RN Domain 6: Physiological Adaptation (Quiz 3)

Which of the following statements about Guillain-Barré syndrome is TRUE?

A patient with a history of chronic bronchitis is admitted to the medical unit. The healthcare provider notes that the patient's red blood cell count is elevated. Which of these is the likely contributing factor to this lab result?

The nurse is educating a client being discharged after a total hip arthroplasty. Which instruction should be included?

The Emergency Department physician inserts a chest tube in a client with a traumatic right-sided pneumothorax. The chest tube is connected to a water-seal drainage unit before the client is transferred to the ICU. When the ICU nurse performs an initial assessment, the nurse notes that the client is tachypneic, experiencing shortness of breath, and has an 02 saturation level of 86%. Breath sounds on the right side are absent. What is the nurse's FIRST action?

A healthcare provider is caring for a patient with a diagnosis of first-degree atrioventricular (AV) block. Which of these waveform patterns identified on the cardiac monitor is consistent with this arrhythmia?

A nurse is monitoring a 4-year-old child for signs of increased intracranial pressure after the child fell off a bicycle, resulting in head trauma. Which of the following signs or symptoms should the nurse report immediately?

A client with a diagnosis of atrial fibrillation (AFib) is scheduled for a chemical cardioversion procedure. The nurse should anticipate which medication will be administered?

A mother takes her two-month-old child to the urgent care clinic. She reports that shortly after the child developed a fever, his voice became muffled and he began drooling. Inspiratory stridor is present. The priority action of the healthcare provider is to

The nurse is reviewing lab results for an 11-month-old girl who is scheduled for surgery to correct tetralogy of Fallot. Which lab result should be reported to the surgeon for further assessment?

An Emergency Department nurse is sent to the scene of a school bus vs. train accident to perform triage. Which of these four victims should be transported and treated FIRST?

The spouse of a client who sustained third-degree burns from a gasoline explosion asks the nurse, "What does third-degree mean?" Which of the following is the correct explanation?

A parent brings their 6-year-old son to the clinic, after the child has been ill for several days. The parent tells the nurse that the child's urine has been dark brown and he has been running a fever. The nurse notes swelling around the child's eyes and in the hands. When the nurse takes the child's medical history, which of the following indicates the child has developed post-streptococcal glomerulonephritis?

The nurse on a medical unit is caring for a client with a diagnosis of SARS-CoV-2 (Covid-19). Which of the following findings requires IMMEDIATE intervention?

Which of the following is a sign of an asthma attack?

The nurse in a medical unit is caring for a client who was admitted a day ago for a fall at home. Which assessment finding is the IMMEDIATE priority?

The nurse is at home with their 10-year-old son when the child falls off his bike and his front tooth is avulsed (knocked out). The nurse is able to quickly retrieve the tooth. What is the nurse's BEST action before going to the Emergency Department?

A client presents to the Emergency Department, complaining of chest pains and is placed on a cardiac monitor. Shortly thereafter, the nurse sees this heart rhythm on the monitor screen. What is the first thing the nurse should do?

The oncology nurse is educating a client who will start to receive radiation treatments for a mediastinal tumor. Which statement by the client indicates an understanding of how to manage side effects of the radiation therapy?

A wife drives her husband to the Emergency Department because he complained of "terrible heartburn." He tells the nurse that he also has crushing chest pain with more discomfort in his left arm. The nurse knows that his symptoms are likely consistent with which diagnosis?

A provider has ordered hyperbaric oxygen therapy (HBOT) for a diabetic client with a chronic non-healing wound. During the therapy, what is the nurse's priority?

The nurse in an outpatient surgery center is providing postoperative care for a client who had a laparoscopic cholecystectomy. When the nurse assesses the client in the recovery room, which finding should the nurse report to the surgeon?

Two days after major abdominal surgery, the client remains NPO, with IV fluids at 150 mL/hr. The client tells the nurse that she is hungry. The nurse tells the client that oral intake can begin when

A nasal cannula can be used to deliver oxygen at 1–6 L/min. What is the amount of oxygen delivered (FiO2) at 2 L/min?

When providing nutrition education for a newly diagnosed diabetic client, the nurse uses guidelines from the American Diabetes Association. What are their recommended proportions of nutrients?

A client with a recent insertion of a permanent pacemaker arrives at the clinic for a follow-up appointment. Which statement by the client demonstrates an understanding of self-care?