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NURS 325 Comprehensive Final Exam
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NURS 325 Comprehensive Final Exam
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NURS 325 Comprehensive Final Exam1. Which early response indicates to the nurse that the client is
experiencing hypoxia? select all that apply
increased heart rate
difficulty breathing
restlesness
bradypnea
irritability Correct Answers increased heart rate
restlessness
irritability
2. a nurse determines that a client's IV infusion has infiltrated.
Which should the nurse do next?
clamp the tubing and initiate an incident report
remove the infusion and start it in another site
slow the infusion to a rate just to keep the vein open
notify the primary health-care provider of the situation Correct
Answers remove the infusion and start it in another site
3. a nurse is assessing several clients who had surgery the
previous day. which sudden client response should the nurse
identify as a potential life-threatening event?
slightly elevated temperature
separation of wound edges
edema of the legs
chest pain Correct Answers chest pain
4. a client states, "I like to have a bowel movement every
morning." which additional information collecting by the nurse
supports a concerned regarding perceived constipation?
,hard, dry stools defecated daily
laxatives used excessively
abdominal distention
straining at stool Correct Answers laxatives used excessively
5. a nurse must administer a sedative to a client before surgery.
which should the nurse do first?
verify that the perioperatvie checklist is completed
check that the surgical consent is signed
ensure that the intravenous line is in place
assess vital signs Correct Answers check that the surgical
consent is signed
6. a primary health care provider prescribes 500 mg of an
antibiotic to be administered IV piggyback (IVPB) every 6
hours for a client with an infection. the vial dispensed by the
hospital pharmacist contains 1 g of the prescribed antibiotic in
powder form. the instructions on the vital state, "instill 9.6 mL
to yield 10 mL" how many millimeters of the antibiotic should
the nurse add to the IVPB bag? Correct Answers 5mL
7. a nurse in charge of a surgical unit is reviewing the progress
of a variety of clients from the date of surgery to predict the
potential date of discharge, from the unit. which of the following
should the nurse use to assess the clients progress as a cost-
containment strategy in managed care?
primary nursing
critical pathways
functional method
quality improvement Correct Answers critical pathways
,8. a nurse is assisting with a bed bath for a client who has
moderate cognitive deficits. which is important for the nurse to
do?
explain in detail everything that will be done during the bath
before beginning
arrange the basin within the center of the client's visual field
encourage attention to each task of bathing
check the client every few minutes Correct Answers
encourage attention to each task of bathing
9. when the nurse is interviewing the wife of a client, which
statement about the client's husband supports the presence of
obstructive sleep apnea? select all that apply
he snores and grasps all night long and wakes me up
he falls asleep sometimes when he drives, so now i do all the
driving
he kicks and thrashes so much that the bed linen is upside down
by morning
he has these episode and never wakes up, but i do, and then i
cant get back to sleep Correct Answers he snores and grasps
all night long and wakes me up
he has these episode and never wakes up, but i do, and then i
cant get back to sleep
10. a nurse identifies that a client's breath has a sweet, fruity
odor. which of the following should the nurse do next?
take the clients blood pressure
review the clients intake and output record
obtain a blood sample for a serum glucose level
assess for clinical manifestations of hyperglycemia Correct
Answers assess for clinical manifestations of hyperglycemia
, 11. a nurse is caring for a client who has had diarrhea for several
weeks. for which common problem associated with prolonged
diarrhea should the nurse assess the client?
skin breakdown
self-care deficit
sexual dysfunction
disturbed body image Correct Answers skin breakdown
12. a nurse causes harm to a hospitalized client because of
improper use of a mechanical lift. based on which specific tort
can this client pursue legal action?
battery
assault
negligence
malpractice Correct Answers malpractice
13. a client with type 2 diabetes is experiencing blurred vision,
generalized weakness, and fatigue. a nurse recieves a report
from the nurse on the previous shift and obtains additional
information from the client's clinical record. which should the
nurse conclude that the client is experiencing?
fluid retention
kidney impairment
hyperglycemic event
hypertensive episode Correct Answers hyperglycemic event
14. nurses on a unit are personally and professional mature and
motivated. which one of the following classic leadership styles
should the nurse manager employ when working with this
group?
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