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Fundamentals of Nursing II

Fundamentals of Nursing II

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Published by: Filipino Nurses Central on Jun 12, 2010
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05/23/2013

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PRACTICE TEST QUESTIONSDownloaded from FILIPINO NURSES CENTRAL{www.filipinonursescentral.wordpress.com} 
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1.
 
A client who received general anesthesia returns from surgery.Postoperatively, which nursing diagnosis takes highest priority forthis client?a.
 
Acute pain related to surgeryb.
 
Deficit fluid volume related to blood and fluid loss fromsurgeryc.
 
Impaired physical mobility related to surgery
d.
 
Ineffective airway clearance related to anesthesia
2.
 
They physician prescribes an infusion of 2,400 ml of IV fluid over 24hrs, with half this amount to be infused over the first 10 hrs. Duringthe first 10 hrs, the client should received how many milliliters of IVfluid per hour?a.
 
50 ml/hrb.
 
100 ml/hr
c.
 
120 ml/hr
d.
 
240 ml/hr3.
 
A client with burns on his groin has developed blisters. As the clientis bathing, a few blisters break. The best action for the nurse totake would be to:a.
 
Remove the raised skin because the blisters has alreadytakenb.
 
Wash the area with soap and water to disinfect itc.
 
Apply a weakened alcohol solution to clean the area
d.
 
Clean the area with normal saline solution and cover itwith a protective dressing
4.
 
Which type of evaluation occurs continuously throughout theteaching and learning process?
a.
 
Formative
b.
 
Retrospectivec.
 
Summatived.
 
Informative5.
 
A Client Self-Determination Act of 1990 requires all hospitals toinform clients of advance directives. What should the nurse tell the
 
client about such directives as living wills and health care power of attorney?
a.
 
They guide the client’s treatment in certain health caresituations
b.
 
They can’t provide DNR orders for clients with terminalillnessesc.
 
They allow physicians to make decisions about treatmentd.
 
They permit physicians to give verbal DNR orders6.
 
Which laboratory test result is the most important indicator of malnutrition in a client with a wound?a.
 
Serum potassium levelb.
 
Lymphocyte count
c.
 
Albumin level 
d.
 
Differential count7.
 
The nurse is administering two drugs concomitantly to a client.Which interaction occurs when two drugs with the same qualitativeeffects produce response when given together greater than eitherdrug produces when given alone?a.
 
Toleranceb.
 
Antagonismc.
 
Hyporeactivity
d.
 
Synergism
8.
 
The nurse is giving nutritional counseling to the mother of a childwith celiac disease. Which statement by the mother would indicateunderstanding?
a.
 
My son can’t eat wheat, rye, oats or barley
b.
 
My son needs a diet rich in glutenc.
 
My son must avoid potatoes, rice and cornstarchd.
 
My son can safely eat frozen and packaged foods9.
 
To assess effectiveness of incentive spirometry, the nurse can use apulse oximeter to monitor the client’s:
a.
 
O2 saturation
b.
 
Hgb levelc.
 
Partial pressure of CO2 (PaCO2)d.
 
Partial pressure of O2 (PaO2)10.
 
After assessing a client, the nurse formulates relevant nursingdiagnoses. Which of the following is a complete nursing diagnosisstatement?
a.
 
Ineffective airway clearance r/t mucus plugs andnonreproductive cough
 
b.
 
Hyperventilation r/t anxietyc.
 
Tachycardiad.
 
Shortness of breath r/t anxiety11.
 
The nurse is caring for a 3-year old child admitted to thepediatric unit with acetaminophen (Tylenol) poisoning. The nurseadministers syrup of ipecac by acetylcysteine (Mucomyst) every 4hrs. for 72 hrs. Which laboratory findings confirm the effectivenessof the drug therapy?
a.
 
Alanine aminotransferase and aspartateaminotransferase
b.
 
Creatinine kinase-MBc.
 
Blood urea nitrogen and serum creatinined.
 
Complete blood count12.
 
Which intervention should the nurse try first for a client whoexhibits signs of sleep disturbance?a.
 
Administer sleeping medication before bedtimeb.
 
Ask the client each morning to describe the quality of sleepduring the previous nightc.
 
Teach the client relaxation technique, such as guidedimagery, meditation, and progressive muscle relaxation
d.
 
Provide the client with normal sleep aids such aspillows, back rubs and snacks
13.
 
During gentamicin therapy, the nurse should monitor a client’s:a.
 
Serum potassium levelb.
 
Serum glucose levelc.
 
Partial thromboplastin time (PTT)
d.
 
Serum creatinine level
14.
 
Why shouldn’t the nurse palpate both carotid arteries at onetime?a.
 
The pulse can’t be assessed accurately unless the arteries arepalpated one at a timeb.
 
It may cause transient hypertension
c.
 
It may cause severe bradycardia
d.
 
It may cause severe tachycardia15.
 
A client twists the right ankle while playing basketball and seekscare for ankle pain and swelling. After the nurse applies ice tot theankle for 30 minutes, which statement by the client suggests thatice application has been effective?a.
 
I need something stronger for pain relief 
b.
 
My ankle looks less swollen now
c.
 
My ankle appears redder now

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