Exam 2 RN Custom Assessment Detailed Question Analysis

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Custom Assessment Detailed Question Analysis Assessment: RN 231 Unit Exam 2 Assessment # : 10874690 Group Size :26 Group Score : 79.6% Institution : Carrington College Sacramento ADN Program Type... : ADN KR-20 : N/A # of Questions : 60 Date Test : 1/18/2018 Page 1 Created on:04/06/2018 Student Question Question Type Student Answer Is Correct Amavisca, Abraham A nurse is caring for a client who had abdominal surgery two days ago. Which of the following findings by the nurse requires immediate attention? Multiple Choice Wound has thick yellow-green drainage. Yes Amavisca, Abraham A nurse is caring for a client who had abdominal surgery two days ago. Which of the following findings by the nurse requires immediate attention? Multiple Choice Wound has thick yellow-green drainage. Yes Amavisca, Abraham A nurse is caring for a client admitted with a severe burn injury who is receiving intravenous fluid replacement therapy. The nurse evaluates the therapy to be inadequate if the client developed an increase in Multiple Choice heart rate. Yes Amavisca, Abraham A nurse is caring for a client admitted with a severe burn injury who is receiving intravenous fluid replacement therapy. The nurse evaluates the therapy to be inadequate if the client developed an increase in Multiple Choice heart rate. Yes Amavisca, Abraham On the first postoperative day following a subtotal thyroidectomy, the client reports a tingling sensation in the hands, soles of the feet, and around the lips. For which of the following should the nurse assess the client? Multiple Choice Positive Chvostek's sign. Yes Student Question Question Type Student Answer Is Correct Student Question Question Type Student Answer Is Correct Amavisca, Abraham On the first postoperative day following a subtotal thyroidectomy, the client reports a tingling sensation in the hands, soles of the feet, and around the lips. For which of the following should the nurse assess the client? Multiple Choice Positive Chvostek's sign. Yes Amavisca, Abraham A nurse is caring for a client who was admitted with bleeding esophageal varices and has a Sengstaken-Blakemore tube to control the bleeding. Which of the following nursing interventions is appropriate? Multiple Choice Keep the client in a supine position. No Amavisca, Abraham A nurse is caring for a client who was admitted with bleeding esophageal varices and has a Sengstaken-Blakemore tube to control the bleeding. Which of the following nursing interventions is appropriate? Multiple Choice Keep the client in a supine position. No Amavisca, Abraham A nurse is caring for a client who is being evaluated for a suspected intracranial tumor and is scheduled to have a magnetic resonance imaging (MRI). The client asks the nurse what to expect during the procedure. Which of the following is an appropriate response? Multiple Choice The MRI is very noisy, and some clients report feeling claustrophobic while in the scanner. Yes Amavisca, Abraham A nurse is caring for a client who is being evaluated for a suspected intracranial tumor and is scheduled to have a magnetic resonance imaging (MRI). The client asks the nurse what to expect during the procedure. Which of the following is an appropriate response? Multiple Choice The MRI is very noisy, and some clients report feeling claustrophobic while in the scanner. Yes Amavisca, Abraham A nurse is caring for a client admitted for an acute exacerbation of ulcerative colitis. The most important nursing goal for this client is to Multiple Choice maintain fluid and electrolyte balance. Yes Amavisca, Abraham A nurse is caring for a client admitted for an acute exacerbation of ulcerative colitis. The most important nursing goal for this client is to Multiple Choice maintain fluid and electrolyte balance. Yes Amavisca, Abraham A nurse is caring for a client who was admitted to the hospital after having two seizures at work. The client suddenly gives a short cry and stiffens. Which of the following should be the initial nursing action? Multiple Choice Make a mental notation of the time after looking at a watch. Yes Amavisca, Abraham A nurse is caring for a client who was admitted to the hospital after having two seizures at work. The client suddenly gives a short cry and stiffens. Which of the following should be the initial nursing action? Multiple Choice Make a mental notation of the time after looking at a watch. Yes Amavisca, Abraham A nurse is caring for a client admitted to the emergency department with extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should be aware that initially the client is at greatest risk for Multiple Choice airway obstruction. Yes Amavisca, Abraham A nurse is caring for a client admitted to the emergency department with extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should be aware that initially the client is at greatest risk for Multiple Choice airway obstruction. Yes Page 2 Created on:04/06/2018 Student Question Question Type Student Answer Is Correct Amavisca, Abraham A nurse in a clinic is reviewing the laboratory values obtained from a client being seen for suspected hypothyroidism. If this diagnosis is accurate, the nurse should expect to see an elevated Multiple Choice thyroid stimulating hormone (TSH). Yes Amavisca, Abraham A nurse in a clinic is reviewing the laboratory values obtained from a client being seen for suspected hypothyroidism. If this diagnosis is accurate, the nurse should expect to see an elevated Multiple Choice thyroid stimulating hormone (TSH). Yes Amavisca, Abraham A nurse is monitoring a client who is at risk for increased intracranial pressure. While assessing the client's cranial nerves, the nurse should check the function of cranial nerve III by Multiple Choice checking pupillary response to light. Yes Amavisca, Abraham A nurse is monitoring a client who is at risk for increased intracranial pressure. While assessing the client's cranial nerves, the nurse should check the function of cranial nerve III by Multiple Choice checking pupillary response to light. Yes Amavisca, Abraham A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following is an appropriate nursing response? Multiple Choice You'll be sedated, but you may remember feeling discomfort during the instrument insertion. Yes Amavisca, Abraham A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following is an appropriate nursing response? Multiple Choice You'll be sedated, but you may remember feeling discomfort during the instrument insertion. Yes Amavisca, Abraham A nurse is caring for a client whose blood work indicates that the client has hyperthyroidism. The nurse should expect the client to report Multiple Choice frequent mood changes. Yes Amavisca, Abraham A nurse is caring for a client whose blood work indicates that the client has hyperthyroidism. The nurse should expect the client to report Multiple Choice frequent mood changes. Yes Amavisca, Abraham A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is flushed, febrile, and having chills. To establish a diagnosis of hemolytic transfusion reaction, the nurse should assess the client for which of the following? Multiple Choice Anxiety No Amavisca, Abraham A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is flushed, febrile, and having chills. To establish a diagnosis of hemolytic transfusion reaction, the nurse should assess the client for which of the following? Multiple Choice Anxiety No Amavisca, Abraham A nurse is caring for a client who is immediately postoperative following thoracic surgery. The nurse administers a narcotic analgesic to the client frequently for pain. Which of the following should the nurse recognize as the primary reason for this action? Multiple Choice It decreases the client's level of anxiety. No Page 3 Created on:04/06/2018 Student Question Question Type Student Answer Is Correct Amavisca, Abraham A nurse is caring for a client who is immediately postoperative following thoracic surgery. The nurse administers a narcotic analgesic to the client frequently for pain. Which of the following should the nurse recognize as the primary reason for this action? Multiple Choice It decreases the client's level of anxiety. No Amavisca, Abraham A nurse in an emergency department is caring for a client who reports vomiting, diarrhea, fever, headache, and dizziness. The client tells the nurse that she was recently exposed to the influenza virus. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). The nurse should give immediate consideration to the client's manifestation of Multiple Choice vomiting. No Amavisca, Abraham A nurse in an emergency department is caring for a client who reports vomiting, diarrhea, fever, headache, and dizziness. The client tells the nurse that she was recently exposed to the influenza virus. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). The nurse should give immediate consideration to the client's manifestation of Multiple Choice vomi [Show More]

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