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NURS 4212 Midterm exam 160 correct answered questions [latest updated 2022.]
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NURS 4212 Midterm exam 160 correct answered questions [latest updated2022.]Midterm exam 160 correct answered questions [latest updated 2022.]
1.The nurse is aware that intimate partner violence (IPV) screening should occur
with which situation?
A. As soon as the clinician suspects a problem.
B. As a routine part of each health care encounter
C. Once the clinician confirms a history of abuse
D. Only when the client presents with an unexpected injury.
2.A client is admitted with diagnosis of Wernicke’s syndrome. Which assessment
finding should the nurse….?
A. Confusion
B. Right lower abdominal
pain C. Peripheral
neuropathy
D. Depression
3. A client with leukemia undergoes a bone marrow biopsy. The client's laboratory
values indicate the client has thrombocytopenia. Based on this data, which nursing
assessment is most important following the procedure?
A. Measure urine output
B. Assess body temperature.
C. Monitor skin elasticity.
D. Observe the aspiration site.
4. A client who had a small bowel resection acquired methicillin resistant
staphylococcus aureus (MRSA) while hospitalized. He was treated and released but
is readmitted today because of diarrhea and dehydration. It is most important for
the nurse to implement which intervention.
A. Instruct visitors to gown and wash
hands. B. Maintain contact transmission
precaution. C. Review WBC count daily.
D. Collect serial stool specimens for culture.
,NURS 4212 Midterm exam 160 correct answered questions [latest updated
2022.]Midterm exam 160 correct answered questions [latest updated 2022.]
5. After an elderly female client receives treatment for drug toxicity, the
healthcare provider prescribes a 24 hour creatinine clearance test. Prior to
starting the urine collection, the nurse notes that the client's serum creatinine is
0.3 mg/dl (22.9 micromol/L). What action should the nurse implement?
A. Notify HCP of the results.
B. Assess the client for signs of hypokalemia.
C. Evaluate client’s serum BUN level.
D. Initiate the urine collection as prescribed.
6. Prior to insertion of an indwelling urinary catheter, what client information is
most important for the nurse to obtain?
A. Color, clarity, and odor of urine.
B. Client allergies to antiseptic solution.
C. Previous history of UTI
D. Client’s ability to increase fluid intake.
7. An adult is admitted to the emergency department following ingestion of a bottle
of antidepressants secondary to chronic pain. A nasogastric tube and a left
subclavian venous catheter are placed. The nurse auscultates audible breath
sounds on the right side, faint sounds procedure, and chest movement on the right
side of the thorax. Which procedure should the nurse prepare for first:
A. Insertion of a left- sided chest
tube B. Setup of PCA
C. Retraction of the nasogastric
tube D. Placement of
endotracheal tube
8. The nurse is preparing to mix two medications from two different multidose
vials, A and
B. In which order should these actions be implemented when drawing the solutions
from the vials?
1. Verify the drug and dose with the label on the vial.
,NURS 4212 Midterm exam 160 correct answered questions [latest updated
2022.]Midterm exam 160 correct answered questions [latest updated 2022.]
2. Inject the volume of air to be aspirated from each vial.
, NURS 4212 Midterm exam 160 correct answered questions [latest updated
2022.]Midterm exam 160 correct answered questions [latest updated 2022.]
3. Aspirate from vial A
4. Aspirate from vial B
9. In assessing a client 48 hours following a fracture, the nurse observes
ecchymosis at the fracture site, and recognizes that hematoma formation at the
bone fragment site has occurred. What action should the nurse implement?
A. Assign UAP to take vitals every hour.
B. Advise the client that anticoagulant therapy may be needed.
C. Call the lab to obtain a stat APTT and prothrombin time.
D. Document the extent of the bruising in the medical record.
10.The nurse is planning care for a client who admits having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on these
suicidal thoughts?
A. Begin to show signs of improvement in affect.
B. Lacks interest in the activities of family and friends
C. Expresses feelings of sadness and loneliness.
D. Neglects personal hygiene and has no appetite.
11.A 3 year-old boy is brought to the emergency department after the mother
found the child in the backyard holding a piece of a toy in his hand and in
respiratory distress. The child is dusky with a loud, inspiratory stridor and weak
attempts to cough. Which actions should the nurse implement?
A. Obtain a pulse oximetry reading and arterial blood gases.
B. Determine if the child ingested a toxic substance and if vomiting occurred.
C. Request a stat chest x-ray and prepare medications for asthmatic episodes.
D. Auscultate all pulmonary lung fields and attempt a Heimlich maneuver.
12.While moving stables from the client's postoperative wound site, the nurse
observes that the client's eyes closed and his face and hands are clenched. The
client states, "I just hate having staples removed." Acknowledge the client’s
anxiety, which action should the nurse implement? A. Attempt to distract the
client with general conservation.
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