Kaplan fundamentals ngn Share on social media
Copy
Share on social media
Copy
Experience unlimited access to all questions, exams, video tutorials and study guides. Subscribe now to access all questions.
Total Questions : 29
Showing 10 questions, Sign in for more
Question 1:
The nurse is caring for a senior adult client with three diagnoses of Parkinson's disease and an exacerbation of COPD. The nurse observes the unlicensed assistant personnel (UAP) providing morning care and obtaining vital signs by using a portable electronic blood pressure cuff and clip-on pulse oximetry sensor.
Nurse's Notes: Vital Sign # 0715: Client sitting up in bed with oxygen 2.1 per nasal cannula (NC) on. Clear pink skin and warm and dry lungs with scattered wheezes throughout. The client complains of shortness of breath and states, "I feel so much better than I did a couple of days ago." Mild tremors were noted. The client states, "My hands shake all the time."
1140: Client is still in bed with oxygen 2.1 per NC on, scattered wheezes throughout, and coarse rhonchi, which are clear with coughing. Cough is productive of yellow phlegm. Skin cool and dry. The client complains of shortness of breath or discomfort and states, "I like to keep it chilly in my room to help me breathe."
1140: The UAP reports to the nurse that the client's SpO2 is decreased.
Q1. After assessing the patient and reviewing the vital signs, which nursing action is appropriate to address the decreased SpO2?
(Select all that apply.)
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 1
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 1
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 2:
The nurse instructs the client on the use of an incentive spirometer. Which observation indicates to the nurse that additional teaching is required?
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 2
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 2
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 3:
The nurse provides care for a client with a poor appetite. Which action does the nurse take to enhance the client's nutritional intake?
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 3
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 3
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 4:
The emergency department (ED) triage nurse receives a report from emergency medical services (EMS) on an older adult client being brought to the ED via EMS. After receiving the report, the nurse reviews the client's electronic medical record (EMR) for history and the most recent medication list.
1635: Most recent entry from a visit to primary care provider 5 days ago. Vital signs were BP 164/90, HR 96, RR 20, T 96.7°F (35.9°C), and SpO2 96% on room air. Past Medical History (PMH) positive for osteoporosis, a history of ovarian cancer treated with a hysterectomy and chemotherapy 16 years ago, hypercholesterolemia, and hypertension being managed with diet and exercise. During this recent visit, the client was started on hydrochlorothiazide (HCTZ) 12.5 mg, 1 tablet PO every AM. No Known Drug Allergies (NKDA). Additional home medications include:
- Atorvastatin 20 mg PO, 1 tablet every PM
- Calcium 1000 mg, 1 tablet PO BID
- multi-vitamin, 1 capsule PO every AM
The nurse obtained the bloodwork, started the IV, and administered morphine IV push.
> Complete the following sentence:
The nurse's highest priority is planning care knowing that the client is at risk for seizures due to ______and _______.
Answer and Explanation
Correct Answer: The nurse's highest priority is planning care knowing that the client is at risk for seizures due to hydrochlorothiazide (HCTZ) and chemotherapy.
Explanation
The nurse's highest priority is planning care knowing that the client is at risk for seizures due to hydrochlorothiazide (HCTZ) and chemotherapy.
The nurse's highest priority is planning care knowing that the client is at risk for seizures due to the recent initiation of hydrochlorothiazide (HCTZ), which can cause electrolyte imbalances such as hyponatremia, and the history of chemotherapy for ovarian cancer, which may increase the risk of seizure activity.
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 4
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 4
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 5:
The emergency department (ED) triage nurse receives a report from emergency medical services (EMS) on an older adult client being brought to the ED via EMS. After receiving the report, the nurse reviews the client's electronic medical record (EMR) for history and the most recent medication list.
The client was transferred to ED Bed 5 via stretcher. The client’s spouse is at the bedside. The client states "I feel so much better now except my wrist. It's really hurting." Advised to assess and then check with ED physician about something for the pain. VS BP 112/68 HR 99 RR 20. T 98.4° F (36.9° C). SpO2 96% on room air. The client is alert and oriented (A&O x 4), pleasant, and cooperative. PERRLA, skin intact with no bruising except for dorsal left forearm and wrist which is ecchymotic and edematous. Radial pulses are strong and equal (+3). Fingers warm with capillary refill - 3 sec. Lungs clear Abdomen soft with bowel sounds x 4 quadrants. Pedal pulse + x 4 and no pedal edema.
The client is being prepped for an open reduction internal fixation of the left wrist on the morning of day 2.
> Which three findings indicate that the client’s hemodynamic status has improved?
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 5
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 5
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 6:
The nurse provides care for a client recovering from a motor vehicle crash. For which sign of fluid volume overload does the nurse measure the client's intake and output? (Select all that apply)
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 6
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 6
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 7:
The nurse provides care for a client having an incisional biopsy of a skin lesion. Which teaching about the care of the site does the nurse provide to the client?
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 7
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 7
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 8:
The nurse provides care for a child with an abdominal wound. The wound edges are approximated. Which does the nurse include when rendering the prescribed wound care to this child? (Select all that apply)
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 8
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 8
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 9:
A client recovering from surgery sits in a chair for breakfast. Which action does the nurse take before applying newly prescribed anti-embolism stockings to the client's lower extremities?
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 9
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 9
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Question 10:
A client receives a clear liquid diet. The nurse removes which item from the client's tray? (Select all that apply)
Answer and Explanation
A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments
Report an Issue on Question 10
Do you disagree with the answer? If yes, explain. We are trying to be 100% correct, your feedback is highly appreciated.
Report Wrong Answer on Question 10
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Sign Up or Login to view all the 29 Questions on this Exam
Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
