Artificial Intelligence Adaptive Test #2

Which of the following complaints from a client after a cast application a few hours earlier needs immediate attention from the nurse?

The nurse is caring for a client who just returned from surgery with a long leg cast. Which of the following interventions is the priority in the first 24 hours after this client’s surgery?

The nurse is caring for various clients with musculoskeletal injuries. Which nursing intervention is appropriate for a client with skeletal traction?

A nurse in the emergency department admits a client with cyanosis and an unknown diagnosis. The nurse prepares to administer oxygen therapy and knows that which consideration must be followed for this client given the available information?

A tracheostomy tube is inserted in a client who is in respiratory distress due to having an upper airway obstruction. The family asks why the tracheostomy tube is inserted. What should the nurse include when explaining the purpose of the tracheostomy tube to the client and family?

The client has undergone chest surgery for a left lower lobectomy. The nurse planning the client’s postoperative care should include which of the following actions?

The client’s history reveals several diseases that he had as a child. Which of these has a relationship to the client’s development of asthma?

The nurse is assessing the respiratory status of a child with asthma. Which of the following developments in the client’s condition should most directly alert the nurse that possible ventilatory failure and asphyxia are developing at this time?

Which diagnosis would be most appropriate for a client with COPD who shares that he needs to catch his breath when he is going to his mailbox?

When teaching a client with chronic obstructive pulmonary disease about oxygen by cannula, the nurse should also instruct the client’s family to observe which practice?

The client was diagnosed with COPD. Her condition changed over a period of days, and her arterial blood studies now indicates that she has developed acute respiratory failure. The primary nursing intervention commonly required in the care of clients with COPD who are in acute respiratory failure is which of the following actions?

An elderly client was being assessed by the nurse prior to admission to the respiratory department. Physical examination reveals shallow respiration without any signs of respiratory distress. Which of the following is a normal physiologic change related to aging?

As a nurse, you teach your client with COPD which important consideration?

The Pleur-evac is hooked to suction, and continuous bubbling in the suction bottle occurs. This would indicate which information?

The nurse is assessing for immediate postoperative complications of a client with unresolved atelectasis. Which complication is most likely to develop for this client?

An outpatient client has a tentative diagnosis of pneumonia. The nurse who initially examines the client should be aware of the clinical manifestations of pneumonia. Nursing diagnoses for a client with pneumonia would include which of the following?

A client in the emergency department was a victim of multiple knife-stabbing to the chest. The knife used by the assailants is still embedded in the client’s chest. What should the nurse do?

It is important that the nurse include signs and symptoms of a pneumothorax when planning discharge teaching for a client. For which sign or symptom should the client seek immediate medical help for?

A bronchoscopy procedure was performed under local anesthesia for a client who was admitted for diagnosis and treatment of a left lung lesion. What nursing action is of highest priority when the client returns from bronchoscopy?

A client is being screened for tuberculosis and has undergone a Mantoux skin test. The client’s history and physical examination revealed no significant medical issues. The nurse notes an induration of 3 mm when the client returns for the skin test reading. A 3 mm induration signifies which finding?

To make definitive diagnosis of tuberculosis, the nurse understands that the Primary Healthcare Provider must order which test for the client?

The client’s chest x-ray film reveals a lesion in the upper right lobe during a routine physical exam. Which information from the client’s health history supports the Primary Healthcare Provider’s tentative diagnosis of pulmonary tuberculosis?

The nurse notes 13 mm of induration at the site of a client’s Mantoux test. The nurse provides which explanation of this finding to the client?

Which of the following breaths sounds should the nurse expect to hear from the chest of a client with cancer who develops pleural effusion?

A client is in distress after being admitted with an exacerbation of chronic obstructive pulmonary disease. In which position should the nurse put the client to promote optimal lung expansion?

The respiratory rate per minute of a healthy adult is what value?

Which of the following conditions will not increase respiratory rate?

A nurse receives the ABG results of a client who is on a ventilator for respiratory failure. The nurse is correct if she identifies which of the following results as indicative of respiratory acidosis?

A client came in following a motor vehicular accident. The client has sustained a severe head injury and damaged the prefrontal lobe. The nurse should remain particularly alert for which of the following assessment findings that will be consistent with the client’s injury?

A 70-year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 170/105 to 150/95 over the past 2 hours. The nurse has also noted increasing lethargy during the same time. Which assessment finding should the nurse report immediately to the Health Care Provider?

The nurse is caring for a client who is being evaluated for a neurologic disorder. The client is not able to comprehend the written or spoken word. This finding is identified by the nurse as which of the following assessment?

A client who had a recent CVA is experiencing homonymous hemianopsia (blindness in half of the visual field). Homonymous hemianopsia would probably manifest itself in which of the following food-related behaviors?

You are taking care of a client who suddenly begins to have a seizure. What is the appropriate nurse response for this client?

A client is scheduled to undergo an electroencephalogram (EEG). What action should the nurse take when the client is served a breakfast consisting of a soft-boiled egg, coffee, toast with butter and marmalade, orange juice, and water on the morning of the EEG?

The nurse plans to teach the client about the prescribed phenytoin sodium therapy for the client who was diagnosed with a seizure disorder. It is important that the client understands that the medication must not be stopped suddenly because of which of the following rationale?

When providing care for a client with Parkinson’s disease, the nurse knows that the physical therapy regimen developed for the client is aimed primarily at which goal of care?

Which medication is used to treat a client with Myasthenia Gravis who is experiencing the effects of overmedication?

