Review Quiz PPT

7/29/2019 Review Quiz PPT

1/20

After the nurse observes an absent patellarreflex, a decrease in the respirations, and adecrease in the urine output, what would

be the priority nursing care for anobstetrical client who is receivingmagnesium sulfate for pre-eclampsia?

a. Administer calcium gluconate.

b. Evaluate the magnesium level.

c. Implement respiratory resuscitation.d. Administer Narcan.


2/20

During the hospital delivery of aneonate, which intervention would be a

priority?a. Provide the mother with emotional

support.b. Maintain the mothers comfort.c. Prepare the sterile field.d. Monitor the fetal heart rate.


3/20

Before performing CPR, the initialassessment would be the:

a. cause of the arrest.b.unresponsiveness of the client.c. age of the client.d. presence of the brachial pulse.


4/20

At birth a newborn delivered byC-section is depressed and at 1 minute

has not begun spontaneous respirationsdue to copious secretions. The prioritynursing intervention would be to:

a. intubate the newborn.

b. initiate CPR.

c. administer naloxone (Narcan).

d.suction the airway.


5/20

Before beginning oxygen on a client withCOPD, it is important to confirm an

oxygen flow rate of:a.2 liters per minute.b. 5 liters per minute.c. 6 liters per minute.

d. 9 liters per minute.


6/20

Which parameter most affects theaccuracy of a measurement made on a

pulse oximeter? a. Hypothermia.

b. Irritability.

c. Food intake. d. Hand used.


7/20


8/20

The nurse has administered sublingualnitroglycerin to a client complaining ofchest pain. Which observation is mostimportant for the nurse to report to the nextshift?

a. The client indicates a need to urinatefrequently.

b. Blood pressure has decreased from

140/80 to 90/70.

c. Respiratory rate has increased from 16to 20.

d. The client indicates the chest pain has

subsided.


9/20

After abdominal surgery, a client isadmitted from the recovery room withintravenous fluid infusing as fast drip. He

receives 850 cc in less than 60 minutes.Which observation would indicate aproblem?

a. CVP reading of 12

b. Hypotension. c. Oliguria.

d. Rales and tachycardia.


10/20

A client develops acute renal failure andis on continuous peritoneal dialysis.

Which assessment finding would indicatethe most common complicationassociated with this procedure?

a.Hypotension b. Hypertension.

c. Pruritis.

d. Bradycardia.


11/20

Which reflex would be abnormal toobserve in a 6-month-old child?

a. Presence of a positive Babinski

reflex.b. Extrusion reflex occurs when

feeding.

c. Able to voluntarily grasp objects.d. Rolls from abdomen to back at will.


12/20

A client is admitted to the emergencyroom with a gunshot wound in the chestand in severe respiratory distress. Whichnursing action has the highest prioritywhen managing this emergency case?

a. Establish and maintain a patent

airway.

b. Start cardiopulmonary resuscitation. c. Initiate oxygen therapy.

d. Obtain an arterial blood gas.


13/20

ALL assessment would documenthemolytic transfusion reaction except:

a. Hypotension.

b. Chills. c. Urticaria

d. Lower back discomfort.


14/20

The nurse would anticipate whichmedication would be ordered to reducethe extrapyramidal side effects commonly

associated with chlorpromazinehydrochloride (Thorazine)?

a. Chlordiazepoxide (Librium).

b. Benzatropine mesylate (Cogentin).

c. Amitriptyline hydrochloride (Elavil).

d. Methylphenidate hydrochloride

(Ritalin).


15/20

The nurse would administerAquaMephyton (Vitamin K.) to a

neonate by:a. an injection into the vastus lateralis.b. mixing it in the formula.c. drops into the inner canthus.

d. subcutaneously into the anterior

thigh.


16/20

During chemotherapy of an outpatientwho is lethargic, weak, and pale, whichintervention would be most important for

the nurse to implement? a. Establish emotional support.

b. Position for physical comfort.

c. Maintain enteric isolation. d. Hand washing prior to care


17/20

Which response to mannitol is desired fordecreasing the intracranial pressure of aclient with a closed head injury?

a. The blood pressure increases to

150/90.b. Urinary output increases to

175 cc/hour.

c. Decrease in the level of activity.d. Absence of fine tremors of the

fingers.


18/20

A 28-year-old client, gravida 2, para 1, in her

third trimester of pregnancy has had diabetessince age 12. Which statement made by theclient indicates an understanding regardingthe insulin requirements during the third

trimester?a. "I cannot continue to exercise as this will

increase my insulin needs."b. "I understand my insulin requirements

will increase as my pregnancy progresses."c. "Since the baby has a normal pancreas,

my insulin needs will not change."d. "The more weight I gain, the more insulin I

will need to take."


19/20

A client is in labor and is receivingmagnesium sulfate IV. Which assessment ismost important to report to the nurse on the

next shift?a. Respiratory rate change from 13/min.

to 15/min.b. Increase in anxiety and hyperactivity.

c. Presence of nausea and refusal totake clear liquids.

d. Urine output change from 40 cc/hr to

20 cc/hr.


20/20

The nurse is caring for a client whovigorously follows several rituals daily,including frequent hand-washing. Theclients hands are now reddened andsensitive to touch. Which nursing action

would be least helpful initially?a. Provide special skin careb. Give positive reinforcement for

non-ritualistic behavior.c. Limit the amount of time the client

may use to wash hands.d. Protect the client from ridicule by

other clients on the unit.

Review Quiz PPT

Documents

Transcript of Review Quiz PPT