Carrington College Sacramento ADN,RN 231: Custom Assessment Detailed Question Analysis - Unit 2 Exam

Carrington College Sacramento ADN, Phoenix - RN 231: Custom Assessment Detailed Question Analysis Assessment: RN 231 - Unit 2 Exam - 2.4.17(2) (AR)_Cloned: 9-Student Group Work ATI Nursing Education. 

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement? A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take? A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet? A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor? A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching? A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results? A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect? A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan? A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect? A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications? A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism? A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. The nurse should expect which of the following laboratory findings in this client? The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. Two hours later, which data would warrant immediate intervention by the nurse? The nurse enters the room, and the client is beginning to have a tonic-clonic seizure. Which action should the nurse implement first? The charge nurse on the endocrine surgical unit is making assignments. Which task should be delegated/assigned to the team members? The nurse is working in an endocrinology unit. Which client warrants immediate intervention by the nurse? The nurse is working on an endocrinology unit. Which client should the nurse assess first? A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? The client is admitted to the endocrinology unit newly diagnosed with an acute exacerbation of central diabetes insipidus (DI). Which intervention is the priority nursing intervention? The unlicensed assistive personnel (UAP) tells the nurse the client who had a thyroidectomy has a T 104°F, P 128, RR 26, B/P 164/88. Which intervention should the nurse implement first? Which client should the endocrinology nurse assess first after receiving the shift report? The unlicensed assistive personnel (UAP) has just taken the blood pressure of a client who had a thyroidectomy. The UAP tells the nurse that the client’s hand turned into a claw when the blood pressure was taken. Which intervention should the nurse implement first? The nurse is administering medications on an endocrinology unit. Which medication should the nurse question administering? The charge nurse of a surgical unit has been notified of an external disaster with multiple casualties. Which client should the charge nurse request to be discharged from the hospital to make room for clients from the disaster? A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) The nurse is caring for an elderly client following surgery who is exhibiting signs on anesthesia-related delirium. The family member at the bedside asks how long this delirious state will last. The most appropriate response by the nurse is: A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed? The nurse is reviewing a surgeon's prescription sheet for a preoperative client that states that the client must be nothing by mouth (NPO) after midnight. The nurse should call the surgeon to clarify that which medication should be given to the client and not withheld? The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. The nurse creates a postoperative plan of care for the client and should include which intervention in the plan? The nurse is assessing a client who had abdominal surgery earlier in the day. Which preexisting medical condition would place the client at most risk for postoperative complications? An 85-year-old client is hospitalized for a fractured right hip. During the postoperative period, the client's appetite is poor and the client refuses to get out of bed. Which nursing statement would be most appropriate to make to the client? The nurse assesses a preoperative client. Which question should the nurse ask the client to help determine the client's risk for developing malignant hyperthermia in the perioperative period? The nurse is assessing a postoperative client following bowel resection. The client has a nasogastric tube (NGT) connected to wall suction. The nurse is concerned the client will develop hypokalemia and prepares to administer potassium in IV fluid. Prior to the administration of potassium, the nurse understands which of the following should be assessed? The nurse is caring for a client admitted to the hospital after sustaining a head injury. In which of the following positions should the nurse place the client to prevent increased intracranial pressure (IICP)? The nurse is caring for a client with a history of epilepsy who suddenly begins to experience a tonic-clonic seizure and loses consciousness. What is the nurse’s priority action? A client with new-onset status epilepticus is prescribed phenytoin. After teaching the client about this treatment regimen, the nurse assesses the client’s understanding. Which statement indicates that the client understands the teaching? The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin. Which statement best indicates that the nurse’s teaching has been successful? The nurse is caring for a newly admitted client with seizure disorder and has recently had a tonic-clonic seizure. In planning care for this client, it is most important that the nurse ensure which of following? A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.) A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.) A nurse enters a client’s room and finds him on the floor in the clonic phase of a tonic–clonic seizure. Which of the following actions should the nurse take? The nurse is caring for a client in acute thyroid storm/crisis. The client is febrile with a temperature of 101.9 degrees Fahrenheit. The nurse prepares to administer an antipyretic medication knowing that which is contraindicated in this client? The nurse is providing discharge instructions for a client newly diagnosed with Cushing's disease. The client displays appropriate knowledge of this disease by stating which of the following? When a patient is admitted to the PACU, what are the priority interventions the nurse performs? The nurse is caring for a patient undergoing surgery for a knee replacement. What is critical to the patient's safety during the procedure (select all that apply)? The nurse is caring for a patient undergoing surgery for a knee replacement. What is critical to the patient's safety during the procedure (select all that apply)? The nurse is caring for a patient undergoing surgery for a knee replacement. What is critical to the patient's safety during the