The physician has prescribed Pyridostigmine (Mestinon) 180 mg/day. The client tells the nurse that she feels nauseated each time she takes the medication. Which of the following responses is appropriate for the nurse to give to the client?

The who was diagnosed with multiple sclerosis is exhibiting slurred speech. Which of the following communication techniques would be contraindicated when the nurse talks to the client?

The client teaching for a client diagnosed with trigeminal neuralgia should include the following except which atypical nurse teaching for this diagnosis?

A 71-year-old elderly female client asked the nurse in a nursing home if she has cataract. The nurse knows that which of the following assessment findings is not typically seen in clients with cataract?

A client is admitted to the neurosurgery unit for the removal of a cerebellar tumor. The nurse would expect the client to make which of the following statements about his symptoms?

A client with Parkinson’s disease is experiencing bradykinesia. Which of the following nursing interventions is correct for this client?

Question 47
A client with Parkinson’s Disease verbalizes concerns about having tremors and asks the nurse what can be done to minimize them. The nurse should make which statement to the client?

Question 48
The nurse should consider which of the following information when planning the care of a client who was recently diagnosed with amyotrophic lateral sclerosis?

Identifying pathognomonic signs is one of the important facets of nursing assessment. Which of the following manifestations is consistent with a diagnosis of Meniere’s disease?

An understanding of neurologic assessment includes assessment of cranial nerve functions. The nurse is correct in assessing the client’s trigeminal nerve when the nurse does which of the following actions?

The nurse is providing care to a client with open angle glaucoma. The nurse should expect which of the following assessment findings in a client with open angle glaucoma?

A client with head injury was brought to the unit following a motor vehicular accident. What should the nurse do first when the client begins to have clear drainage from his nose?

Which of the following assessment findings would be expected in a client diagnosed with Parkinson’s disease? Select all that apply.

A 45-year-old male client diagnosed with hepatitis B presented to the clinic complaining of increasing body weakness and loss of appetite. In addition, the nurse reviewing the client’s laboratory results noted a significant change in his blood studies from his previous lab results last year. Which laboratory studies indicate an early sign of liver parenchymal damage?

A client returned to the surgical unit after a subtotal gastrectomy. Which of the following interventions should the nurse implement in preventing pulmonary complications for this client?

At home, a client with peptic ulcer disease has taken 30 mL of aluminum hydroxide six times a day. They inform the clinic nurse that they have not had a bowel movement for three days. Which of the following information is accurate about its association with the client’s delay in their bowel movement?

Which prescribed medication will the nurse question for a client with persistent short bowel syndrome?

A client with dehydration brought on by an aggravation of ulcerative colitis, 72 years old and male, is being treated with 5% dextrose in normal saline at a rate of 125 mL/hour. Which finding from the nurse’s assessment should be urgently communicated to the health care provider?

A client experiencing acute stomach pain and rebound soreness is admitted to the emergency department. The client’s vital signs are as follows: temperature 102.5°Fahrenheit (39.1°Celsius, pulse 122/minute, respirations 34 breaths/minute, and blood pressure (BP) 80/52 mm Hg. Which of the recommended interventions should the nurse do first?

A 38-year-old male client with Crohn’s disease is diagnosed with megaloblastic anemia at the clinic. Which of the following management will the nurse expect to be prescribed by the healthcare provider for this client?

Following a hemorrhoidectomy performed at an outpatient surgical facility, which instructions will the nurse include in the client’s discharge teaching?

A 41-year-old female client is admitted to the medical-surgical unit with acute diverticulitis. Which of the following interventions should the nurse prioritize implementing to this client?

A young female client with Crohn’s disease presents with fever and symptoms of a urinary tract infection (UTI), including urine that is tan in color and smells like feces. What specific information will the nurse add to a standard lesson plan regarding urinary tract infections (UTIs) to personalize the instruction for this client?

A 22-year-old female client with ulcerative colitis exacerbation has 15 to 20 stools per day and excoriated perianal skin. Which client action suggests that instruction on maintaining skin integrity has been successful?

Which nurse intervention will be included in the care plan for a 25-year-old male client newly diagnosed with irritable bowel syndrome (IBS)?

During the shift change report, the nurse finds out about the following four clients. Which client must be assessed first?

A client with severe acute pancreatitis has carpal spasms in their right hand, which the registered nurse observes while checking their right arm’s blood pressure (BP). Which critical action should the registered nurse take?

A 47-year-old female client diagnosed with acute cholecystitis is admitted to the surgical unit for a scheduled laparoscopic cholecystectomy. The nurse conducted preoperative education for the client, including post-operative measures to prevent complications. Which of the following statements made by the client would be the basis that the client’s education has been successful?

A client with cirrhosis has ascites and 4+ edema of the feet and legs. Which nursing intervention will be included in the care plan?

Balloon tamponade is used to treat a client experiencing bleeding due to esophageal varices. Which nursing intervention is going to be a part of the plan of care?

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A client with cirrhosis whose scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) has a serum potassium level of 3.2 mEq/L (3.2 mmol/L). What intervention should the registered nurse take?

Which of the following laboratory tests are necessary for the nurse to monitor potential problems in a client with severe cirrhosis and bleeding esophageal varices?

A 39-year-old male client with end-stage liver disease is admitted to the outpatient clinic for a scheduled paracentesis. Which of the following should the nurse implement for this procedure?

A new prescription for propranolol (Inderal) has been given to a client with cirrhosis and esophageal varices. Which observation provides the best indication to the nurse that the treatment has been effective?

Two days after a minor intestinal resection, a client has abdominal distension and gas pains. Which intervention should the nurse perform?