Answered step-by-stepplease help me answer these s 1.The nur
Answered step-by-stepplease help me answer these s 1.The nurse is assessing a…please help me answer these s 1.The nurse is assessing a client with chronic myeloid leukemia (CML). Which of the following does the nurse expect may be found on assessment?A. LymphadenopathyB. Hyperplasia of the gumC. Bone pain from expansion of marrowD. Hepatomegaly2.A nurse is caring for a female client with a blood pressure of 145/90, HDL cholesterol of 40 mg/dL, a fasting blood glucose of 125 mg/dL, and waist measurement of 37 inches. The nurse understands that the client most likely has which of the following conditions?A. Metabolic syndromeB. Coronary artery diseaseC. OsteoporosisD. Anemia3.Which of the following describes kidney function? (Select all that apply.)A. Maintaining acid-base balance of body fluidsB. Protein synthesisC. Metabolizing fatsD. Secreting erythropoietinE. Providing an anti-inflammatory effect 4.Which of the following describes kidney function? (Select all that apply.)A. Maintaining acid-base balance of body fluidsB. Protein synthesisC. Metabolizing fatsD. Secreting erythropoietinE. Providing an anti-inflammatory effect5.The nurse is assessing a client with intestinal obstruction. Which of the following laboratory tests will be recommended? (Select all that apply)A. Serum amylase testB. Arterial blood gases testC. Electrolyte testD. WBC (white blood cell) testE. Intrinsic factor testF. Serum osmolality testG. Pepsin test6 .Which of the following is included as part of the handwashing when performing hand hygiene?A. Always wash hands before and after a medical procedureB. Lather with soap and rub hands together for 5-10 secondsC. Carefully scrub under rings and braceletsD. Only dry hands using an air dryer 7. A nurse in a primary care clinic is caring for a client who is 65 years old with a BMI (body mass index) of 31 What information should the nurse provide the client concerning his fasting blood glucose level of 147 mg/dL?A. “Your fasting blood glucose was normal, so you don’t have diabetes.”B. “Your blood glucose level was low — you must have fasted for a very long time!”C. “I’m sure the test must be mistaken because you don’t have any risk factors for diabetes.”D. “The healthcare provider will want to repeat testing on another day, because your fasting blood glucose was higher than it should be.”E. “You need to start on insulin right away.”8. A nurse is caring for a newborn who has necrotizing enterocolitis (NEC). Which of the following findings should the nurse recognize as a risk factor for this condition?A. MacrosomiaB. Transient tachypnea of the newborn (TTN)C. Maternal gestational hypertensionD. Gestational age of 35 weeks 9.A nurse is caring for a client with acromegaly. This condition results from oversecretion of which of the following?A. Luteinizing hormoneB. Growth hormoneC. Parathyroid hormoneD. Mineralocorticoids10. A nurse is caring for a client who is receiving a magnesium sulfate IV infusion and exhibiting manifestations of magnesium toxicity. Which of the following medications should the nurse expect to administer?A. NifedipineB. PyridoxineC. Protamine sulfateD. Calcium gluconate 11. A home care nurse is assessing an elderly client in his home for the first time. The client was referred by concerned family members who worried that the client, who lives alone, is at risk for falls. Which of the following is likely to increase fall risk in the elderly?A. The client wears glasses and is able to read fine print when wearing themB. The client uses a walker and is able to demonstrate proper use of the walker to youC. The client takes seven different medications that are packaged and delivered by the neighborhood pharmacy, and some of them cause drowsinessD. All carpets are secure with no loose edges, and there are no scatter rugs in the houseE. The client is hard of hearing and wears a hearing aid in his right ear12. A nurse is assessing a client’s stoma during the initial postoperative period after colostomy. Which of the following observations should be reported immediately to the physician?A. The stoma is slightly edematousB. The stoma is white to bluish-whiteC. The stoma oozes a small amount of bloodD. The stoma does not expel stool13. A nurse is assessing a client with symptoms of a urinary tract infection. Which of the following findings suggest a diagnosis of pyelonephritis?A. Urinary frequencyB. Fever and chillsC. Urinary urgencyD. HematuriaE. Dark urine 14. A nurse on a medical unit is assigned to five newly admitted clients. Which of the following clients will require airborne precautions?A. A client with AIDS admitted for dehydration due to severe diarrheaB. A client with a positive PPD and an abnormal chest X-rayC. A client with lymphoma involving the lungs with hemoptysisD. A