Exam (elaborations)
KAPLAN PREDICTOR EXAM LATEST 2023 ALL QUESTIONS CORRECT
- Course
- KAPLAN PREDICTOR
- Institution
- Chamberlain College Of Nursing
KAPLAN PREDICTOR EXAM LATEST 2023 ALL QUESTIONS CORRECT
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KAPLAN PREDICTOR EXAM LATEST 2023 ALL QUESTIONS CORRECTThe healthcare provider has ordered a fenestrated tracheostomy tube to be
capped. Which is the MOST important action for the nurse to take before the
tracheostomy tube is plugged?
1. Administer 100% oxygen.
2. Deflate the cuff of the tracheostomy tube.
3. Suction the tracheostomy tube.
4. Administer humidified oxygen.
2. Deflate the cuff of the tracheostomy tube.
(allows for an airway)
1: unnecessary in this situation; done before suctioning
The nurse cares for the client diagnosed with Parkinson's. The nurse notes that the
client is ambulating with short, accelerating steps. Which action is the MOST
appropriate for the nurse to take?
1. Offer the client a wheelchair.
2. Provide the client a walker.
3. Suggest that the client wear comfortably fitting shoes.
4. Teach the client to walk with a broad-based gait.
4. Teach the client to walk with a broad-based gait.
(concentrate on walking erect with eyes on horizon)
2: client needs to alter method of walking
The nurse instructs a client on 100 mg losartan (Cozaar) and 25 mg
hydrochlorothiazide (Hyzaar 100-25) tablets to be taken once daily.
Which statement requires an intervention by the nurse?
1. "I will eat more fresh fruits while taking this medication."
2. "I should call my health care provider if I develop swelling of my lips."
3. "I can take this medication with or without food."
4. "I understand that I may develop a dry cough while taking this medication."
4. "I understand that I may develop a dry cough while taking this medication."
(outcome not expected; dry, nonproductive cough may occur with angiotensin-converting
,enzyme inhibitors (ACE inhibitors), not
ARBs) losartan-ARBS
A 50-year-old man scheduled for a vasectomy asks the nurse if he will be able to
have sexual intercourse when he recovers from the surgery. Which statement,
if made by the nurse, would be MOST accurate?
1. "My understanding is that each case is different after this procedure."
2. "There will be a short period of time during which you will be unable to
sustain an erection."
3. "Most couples find that their sexual activity is more spontaneous after
a vasectomy."
4. "This surgery should have no permanent effect on your sexual functioning."
4. "This surgery should have no permanent effect on your sexual
functioning." vasectomy-sterilization for men
The nurse teaches the client with a spinal cord injury how to perform self-
catheterization at home. Which statement, if made by the client, indicates that
teaching has been successful?
1. "I will keep the catheter in a plastic bag."
2. "I will catheterize myself every 2 hours."
3. "I will wear sterile gloves."
4. "I will wash the perineum with alcohol prior to catheterizing myself."
1. "I will keep the catheter in a plastic bag."
(after use, catheter is soaked in solution of Betadine, bleach, or hydrogen peroxide, then
dried and stored in a towel or bag; clean procedure in the home)
2: cath self q 6-8 hrs
4: wash with soap and water
A mother brings her 2-month-old infant to the emergency room. The mother states
that her daughter has an elevated temperature and "hasn't kept anything down
since yesterday." Which nursing action is MOST appropriate?
1. Administer 0.9% NaCl at 30 mL/hour.
2. Inquire if the child was delivered prematurely.
3. Offer the infant 4 oz of oral rehydration solution (ORS).
4. Ask if the child's older siblings have been ill.
,3. Offer the infant 4 oz of oral rehydration solution (ORS).
(offer oral rehydration therapy first with moderate dehydration)
1: offer oral rehydration therapy first; continue to assess fluid and electrolyte balance;
may use if severe dehydration or shock noted
A 42-year-old woman has a right mastectomy for treatment of breast cancer. The
client is returned to her room with a Hemovac drain. Which is the MOST important
action for the nurse to take?
1. Open the drain port to provide an air vent.
2. Tape the collection chamber to the client's bed.
3. Compress the evacuator completely after emptying it.
4. Empty the collection chamber every 2 hours.
3. Compress the evacuator completely after emptying it.
(provides for negative pressure of 45 mm Hg for wound suction)
The home care nurse visits the client who had a traditional cholecystectomy 10 days
ago. The client returned to the healthcare provider to have the T-tube removed 2
days ago. It is MOST important for the nurse to take which action?
1. Observe the color of the client's urine and stool.
2. Ask the client to describe the quality and quantity of pain she is experiencing.
3. Instruct the client to avoid fatty foods for 6 weeks.
4. Listen to bowel sounds.
1. Observe the color of the client's urine and stool.
(clay-colored stools and dark urine indicate that bile is draining into liver)
A 50-year-old woman with a history of alcohol abuse is treated in the emergency
room for acute alcohol intoxication. It would be MOST important for the nurse to
obtain the answer to which question?
1. "When did you have your last drink?"
2. "How much alcohol have you consumed?"
3. "Have you ever used drinking in the morning to get rid of a hangover?"
4. "How many drinks do you need before you feel high?"
1. "When did you have your last drink?"
(withdrawal 5-35 hours after last drink; grand mal seizures 48 hours after; delirium
tremens 72-96 hours after; client at high risk for seizures)
, Alcohol Withdrawal:
• when do you experience sx of w/drawal?
• when are you at risk for seizures?
• withdrawal, 5-35 hrs after last drink
• seizures, 48 hrs after last drink
The nurse supervises care of clients on a postoperative surgical unit. Which finding
requires an immediate intervention by the nurse?
1. The nursing assistive personnel (NAP) obtains vital signs on a client who had
a bowel resection 24 hours ago.
2. The NAP assists a client who had an above-the-knee amputation apply an elastic
bandage to the residual limb.
3. The NAP assists a client who had a stroke 3 days ago with feeding.
4. The NAP assists a client who had a laparoscopic cholecystectomy 6 hours ago
ambulate.
3. The NAP assists a client who had a stroke 3 days ago with feeding.
( client requires assessment and evaluation; may have problems with gag and swallow
reflex)
In preparation for a total laryngectomy, the nurse teaches a client how to support
his neck after surgery. Which of the following demonstrations by the client
indicates to the nurse that teaching is successful?
1. The client raises the elbows and places the hands behind the neck.
2. The client places one hand on the forehead and the other hand on the back of
the head.
3. The client covers the ears with both hands and presses firmly.
4. The client grasps the chin with one hand and places the other hand on
the forehead.
1. The client raises the elbows and places the hands behind the neck.
The nurse is caring for an elderly client receiving parenteral nutrition (PN) due to
malnutrition. Which observation, if made by the nurse, indicates that the client is
improving?
1. The client gains 8 lbs in one week.
2. The client's edema decreases.
3. The client's hemoglobin increases.
4. The client's output is greater than the intake.
2. The client's edema decreases.
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