NRSG 1125 PrepU Clinical Judgement Questions With
Complete Solutions
A client comes to the clinic reporting urinary symptoms. Which
statement would most likely alert the nurse to suspect benign
prostatic hyperplasia (BPH)? Correct Answer "I've had trouble
getting started when I urinate, often straining to do so."
A client has just returned to the unit following abdominal
surgery and is in significant pain. According to the nursing
process, how frequently will the nurse perform assessments on
this client? Correct Answer as often as needed
A client is diagnosed with posttraumatic stress disorder (PTSD).
Which finding would the nurse most likely assess? Correct
Answer Diaphoresis
A client with a history of depression is brought to the ED after
overdosing on Valium. This client is at risk for developing
which type of distributive shock? Correct Answer neurogenic
shock
A client with acute pancreatitis has been started on total
parenteral nutrition (TPN). Which action should the nurse
perform after administration of the TPN? Correct Answer
Measure blood glucose concentration every 4 to 6 hours
A client with cirrhosis has a massive hemorrhage from
esophageal varices. Balloon tamponade is used temporarily to
control hemorrhage and stabilize the client. In planning care, the
, nurse gives the highest priority to which goal? Correct Answer
Maintaining the airway
A client with multiple myeloma reports uncomfortable muscle
cramping. Which nursing interventions will the nurse implement
in response to the client's report of symptoms? Select all that
apply. Correct Answer 1. Encourage hydration
2. Encourage ambulation
A client's caretaker calls the home care nurse and states
accidentally puncturing the central venous catheter after
discontinuing the total parenteral nutrition. What instructions
should the nurse provide to the caretaker? Correct Answer
Clamp the catheter.
A nurse is caring for an elderly bedridden adult. To prevent
pressure ulcers, which intervention should the nurse include in
the care plan? Correct Answer Develop a written, individual
turning schedule.
A nurse is collecting objective data for a client with AIDS. The
nurse observes white plaques in the client's oral cavity, on the
tongue, and buccal mucosa. What does this finding indicate?
Correct Answer candidiasis
A nurse makes a nursing diagnosis of Constipation after a client
reports not defecating on the last trip to the bathroom. The nurse
has no other information on the client's defecation history. This
is an example of: Correct Answer premature closure.
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