NURS 421 PREDICTOR EXAM QUESTIONS AND ANSWERS BEST GRADED A+ BEST GUARANTEED SUCCESS NEW U, Exams of Nursing

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The nurse cares for a client with a cuffed tracheostomy tube. Before performing oral care, the nurse notes that the client's tracheostomy cuff is inflated. Which of the following is the MOST appropriate action for the nurse to take?

1. Leave the cuff inflated and suction through the tracheostomy.
2. Deflate the cuff and suction through the tracheostomy tube.
3. Inflate the cuff pressure to 40 mm Hg before suctioning.
4. Adjust the wall suction pressure to 160 to 180 mm Hg before suctioning.

1. CORRECT - Implementation: outcome desired; cuff inflation decreases the risk of aspiration; cuff position

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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and pressure should be assessed frequently; swallowing and breathing will cause tracheostomy tube movement

2. Implementation: outcome not desired; accumulated oral secretions above the cuff will drain into the bronchi; increased risk of infection
3. Implementation: outcome not desired; cuff pressure should be less than 20 mm Hg (25 cm H2O); risk of trauma to trachea with higher pressures
4. Implementation: outcome not desired; increases the risk of trauma to lower airways A young adult brings a friend to the emergency department and states that the friend has been using heroin. Which action by the

NURS 421 PREDICTOR EXAM QUESTIONS

AND ANSWERS BEST GRADED A+ BEST

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AND ANSWERS BEST GRADED A+ BEST

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nurse is the MOST appropriate?

1. Assess pupil size and reactivity.
2. Assess oxygen saturation levels.
3. Palpate dorsalis pedis pulses.
4. Ask the client if he knows today's date. 1)Assessment: outcome not priority but may be appropriate; pinpoint pupils are a sign of heroin overdose

2. CORRECT - Assessment: outcome priority; shallow respirations seen; impaired alveolar gas exchange and possible respiratory arrest 3)Assessment: outcome not priority; most important to assess airway and breathing

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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4)Assessment: outcome not priority but may be appropriate; drowsiness and euphoria may be seen; not priority The client tells the clinic nurse that the client is thinking about using nicotine polacrilex (Nicorette). Which question is MOST important for the nurse to ask?

1. "Have you tried other methods to stop smoking?"
2. "How long have you been smoking?"
3. "Have you ever had chest pain?"
4. "Do you have a partial dental bridge?" 1)Assessment: outcome not priority but may be appropriate; can be asked as part of assessment

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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2)Assessment: outcome not priority but may be appropriate; should be assessed for further teaching

3. CORRECT - Assessment: outcome priority; action of nicotine is vasoconstriction; increases heart rate and myocardial oxygen consumption; increased risk of angina and myocardial infarction 4)Assessment: outcome may be appropriate but not priority; gum is place between cheek and gums; may stain dental work The nurse cares for the client with a client controlled analgesia (PCA) pump. The nurse determines that the client has pressed the button 11 times and received 6 doses of morphine during

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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the last hour. Which is the MOST appropriate action for the nurse to take?

1. Assess the patency of the PCA IV tubing.
2. Determine the client's understanding of the PCA pump function.
3. Obtain an order to begin a PCA infusion of fentanyl.
4. Ask the client to describe the pain. 1)Assessment: outcome not priority but may be appropriate; if tubing is obstructed, alarm is activated 2)Assessment: outcome may be appropriate but not priority; more important to determine pain level, description of the pain, region and

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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radiation of the pain, and

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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relieving factors

3. Implementation: outcome not desired; more important to assess severity of pain and pain relief first
4. CORRECT - Assessment: outcome priority; must validate that client is in pain before implementation A pregnant woman receives an epidural anesthetic. After administration of the epidural anesthetic, the client's blood pressure changes from 120/84 to 94/50. Which action by the nurse is MOST appropriate?

1. Place the client flat on her back.

NURS 421 PREDICTOR EXAM QUESTIONS

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2. Elevate the head of the bed 30 degrees.
3. Place the client on her left side with her legs flexed.
4. Place the client supine with the foot of the bed elevated.

1. Implementation: outcome not desired; no increase in venous return
2. Implementation: outcome not desired; will decrease venous return
3. CORRECT - Implementation: outcome desired; will increase venous return and cardiac output; fetal pressure on inferior vena cava reduced
4. Implementation: outcome not desired; elevation

NURS 421 PREDICTOR EXAM QUESTIONS

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of legs will increase venous return, but fetal pressure on vena cava will prevent blood return to heart A nursing order, "Increase fluid intake" is written for a client diagnosed with dehydration. Which finding BEST indicates improving fluid status?

1. Urinary output of 1,500 mL in 24 hours.
2. Serum hematocrit 52%.
3. Oral fluid intake of 900 mL in 24 hours.
4. Blood pressure of 100/82.

1. CORRECT - Assessment: outcome priority; increased amounts of antidiuretic hormone secreted; urine output decreased and concentrated

NURS 421 PREDICTOR EXAM QUESTIONS

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2)Assessment: outcome not priority; indicates that blood is hemoconcentrated 3)Assessment: outcome not priority; normal intake is 1,500 mL in 24 hours 4)Assessment: outcome not priority; normal BP is 120/ The nurse prepares to administer the initial dose of oral enalapril (Vasotec) 20 mg in the morning. Which medication should the nurse question giving to the client?

1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.

NURS 421 PREDICTOR EXAM QUESTIONS

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4. 10 mg zolpidem (Ambien) at bedtime.

