be less anxiety-producing for the client than an oxygen mask." d. "Sitting upright seems to reduce the client's noisy breathing more than lying down in the bed." 50. The nurse is caring for a client whose pulse is regular and has changed from 88 to 120. Which of the following actions should the nurse take first? a. Instruct the client to remain in bed. b. Notify the client's primary health care provider. c. Determine whether the client is experiencing lightheadedness. d. Request a prescription for an electrocardiogram (ECG) for the client. 51. The nurse is caring for a client who is in Buck traction. Which of the following would require immediate intervention? a. A pillow is placed under the knee. b. The foot is 2 in (5 cm) away from the foot plate. c. The weights attached to the pulley are 6 in (15 cm) from the floor. d. A pillow is placed under the lower leg with the heel off the bed. 52. The nurse is assessing a client with suspected mononucleosis. Which of the following findings would support a diagnosis of mononucleosis? a. polyarthralgia b. costovertebral pain c. cervical lymphadenopathy d. left lower quadrant (LLQ) tenderness 53. The nurse is developing a plan of care for a client with a spinal cord injury at C5 who has an indwelling urethral catheter. Which of the following would be a priority for the nurse to include in the plan of care? a. encouraging the client to drink 6 to 8 glasses of fluid per day b. maintaining the urinary collection bag in a dependent position c. teaching the client about foods high in fiber d. assessing the color of the urinary output 54. The nurse has been made aware of the following client situations. The nurse should first assess the client a. with chronic obstructive pulmonary disease (COPD) who is receiving oxygen at 2 L per minute via nasal cannula and has become confused b. who had a subtotal gastrectomy 3 days ago and is reporting weakness and diaphoresis one hour after eating c. with heart failure who has had a fluid intake of 2,500 mL and a urinary output of 2,100 mL in the past 24 hours d. with Guillain-Barré who is receiving mechanical ventilation and has water collecting in the ventilator tubing 55. The nurse is caring for a client who has a prescription for penicillin G 1,000,000 units, IV, every 6 hours. The nurse has penicillin G 1,000,000 units/50 mL of solution and an infusion set with a drop factor of 15 available. How many gtt/min should the nurse administer to the client over 30 minutes? Record your answer using a whole number. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ a. Answer: 25 gtts/min 56. The nurse is assessing arterial blood gas (ABG) results for a client who has status asthmaticus. The results are pH, 7.25; PaO2, 58 mm Hg; PaCO2, 70 mm Hg; and HCO3, 26 mEq/L (26 mmol/L). Which of the following actions would be a priority for the nurse to take? a. Obtain the client’s vital signs. b. Attach the client to a cardiac rhythm monitor. c. Obtain supplies for intubation. d. Attach the client to a pulse oximeter. 57. The nurse is planning care for a client who has expressive aphasia after a left-sided stroke. Which of the following statements by the client's spouse would indicate a correct understanding of the client's communication abilities and interaction needs? Select all that apply. a. "My spouse's response of 'fine' when asked how the day has been may or may not be what my spouse meant to communicate." b. "I can anticipate what my spouse wants to say, so I complete my spouse's sentences to make communication quicker." c. "I will purchase a picture board to help my spouse express common needs, thoughts and feelings that are difficult to communicate." d. "My spouse's angry response when we have a conversation makes me hesitant to try further communication." e. "I have arranged for my spouse to meet with a speech therapist twice each week to improve communication skills." 58. The nurse on the cardiac unit is caring for clients with the following cardiac rhythms. Which of the following cardiac rhythms can be treated with diltiazem? a. b. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ c. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ is reporting feeling anxious about the surgery d. with moderate Alzheimer's disease (AD) who is scheduled for transurethral resection of the prostate (TURP) has a consent form signed by the client in the medical record 67. The nurse has taught a client with multiple sclerosis (MS). Which of the following statements by the client would indicate a correct understanding of the teaching? a. "I will complete all of my household chores in the morning when I am well rested." b. "I have learned how to massage my bladder to help empty my bladder completely." c. "I will take a hot bath in the evening to help me relax if I have had a stressful day at work." d. "I should expect the blurred vision to resolve after I have received prescribed medications for several weeks." 