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WorksheetsComprehensive 1 multi
Total questions: 13
Worksheet time: 7mins
A nurse is caring for a client with sepsis and ARF who was intubated and prescribed mechanical ventilation 3 days ago.
The nurse assesses which adverse effect
associated with the administration of
positive pressure ventilation?
Hypotension
Increased cardiac output
Hypokalemia
Dehydration
The nurse is assisting with a vaginal birth at term gestation.
Which newborn assessment finding
is most important for the nurse to follow up?
Edema of the scalp crossing the suture lines
A flat, bluish, discolored area on the buttocks
A small tuft of hair at the base of the spine
White, waxy substance in the axillae and labial folds
A client with schizophrenia is hospitalized. After 2 weeks of treatment, the frequency of the client's hallucinations seems to be diminishing. When first hospitalized, the client refused to leave the room. Now the client spends time in the dayroom, sitting in a corner watching television, but does not initiate conversation or social interaction with other clients or staff.
What is the most appropriate activity for the client?
Participation in a group songfest
Planning a unit picnic
Playing bingo with other clients
A board game with a staff member
The client diagnosed with mild benign prostate hypertrophy (BPH) is prescribed the 5-alpha-reductase inhibitor finasteride (Proscar) to relieve symptoms of urinary frequency. Which intervention should the clinic nurse implement?
Tell the client to drink at least 8-10 glasses of water a day
Schedule an appointment with the HCP for a 1-week follow up examination
Have the laboratory draw a prostate-specific antigen level
Give the client a urinal to measure his daily output of urine
The nurse is planning to care for a child in vaso-occlusive crisis because of sickle cell disease would this include increasing fluid intake in the list of interventions because?
Decrease blood viscosity prevents is sickling process
Children with sickle cell disease lose more water than is normal through diaphoresis
Hemodilution increases normal red blood cell lifespan
Increasing food intake increase is hemolysis
The nurse is preparing to administer promethazine intramuscularly to a client in active labor. The nurse should explain to the client what one of the effects of the medication is?
Increase fetal heart rate
Decrease nausea and vomiting
Increase neonatal sucking reflex
Increase blood pressure in the client
For a client with a sucking stab wound in the chest wall the nurse should first
start to administer oxygen
prepare to do a tracheostomy
prepare for endotracheostomy
cover the wound with petroleum-impregnated dressing
Which of the following nursing measures should receive priority in the client’s plan of care after eye surgery?
Prevent increased intraocular pressure and infection
Instruct on the importance of follow-up
Instruct on how to perform the valsalva maneuver
pain management
Which statement indicates that the patient understands post-op procedure education after having ear irrigation?
“I will lie on my stomach”
“I will sleep with my back because I always do”
“I will lie on the affected side to help with drainage”
“I will lie on the unaffected side to help with drainage”
A client came in saying they had itchy skin keeping them restless at night for the past 2 weeks. What other manifestations can be seen if the client has a known diagnosis of liver dysfunction or disease?
Barrel chest
Yellowing of the sclera
pink, moist gums
left-sided facial droop
What's true when it comes to the stool consistency and color of an ileostomy or colostomy?
A colostomy and ileostomy have the same color and stool consistency
A colostomy has formed liquid green stool
An ileostomy has formed brown stool
A colostomy has semi-formed to formed brown stool
What finding would be a priority as part of the assessment in the ISBAR report to the healthcare provider?
18 respirations
134/62 for blood pressure
83% for O2
64 for heart rate
A client received 20 units of Humulin N Insulin subcutaneously at 08:00. At what time should the nurse plan to assess the client for the hypoglycemic reaction?
10:00
11:00
17:00
24:00
