A client with newly diagnosed lung cancer tells the nurse, "I think I am going to die pretty soon." Which of the following responses by the nurse is best?
a."Do you think that taking an antidepressant medication would be helpful?"
b."Would you like to talk to the hospital chaplain about your feel...
A client with newly diagnosed lung cancer tells the nurse, "I think I am going to die pretty
soon." Which of the following responses by the nurse is best?
a."Do you think that taking an antidepressant medication would be helpful?"
b."Would you like to talk to the hospital chaplain about your feelings?"
c."Can you tell me what it is that makes you think you will die so soon?
d."Are you afraid that the treatment for your cancer will not be effective?" - answers-
The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to
swallow. Which of the following actions should the nurse implement?
a.Deflate the cuff during the inhalation phase of the respiratory cycle.b.Insert exactly the
same volume of air into the cuff during reinflation.c.Clean the inner cannula of the
tracheostomy tube before deflation.d.Suction the client's mouth and trachea before deflation
of the cuff - answers-Cor pulmonale causes clinical manifestations of right ventricular failure,
such as jugular vein distension. The other clinical manifestations may occur in the client with
other complications of chronic obstructive pulmonary disease (COPD) but are not indicators
of cor pulmonale.
A client has a total serum calcium level of 3.3 mmol/L. Which of the following laboratory
results should the nurse assess next?
a.Parathyroid hormoneb.Catecholaminec.Thyroid hormoned.Calcitonin - answers-
CONT +
,Mastery exam with correct answers 2024
The nurse is interviewing a client who has a possible thyroid disorder. Which of the following
questions will provide the most useful information?
a."Have you had any recent unplanned weight gain or loss?"b."What methods do you use to
help cope with stress?"c."Have you experienced any blurring or double vision?"d."Do you
have to get up at night to empty your bladder?" - answers-
Which of the following actions should the nurse take first when caring for a client who has
just arrived on the unit after a thyroidectomy?
a.Assess respiratory rate and effort.b.Check the dressing for bleeding.c.Take the blood
pressure and pulse.d.Support the client's head with pillows. - answers-
The nurse is providing discharge instructions for a client with a total laryngectomy. Which of
the following client statements indicate that additional instruction is required?
a."I need to be sure that I have smoke and carbon monoxide detectors installed."b."I should
wear a Medic Alert bracelet that identifies me as a neck breather."c."I can participate in most
of my prior fitness activities except swimming."d."I must keep the stoma covered with a loose
sterile dressing at all times." - answers-
The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) to the
hospital. Which of the following positions should the nurse place the client in to improve gas
exchange?
CONT +
,Mastery exam with correct answers 2024
a.Sitting up at the bedside in a chair and leaning slightly forward
b.Resting in bed in a high Fowler's position with the knees flexed
c.Resting in bed with the head elevated to 45-60 degrees
d.In the Trendelenburg position with several pillows behind the head - answers-
The nurse is teaching the client to administer a dose of 10 units of regular insulin and 28
units of NPH insulin. Which of the following statements by the client indicates a need for
additional instruction?
a. "I do not need to aspirate the plunger to check for blood before injecting insulin."
b. "I should draw up the regular insulin first after injecting air into the NPH bottle."
c. "I need to rotate injection sites among my arms, legs, and abdomen each day."
d. "I will buy the 0.5 mL syringes because the line markings will be easier to see." -
answers-
The nurse is caring for a client with a history of asthma. Which of the following assessments
finding should the nurse communicate immediately to the health care provider?
a. Respiratory rate of 26 breaths/minute
b. Pulse oximetry reading of 91%
c. Use of accessory muscles in breathing
CONT +
, Mastery exam with correct answers 2024
d. Peak expiratory flow rate of 240 mL/minute - answers-
Which of the following prescriptions should the nurse implement first for a client who has just
been admitted with probable bacterial pneumonia and sepsis?
a. Obtain blood cultures from two sites.
b. Administer Aspirin suppository.
c. Send to radiology for chest x-ray.
d. Give ciprofloxacin 400 mg IV. - answers-
Which of the following nursing actions is most effective in preventing aspiration pneumonia
in clients who are at risk?
a. Provide for continuous subglottic aspiration in clients receiving enteral feedings.
b. Monitor for respiratory symptoms in clients who are immuno-suppressed.
c. Turn and reposition immobile clients at least every 2 hours.
d. Place clients with altered consciousness in side-lying positions - answers-
Which of the following actions is most important for the nurse to take in order to assist a
client with diabetes to engage in moderate daily exercise?
CONT +
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