68. The nurse is obtaining vital signs for a client. After inflating the blood pressure cuff, the nurse observes the finding in the graphic shown below. Which of the following actions should the nurse take in response to the observation? a. 1.Obtain a smaller blood pressure cuff. b. 2.Check the client's blood glucose level. c. 3.Request a prescription to check the client's serum electrolyte levels. d. 4.Ask whether the client has ingested any caffeine during the past 30 minutes. Exhibits for #69: Gastrointestinal: gastroenteritis 1 week ago Neurological: Guillain-Barré, reports increasing muscle weakness and paresthesias over the past 3 days; weakness initially of the legs, now extending to the trunk and arms Alert and oriented to person, place and time. Reporting cramping bilateral lower extremities. Scheduled for plasmapheresis. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ 69. The nurse is planning care for a client with impaired mobility. Which of the following interventions should the nurse include in the client's plan of care? Click the exhibit button for additional client information. a. Assess for the presence of petechiae. b. Monitor the client for signs of increased intracranial pressure (ICP). c. Monitor the client for signs of respiratory distress. d. Initiate seizure precautions. 70. The following client care activities need to be completed. It would be most appropriate for the nurse to assign unlicensed assistive personnel (UAP) to a. apply a continuous passive motion (CPM) device to the affected extremity of a client who had a total knee replacement b. change the bed linens for a client who was admitted 1 hour ago following a closed-head injury and is comatose c. reposition a client with hydrocephalus who has a headache and is vomiting d. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago 71. The nurse is removing the incision staples for a client who had abdominal surgery. Which of the following actions should the nurse take? a. Remove every other staple, and assess the tension on the wound. b. Place the lower tip of the staple remover under a staple, and lift upward with a gentle, twisting motion to remove the staple. c. Explain to the client that the client will feel a brief, sharp stabbing sensation as each staple is removed. d. Clarify the prescription to remove the staples if the staples have not been in place for a minimum of 20 days. 72.A A 3-year-old client with a cerebral concussion is being observed overnight on a pediatric unit. Which of the following observations would be most significant for the nurse to report to the oncoming shift? a. The client has a blood pressure of 94/58 mm Hg and an apical pulse of 90. b. The client is sleeping but is easily aroused. c. The client's pupils are equal and reactive to light. d. The client has an axillary temperature of 99.0° F (37.2° C) and respirations of 24. 73. The nurse taught a client with chronic kidney disease about the purpose of prescribed medications. Which of the following statements by the client would indicate a correct understanding of the teaching? a. "Sevelamer removes phosphorus consumed with my food before it can be absorbed into my body." b. "Sodium polystyrene sulfonate removes excess ammonia that has built up in my blood." c. "Erythropoietin stimulates my body to generate platelets to reduce my risk of bleeding." NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ d. "Cholecalciferol helps to prevent my serum calcium levels from getting too high." 74. The nurse is teaching a client who is scheduled for a total hip arthroplasty via a posterior approach. Which of the following information should the nurse include? Select all that apply. a. "The type of prosthesis used is based on the muscle strength and joint function of your upper extremities." b. "Do not bend the affected hip more than 90 degrees after surgery." c. "Skin preparation and cleansing is mandatory before surgery." d. "Use an elevated toilet seat for at least 6 weeks after surgery." e. "You can resume sexual intercourse after surgery if your partner is in a dependent position." 75. The nurse is talking with a client who has been sexually assaulted. The client states, "I never should have walked home late at night. I am to blame for what has happened to me." Which of the following would be an appropriate response for the nurse to make? Select all that apply. a. "The police officers who brought you into the hospital will be with you during this interview." b. "You should take a warm, calming shower in order to feel more relaxed." c. "You did the best you could in very difficult circumstances." d. "Sometimes the victim's behavior causes the violence." e. "You are safe here." 76. The nurse is planning a staff education conference about caring for clients with restraints. Which of the following information should the nurse include? a. "Restraints should be removed once during a shift to perform passive range-of-motion (ROM) exercises for the client." b. "Restraints should be secured to the side rails of the client's bed for quick release." c. "Restraints require a prescription from the primary health care provider." d. "Restraints may be used p.r.n. for clients who are confused." 