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Exam Review

SPRING 2024 COMPREHENSIVE EXAM #2

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Total Questions : 32

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Question 1:

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Answer and Explanation

A
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Question 2:

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?

Answer and Explanation

A
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Question 3:

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?

Answer and Explanation

A
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Question 5:

A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 6:

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

Answer and Explanation

A
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Question 7:

A home health nurse is working with assistive personnel (AP) to care for a client in their home.  Which of the following tasks can the nurse assign to the AP? 

Answer and Explanation

A
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Question 8:

A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

Answer and Explanation
Correct Answer: "0.5" tablet

Explanation

To calculate the number of tablets the nurse should dispense to the client, we need to convert the prescribed dose of digoxin from milligrams (mg) to micrograms (mcg), as the tablets are labeled in milligrams.

1 mg = 1000 mcg

125 mcg = (125 mcg) / (1000 mcg/mg) = 0.125 mg

Now, we can determine the number of tablets needed to achieve this dose:

0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets


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Question 9:

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Answer and Explanation

A
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Question 10:

A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?

Answer and Explanation

A
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