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practice questions for exam 2, Exams of Nursing

fundamnetals of nursing practice questions

Typology: Exams

2023/2024

Uploaded on 10/15/2024

lady-donkor
lady-donkor 🇺🇸

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Chapter 33 Practice Questions
1. A nurse is caring for a client who is 2 days postoperative after abdominal surgery.
What nursing intervention would be important to promote wound healing at this
time?
A. administering pain medications on a PRN and regular basis
B. assisting the client in moving to prevent strain on the suture line
C. telling the client that a mild fever is a normal response
D. preventing scar formation so it does not limit joint movement
2. A nurse is educating a postoperative client on essential nutrition for healing. What
statement by the client would indicate a need for more information?
A. "I will drink a lot of orange juice and drink milk, too."
B. "I will take the zinc supplement the doctor recommended."
C. "I will restrict my diet to fats and carbohydrates."
D. "I will drink 8 to 10 glasses of water every day."
3. What nursing concern is the priority for a client who has a large wound from
colon surgery, is obese, and is taking corticosteroid medications?
A. altered self-care ability
B. altered nutrition risk
C. anxiety
D. infection risk
4. A nurse is assessing a client with a stage 4 pressure injury. What assessment of
the injury would be expected?
A. full-thickness skin loss
B. skin pallor
C. blister formation
D. eschar formation
5. During a dressing change, the nurse assesses protrusion of intestines through an
opened wound. What would the nurse do after covering the wound with towels
moistened with sterile 0.9% sodium chloride solution?
A. document the assessments and intervention
B. reinforce the dressing with additional layers
C. administer pain medications intramuscularly
D. notify the physician and prepare for surgery
6. A nurse caring for a postoperative client observes the drainage in the client's
closed wound drainage system. The drainage is thin with a pale pink-yellow color.
The nurse documents the drainage as:
A. serous.
B. sanguineous.
C. serosanguineous.
D. purulent.
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Chapter 33 Practice Questions

  1. A nurse is caring for a client who is 2 days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time? A. administering pain medications on a PRN and regular basis B. assisting the client in moving to prevent strain on the suture line C. telling the client that a mild fever is a normal response D. preventing scar formation so it does not limit joint movement 2. A nurse is educating a postoperative client on essential nutrition for healing. What statement by the client would indicate a need for more information? A. "I will drink a lot of orange juice and drink milk, too." B. "I will take the zinc supplement the doctor recommended." C. "I will restrict my diet to fats and carbohydrates." D. "I will drink 8 to 10 glasses of water every day."
  2. What nursing concern is the priority for a client who has a large wound from colon surgery, is obese, and is taking corticosteroid medications? A. altered self-care ability B. altered nutrition risk C. anxiety D. infection risk
  3. A nurse is assessing a client with a stage 4 pressure injury. What assessment of the injury would be expected? A. full-thickness skin loss B. skin pallor C. blister formation D. eschar formation
  4. During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution? A. document the assessments and intervention B. reinforce the dressing with additional layers C. administer pain medications intramuscularly D. notify the physician and prepare for surgery
  5. A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as: A. serous. B. sanguineous. C. serosanguineous. D. purulent.
  1. The client twisted their ankle while hiking in an isolated area. The client reports pain and is unable to bear weight on the ankle. A nurse who is present has conducted an assessment and recommended the client rest and elevate the leg while waiting for rescue. The nurse is applying to the ankle a commercially prepared ice pack that contains a chemical. What precaution(s) will the nurse employ when applying cold therapy to the client's ankle? Select all that apply. A. squeeze the nonfrozen chemical pack to activate B. assess the client's ankle skin frequently C. ask the client about numbness and pain related to the cold therapy D. place a cloth between the ice pack and the skin E. keep the ice pack applied to the skin for at least 1 hour
  2. The nurse is working with a group of clients. Which clients are at risk for a skin alteration? Select all that apply. A. the client who is a roofer and spends a lot of time outdoors participating in sports B. the client who has experienced vomiting and diarrhea for several days with a loss of 12 lb (5.4 kg) in weight C. the client who experienced numbness in the right arm that has resolved after several hours D. the client who has paralysis and is unable to move in bed, turned by the nurse every 2 hours E. the client with newly diagnosed diabetes who requires management education for the disease
  3. A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk? A. a client 45 years of age who has paraplegia B. a client 92 years of age who uses a walker, is incontinent, and has an extensive cardiac history C. a client 75 years of age who uses a cane and has dementia D. a client 68 years of age who is bedfast related to severe head trauma
  4. The older adult client reports back pain, and an aquathermia heating pad has been prescribed for comfort. What action(s) will the nurse perform to provide a safe application of heat therapy for this client? Select all that apply. A. Assess the client's skin prior to the application of heat. B. Ensure that the aquathermia unit contains water to the appropriate level. C. Apply the heating pad to the client's back for intervals of 1 hour. D. Instruct the client to lie on the pad to keep the pad in its proper position. E. Check that the heating pad is set between 98°F to 105°F (36.6°C to 40.5°C).