Exam (elaborations)
RN218 FINAL EXAM WITH CORRECT ANSWERS
RN218 FINAL EXAM WITH CORRECT ANSWERS
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RN218 FINAL EXAM WITH CORRECT
ANSWERS
CHAPTER |9 |
An |inpatient |nurse |brings |an |informed |consent |form |to |a |client |for |an |operation |scheduled
|for |tomorrow. |The |client |asks |about |possible |complications |from |the |operation. |What
|response |by |the |nurse |is |best?
A. |Answer |the |questions |and |document |that |teaching |was |done.
B. |Do |not |have |the |client |sign |the |consent |and |call |the |primary |health |care |provider.
C. |Have |the |client |sign |the |consent, |and |then |call |the |primary |health |care |provider.
D. |Remind |the |client |of |what |teaching |the |primary |health |care |provider |has |done. |-
|ANSWERS✔✔ |B. |Do |not |have |the |client |sign |the |consent |and |call |the |primary |health |care
|provider.
A |client |had |a |surgical |procedure |with |spinal |anesthesia. |The |client's |blood |pressure |was
|122/78 |mm |Hg |30 |minutes |ago |and |is |now |138/60 |and |the |client |reports |nausea. |What
|action |by |the |nurse |is |best?
A. |Call |the |Rapid |Response |Team.
B. |Increase |the |IV |fluid |rate.
C. |Notify |the |primary |health |care |provider.
D. |Nothing; |this |is |expected. |- |ANSWERS✔✔ |C. |Notify |the |primary |health |care |provider
The |postoperative |nurse |is |caring |for |a |client |who |reports |feeling |"something |popped" |after
|vomiting. |What |action |by |the |nurse |is |best?
A. |Administer |an |antiemetic |medication.
B. |Call |the |primary |health |care |provider.
C. |Instruct |client |to |avoid |coughing.
,D. |Gather |sterile |nonadherent |dressings. |- |ANSWERS✔✔ |D. |Gather |sterile |nonadherent
|dressings.
A |client |has |a |great |deal |of |pain |when |coughing |and |deep |breathing |after |abdominal |surgery
|despite |having |pain |medication. |What |action |by |the |nurse |is |best?
A. |Call |the |primary |health |care |provider |to |request |more |analgesia.
B. |Demonstrate |how |to |splint |the |incision.
C. |Have |the |client |take |shallower |breaths.
D. |Tell |the |client |that |a |little |pain |is |expected. |- |ANSWERS✔✔ |B. |Demonstrate |how |to |splint
|the |incision.
A |postoperative |client |vomited. |After |cleaning |and |comforting |the |client, |which |action |by
|the |nurse |is |most |important?
A. |Allow |the |client |to |rest.
B. |Auscultate |lung |sounds.
C. |Document |the |episode.
D. |Encourage |the |client |to |eat |dry |toast. |- |ANSWERS✔✔ |B. |Auscultate |lung |sounds.
CHAPTER |31 |- |ANSWERS✔✔ |CHAPTER |31
A |nurse |is |assessing |clients |on |a |medical-surgical |unit. |Which |client |would |the |nurse
|identify |as |being |at |greatest |risk |for |atrial |fibrillation?
A. |A |45-year-old |who |takes |an |aspirin |daily.
B. |A |50-year-old |who |is |post |coronary |artery |bypass |graft |surgery.
C. |A |78-year-old |who |had |a |carotid |endarterectomy.
D. |An |80-year-old |with |chronic |obstructive |pulmonary |disease. |- |ANSWERS✔✔ |B. |A |50-
year-old |who |is |post |coronary |artery |bypass |graft |surgery.
A |nurse |assesses |a |client |with |atrial |fibrillation. |Which |manifestation |would |alert |the |nurse
|to |the |possibility |of |a |serious |complication |from |this |condition?
,A. |Sinus |tachycardia
B. |Speech |alterations
C. |Fatigue
D. |Dyspnea |with |activity |- |ANSWERS✔✔ |B. |Speech |alterations
5. |A |nurse |evaluates |prescriptions |for |a |client |with |chronic |atrial |fibrillation. |Which
|medication |would |the |nurse |expect |to |find |on |this |client's |medication |administration
|record |to |prevent |a |common |complication |of |this |condition?
A. |Sotalol
B. |Warfarin
C. |Atropine
D. |Lidocaine |- |ANSWERS✔✔ |B. |Warfarin
A |nurse |assists |with |the |cardioversion |of |a |client |experiencing |acute |atrial |fibrillation. |What
|action |would |the |nurse |take |prior |to |the |cardioversion?
A. |Administer |intravenous |adenosine.
B. |Turn |off |oxygen |therapy.
C. |Ensure |that |a |tongue |blade |is |available.
D. |Position |the |client |on |the |left |side. |- |ANSWERS✔✔ |B. |Turn |off |oxygen |therapy.
A |nurse |cares |for |a |client |with |atrial |fibrillation |who |reports |fatigue |when |completing
|activities |of |daily |living. |What |intervention |would |the |nurse |implement |to |address |this
|client's |concerns?
A. |Administer |oxygen |therapy |at |2 |L |per |nasal |cannula.
B. |Provide |the |client |with |a |sleeping |pill |to |stimulate |rest.
C. |Schedule |periods |of |exercise |and |rest |during |the |day.
D. |Ask |assistive |personnel |(AP) |to |help |bathe |the |client. |- |ANSWERS✔✔ |C. |Schedule |periods
|of |exercise |and |rest |during |the |day.
, A |nurse |cares |for |a |client |with |an |intravenous |temporary |pacemaker |for |bradycardia. |The
|nurse |observes |the |presence |of |a |pacing |spike |but |no |QRS |complex |on |the |client's
|electrocardiogram. |What |action |would |the |nurse |take |next?
A. |Administer |intravenous |diltiazem.
B. |Assess |vital |signs |and |level |of |consciousness.
C. |Administer |sublingual |nitroglycerin.
D. |Assess |capillary |refill |and |temperature. |- |ANSWERS✔✔ |B. |Assess |vital |signs |and |level |of
|consciousness.
CHAPTER |32 |- |ANSWERS✔✔ |CHAPTER |32
A |nurse |assesses |clients |in |a |cardiac |unit. |Which |client |would |the |nurse |identify |as |being |at
|greatest |risk |for |the |development |of |left-sided |heart |failure?
A. |A |36-year-old |woman |with |aortic |stenosis
B. |A |42-year-old |man |with |pulmonary |hypertension
C. |A |59-year-old |woman |who |smokes |cigarettes |daily
D. |A |70-year-old |man |who |had |a |cerebral |vascular |accident |- |ANSWERS✔✔ |A. |A |36-year-old
|woman |with |aortic |stenosis
A |nurse |assesses |a |client |in |an |outpatient |clinic. |Which |statement |alerts |the |nurse |to |the
|possibility |of |left-sided |heart |failure?
A. |"I |have |been |drinking |more |water |than |usual."
B. |"I |am |awakened |by |the |need |to |urinate |at |night."
C. |"I |must |stop |halfway |up |the |stairs |to |catch |my |breath."
D. |"I |have |experienced |blurred |vision |on |several |occasions." |- |ANSWERS✔✔ |C. |"I |must |stop
|halfway |up |the |stairs |to |catch |my |breath."
A |nurse |assesses |a |client |admitted |to |the |cardiac |unit. |Which |statement |by |the |client |alerts
|the |nurse |to |the |possibility |of |right-sided |heart |failure?
A. |"I |sleep |with |four |pillows |at |night."