Exam Restoration Questions With Verified
Answers
A patient with bacterial pneumonia has coarse lung crackles and thick sputum. Which action
should the nurse plan to promote airway clearance - answer- Assist the patient to splint the
chest when coughing
A client has the risk of impaired skin in...
A patient with bacterial pneumonia has coarse lung crackles and thick sputum. Which action
should the nurse plan to promote airway clearance - answer✔- Assist the patient to splint the
chest when coughing
A client has the risk of impaired skin integrity due to fluid volume deficit. What objective data
would the nurse evaluate that demonstrate an improvement in fluid volume status? Select all that
apply. - answer✔- Decrease in blood urea nitrogen (BUN) from 24 to18 mg/dl
The nurse is evaluating the client's outcome. The client's current nursing diagnosis fluid volume
deficit related to (HHS) Hyperosmolar Hyperglycemic syndrome. The nurse understands that the
client has a positive outcome when which laboratory value has returned to a normal range? -
answer✔Serum osmolarity
Because the nurse is unsure about an end-stage COPD patient's wishes concerning intubation and
mechanical ventilation in an emergency situation, the nurse should take what action? -
answer✔Clarify what the patient's wishes are
Upon assessment of a client with heart failure, the nurse notes that the client is dyspneic. Which
actions should the nurse take initially? Select all that apply. - answer✔
Which assessment of a client that has just returned from having a modified neck dissection with
skin flap would require a nurse to take immediate action? Select one: - answer✔- The skin flap
appears white
The nurse finds a client of a long term care facility, after the evening meal, to be unresponsive
with cold, clammy skin to touch. A finger stick reveals 21 mg/dL. What are the nurse's
immediate priority actions? Select all that apply? - answer✔Notify the health care provider of the
hypoglycemic event, Administer as needed glucagon 1 mg intramuscularly now
Which nursing action for a patient with COPD could the nurse delegate to an experienced
unlicensed assistive personnel (UP)? - answer✔- Measure oxygen saturation using pulse
oximetry
The physician orders PH insulin 35 units and regular insulin 4 units to both be given now. What
should the nurse do? - answer✔- Mix both medications in the same syringe, drawing up regular
insulin first and then NPH insulin.
A nurse is caring for a postoperative patient who just had major abdominal surgery. The patient
has shallow respirations and is very reluctant to cough or be assisted out of bed to a chair. The
nurse should address the patient's increased risk for what post-operative complication? -
answer✔Partial collapse of small airways
Which of the following statements regarding auscultation of the chest is incorrect? - answer✔-
Decreased breath sounds in the pneumothorax rarely occur
A client has been newly diagnosed with peripheral vascular disease (PVD) and has a history of
congestive heart failure. The client asks the nurse why they are having increased fatigue with
their daily activities of living and exercise. The nurse contributes this to? - answer✔- A decrease
in blood flow
A patient who has gastric bypass surgery 5 weeks ago calls the office to report feelings of
nausea, sweating, and diarrhea shortly after eating meals. What response by the nurse is most
appropriate? - answer✔- "avoid large meals, limit sweets, and drink small amounts of liquids
between meals."
The nurse is caring for a patient with uncomplicated rib fractures. Which nursing diagnosis
should receive priority? - answer✔- High risk for ineffective breathing pattern related to pain
A client comes to the clinic with small circular deep ulcers on the tips of the toes. Which of the
following assessment findings would the nurse also expect to find with this type of ulcer. -
answer✔- Feet that are cool to the touch
A diabetic educator is discussing "sick day rules" with a newly diagnosed type one diabetic. The
educator is aware that the patient will require further teaching when the patient states what. -
answer✔- I will not take my insulin on the days when I am sick, but I will check my blood sugar
every 2 hours
A client with cirrhosis has an increased ammonia level. Which diet does the nurse anticipate will
be of benefit to the client? - answer✔- One low in protein
The nurse confirms the placement of a client's nasogastric (NG) tube using pH paper for the
stomach contents. The nurse determines the NG remains in place when the pH of the aspirate is?
- answer✔Acidic
The nurse is caring for a client with a central venous catheter being used for intermittent
medication administration. When flushing the catheter prior to administering the next dose of
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