100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
COMPREHENSIVE EXAM TESTBANK NEWEST 2024/2025 COMPLETE 300 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES (A NEW UPDATED VERSION) |ALREADY GRADED A+ (REVISED EXAM)$20.49
Add to cart
COMPREHENSIVE EXAM TESTBANK NEWEST 2024/2025 COMPLETE 300 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES (A NEW UPDATED VERSION) |ALREADY GRADED A+ (REVISED EXAM)
6 views 0 purchase
Course
COMPREHENSIVE
Institution
COMPREHENSIVE
COMPREHENSIVE EXAM TESTBANK NEWEST 2024/2025 COMPLETE 300 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES (A NEW UPDATED VERSION) |ALREADY GRADED A+ (REVISED EXAM)
COMPREHENSIVE EXAM TESTBANK NEWEST
2024/2025 COMPLETE 300 ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES
(A NEW UPDATED VERSION) |ALREADY GRADED A+
(REVISED EXAM)
A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the licensed practical nurse reinforces instructions to the client
about the test. Which statement by the client indicates a need for
further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating." - Answer-
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films are taken at
intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status
must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the
,barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and
notes that the dose of a prescribed medication is higher than the
normal dose. The nurse calls the physician's answering service and is
told that the physician is off for the night and will be available in the
morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available - Answer-B. Ask the answering service to contact the
on-call physician
Rationale: The nurse has a duty to protect the client from harm. A
nurse who believes that a physician's prescription may be in error is
responsible for clarifying the prescription before carrying it out.
Therefore the nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can be clarified.
The nurse would not wait until the next morning to obtain clarification.
It is premature to call the nursing supervisor.
An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting transfer to
the coronary intensive care unit. The nurse notes the sudden onset of
,premature ventricular contractions (PVCs) on the monitor, checks the
client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - Answer-B.
Asking the ED physician to check the client
Rationale: PVCs are a result of increased irritability of ventricular cells.
Peripheral pulses may be absent or diminished with the PVCs
themselves because the decreased stroke volume of the premature
beats may in turn decrease peripheral perfusion. Because other
rhythms also cause widened QRS complexes, it is essential that the
nurse determine whether the premature beats are resulting in
perfusion of the extremities. This is done by palpating the carotid,
brachial, or femoral artery while observing the monitor for widened
complexes or by auscultating for apical heart sounds. In the situation of
acute MI, PVCs may be considered warning dysrhythmias, possibly
heralding the onset of ventricular tachycardia or ventricular fibrillation.
Therefore the nurse would not tell the client that the PVCs are
expected. Although the nurse will continue to monitor the client and
document the findings, these are not the most appropriate actions of
those provided. The most appropriate action would be to ask the ED
physician to check the client.
, NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the
morning of the procedure, the nurse checks the client's record and
notes that the client routinely takes an oral antihypertensive
medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day
after the ECT - Answer-A. Administer the antihypertensive with a small
sip of water
Rationale: General anesthesia is required for ECT, so NPO status is
imposed for 6 to 8 hours before treatment to help prevent aspiration.
Exceptions include clients who routinely receive cardiac medications,
antihypertensive agents, or histamine (H2) blockers, which should be
administered several hours before treatment with a small sip of water.
Withholding the antihypertensive and administering it at bedtime and
withholding the antihypertensive and resuming administration on the
day after the ECT are incorrect actions, because antihypertensives must
be administered on time; otherwise, the risk for rebound hypertension
exists. The nurse would not administer a medication by way of a route
that has not been prescribed.
A client who recently underwent coronary artery bypass graft surgery
comes to the physician's office for a follow-up visit. On assessment, the
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Rnseller. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