client with symptoms suggestive of influenza, who has altered immune functionE. A client with pneumococcal pneumonia and a possible empyema 15. A nurse is preparing to administer pancrelipase (Lipancreatin) to a client with cystic fibrosis. Which of the following should the nurse include when administering this drug? (Select all that apply)A. Assess for lactose intoleranceB. Monitor renal functionC. Monitor blood coagulation studiesD. Provide antidiuretic hormoneE. Assess for shortness of breath and leg swellingF. Monitor for joint pain 16. A couple plans to use the BBT method of birth control following the birth of their son. The nurse explains that during ovulation the basal temperature:A. Drops suddenly and stays low until the onset of menstruationB. Drops slightly, then risesC. Should be taken at morning and at bedtimeD. Rises suddenly and then falls 17. A nurse is assessing an adolescent female who has chronic renal failure. Which of the following findings should the nurse expect?A. Flushed faceB. HyperactivityC. Weight gainD. Amenorrhea 18. A nurse is caring for a client who has a new prescription for infusion of monoclonal antibodies for treatment of rheumatoid arthritis. Shortly after the infusion begins, the client complains of vertigo, thick tongue, and tinnitus (ringing in the ears.). What is the most appropriate intervention?A. This is a normal reaction and the nurse should reassure the client and continue the infusion.B. Stop the infusion and disconnect the IV tubing.C. Check the doctor’s orders for an antiemeticD. Update the primary care provider 19. A client with type 1 hiatal hernia is undergoing assessment. Which of the following structures are affected? (Select all that apply)A. Gastroesophageal junctionB. Pyloric canalC. PylorusD. CardiaE. FundusF. Upper stomachG. EsophagusH. Lower stomach 20. The nurse uses Montgomery straps primarily to achieve which of the following outcomes?A. The client is free from fallsB. The client is free of bruisesC. The client is free from skin breakdownD. The client is free from wandering 21. The nurse uses Montgomery straps primarily to achieve which of the following outcomes?A. The client is free from fallsB. The client is free of bruisesC. The client is free from skin breakdownD. The client is free from wandering 22. A nurse is assigned to care for a newly admitted client in a hyperosmotic hyperglycemic state (HHS). Which of the following laboratory findings does the nurse expect?A. Serum BUN 12 mg/dLB. Positive urine ketonesC. Serum osmolarity 345 mOsm/LD. Serum pH 7.1 23. Which needle gauge is most appropriate for an intramuscular injection in a 28-year-old female client?A. 30-gaugeB. 27-gaugeC. 25-gaugeD. 14-gauge 24. A nurse is caring for a new client in the post anesthesia care unit (PACU) after amputation of the left leg. Which of the following is the priority nursing action in the immediate postoperative period?A. Monitor vital signsB. Assess the proximal pulse at the amputated partC. Place a surgical tourniquet at the bedsideD. Administer IV fluids 25. A client has returned to his room after having surgery and the physician has ordered TED hose to be placed by the nurse. Which best describes the purpose of TED hose?A. To control the client’s pain after surgeryB. To prevent infection in the lower extremitiesC. To promote circulation and help prevent blood clotsD. To promote range of motion in the affected extremity 26. A nurse is caring for a client who has an order for a fasting blood glucose test for diagnosis of suspected diabetes. The client tells the nurse that his last meal was 3 hours ago. Which response from the nurse is correct?A. “Okay, let’s get started and I’ll check your glucose now.”B. “I’ll need to come back in an hour and check it then.”C. “You were supposed to fast for 24 hours before this test.”D. “I’ll check with the healthcare provider first before performing the test.” 27. A nurse is teaching a newly licensed nurse about the purpose of administering vecuronium to a client who has acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following statements by the newly licensed nurse indicates an understanding of the teaching?A. “This medication is given to treat infection.”B. “This medication is given to facilitate ventilation.”C. “This medication is given to decrease pain.”D. “This medication is given to reduce anxiety.” 