N 105

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Author:
ndarlenebeck
ID:
293283
Filename:
N 105
Updated:
2015-01-28 14:39:03
Tags:
Q51 100
Folders:
Q51/100
Description:
Questions 51-100
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  1. Your client has persistent nausea and vomiting.  This could lead to which of the following conditions?
    A) Metabolic acidosis
    B) Metabolic alkalosis
    C) Respiratory alkalosis
    D) Respiratory acidosis
    B) Metabolic alkalosis
    (this multiple choice question has been scrambled)
  2. Mark, a 6 year old, brought to the ER, is short of breath and refuses to cough because of pain from a crushing injury.  The most accurate nursing diagnosis is:
    A) Altered tissue perfusion related to crushing injury as evidenced by refusal to cough
    B) Ineffective breathing pattern related to age as evidenced by medical record
    C) Difficulty breathing related to pain as evidenced by refusal to cough
    D) Ineffective airway clearance related to trauma as evidenced by inability to cough
    C) Difficulty breathing related to pain as evidenced by refusal to cough
    (this multiple choice question has been scrambled)
  3. Nursing care for a 2 year old in a croup tent (oxygen tent) would include which of the following?
    A) Restricting visitors to the immediate family
    B) Restraining her arms and legs
    C) Giving her a bald plastic doll
    D) Removing her blanket or pajamas
    C) Giving her a bald plastic doll
    (this multiple choice question has been scrambled)
  4. The stool of a breast-fed baby will be:
    A) Yellow
    B) Green
    C) Brown
    D) Black
    A) Yellow
    (this multiple choice question has been scrambled)
  5. You are doing a respiratory assessment on a newborn infant.  The assessment was normal. You would document:
    A) 16-20, irregular and grunting
    B) 30-40, irregular with retractions
    C) 16-20, regular and even
    D) 30-60, irregular some apnea
    D) 30-60, irregular some apnea
    (this multiple choice question has been scrambled)
  6. Which of the following would the nurse not include on I&O?
    A) Amount of liquid medications
    B) Ice Cream
    C) Tube drainage
    D) Weight of stools
    D) Weight of stool
    (this multiple choice question has been scrambled)
  7. Mr. D. lives at a high altitude in the mountains.  Which of the following would describe the effect of altitude on oxygenation?
    A) PO2 is low, respiratory rate increases
    B) PO2 is high, respiratory rate decreases
    C) Partial pressure is high, respiratory rate increases
    D) PO2 is low, respiratory rate decreased
    A) PO2 is low, respiratory rate increases
    (this multiple choice question has been scrambled)
  8. Your client has a jejunostomy tube and is draining copious amounts of fluid.  The nurse should look for the complications of:
    A) Hypocalcemia
    B) Decreased bicarbonates
    C) Hyperkalemia
    D) Hyponatremia
    D) Hypoatremia
    (this multiple choice question has been scrambled)
  9. Your client had the following for lunch; 8 oz container of milk, 500cc of puree of chicken, and 4 oz dish of ice cream.  You would document on the I&O record an intake of:
    A) 860 cc
    B) 480 cc
    C) 360 cc
    D) 740 cc
    C) 360 cc  milk and ice cream
    (this multiple choice question has been scrambled)
  10. You record the following I&O at the end of an 8 hour shift I = 420; O = 560. You would next:
    A) Do nothing it is normal
    B) Encourage fluids
    C) Call the doctor
    D) Check the doctor's orders and the I&O from the previous shift
    D) Check the doctor's order and the I&O from the previous shift
    (this multiple choice question has been scrambled)
