Week 1 Review
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Week 1: JC Garcia
1. To check for wound hemorrhage after a client has had a surgery for the removal of a tumor in the neck, nurse grace should: •
A. Loosen an edge of the dressing and lift it to see the wound
•
B. Observe the dressing at the back of the neck for the presence of blood
•
C. Outline the blood as it appears on the dressing to observe any progression
•
D. Press gently around the incision to express accumulated blood from the wound
2. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac catheterization. Nurse Julius is aware that children with pulmonic stenosis have increased pressure: •
A. In the pulmonary vein
•
B. In the pulmonary artery
•
C. On the left side of
•
D. On the right side of
the heart the heart
3. A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids is given first? •
A. Albumin
•
B. D5W
•
C. Lactated Ringer’s solution
•
D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml
4. During the first 48 hours after a severe burn of 40% of the clients body surface, the nurse’s assessment should include observations for water intoxication. Associated adaptations include: •
A. Sooty-colored sputum
•
B. Frothy pink-tinged sputum
•
C. Twitching and disorientation
•
D. Urine output below 30ml per hour
5. Before a client whose left hand has been amputated can be fitted for a prosthesis, nurse Joy is aware that: •
A. Arm and shoulder muscles must be developed
•
B. Shrinkage of the residual limb must be completed
•
C. Dexterity in the other extremity must be achieved
•
D. Full adjustment to the altered body image must have occurred
6. After a lateral crushing chest injury, client experiences DOB , obvious right-sided paradoxic motion of the client’s chest demonstrates multiple rib fractures, resulting in a flail chest. The complication the nurse should carefully observe for would be: •
A. Mediastinal shift
•
B. Tracheal laceration
•
C. Open pneumothorax
•
D. Pericardial tamponade
7. To assess orientation to place in a client suspected of having dementia of the alzheimers type,
nurse Chris should ask: •
A. “Where are you?”
•
B. “Who brought you here?”
•
C. “Do you know where you are?”
•
D. “How long have you been there?”
8. While a client is on intravenous magnesium sulfate therapy for preeclampsia, it is essential for
nurse Amy to monitor the client’s deep tendon reflexes to: •
Asses level of consciousness
•
Evaluate the mobility of the extremities and response to medication
•
Determine her response to painful stimuli
•
Prevent development of respiratory distress
9. Realizing that the hypokalemia is a side effect of steroid therapy, nurse Monette should
monitor a client taking steroid medication for: •
Hyperactive reflexes
•
An increased pulse rate
•
Nausea, vomiting, and diarrhea
•
Leg weakness with muscle cramps
10. When planning care with a client during the postoperative recovery period following an
abdominal hysterectomy and bilateral salpingo-oophorectomy, nurse Frida should include the explanation that: •
Surgical menopause will occur
•
Urinary retention is a common problem
•
Weight gain is expected, and dietary plan are needed
•
Depression is normal and should be expected
1. To check for wound hemorrhage after a client has had a surgery for the removal of a tumor in the neck, nurse grace should: •
A. Loosen an edge of the dressing and lift it to see the wound
•
B. Observe the dressing at the back of the neck for the presence of blood
•
C. Outline the blood as it appears on the dressing to observe any progression
•
D. Press gently around the incision to express accumulated blood from the wound
2. As part of the diagnostic workup for pulmonic stenosis, a child has cardiac catheterization. Nurse Julius is aware that children with pulmonic stenosis have increased pressure: •
A. In the pulmonary vein
•
B. In the pulmonary artery
•
C. On the left side of
•
D. On the right side of
the heart the heart
3. A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids is given first? •
A. Albumin
•
B. D5W
•
C. Lactated Ringer’s solution
•
D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml
4. During the first 48 hours after a severe burn of 40% of the clients body surface, the nurse’s assessment should include observations for water intoxication. Associated adaptations include: •
A. Sooty-colored sputum
•
B. Frothy pink-tinged sputum
•
C. Twitching and disorientation
•
D. Urine output below 30ml per hour
5. Before a client whose left hand has been amputated can be fitted for a prosthesis, nurse Joy is aware that: •
A. Arm and shoulder muscles must be developed
•
B. Shrinkage of the residual limb must be completed
•
C. Dexterity in the other extremity must be achieved
•
D. Full adjustment to the altered body image must have occurred
6. After a lateral crushing chest injury, client experiences DOB , obvious right-sided paradoxic motion of the client’s chest demonstrates multiple rib fractures, resulting in a flail chest. The complication the nurse should carefully observe for would be: •
A. Mediastinal shift
•
B. Tracheal laceration
•
C. Open pneumothorax
•
D. Pericardial tamponade
7. To assess orientation to place in a client suspected of having dementia of the alzheimers type,
nurse Chris should ask: •
A. “Where are you?”
•
B. “Who brought you here?”
•
C. “Do you know where you are?”
•
D. “How long have you been there?”
8. While a client is on intravenous magnesium sulfate therapy for preeclampsia, it is essential for
nurse Amy to monitor the client’s deep tendon reflexes to: •
Asses level of consciousness
•
Evaluate the mobility of the extremities and response to medication
•
Determine her response to painful stimuli
•
Prevent development of respiratory distress
9. Realizing that the hypokalemia is a side effect of steroid therapy, nurse Monette should
monitor a client taking steroid medication for: •
Hyperactive reflexes
•
An increased pulse rate
•
Nausea, vomiting, and diarrhea
•
Leg weakness with muscle cramps
10. When planning care with a client during the postoperative recovery period following an
abdominal hysterectomy and bilateral salpingo-oophorectomy, nurse Frida should include the explanation that: •
Surgical menopause will occur
•
Urinary retention is a common problem
•
Weight gain is expected, and dietary plan are needed
•
Depression is normal and should be expected
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