28. A nurse is caring for a client with hip pain related to rheumatoid arthritis. Which of the following choices of chairs by the client demonstrates understanding of appropriate self-care skills?A. Recliner chair with arms to support wrists and handsB. Couch with soft cushions to support thighsC. Straight backed chair with elevated seatD. Curved back rocking chair 29. A nurse in an emergency department is assessing a client who has a flail chest from blunt chest trauma. Which of the following findings should the nurse expect? (Select all that apply.)A. BradycardiaB. CyanosisC. HypertensionD. DyspneaE. Paradoxical chest movement 31. A client has just returned from surgery after below-the-knee amputation. The client has an immediate postoperative prosthesis (IPOP) in place. What is the purpose of an IPOP?A. It prevents development of a blood clot in the leg after surgeryB. It increases the adjustment period so the client is not rushed.C. It prevents infection in the stump incisionD. It promotes body image after surgery 32. What is the correct order of steps for gastrostomy irrigation? Gently instill 30-50 mL of water or NS (depending on agency policy) with an irrigation syringePosition the client with pillows behind the shouldersAssess placement before irrigatingPull back on the syringe plunger to aspirate gastric contents to check patency; repeat if the tube flow is sluggishExplain the procedure and its potential discomfort to the clientDocument the procedure 33. The nurse is assessing a client with a closed head injury. In what order should the nurse do the following pieces of the assessment?Motor strengthLevel of consciousnessUrine outputVital signs 34. A nurse identifies crackles in the left lower lobe when auscultating the lungs of a client who has an upper respiratory infection. Which of the following actions should the nurse take?A. Repeat auscultation after asking the client to breathe deeply and cough.B. Instruct the client to limit fluid intake to less than 2,000 mL/day.C. Prepare to administer antibiotics.D. Reassess using the bell side of the stethoscope. 35. A nurse is preparing a feeding for a client with a gastrostomy tube using the gravity method. The nurse has already checked for correct placement of the tube and has hung the bag to drip from gravity. After hanging the bag, what is the next step in the gravity feeding process?A. Connect the tubing to the client’s G tubeB. Open the clamp and remove air from the tubingC. Add water to flush the tubingD. Clamp the tubing to adjust the feeding rate 36. A nurse is caring for a client who has COPD and requires an oxygen saturation measurement. The nurse observes that the client has edema of both hands and thickened toenails. The nurse should apply the pulse oximeter probe to which of the following locations?A. FingerB. EarlobeC. ToeD. Forehead 37. The nurse is assessing a newly admitted client. Findings include a full bounding pulse, moist crackles, distended peripheral veins, and polyuria. Which of the following conditions is associated with these findings?A. DiabetesB. HypervolemiaC. Respiratory disorderD. Hypokalemia 38. A nurse is caring for a client with acute myeloid leukemia who is undergoing induction chemotherapy. Laboratory studies reveal the following: hemoglobin 8.7 g/dL, platelets 100,000/mm^3, white blood cells 1,000/mm^3, and absolute neutrophil count 380/mm^3. Which of the following is a priority intervention for this client?A. Use of sequential compression devices for preventing deep vein thrombosisB. Assignment to a private room with neutropenic precautionsC. Blood transfusionD. Avoidance of intramuscular injectionsE. Minimization of venipuncture 39. A nurse is reinforcing teaching about traveling with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?A. “I should skip breakfast if I cross time zones.”B. “I will pack only the supplies I need for the days we are traveling.”C. “I should drink a glass of milk when I am feeling irritable.”D. “I will increase my insulin if I am going to be flying longer than 3 hours.” 40. A nurse is providing discharge teaching to a client who has undergone a kidney transplant. For which of the following signs or symptoms should the nurse advise the client to monitor for rejection of the transplant?A. Low serum creatinine and creatinine clearanceB. Anorexia and weight lossC. Decreased urinary output and high BPD. Nausea and vomiting 41. A 28-year-old male client is undergoing tests to confirm the diagnosis of Hodgkin’s lymphoma. The client and his wife are worried that he may have cancer. The wife states, “Don’t you think that it is unlikely for someone like my husband to have cancer?” The nurse’s response is based on the information that Hodgkin’s lymphoma is:A. More likely to affect women than menB. Often diagnosed during adolescence and young adulthoodC. Usually occurs frequently among populations of Asian heritageD. Typically a disease of the elderly rather than younger adults 42. A nurse is caring for a 4-year-old child who has epiglottitis. Which of the following actions should the nurse take?A. Initiate contact precautions.B. Obtain a throat culture.C. Use a tongue depressor to observe the epiglottis.D. Monitor oxygen saturation. Health ScienceScienceNursingNUR 1214CShare
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