  11. Mr. N is dehydrated.  You would expect his urine specific gravity to be which f the following?
    A) 1.025
    B) 1.015
    C) 1.030
    D) 1.005
    C) 1.030       Normal is 1.010-1.025
    (this multiple choice question has been scrambled)
  12. Mrs. R. came in with COPD and a gastrointestinal problem.  You receive the following blood gases: ph 7.29, PCO2 38mm/hg; and HCO2 17. You would interpret these as:
    A) Metabolic acidosis
    B) Respiratory acidosis
    C) Compensated metabolic acidosis
    D) Metabolic alkalosis
    A) Metabolic acidosis
    (this multiple choice question has been scrambled)
  13. Ms. S. has a blood transfusion running and she starts reporting itching, nasal congestion, and milk wheezing.  The nurse would first:
    A) Stop the transfusion
    B) Hang a 250 cc bag of saline
    C) Call the doctor
    D) Monitor vital signs
    A) Stop the transfusion
    (this multiple choice question has been scrambled)
  14. Mr. N comes in with profuse, severe gastrointestinal bleeding and a BP of 70/40.  The nurse would expect the physician to order:
    A) Platelets
    B) Packed red blood cells
    C) Albumin
    D) Whole blood
    D) Whole blood
    (this multiple choice question has been scrambled)
  15. The doctor ordered water soluble vitamins for your patient.  Which of the following would have been ordered?
    A) Vitamin K
    B) Vitamin D
    C) Vitamin B
    D) Vitamin A
    C) Vitamin B
    (this multiple choice question has been scrambled)
  16. The doctor ordered ascorbic acid, 50 mg.  You would administer the following to your client?
    A) Vitamin C
    B) Vitamin B12
    C) Vitamin K
    D) Folic acid
    A) Vitamin C
    (this multiple choice question has been scrambled)
  17. Your client has osteoporosis.  The nurse teaches the client about a high calcium diet.  The nurse knows more teaching is needed if the client chooses ____ from a list of foods
    A) Cheese
    B) Meat
    C) Green vegetables
    D) Milk
    B) Meat
    (this multiple choice question has been scrambled)
  18. The doctor ordered 75 cc per hour of 5% dextrose and water.  The drop set delivers 15 drops per cc.  What should the drip rate be per minute?
    A) 18-19
    B) 20
    C) 15-16
    D) 75
    A) 18-19
    (this multiple choice question has been scrambled)
  19. Which of the following has the strongest effect on the respiratory center in the body?
    A) Oxygen
    B) Neuroreceptors
    C) Hydrogen
    D) Carbon dioxide
    D) Carbon dioxide
    (this multiple choice question has been scrambled)
  20. In clients with lung ailments, which is the main stimulant for respiration?
    A) Increase in carbon dioxide concentration
    B) Increase in oxygen concentration
    C) Decrease in carbon dioxide concentration
    D) Decrease in oxygen concentration
    D) Decrease in oxygen concentration
    (this multiple choice question has been scrambled)
  21. Which vitamin would be appropriate for a vegetarian client who has iron deficiency anemia and needs to enhance iron absorption?
    A) Vitamin B1
    B) Vitamin B12
    C) Vitamin A
    D) Vitamin C
    D) Vitamin C
    (this multiple choice question has been scrambled)
  22. Mrs. C. has iron deficiency anemia.  The nurse would suggest to her to eat which of the following foods?
    A) Seafood
    B) Fruits
    C) Nuts
    D) Green leafy vegetables
    D) Green leafy vegetables
    (this multiple choice question has been scrambled)
  23. When administering a nasogastric feeding, the client should be in which of the following positions?
    A) Prone and slightly raised
    B) Supine and flat
    C) Side-lying on left side
    D) Semi-Fowler's to high Fowler's
    D) Semi-Fowler's to high Fowler's
    (this multiple choice question has been scrambled)
  24. Diarrhea is a common problem associated with tube feedings.  Which of the following is a cause of diarrhea in clients on tube feedings?
    A) Improper positioning of the client during feeding
    B) A formula with a high osmolality
    C) Improper tube placement
    D) Inadequate fluid intake
    B) A formula with a high osmolality
    (this multiple choice question has been scrambled)
  25. Which of the following foods would the nurse expect a Japanese client to prefer?
    A) Beef roast and mashed potatoes with corn
    B) Grilled chicken strips and sautéed vegetables
    C) Pasta and sauce with salad
    D) Cheese and macaroni with chef salad
    B) Grilled chicken strips and sautéed vegetables
    (this multiple choice question has been scrambled)
