Capstone 71 Exam 1 Review Quiz
Questions
2011 Health Act that provided health care benefits to uninsured individuals and families - ✔ ✔
Affordable Care Act
A client has an NG tube and complains of nausea. Which action by the nurse is most appropriate?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the physician
D- Reposition the tube - ✔ ✔ B- irrigate the NG tube
A client who has frequent watery stools and a possible clostridium difficile infection is hospitilized with
dehydration. Which nursing action should the chage nurse delegate to an LPN?
A- Performing ongoing assessments to dtermine the client's hydration status
B- Explaining the purpose of ordered stool cultures to the client and family
C- Administering the ordered metronidazole PO to the client
D- Reviewing the client's medical history for any risk factors for diarrhea - ✔ ✔ C- Administering the
ordered metronidazole PO to the client
*LPNs can't assess, teach, or determine risk factors
A client with a vancomycin-resistant enterococcus (VRE) is admitted to the medical unit. Which action
can be delegated to the UAP who is assesting with the client's care?
A- Teaching the client and family members about means to prevent transmission of VRE
B- Communicating with other departments when the client is transported for ordered tests
C- Implementing contact precaustions when prociding care for the client
,D- Monitoring the results of ordered laboratory culture and semsitivity tests - ✔ ✔ C- Implementing
contact precautions when providing care for the client
*can't teach, communicate with other departments about tests or monitor results
A client with peptic ulcer disease (PUD) reports dark, coffee ground vomitus. The nurse would recognize
that this is a result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being changed by gastric secretions
D- Fresh bleeding in the epigastric stomach region - ✔ ✔ C- blood being chagned by epigastric
secretions
A client with ulcerative colitis is receiving mesalamin 800 mg PO TID. Whic assessment is most important
for the nurse to perform to assess the effectiveness of the medication?
A- Respiratory Rate
B- Blood pressure
C- Bowel patterns
D- White blood cell count - ✔ ✔ C- bowel patterns
A hospital will receive a large number of clients because of a magor disaster in the city. Which client can
be discharged first?
A- 49 year old female 24 hours postop after hysterectomy
B- 66 year old male 5 days post op after total hip replacement
C- 79 year old female admitted 12 hours ago with pyrlonephritis
D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer - ✔ ✔ B- 66 year old male 5
days post op after total hip replacement
*think who is most stable and would be safest to go home
, A hospitilized patient with AIDS has a nursing diagnosis of Imbalanced Nutrition: Less than Body
Requirements related to nausea and anorexia. Which nursing action is most appropriate to delegate to
an LPN who is providing care to this patient?
A- Administering oxandrolone 5 mg daily
B- Assessing the patient for other nutritional risk factors
C- Developing a plan of care to improve the patient's appetite
D- Providing instructions about a high-calorie, high protein diet - ✔ ✔ A- administering oxandrolone
5 mg daily
*LPNs can't assess, develop care plans or teach
A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is
experiencing heartburn and a dull growing pain that is relieved when he eats. What is the best response
by the nurse?
A- Encourage the clent to go immediately to the ED for treatment
B- Tell the client to alter his eating habits becaus ehe eats too much food, too fast
C- Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
D- Tell the client that eating a large dinner closer to bedtime will help relieve the symptoms - ✔ ✔ C-
encourage the client to obtain a complete physical exam since these symptoms are sonsistent with an
ulcer
A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to develop a nosocomial
infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with full thickness burns, an NG tube and a Foley - ✔ ✔ D- Full thickness burn, NG tube and
Foley
Questions
2011 Health Act that provided health care benefits to uninsured individuals and families - ✔ ✔
Affordable Care Act
A client has an NG tube and complains of nausea. Which action by the nurse is most appropriate?
A- Administer an antiemetic
B- Irrigate the NG tube
C- Notify the physician
D- Reposition the tube - ✔ ✔ B- irrigate the NG tube
A client who has frequent watery stools and a possible clostridium difficile infection is hospitilized with
dehydration. Which nursing action should the chage nurse delegate to an LPN?
A- Performing ongoing assessments to dtermine the client's hydration status
B- Explaining the purpose of ordered stool cultures to the client and family
C- Administering the ordered metronidazole PO to the client
D- Reviewing the client's medical history for any risk factors for diarrhea - ✔ ✔ C- Administering the
ordered metronidazole PO to the client
*LPNs can't assess, teach, or determine risk factors
A client with a vancomycin-resistant enterococcus (VRE) is admitted to the medical unit. Which action
can be delegated to the UAP who is assesting with the client's care?
A- Teaching the client and family members about means to prevent transmission of VRE
B- Communicating with other departments when the client is transported for ordered tests
C- Implementing contact precaustions when prociding care for the client
,D- Monitoring the results of ordered laboratory culture and semsitivity tests - ✔ ✔ C- Implementing
contact precautions when providing care for the client
*can't teach, communicate with other departments about tests or monitor results
A client with peptic ulcer disease (PUD) reports dark, coffee ground vomitus. The nurse would recognize
that this is a result from
A- Mixing of blood and fecal contents
B- Presence of mucous from the large intestine
C- Blood being changed by gastric secretions
D- Fresh bleeding in the epigastric stomach region - ✔ ✔ C- blood being chagned by epigastric
secretions
A client with ulcerative colitis is receiving mesalamin 800 mg PO TID. Whic assessment is most important
for the nurse to perform to assess the effectiveness of the medication?
A- Respiratory Rate
B- Blood pressure
C- Bowel patterns
D- White blood cell count - ✔ ✔ C- bowel patterns
A hospital will receive a large number of clients because of a magor disaster in the city. Which client can
be discharged first?
A- 49 year old female 24 hours postop after hysterectomy
B- 66 year old male 5 days post op after total hip replacement
C- 79 year old female admitted 12 hours ago with pyrlonephritis
D- 82 year old female admitted 5 days ago with a stage 3 pressure ulcer - ✔ ✔ B- 66 year old male 5
days post op after total hip replacement
*think who is most stable and would be safest to go home
, A hospitilized patient with AIDS has a nursing diagnosis of Imbalanced Nutrition: Less than Body
Requirements related to nausea and anorexia. Which nursing action is most appropriate to delegate to
an LPN who is providing care to this patient?
A- Administering oxandrolone 5 mg daily
B- Assessing the patient for other nutritional risk factors
C- Developing a plan of care to improve the patient's appetite
D- Providing instructions about a high-calorie, high protein diet - ✔ ✔ A- administering oxandrolone
5 mg daily
*LPNs can't assess, develop care plans or teach
A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is
experiencing heartburn and a dull growing pain that is relieved when he eats. What is the best response
by the nurse?
A- Encourage the clent to go immediately to the ED for treatment
B- Tell the client to alter his eating habits becaus ehe eats too much food, too fast
C- Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
D- Tell the client that eating a large dinner closer to bedtime will help relieve the symptoms - ✔ ✔ C-
encourage the client to obtain a complete physical exam since these symptoms are sonsistent with an
ulcer
A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to develop a nosocomial
infection?
A- clinet with alcohol abuse admitted for detox
B- Client with Type I diabetes and peripheral neuropathy
C- Client recovering from a choleystectomy
D- Client with full thickness burns, an NG tube and a Foley - ✔ ✔ D- Full thickness burn, NG tube and
Foley
