Fundamentals Proctored Exam Questions and Answers Already Passed

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Fundamentals Proctored Exam Questions and Answers Already Passed There are discharge criteria for clients in the postanesthesia care unit (PACU) regardless of the type of anesthesia used and additi ... onal criteria for specific types of anesthesia. Which is the criterion specific for the client who has received spinal anesthesia? ✔✔Motor and sensory function returns A client is admitted to the postanesthesia care unit. Which nursing action is most important during the client's stay in this unit? ✔✔Suctioning mucus from respiratory passages A postoperative client is transferred back to the surgical unit with an abdominal dressing and a Penrose drain. Which is the most important nursing action associated with caring for a client with a Penrose drain? ✔✔Changing the soiled dressing carefully A client has abdominal surgery. Which should the nurse do to best assess for a sign of postoperative ileus in this client after surgery? ✔✔Identify the time of the first bowel movement Four days after abdominal surgery, while being transferred from a bed to a chair, a client says to a nurse, "My incision feels funny all of a sudden." Which should the nurse do first? ✔✔Place the client in the low-Fowler position Which factor places a client at the highest risk for postoperative nausea and vomiting after receiving general anesthesia? ✔✔Obesity On the second postoperative day after an above-the-knee amputation, the client's elastic dressing accidentally comes off. Which should the nurse do first? ✔✔Wrap the residual limb with an elastic compression bandage A nurse is caring for a postoperative client. Which action is effective in preventing postoperative urinary tract infections? ✔✔Drinking an adequate amount of fluid d4. increasing the intake of citrus fruit juices A client received conscious sedation during a colonoscopy. Which should the nurse expect regarding the client's experience with this procedure? ✔✔Client will be sleepy but able to follow verbal commands Which client having emergency surgery should the nurse anticipate to be at the highest risk for postoperative mortality? ✔✔Individual who has alcoholism A nurse is caring for a client who had an abdominal hysterectomy. Which intervention best prevents postoperative thrombophlebitis? ✔✔Leg exercises 10 times per hour when awake An obese client has abdominal surgery for removal of the gallbladder. Which should the nurse be most concerned about if exhibited by the client? ✔✔Shallow breathing A client arrives in the postanesthesia care unit. Which is the most important information that the nurse needs to know? ✔✔Type and extent of the surgery Which client responses best support the decision to discharge the client from the postanesthesia care unit? ✔✔Sao, of 95%, vita signs stable for 30 minutes, active gag reflex How many days after surgery should the nurse anticipate that a postoperative client will begin to exhibit signs and symptoms of a wound infection if it should occur? ✔✔Third day A nurse is assessing a client who had spinal anesthesia. For which common response should the nurse assess the client? ✔✔Headache A hospitalized client who has been receiving medications via a variety of routes for several days is scheduled for surgery at 10 a.m. Which should the nurse plan to do on the day of surgery? ✔✔Obtain directions from the primary health care provider regarding the medications Which is the most common dietary prescription the nurse can anticipate after a client who had abdominal surgery exhibits a return of intestinal peristalsis? ✔✔Clear liquids A nurse compares the advantages and disadvantages of a central venous catheter inserted into a peripheral vein and a central venous catheter inserted into a subclavian vein. Which of the following does the nurse conclude is the reason why a peripheral catheter is more desirable? ✔✔Because it will not cause a tension pneumothorax A nurse is caring for a client who had abdominal surgery. Which type of incisional drainage should the nurse expect 4 hours after surgery? ✔✔Serosanguineous wound drainage A nurse is assessing a postoperative client. Which client response identified by the nurse indicates altered renal perfusion? ✔✔Oliguria A nurse is evaluating the effectiveness of nursing interventions for meeting the nutrient needs of clients during the first 2 days after abdominal surgery. Which outcome is most important? ✔✔Fluid and electrolytes are balanced Which is the next most important assessment made by the nurse after ensuring postoperative client has a patent airway? ✔✔Stability of the vital signs A client's perineal area must be examined by the primary health-care provider prior to surgery. In which position should the nurse place the client for this physical assessment? ✔✔Lithotomy A nurse is caring for two clients. One of the clients has a Jackson-Pratt drain and the other client has a Hemovac drain. Which does the nurse understand is the difference between these two drains? ✔✔The size of the collection container A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning? ✔✔Have the client demonstrate the procedure A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take? ✔✔Position the client on his left side A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? ✔✔Observe the rate, depth, and character of the client's respirations A nurse is caring for a client who has bilateral casts on her hands. Which of the following actions should the nurse take when assisting the client with feeding? ✔✔Sit at the bedside while feeding the client A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. Which of the following actions should the nurse take ✔✔Lower the client to the floor and place a pad under the client's head A home health nurse is planning to provide health promotion activites for a group of clients in the community. Which of the following activities is an example of the nurse promoting primary prevention? ✔✔Education clients about the recommended immunization schedule for adults An AP is assisting a nurse with the care of a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching? ✔✔The AP hangs the collection bag at the level of the bladder A nurse is performing a neurological assessment for a client. Which of the following examinations should the nurse use to check the client's balance? ✔✔Romberg test A nurse is providing discharge teaching to a client who is recovering from lung cancer. which of the following activities should the nurse recommend to the client? ✔✔Washing dishes A nurse is planning to perform passive range-of-motion exercises for a client. Which of the following actions should the nurse take? ✔✔Repeat each joint motion five times during each session A nurse is planning care for a client who has a single-lumen nasogastric tube for gastric decompression. Which of the following actions should the nurse include in the plan of care? select all that apply ✔✔1. Provide oral hygiene frequently. 2. Measure the amount of drainage from the NG tube every shift. 3. Secure the NG tube to the client's gown. A nurse is reviewing the laboratory values for a client who has a positive Chvostek's sign. Which of the following laboratory findings should the nurse expect? ✔✔Decreased calcium A nurse is caring for a client who has a prescription for a vest restraint. Which of the following actions should the nurse take? ✔✔Tie the restraint with a quick-release knot A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse direct the client to take first? ✔✔Remove the safety pin from the extinguisher A nurse is caring for a client who is receiving a blood transfusion. The nurse recognizes these manifestations as which of the following types of transfusion reactions? ✔✔Hemolytic A nurse in the emergency department is caring for a client who has abdominal trauma. Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock? ✔✔Tachycardia A nurse in a provider's office is assessing a client who has heart failure. Which of the following findings by the nurse is another clinical manifestation of fluid volume excess? ✔✔Bounding pulse A nurse is caring for a client with c diff. and is in contact isolation. Which of the following actions should the nurse take? ✔✔Wear gloves when changing the client's gown. A nurse is reviewing measures to prevent back injuries with AP. which of the following instructions should the nurse include? ✔✔The AP should spread his feet apart because a wide base of support increases stability. [Show More]

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