Download PHYS 1223 Practice Exam 3 Questions with Answers and more Exams Psychology in PDF only on Docsity!
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- A 43-year-old African American male is
admitted with sickle cell anemia. The nurse
plans to assess circulation in the lower
extremities every 2 hours. Which of the
following outcome criteria would the nurse
use?
A. Body temperature of 99°F or less
B. Toes moved in active range of motion
C. Sensation reported
when soles of feet are
touched
D. Capillary refill of < 3
seconds
- A 30-year-old male from Haiti is brought to
the emergency department in sickle cell
crisis. What is the best position for this
client?
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A. Side-lying with knees flexed
B. Knee-chest
C. High Fowler's with knees flexed
D. Semi-Fowler's with legs extended on the
bed
- A 25-year-old male is admitted in sickle cell
crisis. Which of the following interventions
would be of highest priority for this client?
A. Taking hourly blood pressures with
mechanical cuff
B. Encouraging fluid intake of at least 200mL
per hour
C. Position in high Fowler's with knee gatch
raised
D. Administering Tylenol as ordered
- Which of the following foods would the nurse
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C.
Start O 2
D. Administer meperidine (Demerol) 75mg IV
push
- The nurse is instructing a client with iron-
deficiency anemia. Which of the following
meal plans would the nurse expect the client
to select?
A. Roast beef, gelatin salad, green beans,
and peach pie
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B. Chicken salad sandwich, coleslaw, French
fries, ice cream
C. Egg salad on wheat bread, carrot sticks,
lettuce salad, raisin pie
D. Pork chop, creamed potatoes, corn, and
coconut cake
- Clients with sickle cell anemia are taught to
avoid activities that cause hypoxia and
hypoxemia. Which of the following activities
would the nurse recommend?
A. A family vacation in the Rocky Mountains
B. Chaperoning the local boys club on a
snow-skiing trip
C. Traveling by airplane for business trips
D. A bus trip to the Museum of Natural
History
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C. Roof of the mouth
D. Shins
2.The nurse is conducting a physical assessment
on a client with anemia. Which of the following
clinical manifestations would be most
indicative of the anemia?
A. BP 146/
B. Respirations 28 shallow
C. Weight gain of 10 pounds in 6 months
D. Pink complexion
- The nurse is teaching the client with
polycythemia vera about prevention of
complications of the disease. Which of the
following statements by the client indicates
a need for further teaching?
A. "I will drink 500mL of fluid or less each
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day."
B. "I will wear support hose when I am up."
C. "I will use an electric razor for shaving."
D. "I will eat foods low in iron."
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A. The abdomen
B. The thorax
C. The earlobes
D. The soles of the feet
- A client with acute leukemia is admitted to
the oncology unit. Which of the following
would be most important for the nurse to
inquire?
A. "Have you noticed a change in sleeping
habits recently?"
B. "Have you had a respiratory infection in
the last 6 months?"
C. "Have you lost weight recently?"
D. "Have you noticed changes in your
alertness?"
- Which of the following would be the priority
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nursing diagnosis for the adult client with
acute leukemia?
A. Oral mucous membrane, altered related
to chemotherapy
B. Risk for injury related to
thrombocytopenia
C. Fatigue related to the disease process
D. Interrupted family processes related to
life-threatening illness of a family
member
- A 21-year-old male with Hodgkin's lymphoma
is a senior at the local university. He is
engaged to be married and is to begin a new
job upon graduation. Which of the following
diagnoses would be a priority for this client?
A. Sexual dysfunction related to radiation
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C. Potassium levels
D. Partial prothrombin time (PTT)
- The home health nurse is visiting a client
with autoimmune thrombocytopenic purpura
(ATP). The client's platelet count currently is
80, It will be most important to teach the
client and family about:
A. Bleeding precautions
B. Prevention of falls
C. Oxygen therapy
D. Conservation of energy
- A client with a pituitary tumor has had a
transphenoidal hyposphectomy. Which of
the following interventions would be
appropriate for this client?
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A. Place the client in Trendelenburg position
for postural drainage
B. Encourage coughing and deep breathing
every 2 hours
C. Elevate the head of the bed 30°
D. Encourage the Valsalva maneuver for
bowel movements
- The client with a history of diabetes
insipidus is admitted with polyuria,
polydipsia, and mental confusion. The
priority intervention for this client is:
A. Measure the urinary output
B. Check the vital signs
C. Encourage increased fluid intake
D. Weigh the client
- A client with hemophilia has a nosebleed.
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B. Temperature
C. Output
D. Specific gravity
- A client with Addison's disease has been
admitted with a history of nausea and
vomiting for the past 3 days. The client is
receiving IV glucocorticoids (Solu-Medrol).
Which of the following interventions would the
nurse implement?
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A. Glucometer readings as ordered
B. Intake/output measurements
C. Sodium and potassium levels monitored
D. Daily weights
- A client had a total thyroidectomy yesterday.
The client is complaining of tingling around
the mouth and in the fingers and toes. What
would the nurses' next action be?
A. Obtain a crash cart
B. Check the calcium level
C. Assess the dressing for drainage
D. Assess the blood pressure for
hypertension
- A 32-year-old mother of three is brought to
the clinic. Her pulse is 52, there is a weight
gain of 30 pounds in 4 months, and the
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effect.
C. Take the medication with fruit juice.
D. Ask the doctor to perform a complete
blood count before starting the
medication.
- The client is admitted to the hospital with
hypertensive crises. Diazoxide (Hyperstat)
is ordered. During administration, the
nurse should:
A. Utilize an infusion pump
B. Check the blood glucose level
C. Place the client in Trendelenburg position
D. Cover the solution with foil
- The 6-month-old client with a ventral septal
defect is receiving Digitalis for regulation of
his heart rate. Which finding should be
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reported to the doctor?
A. Blood pressure of 126/
B. Blood glucose of 110mg/dL
C. Heart rate of 60bpm
D. Respiratory rate of 30 per minute
