The nurse caring for a client with a pneumothorax and who has had a ch

1.The nurse is reviewing the primary health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury . Carisoprodol is prescribed for the client to relieve the muscle spasms . The primary health care provider has prescribed 350 mg to be administered 4 times a day . What would the nurse conclude?None 选项： A:The prescription is the normal adult dosage . B:The prescription is lower than normal dosage . C:The prescription is higher than normal dosage . D:The dosage prescribed requires further clarification with the primary health care provider .

2.Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately? 选项： A:

Difficult to arouse

B:

Muscle stiffness

C:

Pinpoint pupils

D:

Temperature 94 F (34.4 C)

3.The nurse is performing an assessment on a client with a head injury and notes that the client is assuming this posture. The nurse contacts the primary health care provider and reports that the client is exhibiting which posture? Refer to figure.None 选项： A:Opisthotonos B:Decorticate rigidity C:Decerebrate rigidity D:Flaccid quadriplegia

Document the client's statement in the electronic medical record

B:

Inform the nursing supervisor that the client needs additional teaching

C:

Notify the operating room scheduler of a possible delay in surgery

D:

Request that the health care provider clarify the client's concerns

">4.The health care provider gives the preoperative nurse a signed consent form and walks away. The client turns to the nurse and states, "I don't know what's going on. Why do I need surgery?" What action should the nurse perform first? 选项： A:

Document the client's statement in the electronic medical record

B:

Inform the nursing supervisor that the client needs additional teaching

C:

Notify the operating room scheduler of a possible delay in surgery

D:

Request that the health care provider clarify the client's concerns

5.The nurse is providing instructions to a client being discharged from the hospital following removal of a chest tube that was inserted after thoracic surgery . Which statement made by the client indicates a need for further teaching?None 选项： A:"I would avoid heavy lifting for at least 4 to 6 weeks ." B:"If I have any difficulty breathing, I would call my doctor ." C:"If I note any signs of infection, I would contact my doctor ." D:"I would remove the chest tube site dressing as soon as I get home ."

6.The nurse caring for a refugee considers which health care need a priority for this client?None 选项： A:Access to housing B:Access to clean water C:Access to transportation D:Access to mental health care services

7.Capecitabine has been prescribed for a client with breast cancer, and the nurse provides instructions to the client about the medication . Which statement by the client indicates the need for further instruction?None 选项： A:"I need to monitor my temperature ." B:"I need to be sure to go to the clinic to receive my yearly flu vaccine ." C:"I may have some diarrhea, but if it becomes severe, I will call my primary health care provider ." D:"It's important for me to contact my primary health care provider if I have any fever or other signs of infection ."

8.The nurse is caring for a client with a perforated duodenal ulcer. Which of the following imaging studies would the nurse anticipate the primary health care provider ordering to most accurately diagnose this condition?None 选项： A:Abdominal CT scan with no contrast B:Right upper quadrant ultrasound (US) C:Abdominal computed tomography (CT) scan with oral contrast D:Abdominal magnetic resonance imaging (MRI) with intravenous (IV) contrast

9.The client with a small bowel obstruction asks the nurse to explain the purpose of the nasogastric tube attached to continuous gastric suction. The nurse determines that teaching has been effective if the client makes which statement?None 选项： A:"It will help to provide me with nourishment." B:"It will help to relieve the congestion from excess mucus." C:"It is used to remove gastric contents for laboratory testing." D:"It will help to remove gas and fluids from my stomach and intestine."

10.Which of the following interventions should the nurse anticipate in a patient who has been diagnosed with acute respiratory distress syndrome(ARDS)? 选项： A、Tracheostomy B、Use of a nasal cannula C、Mechanicalventilation D、Insertion of a chest tube E、CT examination

11.A client is due to receive digoxin 0 .125 mg by mouth . The nurse prepares to administer the medication and notes that the label on the bottle of pills states that each tablet contains 0 .25 mg . The nurse would take which action?None 选项： A:Administer 2 tablets of the medication . B:Administer one-half tablet of the medication . C:Administer only 1 tablet of the medication and call the pharmacy . D:Withhold the medication and call the primary health care provider (PHCP) .

12.The nurse is caring for a client who recently returned from the operating room . On data collection, the nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 81 beats/min; and respirations, 16 breaths/min . Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min . Which action would the nurse plan to take first?None 选项： A:Call the surgeon immediately . B:Shake the client gently to arouse . C:Cover the client with a warm blanket . D:Recheck the vital signs in 15 minutes .

13.A 20-year-old, previously healthy man is jogging one morning when he trips and falls to the ground. He suddenly becomes markedly short of breath. On examination in the emergency room there are no breath sounds audible over the right side of the chest. A chest radiograph shows shift of the mediastinum from right to left. A chest tube is inserted on the right side, and air rushes out. Which of the following underlying diseases is most likely to have produced this complication?选项： A:Asthma; B:Bronchiectasis; C:Centriacinar emphysema; D:Chronic bronchitis; E:Distal acinar emphysema

14.In the prenatal clinic, the nurse is interviewing a new client and obtaining health history information . Which action would the nurse plan to elicit the most accurate responses to the questions that refer to sexually transmitted infections?None 选项： A:Establish a therapeutic relationship . B:Use specific closed-ended questions . C:Omit these types of questions because they are highly personal . D:Apologize for the embarrassment that these questions will cause the client .

15.A number of biological sewage treatments plants are in use at sea but nearly all work on the principle called ____. 选项： A: deoxygenating B: extended aeration C: oxygenating D: bubbling air

16. The mother of 2-year-old child who has been bitten by the family dog asks the nurse what to do about the bite. Which of the following would be the most appropriate recommendation to this mother? 选项： A: You need to take the child to the local urgent care center immediately. B: Wash the bite area with lots of running water and then check the injury.. C: Determine when the child's latest tetanus vaccine was administered. D: Make an appointment to see the child's physician now to start rabies shots.

17.A number of biological sewage treatment plants are in ie at sea but nearly all work on the principle called 选项： A: deoxygenating B: extended aeration C: oxygenation D: bubbling air

18.33.The most important physical sign of RDS when auscultation: A.exhalation sound prolongB.tubular soundC.bubbling ralesD.respiratory sound lower选项： A:A.exhalation sound prolong; B:B.tubular sound; C:C.bubbling rales; D:D.respiratory sound lower

19.Pneumothorax is _______.选项： A:severe pain in the chest B:the abnormal presence of air between the lung and the wall of the chest (pleural cavity), resulting in collapse of the lung C:the abnormal presence of fluid in the lungs D:bleeding in the chest

20.Which of the following chest disorders is least likely to result in the appearance of air bronchograms on the chest radiograph? 选项： A: pulmonary edema B: pneumothorax C: pneumonia D: lung consolidation

21.Which of the following chest disorders is least likely to result in the appearance of air bronchograms on the chest radiograph? 选项： A:Pulmonary edema B:Pneumothorax C:Pneumonia D:Lung consolidation