2022 H-Quest Questions with Correct Answer 100% Verified

What clinical indicator should the nurse identify before scheduling a client for an endoscopic retrograde cholangiopancreatography (ERCP? ---Bilirubin level After an abdominal cholecystectomy, a client has a T-tub ...

What clinical indicator should the nurse identify before scheduling a client for an endoscopic retrograde cholangiopancreatography (ERCP? ---Bilirubin level After an abdominal cholecystectomy, a client has a T-tube attached to a collection device. On *the day* of surgery, at 10:30 PM, 300 mL of bile is emptied from the collection bag. At 6:30 AM the next day, the bag contains 60 mL of bile. What should the nurse consider in response to this information? 1.) The T-tube may have to be irrigated. 2.) The bile is now draining into the duodenum. 3.) Mechanical problems may have developed with the T-tube. 4.) Suction must be reestablished in the portable drainage system. --Regurgitation The team leader is identifying clients to assign to a licensed practical nurse during the evening shift. Which client can the team leader safely assign to this caregiver? A. Client recovering from surgery to repair a fractured hip. B. Client receiving bladder irrigation after prostate surgery. C. Client needing gastrostomy tube feedings and enteral medications. D. Client recovering from abdominal surgery with an elevated temperature. A client with *rheumatoid arthritis* is prescribed to rest in the *prone* position for 1 hour after breakfast and 1 hour before dinner. What should the nurse instruct the client regarding the purpose of this positioning? A. Keeps the spine straight. B. Serves as a splint to the hip joints. C. Strengthens the neck and back muscles. D. Ensures range of motion of the knees and ankles. The charge nurse is determining the best client assignment for an LPN who has been assigned to assist with care on a medical-surgical unit. Which client should the charge nurse assign to the LPN? A. Client recovering from a radical mastectomy receiving chemotherapy and radiation. B. Client with type 2 diabetes mellitus needing to learn how to provide insulin injections. C. Client with a newly placed ileostomy requiring teaching on changing the bag and skin care. D. Client with a right cerebral vascular accident prescribed oral medications and subcutaneous heparin. A resident in a skilled nursing facility asks the nurse for medication for excruciating foot pain. The nurse assesses the resident's foot and can find no reason for the discomfort. The client does not have peripheral nerve damage or a disease process that affects the nervous system. Which type of pain is this resident demonstrating to the nurse? A. Transient. B. Superficial. C. Psychogenic. D. Breakthrough. The nurse is caring for a group of patients who require various Interventions. What patient care may be delegated to unlicensed assistive personnel (UAP)? 1. Playing with an infant who had a seizure 1 hour ago 2. Bathing a child with an intravenous line and a PCA pump 3. Taking vital signs from a child who received a PRN albuterol nebulizer treatment 15 minutes ago 4. Feeding an infant with a respiratory rate of 60 breaths/min who underwent cardiac surgery 1 day ago A patient w/newly diagnosed acquired immunodeficiency syndrome (AIDS) has a negative result on a skin test for tuberculosis (TB). Which action will you anticipate taking next? 1. Obtain a chest radiograph and sputum smear. 2. Tell the patient that the TB test results are negative. 3. Teach the patient about the anti-TB drug isoniazid. 4. Schedule TB testing again in 12 months. A nurse is applying a dressing to a client's surgical wound using sterile technique. While engaging in this activity, the nurse accidentally places a moist sterile gauze pad on the cloth sterile field. What physical principle is applicable for causing the sterile field to become contaminated? 1. Dialysis 2. Osmosis 3. Diffusion 4. Capillarity A client is admitted for an exacerbation of emphysema. The client has a fever, chills, and difficulty breathing on exertion. What is the priority nursing action based on the client's history and present status? 