PN Domain 4: Reduction of Risk Potential (Quiz 1)

The results of an adult client's blood pressure screening on three occasions are 120/80 mmHg, 130/76 mmHg, and 118/86 mmHg. How will the client's physician interpret this information?

The nurse prepares a patient for insertion of a nasogastric (NG) tube by placing the patient in which position?

A cast is applied to a client's broken leg. A few hours later, the client starts to complain of severe pain and a feeling of pressure. The nurse suspects the client is experiencing

After a client starts on a new medication for his hypertension, he returns to the office for follow-up. When supine, his blood pressure is 112/70, with a heart rate of 80. When he sits up, the nurse checks his B/P and HR again. Which of the following would indicate he is experiencing orthostatic hypotension?

A nurse is working in an outpatient radiology clinic. The nurse is instructing a cancer patient who is receiving external radiation treatments. Which statement by the patient indicates a need for further education?

A nurse is instructing a newly diagnosed client on diabetic foot care. Which statement by the client indicates that further education is needed?

The nurse is reviewing the laboratory reports of a patient admitted to the medical unit for observation. Which of these assessment findings requires immediate intervention?

In a neurological assessment, what does "PERLA" stand for?

A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient's blood pressure is 112/70 mmHg and the patient's heart rate is 80/min. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following would indicate that the patient is experiencing orthostatic hypotension?

The nurse is assessing a patient who is recovering from a recent stroke. Which of these problems is the FIRST priority?

During a routine physical exam, the nurse auscultates the lungs of a client. What type of lung sounds will be auscultated in a healthy client when the nurse listens over the areas indicated by the red X's in this image?

A client with depression should be monitored for constipation and urinary retention. Which of the following factors contribute to these conditions?

The Emergency Department nurse is caring for an 88-year-old male transported from a nursing home. When lab results become available, which value should the nurse immediately report?

The nurse is teaching a client with emphysema how to do pursed-lip breathing. The nurse knows it will help the client because

The nurse is getting ready to help a client ambulate for the first time since his cardiac surgery. Which device will be safest?

Which is the best position for postoperative coughing and deep breathing?

A client with a diagnosis of heart failure takes furosemide (Lasix). Her blood work shows her potassium level is 3.1 mEq/L. Which question to the client will BEST help the nurse assess the client's symptoms?

A patient with second- and third-degree burns on both legs received an initial treatment of topical antimicrobial agents. Then the legs were wrapped with sterile dressings. On performing a routine assessment, the nurse finds pedal pulses are diminished. What is the FIRST action for the nurse?

A child with a peanut allergy has also been diagnosed with asthma recently. A nurse instructs the parents on ways to prevent the child from coming into contact with peanuts. This is necessary because the child is at increased risk for which of the following?

Before administering a client's daily dose of furosemide, the nurse checks the client's morning serum potassium level. Which lab value should cause the nurse to hold the dose and report the result to the client's physician?

Which of the following individuals is at the LOWEST risk of developing pneumonitis?

During a code for an unresponsive infant, which pulse location should the nurse palpate?

While making the initial rounds on her assigned patients, the nurse observes that one patient's peripheral intravenous (IV) site is pale, swollen, and cool to the touch. The infusion has stopped. The nurse reports these findings to the RN, suspecting that the cause is

A nurse is checking a client's stool for occult blood. However, the nurse knows that ____can cause a false-positive result.

The nurse is caring for a 3-month-old infant with infectious gastroenteritis. The infant is lethargic, and the mucous membranes are dry. Which other finding indicates moderate dehydration?