Simulated Test Part 2

20 Questions | Total Attempts: 47

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Simulated Test Part 2

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Questions and Answers
  • 1. 
    Situation:Nurse Madonna is entrusted with the task of promoting nursing care in clients with disturbances in the respiratory pattern. 1. When a chest tube is being removed, the nurse should instruct the client to:
    • A. 

      Cough vigorously

    • B. 

      Deep breath

    • C. 

      Inhale and hold breath

    • D. 

      Exhale deeply

  • 2. 
    Which of the following equipment does not interfere with eating or talking and can best deliver oxygen in a hypoxic client?
    • A. 

      Oxygen tent

    • B. 

      Oxygen mask

    • C. 

      Nasal Cannula

    • D. 

      Endotracheal tube

  • 3. 
    Which reading of pulmonary capillary wedge pressure( in mmHg) needs to be reported to the physician immediately?
    • A. 

      5-10 mmHg

    • B. 

      15-20 mmHg

    • C. 

      25-30 mmHg

    • D. 

      35-40 mmHg

  • 4. 
    Which of the following clients is at most risk for tuberculosis?
    • A. 

      A 35-year-old newly married

    • B. 

      A 86-year-old client

    • C. 

      A 12-year-old child

    • D. 

      A 17-year old adolescent

  • 5. 
    Which of the following statements best describes the primary purpose of pursed-lip-breathing:
    • A. 

      Increase oxygen inhalation

    • B. 

      Maximize diaphragmatic extension

    • C. 

      Facilitate elimination of carbon dioxide

    • D. 

      Minimize the use of intercostal muscles

  • 6. 
    Which assessment finding best indicates deterioration of liver function?
    • A. 

      Anorexia

    • B. 

      Constipation

    • C. 

      Weight gain

    • D. 

      Lethargy

  • 7. 
    Which of the following aspects of care should have the highest priority for a client admitted due to cholecystitis?
    • A. 

      Comfort

    • B. 

      Hydration

    • C. 

      Heath instructions

    • D. 

      Obtaining thorough history.

  • 8. 
    Which of the following laboratory values is NOT expected in a client with pancreatitis?
    • A. 

      Serum Magnesium: 3.2 mEq/L

    • B. 

      Serum Glucose: 45mg/dL

    • C. 

      Serum potassium: 5.5 mEq/L

    • D. 

      Serum Calcium: 8 mg/dL

  • 9. 
    Which client is best candidates for rthe use of insulin pump?
    • A. 

      A 42-year-old businessman

    • B. 

      A 35-year-old working single mother

    • C. 

      A 12-year-old mentally retarded

    • D. 

      An 82-year-old cognitively impaired.

  • 10. 
    Which statement made by a client with ulcer indicates understanding of the medication therapy?
    • A. 

      "Antacids can be taken with other drugs"

    • B. 

      "Tagamet will decrease the acids in my stomach"

    • C. 

      " Maalox will coat my stomach"

    • D. 

      " I can take my antacids with aspirin"

  • 11. 
    To decrease the anxiety of the client and his/her family about an impending surgery, the nurse should:
    • A. 

      Describe the details of the surgery to the client and family.

    • B. 

      Provide general information and answer appropriate questions of the client and family.

    • C. 

      Empower the client to make decision by obtaining the client's consent.

    • D. 

      Give full reassurance that the surgical team is experienced to handle the surgery.

  • 12. 
    Which of the following procedure for using an incentive spirometer is appropriate for the nurse to provide the client with during preoperative instructions?
    • A. 

      Inhale completely and exhale rapidly through the spirometer.

    • B. 

      Exhale completely, take slow deep breath through the spirometer, hold breath then exhale through purse lip.

    • C. 

      Inhale completely through the spirometer, exhale and hold breath.

    • D. 

      Exhale through the spirometer, hold breath then then inhale.

  • 13. 
    The stages of surgical anesthesia proceeds in which of the following order?
    • A. 

      Excitement, surgical anesthesia, loss of consciousness, danger stage

    • B. 

      Loss of consciousness, excitement, surgical anesthesia, danger stage.

    • C. 

      Surgical anesthesia, excitement, loss of consciousness, danger stage.

    • D. 

      Loss of consciousness, surgical anesthesia excitement, danger stage.

  • 14. 
    What common side effect should the nurse monitor in a client who just received epidural anesthesia?
    • A. 

      Fever

    • B. 

      Bradycardia

    • C. 

      Hypotension

    • D. 

      Pallor

  • 15. 
    Which of the following complications can result from the use of general anesthesia during surgery.?
    • A. 

      Fluid loss

    • B. 

      Peripheral fluid retention

    • C. 

      Atelectasis

    • D. 

      Muscle rigidity

  • 16. 
    Physical preparation for a client scheduled for cystectomy and ileal conduit includes the administration of: 
    • A. 

      Intravenous vitamin C

    • B. 

      Neomycin sulfate

    • C. 

      Bladder Analgesic

    • D. 

      Urinary antibiotic

  • 17. 
    Which of the follwing methods of assessment is correct to assess distension in a post operative client?
    • A. 

      Palpate the perineal area

    • B. 

      Palpate the epigastric area

    • C. 

      Percuss and palpate the lower abdomen

    • D. 

      Percuss and palpate the upper abdomen

  • 18. 
    After thyroidectomy, which of the following interventions is the highest priority of the nurse?
    • A. 

      Monitor the client's vital sign every 4h.

    • B. 

      Observe the dressing at the back of the neck for the presence of blood

    • C. 

      Press gently around the incision to assess for subcutaneous emphysema

    • D. 

      Position the client laterally to promote drainage of secretions from the mouth.

  • 19. 
    Following cataract extraction, which client activity is allowed.?
    • A. 

      Coughing deeply to prevent pneumonia

    • B. 

      Bending from the waist to prevent contracture deformity

    • C. 

      Remaining in a lying down supine position for 48 h after surgery

    • D. 

      Deep breathing to promote lung expansion.

  • 20. 
    What is the highest priority, in terms of goal of cvare, by the nurse after a client's prostatectomy?
    • A. 

      To prevent infection

    • B. 

      To prevent bleeding

    • C. 

      To prevent impotence

    • D. 

      To prevent respiratory distress.