Exam (elaborations)
NUR 213 ( LATEST 2024 / 2025 ) TEST 5 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
- Course
- Institution
NUR 213 ( LATEST 2024 / 2025 ) TEST 5 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
[Show more]
Content preview
NUR 213 Test 51. a nurse is counseling a 20 year old client with multiple sexual partners about the hepatitis b
vaccine. which of the following is indicated for adequate immunization?
a. a complete series of 3 HBV vaccines
b. a vaccine with a booster every 10 years
c. hepatitis B immune globulin followed by the vaccine
d. 1-time HBV vaccination
Answer
a
Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as recommended by the CDC
2. a nurse is caring for a client with chronic hepatitis c who has returned to the unit after a
liver biopsy. which of the following is the priority nursing intervention?
a. educate the client about cirrhosis and its progression
b. review preprocedure coagulation studies
c. turn the client on the right side to provide pressure at the side
d. perform a detailed assessment
Answer
c
turning them on their right side helps provide pressure at the site and prevent bleeding
3. a nurse is caring for a client with acute hepatitis A infection. which of the following nursing
interventions should be implemented?
a. provide a low calorie diet with fluid restriction
b. remind the client to limit alcohol consumption to 1-2 drinks per day
c. administer antipruritic medication only as needed
d. keep the client on strict bedrest
Answer
c
4. a nurse is caring for a client with chronic hepatitis C and cirrhosis who was admitted for
hepatic encephalopathy. which of the following does the nurse expect when assessing the
client?
a. hyperactive reflexes
b. agitation and restlessness
c. asterixis
d. enlarged liver
Answer
c
SUBSCRIBE
,asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of the liver
5. a nurse is assessing a client with jaundice who has clay colored stool. what is the most likely
cause of these findings?
a. increased cholecystokinin production
b. increased production of bile
c. decreased flow of bile into the intestine
d. increased breakdown of hemoglobin
Answer
c
clay colored stools indicate an obstruction of the bile ducts
6. nurses and other healthcare workers are considered high risk for infection by bloodborne
pathogens. which of the following vaccines is mandated by OSHA for healthcare workers?
a. influenza
b. TB
c. Hepatitis B
d. Hepatitis C
Answer
c
nursing is high risk for hep b because it is bloodborne pathogens
7. an unvaccinated healthcare worker has been exposed to hepatitis B through a needle stick.
which of the following should the nurse anticipate administer- ing as a post exposure
prophylaxis?
a. hepatitis B immune globulin
b. hepatitis b vaccine and hepatitis b immune globulin
c. hepatitis B surface antigen
d. amphotericin B
Answer
b
the first vaccine should be given within 12 hours of exposure
8. a nurse is providing teaching about hepatitis A with a client who plans to travel. which of
the following statements should the nurse make?
a. if exposed expect to have manifestations within 10 days
b. avoid donating blood or tissue for one year if you develop the infection
c. practice meticulous skin and hand hygiene
d. expect if you are exposed to have severe joint pain
Answer
SUBSCRIBE
, c
hep A is transmitted from contaminated foods, so good hand and skin hygiene is key to preventing
transmission
9. the nurse is charting findings from a client with cirrhosis. which of the following findings
are specifically related to the clients diagnosis? select all that apply
a. anemia
b. hypoglycemia
c. bruising
d. gynecomastia
e. bradycardia
Answer
a, c, d
10. a nurse who is employed in a community outpatient clinic should question which of the
following prescriptions for vaccine administration?
a. a MMR in a client who hopes to become pregnant within the next 6 months
b. DTaP to a client who has a family history of seizures
c. DTaP to a client who develops a rash when exposed to latex
d. Hepatitis B for a client with hypersensitivity to yeast
Answer
d
contraindications are conditions in the recipient of a vaccine that increase the risk of
a serious adverse reaction. hypersensitivity to yeast is an absolute contraindication to the hep B
virus
11. a nurse is caring for a client with a GI bleed who has been diagnosed with liver failure due
to hepatitis B. which of the following blood products will most likely be prescribed to achieve
hemostasis?
a. PRBCs
b. cryoprecipitate
c. platelets
d. whole blood
Answer
c
12. the nurse is preparing to administer on unit of whole blood. which of the following
describes the most life threatening complication associated with blood transfusions?
a. chill rigor reaction
b. Hep A
c. a febrile non-hemolytic reaction
d. transfusion related circulatory overload
SUBSCRIBE
, Answer
d
they may develop s/s heart failure and dyspnea. this reaction is about 20% of transfusion related
deaths
13. the nurse is assessing a client with hepatitis. which of the following diag- nostic tests will
be recommended for this type of client? select all that apply
a. LDH
b. Potassium
c. sodium
d. HBV surface antigen
e. chloride
f. chest xray
g. ALP
h. AST
Answer
a, d, g, h
14. a nurse is reviewing the prescription for a client who is being evaluated for the presence of
hepatitis C. which of the following prescribed lab tests should the nurse identify as diagnostic for
hepatitis C?
a. indirect bilirubin
b. HCV RNA testing
c. AST
d. ALT
Answer
b
15. after administering an injection to a child the nurse scratches their wrist with the used
needle. what is the next best action?
a. complete an incident report
b. wash the area with soapy water
c. notify the unit manager
d. call the clients doctor
Answer
b
if a needlestick injury occurs you should
Answer
SUBSCRIBE
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
