SPRING 2024 COMPREHENSIVE EXAM #2
Total Questions : 32
Showing 25 questions, Sign in for moreA 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?
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?
A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?
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?
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?
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.)
A home health nurse is working with assistive personnel (AP) to care for a client in their home.
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?
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
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?
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?
Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
A nurse is caring for a client who reports spending 12 hr daily playing video games online. The client has spent a significant amount of money betting on these games. They lost their job due to missed work, and they filed for bankruptcy because of their gambling debts. Their partner was supporting them financially until the partner left the client out of frustration with their behavior. Which of the following manifestations of non-substance addiction is characteristic of the client's behavior?
A school nurse is helping a special needs student with tube feeding during the lunch hour. Which of the following levels of prevention does this fall under?
A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?
A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?
- A nurse is caring for a 73-year-old client in the emergency department (ED).
Medical History
Nurses' Notes
Vital Signs
Diagnostic Results
RBC count 5.0 (Male 4.7 to 6.1)
WBC count 9,500 mm3 (5,000 to 10,000/mm3)
Platelets 97,000/mm3 (150,000 to 400,000/mm3)
Hemoglobin 15 g/dL (Male 14 to 18 g/dL)
Hematocrit 45% (Male 42% to 52%; Female 37% to 7%)
Glucose 186 mg/dL (74 to 106 g/dL)
It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications. A. Insert a nasogastric (NG) tube.
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation?
A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?
immediate follow-up.)
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