NURS 421 PREDICTOR EXAM QUESTIONS

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1. Implementation: outcome not a problem; no interaction with ACE inhibitors; is an SSRI antidepressant
2. CORRECT - Implementation: outcome potential problem; may promote significant diuresis; first dose of ACE inhibitors increases risk of "first dose" phenomenon due to vasodilation; combination of vasodilation and diuresis increases risk of orthostatic hypotension
3. Implementation: outcome not a problem; no interaction; gabapentin classified as antiseizure medication; off-label use for neuropathic pain
4. Implementation: outcome not a problem; is a

NURS 421 PREDICTOR EXAM QUESTIONS

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hypnotic; no interaction with ACE inhibitors The home care nurse visits a client with a halo fixator traction device. Which client statement MOST concerns the nurse?

1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw." 1)Assessment: outcome desired; risk of infection at pin sites; client should be taught signs of inflammation and infection

2. Implementation: outcome desired; showers increase risk of infection at pin sites

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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3. CORRECT - Implementation: outcome not desired and may be a problem; client is not able to turn with halo device; increases the risk of injury to self and others
4. Implementation: outcome desired; difficulty manipulating cup or glass due to immobilized neck The nurse cares for a client diagnosed with depression. Which statement by the client indicates improvement?

1. "I have been sleeping 6 hours at night."
2. "I have lost 2 lbs in the past week."
3. "Lately, I have trouble watching television."

NURS 421 PREDICTOR EXAM QUESTIONS

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4. "I have much less muscle tension now."  CORRECT - Assessment: outcome desired; clients with depression may have increased or decreased sleep time  Assessment: outcome not desired; lack of appetite is a frequent sign of depression  Assessment: outcome not desired; lack of concentration is sign of depression

NURS 421 PREDICTOR EXAM QUESTIONS

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 Assessment: outcome not desired; is a sign of anxiety The nurse on the maternity unit must accept a transfer client from a medical/surgical unit. The nurse considers which transfer client appropriate?

1. A 38-year-old client with a diagnosis of systemic lupus erythematosus.
2. A 45-year-old client receiving daily external radiation therapy treatments for breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of the left leg.
4. A 74-year-old client who has received intravenous antibiotics for 7 days.

1. CORRECT - Implementation: outcome desired;

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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autoimmune disease; not infectious

2. Implementation: outcome not desired; possible skin damage and suppression of bone marrow with decreased white-blood-cell levels; increased risk for infection
3. Implementation: outcome not desired; generalized skin infection of deeper connective tissue; usually caused by Streptococcus or Staphylococcus; increased risk for infection
4. Implementation: outcome not desired; elderly clients receiving long-term antibiotic therapy are at risk for Clostridium difficile infection; highly contagious; increased risk for infection

NURS 421 PREDICTOR EXAM QUESTIONS

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The nurse in the outclient surgery unit prepares a 4-year-old child for surgery. It is MOST important for the nurse to make which of these statements?

1. "Your parents are going to leave a half hour before the surgery."
2. "You're going to talk with some other children who had this surgery."
3. "If you have this surgery, your parents will buy you a new toy."
4. "Take this doll and show me where the operation will be done."

1. Implementation: outcome not desired; parents are encouraged to remain with child
2. Implementation: outcome not desired;

NURS 421 PREDICTOR EXAM QUESTIONS

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appropriate only for school-aged and adolescent children

3. Implementation: outcome not desired; not appropriate
4. CORRECT - Implementation: outcome desired; encourage expression of feelings (e.g., anger); fear mutilation; allow child to play with models of equipment The nurse cares for a client diagnosed with Alzheimer's disease. The client is confused and incontinent of urine. What is the MOST important action for the nurse to take?

1. Insert an indwelling urinary drainage catheter.

NURS 421 PREDICTOR EXAM QUESTIONS

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2. Perform intermittent catheterization every 4 hours.
3. Offer the bedpan to the client every 2 hours.
4. Assist the client to a bedside commode every 2 hours.

1. Implementation: outcome not desired; increases risk of infection; catheter-related infections are most common hospital-acquired infection

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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2. Implementation: outcome not desired; increases chance of infection
3. Implementation: outcome appropriate but not priority; does not keep client independent and active
4. CORRECT - Implementation: outcome desired; keeps client active and Sponsored by Advertising Partner Sponsored Video Watch to learn more See More The nurse cares for a client with a history of type 1 diabetes mellitus who has just returned to the surgical acute-care unit after a right below-knee amputation. The client's capillary blood glucose is 480 mg/dL. The postoperative orders indicate 6

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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units of regular insulin subcutaneously should be administered. Which of the following is the FIRST action the nurse should take?

1. Check the client records to see if insulin was given prior to surgery.
2. Administer the 6 units of regular insulin subcutaneously.
3. Administer the insulin when oral fluids are tolerated.
4. Contact the healthcare provider. 1)Assessment: outcome desired but not priority; client needs insulin coverage now

2. CORRECT - Implementation: outcome desired; sliding scale-receives predetermined amount of

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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insulin according to glucose level; surgery and infection increase insulin needs

3. Implementation: outcome not desired; needs insulin regardless of oral intake due to elevated blood glucose
4. Implementation: outcome not desired; no reason to contact healthcare provider; order is valid and appropriate for situation During the admission interview, the client reports a red, itchy raised rash on the chest and lip swelling after use of aspirin and penicillin. The admission orders include bed rest, soft diet as tolerated, naproxen (Naprosyn), and cefaclor (Ceclor). Which is the BEST description of

NURS 421 PREDICTOR EXAM QUESTIONS

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AND ANSWERS BEST GRADED A+ BEST

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expected breath sounds heard during auscultation?

1. Administer the Ceclor as ordered; do not administer the naproxen.
2. Administer the naproxen as ordered; do not administer the Ceclor.
3. Administer both the Ceclor and naproxen as ordered; document the client's response.
4. Do not administer the Ceclor or naproxen; notify the healthcare provider.

NURS 421 PREDICTOR EXAM QUESTIONS

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