77. The charge nurse is observing as another nurse prepares to administer a prescribed hepatitis B vaccine to a client. Which of the following injection sites would require the charge nurse to intervene? a. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ a. "I will be able to stop drinking alcohol if my spouse can prevent me from experiencing the financial stress we have experienced in the past." b. "I would like to obtain a referral to a dietitian in order to learn about what food I should eat to maintain a more balanced diet." c. "I can drink small amounts of alcohol at family celebrations and important religious ceremonies." d. "I plan to telephone my Alcoholics Anonymous (AA) sponsor if I feel the need to drink alcohol." e. "I understand that personal willpower can prevent me from drinking alcohol again." 84. The nurse is preparing to administer a prescribed beta blocker to a client. Which of the following would be a contraindication to administer the medication? a. heart block b. myocardial infarction (MI) c. heart failure d. angina pectoris 85. The nurse is completing a client's intake and output record. The client had the following intake: 8 oz (240 mL) of orange juice, 1 oz (30 mL) of ice cream, 3 oz (90 mL) of water, 8 oz (226.4 grams) of puréed meat, 2 oz (56.6 grams) of puréed carrots and 750 mL of lactated Ringer's solution intravenously. How many mL should the nurse record as the client's fluid intake? Record your answer using a whole number. a. Answer: 1110 mL 86. The home-health nurse is teaching the parents of a 4-year-old client with impetigo. Which of the following information should the nurse include? a. "Put a surgical mask on your child when around siblings." b. "Cleanse the lesions with a povidone-iodine solution daily." c. "Apply petroleum jelly to the lesions daily." d. "Instruct your child not to use the same towels as siblings." 87.A A parent is discussing the behaviors of a 4-year-old child following the death of a grandparent. The nurse should understand that the child may be experiencing dysfunctional grieving if the parent reports that the child a. conducts mock funerals with stuffed animals b. refuses to go to sleep at night c. continues to talk about the grandparent coming to visit d. asks to play with the grandparent while at the cemetery 88. The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following tasks would be appropriate for the nurse to assign to UAP? a. assisting a client with atrial fibrillation to shower b. checking the ability of a client to swallow water after a transesophageal echocardiogram (TEE) c. observing while a client with dysphagia begins a thickened liquid diet d. transporting a client with respiratory distress to the radiology department for a chest radiograph 89.A A client who has had a laparoscopic examination 4 hours ago is complaining of upper abdominal pain radiating to the shoulder. The nurse should realize that the client's pain is most likely a. a sign of possible visceral perforation b. a sign of retained gallstones in the common bile duct c. an expected response to the carbon dioxide used during surgery NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ d. a reaction to the dye used in the postoperative cholangiogram 90. The nurse in a community-based setting is teaching clients over 65 years of age about health promotion activities. Which of the following information should the nurse include? a. "Purchase all of your prescribed medications at the same pharmacy." b. "Schedule an appointment for a vision screening every 3 years." c. "Participate in daily aerobic exercises for 60 minutes." d. "Increase your intake of fat-soluble vitamins." 91. The nurse is assessing a client's respiratory system. Select, in the correct order, the steps the nurse should take. All options must be used. Correct order: A, C, D, B a. Inspect the shape of the chest. b. Auscultate breath sounds. c. Palpate the chest. d. Percuss the posterior aspect of the chest. 