  26. Which of these is a common side effect of a loop diuretic?
    A) Interstitial edema
    B) Abdominal distention
    C) Postural hypotension
    D) Increased appetite
    C) Postural hypotension
    (this multiple choice question has been scrambled)
  27. The rectal tube of an enema is inserted in what direction?
    A) Toward the umbilicus along the rectum
    B) Toward the right and ascending colon
    C) Toward the sacrum
    D) Toward the coccyx
    A) Toward the umbilicus along the rectum
    (this multiple choice question has been scrambled)
  28. Your homecare client, Mr. Hill, age 87, is complaining of a poor appetite and you know that he has lost five pounds since your visit one month ago.  Before initiating a plan of care, which of the following is the least appropriate for assessing this situation?
    A) Examine the mouth for periodontal disease
    B) Question his urination pattern
    C) Ask him to complete a 24 hour diet history
    D) Question his vitamin intake
    B) Question his urination pattern
    (this multiple choice question has been scrambled)
  29. The nurse receives a newly admitted patient suspected of having renal disease.  Which of the following test best evaluates the kidneys ability to regulate fluid balance?
    A) Urine specific gravity
    B) Urine pH
    C) Blood urea nitrogen
    D) Urine osmolality
    D) Urine osmolality
    (this multiple choice question has been scrambled)
  30. The nurse checks an NG tube for placement before giving the patient his NG tube feeding.  She/he gets 20 cc residual feeding back.  She/he should now:
    A) Discard the 20 cc and discontinue the feeding
    B) Discard the 20 cc and add 20 cc less of feeding
    C) Re-instill the 20 cc and subtract 20 cc from the total feeding
    D) Re-instill the 20 cc and continue with feeding
    D) Re-instill the 20 cc and continue with feeding
    (this multiple choice question has been scrambled)
  31. A person on a vegetarian diet needs to increase the amount of ___ in his/her diet.
    A) Sodium
    B) Magnesium
    C) Brewer's yeast
    D) Potassium
    C) Brewer's yeast
    (this multiple choice question has been scrambled)
  32. A female adolescent came into the hospital with dehydration.  In getting a history, the nurse recognized the client had been under a lot of stress.  The nurse should not rule out possibility of which of the following nutrition problems?
    A) Negative nitrogen balance
    B) Malabsorption
    C) Bulimia
    D) Dysphagia
    C) Bulimia
    (this multiple choice question has been scrambled)
  33. Your client is in a state of negative nitrogen balance.  The patient had recorded his 24 hour diet history containing which of the following?
    A) 350 mL of amino acids
    B) Fruits and vegetables
    C) 350 mL of protein supplement
    D) Cereals and grains
    B) Fruits and vegetables
    (this multiple choice question has been scrambled)
  34. The doctor ordered 3 liters to be infused in 24 hours.  How many milliliters per hour must the nurse administer?
    A) 125
    B) 72
    C) 1000
    D) 3000
    A) 125
    (this multiple choice question has been scrambled)
  35. The doctor ordered the client to receive 4.5 liters of fluid for 24 hours.  How much fluid should the patient receive in 8 hours?
    A) 145 cc
    B) 1500 cc
    C) 4500 cc
    D) 15 cc
    B) 1500
    (this multiple choice question has been scrambled)
  36. The nurse is to assess a client's body composition as part of the nutritional screening.  Which of the following is best to assess the fat stores?
    A) Body mass index
    B) Skin fold measurement
    C) Height and weight chart
    D) Arm muscle circumference
    B) Skin fold measurement
    (this multiple choice question has been scrambled)
  37. As the RN, you are assessing a patient's blood work and recognize that a normal value for a male's hemoglobin is:
    A) 37-47 %
    B) 13-18 g/dl
    C) 42-52 %
    D) 12-16 g/dl
    B) 13-18 g/dl
    (this multiple choice question has been scrambled)
  38. Your client has trouble chewing and swallowing and you tell the doctor.  He/she probably will order a ___ .
    A) Regular diet
    B) Pureed diet
    C) Full liquid diet
    D) Light diet
    B) Pureed diet
    (this multiple choice question has been scrambled)
  39. Your client's lab studies come back and he has an elevated BUN.  Which of the following is not indicative of a high BUN?
