Question

1. The nurse is teaching a client about self-examination. The client asks the nurse where masses are most often found. Which response(s) by the nurse are most appropriate? Select all that apply. A. In the axlla B. Beneath the nipple C. Lower inner quadrant D. Upper outer quadrant E. Lower outer quadrant

2. The nurse is assessing a client with herpes zoster. Which characteristic(s) does not the nurse expect to note when assessing the lesions of this infection? Select all that apply. A. Clustered skin vesicles B. A generalized body rash C. Small blue-white spots with a red base D. A fiery red edematous rash on the cheeks E. Grouped vesicles on an erythematous base.

3. A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of: A. Steroids B. Diuretics C. Anticonvulsants D. Antihypertensive

4. A nurse driving along the scene of an accident and stops to assist with a deep laceration his hand, a fractured arm and leg, and abdominal pain. The nurse wraps the man’s hand in asoiled cloth and drives him to the nearest hospital. The nurse is: A. Practicing her skills as a nurse B. Negligent and can be sued for malpractice C. Practicing under guidelines of the Nurse Practice Act. D. Protected for these actions, in most states, by Good Samaritan legislation

5. A visitor in the room adjacent to a client asks the nurse what disease the client has. The nurse responds, “I will not discuss my client’s illness. Are you worried about it?” Tis response is based on the nurse’s knowledge that to discuss a client’s condition with someone not directly involved with the client is an example of: A. Negligence B. Breach of confidentiality C. Libel D. Defamation of character

6. When approaching homosexual clients with acquired immunodefiency syndrome (AIDS), it is most important for nurses to: A. Establish a meaningful rapport with clients B. Having strong sense of their own sexual identity C. Admit their own feelings or discomfort towards them D. Become aware of their own attitude towards homosexuality

7.The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for: A. Constipation B. Hyperphosphatemia C. Hypomagnesaemia D. Diarrhea

8. Heparin has been ordered for a client with pulmonary embolis. Which of the following statement. Made by the graduate nurse, indicated a lack of knowledge regarding the medication A. “I will administer the medication 1-2 inches away from the umbilicus.” B. “I will administer the medication in the abdomen area.” C. “I will check the PTT before administering the medication.” D. “I will need to aspirate when I give the Heparin.”

9. The nurse is preparing a client with an axillo-politeal bypass for discharge. The client should be taught to avoid: A. Using a recliner to rest. B. Resting in supine position C. Sitting in a straight chair D. Sleeping in right Sim’s position

10. The nurse has just receive the shift report and is preparing to make rounds. Which client should be seen first? A. The client with a history of a cerebral aneurysm with oxygen saturation rate of 99% B. The client three days post-coronary artery bypass graft with temperature of 100.3 degree F. C. The client admitted 1 hour ago with shortness of breath. D. The client being prepared for discharge following a femoral politeal bypass gra

Answer 1

Ans:- 1,

A and D

The most common sites for the masses or lumps are axilla and outer quadrant of breast.

2.

B,C and D

The nurse doesn't not expect to note the following characteristics when assessing a cilent with herpes zoster infection :-

The generalised body rash,

Small blue white spots with a red base and

A fiery red edemotous rash on the cheeks.

3.

A,

Steroids,

To prevent the development of cerebral edema after the surgery the nurse anticipates the use of steroids because steroids have anti inflammatory action which decrease the development of cerebral edema .

4,

B,

The nurse is negligent and can sued for malpractice , soiled cloth on an open wound is not prudent and she should not transfer him to the hospital independently as fracture is also present. She should behave in a responsible manner which she doesn't.