92. The nurse is providing teaching about preventing osteoporosis to a 45-year-old client who has had a hysterectomy and bilateral salpingo-oophorectomy. Which of the following statements by the client would indicate to the nurse that the teaching has been effective? a. "I will begin to take dancing lessons." b. "I will get more rest at night." c. "I will take a multivitamin supplement daily." d. "I will add more fiber to my diet." 93. The nurse at a health fair is talking with a client who is in perimenopause and is experiencing hot flashes. Which of the following lifestyle modifications would be appropriate for the nurse to recommend? a. increasing fluid intake b. exercising daily c. decreasing sodium intake d. wearing clothing in layers 94. The nurse is planning a staff education conference about client privacy. Which of the following scenarios should the nurse include as an example of a violation of client privacy? a. discussing with an unlicensed assistive personnel (UAP) that the UAP's assigned client will require a smaller condom catheter b. sharing the client’s blood alcohol level (BAL) test result with the police officer who brought the client to the emergency department (ED) c. responding to the call light of the client who is assigned to another nurse and needs assistance in the bathroom d. allowing a nursing student who has been assigned to the client to review the client's medical record 95. The nurse is teaching a client who is scheduled for a percutaneous renal biopsy tomorrow morning. Which of the following information should the nurse include? a. "Plan to remain in bed for several hours after the procedure." b. "You will lie on your back with one arm elevated during the procedure." c. "Most people experience a burning sensation the first 2 or 3 times that they urinate after the procedure." d. "You will need to minimize fluid intake after the procedure until we have confirmed that you have NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ no blood in your urine." 96. The nurse is assessing a client who had an open cholecystectomy 36 hours ago. The client's vital signs are as follows: temperature, 99.8° F (37.7° C); pulse, 118; respirations, 28; blood pressure, 156/94 mm Hg; oxygen saturation, 94%. The client is restless and has tremors. Based on these findings, it would be essential for the nurse to a. inspect the client's incision for signs of infection b. assess the client's abdomen for signs of bleeding c. ask the client if they drink alcoholic beverages d. obtain a nasal cannula and administer prescribed oxygen 97. The nurse is assessing a 2-month-old client. Which of the following skin conditions is shown below? NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ a. Assess the client's pupil size. b. Obtain an electrocardiogram (ECG). c. Administer prescribed oxygen therapy. d. Administer prescribed naloxone. 106. The nurse has taught a client who has a positive laboratory test result for human immunodeficiency virus (HIV) infection. The client is scheduled for a viral load test. Which of the following statements by the client would indicate a correct understanding of the teaching? a. "The viral load test is used to determine my response to the treatment regimen I am receiving for HIV." b. "The viral load test can rapidly detect HIV-specific antibodies in the blood." c. "I will be able to decrease the dosage of my prescribed medications if my viral load is low." d. "I am unlikely to develop acquired immune deficiency syndrome (AIDS) if my viral load is high." 107. The nurse has become aware of the following client situations. The nurse should first assess the client a. who had a total abdominal hysterectomy (TAH) 1 day ago and is unable to void 7 hours after the indwelling urethral catheter was removed b. who had a total knee replacement 24 hours ago, is restless and has a petechial rash on the chest c. with bacterial pneumonia who has bronchial breath sounds auscultated between the scapulae and a temperature of 103.3° F (39.6° C) d. with hepatic cirrhosis who has an elevated aspartate aminotransferase (AST) level and respirations of 24 108. The nurse is caring for the following clients. The nurse should recommend a referral to an occupational therapist for the client with a. rheumatoid arthritis (RA) who has a 2-month-old infant b. an intertrochanteric hip fracture who works as a surgeon c. mononucleosis who is a college student d. tendonitis who is a professional tennis player 109. The nurse has taught a client with diabetes mellitus (type 2) about foot care. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply. a. "I will check my shoes for foreign objects prior to putting them on." b. "I should use a large, coarse file to remove dry skin from a bunion." c. "I will apply a petroleum-based ointment between my toes after bathing." d. "I should avoid crossing my legs to prevent decreased circulation to my feet." e. "I should wear new shoes for a few hours for several days until they fit well." 110. The nurse is caring for a client who is receiving a prescribed intravenous infusion via a peripheral venous access device (VAD). The client reports sharp pain at the VAD site. The nurse notes the intravenous fluid is infusing more slowly than prescribed. The nurse should recognize that the client is most likely experiencing a. venous spasm b. nerve damage c. septicemia d. hematoma 111. The nurse is planning care for a client with moderate Alzheimer’s disease (AD). Which of the following interventions should the nurse include in the client’s plan of care? Select all that apply. NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ a. Establish a daily routine for the client. b. Assist the client to void every 2 hours. c. Introduce self upon interacting with the client. d. Display a clock and calendar in the client's room. e. Keep the client's television on during the day to distract the client. Exhibits: Day 2 of hospitalization: Withdrawn. Remains in assigned client room. Exhibiting blunted affect and jumbled, illogical speech. Experiencing auditory hallucinations and paranoid delusions. Psychiatric: third admission this year for acute signs and symptoms of schizophrenia, family history of mental illness attend group sessions when stabilized risperidone 4 mg, p.o., daily 112. The nurse on the psychiatric unit has completed the morning assessment of a client. Which of the following interventions should the nurse take next? Click the exhibit button for additional client information. a. Encourage the client to attend 1 group session today. b. Teach the client's family members about how to prevent a relapse. c. Administer the prescribed dose of risperidone. d. Prepare to discharge the client to a community treatment program. 113. The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the a. first stage of labor who has an oral temperature of 99.7° F (37.6° C) b. first stage of labor whose contractions are occurring every 30 seconds c. second stage of labor who has respirations of 26 d. second stage of labor whose contractions are lasting for 60 seconds 114. The nurse has been made aware of the following client situations. The nurse should first assess the client with a. acute lymphoid leukemia (ALL) whose temperature has changed from 99.0° F (37.2° C) to 100.8° F (38.2° C) b. diabetes mellitus (type 1) whose capillary blood glucose level is 275 mg/dL (15.1 mmol/L) c. end-stage renal disease (ESRD) who had a urinary output of 2 mL during the past hour d. chronic obstructive pulmonary disease (COPD) whose respirations are 24 115. The charge nurse must transfer a female client from the medical-surgical unit to the maternity unit to make a bed available. It would be most appropriate for the nurse to transfer the client who is a. 28 years old, had a right mastectomy and has a closed-wound drainage system b. 49 years old, has diabetes mellitus (type 2) and has begun receiving prescribed insulin c. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours d. 70 years old, has a fractured left tibia and had an external fixation device applied 48 hours ago 116. The nurse is teaching a client how to ambulate using crutches. Which of the following information NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED SUCCESS A+ should the nurse include? a. "Use your hands and arms to support your body weight." b. "Wear slippers when ambulating with the crutches in your home." c. "Maintain the crutches 12 in (30 cm) in front of your feet while standing." d. "Adjust the hand grips of the crutches so that your elbows are fully extended." 117. The nurse has been made aware of the following client situations. The nurse should first assess the client with a. heart failure who has a productive cough and is anxious b. regional enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea c. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and is reporting heavy menses d. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion and is using accessory muscles to breathe 118. A client who had a left modified radical mastectomy received discharge instructions for performing range- of-motion (ROM) exercises on her left arm. Which of the following, if reported by the client on her return visit to the clinic, would indicate to the nurse that the instructions have been followed correctly? a. regular squeezing of a tennis ball in her left hand b. placing her left palm against a wall and "climbing" the wall with the left fingers c. carrying light hand weights while walking 1 mile every other day d. performing isometric exercises, with both arms extended 119. The nurse has made the following client observations. It would require follow-up if a client who receives prescribed a. metoprolol has a pulse of 60 b. extended-release niacin is reporting flushing of the face and neck c. prednisone is reporting ecchymoses of the upper extremities d. metformin has a glycosylated hemoglobin (HgbA1C) of 11% 120. The nurse has administered prescribed haloperidol to an agitated client with schizophrenia. Which of the following findings would require immediate follow-up? a. continued lack of motivation b. reports of muscle stiffness c. inappropriate emotional expressions d. difficulty focusing due to blurred vision 121. The nurse is assessing a client with cirrhosis. Which of the following findings would be consistent with a diagnosis of cirrhosis? a. steatorrhea b. deep vein thrombosis (DVT) c. high fever d. spontaneous bruising 122. The nurse in a same-day surgical center has received a change-of-shift report on the following clients.