    A) Dehydration
    B) Iron deficiency
    C) Malnutrition
    D) Kidney disease
    B) Iron deficiency
    (this multiple choice question has been scrambled)
  40. Your client is on a diet high in Vitamin B12.  You know your teaching has been effective if your client picks which of the following foods?
    A) Fresh fruits
    B) Meats and dairy products
    C) Green leafy vegetables
    D) Whole-wheat breads and cereals
    B) Meats and dairy products
    (this multiple choice question has been scrambled)
  41. Ms. S, 67, comes into the hospital with cataracts.  She is taking the same cardiac medications that she was on at home plus an antibiotic.  She is put on a 2 gm Na diet.  She is to be on bed rest with bathroom privileges. For the past three days she has had diarrhea.  A nursing diagnosis for her would probably be alteration in elimination; diarrhea related to:
    A) Inadequate fluid intake
    B) Spoiled food
    C) Inactivity
    D) Antibiotic side effects
    D) Antibiotic side effects
    (this multiple choice question has been scrambled)
  42. Upon catheterizing a female client you meet some resistance inserting the catheter.  You would next:
    A) Ask the client to take deep breaths to relax muscles
    B) Call the doctor
    C) Try one more time to insert catheter further into the bladder
    D) Withdraw and try again
    A) Ask the client to take deep breaths to relax muscles
    (this multiple choice question has been scrambled)
  43. The nurse teaches her/his client about a high fiber diet.  The nurse could consider the teaching effective if the client chooses which of the following side items?
    A) Pasta
    B) Grapes
    C) Apples
    D) Pudding cup
    C) Apples
    (this multiple choice question has been scrambled)
  44. When properly positioned, the distal tip of the central venous pressure catheter should be located in the:
    A) Subclavian vein
    B) Right atrium
    C) Superior vena cava
    D) External jugular vein
    C) superior vena cava
    (this multiple choice question has been scrambled)
  45. Which of the following would not be included in the physician's order for oxygen therapy?
    A) Route
    B) Date
    C) Activity level
    D) Liters of oxygen per minute
    C) Activity Level
    (this multiple choice question has been scrambled)
  46. A client who has suffered a severe Vitamin K deficiency may elicit which of the following signs and symptoms?
    A) Night blindness
    B) Persistent bleeding
    C) Rickets
    D) Muscle cramps
    B) Persistent bleeding
    (this multiple choice question has been scrambled)
  47. When a client develops symptoms of muscle weakness, speech changes, rapid or weak pulse, and fatigue, you should suspect?
    A) Respiratory alkalosis
    B) Hyponatremia
    C) Respiratory acidosis
    D) Hypokalemia
    D) Hypokalemia
    (this multiple choice question has been scrambled)
  48. The nurse instructed a mother to preform vibration on her five year old son with pneumonia.  Which of the following behaviors by the mother would best indicate to the nurse that the teaching was effective?
    A) She correctly defined vibration
    B) She was able to state when it should be done and how often
    C) She verbally was able to tell you why it should be done
    D) She correctly demonstrated vibration with the child
    D) She correctly demonstrated vibration with the child
    (this multiple choice question has been scrambled)
  49. Mr. P overhydrated.  He is put on fluid restriction.  In planning his care the nurse should:
    A) Give most of his fluids with his meals in order to keep track of them
    B) Give him ice chips to quench his thirst
    C) Schedule one-half the restricted volumes during the day shift
    D) Give most of his liquids at night after his meals
    C) Schedule one-half the restricted volumes during the day shift
    (this multiple choice question has been scrambled)
  50. When caring for adults, incontinent urine or liquid stool is most accurately recorded by:
    A) The number of times it happens
    B) Estimating the amount of incontinence
    C) The description of the size and amount of stain on sheet
    D) Subtracting the weight of the same dry article from the weight of the wet article soiled by incontinence
    D) Subtracting the weight of the same dry article from the weight of the wet article soiled by incontinence
    (this multiple choice question has been scrambled)

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