procedure (select all that apply)? After Thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops Important nursing interventions when caring for a patient with Cushing syndrome include (select all that apply) Important nursing interventions when caring for a patient with Cushing syndrome include (select all that apply) Important nursing interventions when caring for a patient with Cushing syndrome include (select all that apply) The nurse teaches the patient that the best time to take corticosteroids for replacement purposes is: The healthcare provider prescribes levothyroxine (Synthroid) for a patient with hypothyroidism. After teaching regarding this drug, the nurse determines that further instructions is needed when the patient says : For which patient with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia (Select all that apply) For which patient with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia (Select all that apply) For which patient with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia (Select all that apply) For which patient with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia (Select all that apply) A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the patient is most susceptible to: The nurse identifies a flail chest in a trauma patient when: A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement? A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take? A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet? A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor? A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching? A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results? A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect? A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan? A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect? A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications? A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism? A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. The nurse should expect which of the following laboratory findings in this client? The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. Two hours later, which data would warrant immediate intervention by the nurse? The nurse enters the room, and the client is beginning to have a tonic-clonic seizure. Which action should the nurse implement first? The charge nurse on the endocrine surgical unit is making assignments. Which task should be delegated/assigned to the team members? The nurse is working in an endocrinology unit. Which client warrants immediate intervention by the nurse? The nurse is working on an endocrinology unit. Which client should the nurse assess first? A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? The client is admitted to the endocrinology unit newly diagnosed with an acute exacerbation of central diabetes insipidus (DI). Which intervention is the priority nursing intervention? The unlicensed assistive personnel (UAP) tells the nurse the client who had a thyroidectomy has a T 104°F, P 128, RR 26, B/P 164/88. Which intervention should the nurse implement first? Which client should the endocrinology nurse assess first after receiving the shift report? The unlicensed assistive personnel (UAP) has just taken the blood pressure of a client who had a thyroidectomy. The UAP tells the nurse that the client’s hand turned into a claw when the blood pressure was taken. Which intervention should the nurse implement first? The nurse is administering medications on an endocrinology unit. Which medication should the nurse question administering? The charge nurse of a surgical unit has been notified of an external disaster with multiple casualties. Which client should the charge nurse request to be discharged from the hospital to make room for clients from the disaster? A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) A client was admitted to the critical care unit with diabetic ketoacidosis (DKA). Glucose is 349 mg/dL, potassium is 3.7 mEq/L, and pH is 7.18. Which of the following interventions would the nurse expect? (Select all that apply.) The nurse is caring for an elderly client following surgery who is exhibiting signs on anesthesia-related delirium. The family member at the bedside asks how long this delirious state will last. The most appropriate response by the nurse is: A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed? The nurse is reviewing a surgeon's prescription sheet for a preoperative client that states that the client must be nothing by mouth (NPO) after midnight. The nurse should call the surgeon to clarify that which medication should be given to the client and not withheld? The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. The nurse creates a postoperative plan of care for the client and should include which intervention in the plan? The nurse is assessing a client who had abdominal surgery earlier in the day. Which preexisting medical condition would place the client at most risk for postoperative complications? An 85-year-old client is hospitalized for a fractured right hip. During the postoperative period, the client's appetite is poor and the client refuses to get out of bed. Which nursing statement would be most appropriate to make to the client? The nurse assesses a preoperative client. Which question should the nurse ask the client to help determine the client's risk for developing malignant hyperthermia in the perioperative period? The nurse is assessing a postoperative client following bowel resection. The client has a nasogastric tube (NGT) connected to wall suction. The nurse is concerned the client will develop hypokalemia and prepares to administer potassium in IV fluid. Prior to the administration of potassium, the nurse understands which of the following should be assessed? The nurse is caring for a client admitted to the hospital after sustaining a head injury. In which of the following positions should the nurse place the client to prevent increased intracranial pressure (IICP)? The nurse is caring for a client with a history of epilepsy who suddenly begins to experience a tonic-clonic seizure and loses consciousness. What is the nurse’s priority action? A client with new-onset status epilepticus is prescribed phenytoin. After teaching the client about this treatment regimen, the nurse assesses the client’s understanding. Which statement indicates that the client understands the teaching? The nurse is providing medication teaching to a patient with epilepsy who is taking phenytoin. Which statement best indicates that the nurse’s teaching has been successful? The nurse is caring for a newly admitted client with seizure disorder and has recently had a tonic-clonic seizure. In planning care for this client, it is most important that the nurse ensure which of following?