1. Checking for capillary refill 2. Encouraging increased fluid intake 3. Suctioning secretions from the airway 4. Administering a high concentration of oxygen A nurse is concerned that the nurse-client ratio is excessively high for a medical-surgical care area. Which of the following can the nurse do to improve this staffing ratio? A . Write an article about the situation and submit it to a nursing journal B. Raise the concern to the state board of nursing C. Write a letter to the office of the American Nurses Association regarding the situation D. Tell a client to express concern to the hospital's nursing management A client, diagnosed with osteomalacia, asks the nurse what caused the disorder. Which of the following should the nurse explain to the client? A. It is caused by gastrointestinal malabsorption B. It is because of recurrent fractures C. Lack of calcium in the diet is the reason it develops D. Pseudomonas infection of the soft tissue surrounding the bone causes this to develop The nurse, planning care for a client diagnosed with a histrionic personality disorder, would include which of the following in this client's plan of care? A. When the client goes out of the room wearing highly provocative clothes the nurse should take no notice of the behavior for the moment and ask the client to dress properly the following day. B. Avoid including histrionic clients in group discussions since they tend to take over the discussion and talk endlessly about themselves. C. Ignore the client's attention-seeking behavior. D. During private discussions, guide the client back to the topic when the client's answers tend to wander out of the topic. During the active labor of a client, a loop of the umbilical cord visibly prolapses. After the presenting part was pushed off of the cord, which of the following should the nurse do to assist the client? A . Assist the client to ambulate B. Prepare the client for cesarean birth C. Time the client's contractions and assess fetal heart rate D. Turn the client onto the left side The nurse realizes that pathologic changes in the brain that are unique to Alzheimer's disease include which of the following? A. Presence of prion proteins causing spongiform degeneration in the brain. B. Amyloid beta precursor protein causing neurofibrillary tangles. C. Degeneration of glia and neurons. D. Status spongiosum in the cerebral grey matter. An elderly client frequently awakens at night to urinate. Which nursing intervention will help the client with nocturia? A. Restricting fluids. B. Providing a bedside commode. C. Elevating the legs during the day. D. Inserting an indwelling urinary catheter. The nurse has gathered data on a newly admitted client and is attempting to write the nursing diagnoses and develop a plan of care. In doing so, the nurse is aware that in the problem-etiology-signs and symptoms (PES) format: 1. Signs and symptoms come last in the diagnostic process. 2. Nursing interventions are derived from the etiology statement. 3. The only allowable diagnoses are nursing diagnoses. 4. Nursing diagnoses deal only with actual or potential illness problems. A nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. The nurse observes that the client requested a do not publish (DNP) order on any information regarding condition or presence in the hospital. What is the best response by the nurse? The nurse provides care to the client with syndrome of inappropriate antidiuretic hormone (SIADH) by: Select all that apply. 1. Providing frequent oral care 2. Instituting fall risk precautions 3. Restricting fluids to 2 L per day 4. Placing the client in high-Fowler position 5. Monitoring for and reporting neurologic changes The nurse provides postoperative care to the client following subtotal thyroidectomy by: Select all that apply. 1. Assessing for frequent swallowing 2. Ambulating the client the evening of surgery 3. Assessing for facial spasms, apprehension, or tingling of the lips, fingers, or toes 4. Instructing the client to support the head and maintain the neck in a flexed position 5. Ensuring that oxygen, suction equipment, and a tracheosomy tray are at the bedside Which clinical manifestations does a nurse expect that a client with renal calculi might report? Select all that apply. 1. Blood in the urine 2. Irritability and twitching 3. Dry, itchy skin and pyuria 4. Frequency and urgency of urination 5. Pain radiating from the kidney to a shoulder Which clinical findings indicate to the nurse that a 6-year-old child has nephrotic syndrome (NS) rather than acute glomerulonephritis (AGN)? Select all that apply. 1. 3 Generalized edema 2. Lethargy 3. Gross hematuria 4. Massive proteinuria 5. Unchanged blood pressure A client has surgery to repair a fractured right hip. Where should the nurse stand when assisting the client to ambulate? 1. Behind the client 2. In front of the client 3. On the client's left side 4. On the client's right side