NURS 310 EXAM 1 PRACTIC EXAM

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A client is taking several prescribed oral medications for treatment of congestive heart failure. He tells the nurse, "I'm going to take these at breakfast". Which response by the nurse is most appropriate?

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In addition to less efficient renal excretion, what other physical change in aging may lead to a need to reduce medication dosage in an elderly client?

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A nurse is administering medication to a hospitalized client. Which of the following is the most accurate way to assure that the right patient gets the medication?

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A client asks, "what's the difference between Advil and ibuprofen?" The nurse responds by saying which of the following?

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The nurse would expect the dose of morphine for a postoperative patient to be higher than usual for the patient's size and age is prescribed for a patient who routinely uses:

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The decreased lean body mass common in the elderly is likely to affect:

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Which of the following is an example of a primary prevention measure?

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An older adult client who experiences several adverse effects of medications could benefit from:

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One day after surgery, the nurse inspects the client's incision. Which of the following is evidence of a local inflammatory response?

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Which is the best way to increase client compliance with a medication regimen?

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Which of the following provides the best rationale for encouraging a client with a wound to consume a diet high in vitamin C?

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The nurse is concerned about urinary retention in a client who has not voided for 8 hours since undergoing surgery. Which assessment finding is most likely?

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A client who has had surgery has a poor cough effort due to incisional pain. He has crackles in his lower lobes bilaterally. Which of the following non-pharmacological interventions would be most effective in dealing with this problem?

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The client is ordered to have morphine sulfate 2 mg IV every 6 minutes via PCA pump. However, the client has refused to take the medication. Which of the following actions by the nurse is most appropriate?

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A nurse is evaluating a client for a post-operative infection. Which of the following signs is most indicative of an infection?

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A client is at risk for hypovolemia in the postoperative period. Which of the following would insure the most accurate monitoring of fluid balance?

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Which member of the healthcare team is responsible for obtaining informed consent from a client prior to a surgical procedure?

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The nurse inadvertently gives the client a double dose of the medication. Who should be notified first?

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Of the following clients, who is at the greatest risk for developing wound infection?

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A client had surgery two hours ago. Vital signs at that time were BP 140/74, P 82, R 16, skin warm and dry. Vitals signs are now BP 110/62, P 102, R 22, skin cool. Which of the following should the nurse do first?

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Which of the following is a form of secondary prevention?

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Which nursing action may help decrease the anxiety of a pre-operative client?

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Regular use of which of the following places a surgical client at increased risk for bleeding?

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A client is experiencing confusion in the immediate post-operative period. Which of the following assessments is most essential to determine the reason for confusion?

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The nurse is caring for a client post-operatively. Which of the following indicates that the client has a compromised airway?

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In reviewing the chart of a patient about to undergo general anesthesia, which of the following is the greatest risk factor?

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Which of the following instructions should be included in the medication teaching for an older adult who has back pain who is prescribed an opioid with codeine?

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The nurse is preparing to administer Clarinex (desloratadine) to an adult with seasonal allergies. The order reads 15mg once/day but the acceptable dose is 5mg/day. What should the nurse do next?

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A patient is taking lovastatin (Mevacor) for cholesterol control. She asks what might happen if she takes the medication with grapefruit juice. The nurse replies:

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Before administering acetaminophen (Tylenol) the nurse reviews the patient's lab results. Which of the following is the nurse specifically looking for?

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Warfarin sodium (Coumadin) is a highly protein bound drug. When the nurse gives this medication to a client with a low serum protein level, which of the following responses is expected?

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A client develops a rash after receiving the medication Oxycodone. The prescriber discontinues the oxycodone and orders diphenhydramine (Benadryl). The nurse must be alert for which drug-drug interaction?

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A client is scheduled for an elective surgical procedure. He tells the nurse that he usually takes gingko biloba to help his memory but he hasn't taken it for three days. What action should the nurse take?

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The client has had a general anesthetic for an exploratory laparotomy. The nurse notes that there is no antiemetic medication ordered for post-op care. Which action should the nurse take?

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A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on knowledge that codeine also has what effect?

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The nurse is walking in the hallway with a client who had surgery yesterday. The client is receiving morphine sulfate via a patient controlled analgesia system. The client complains of nausea. Of the following, which should the nurse do first?

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A patient who has received morphine sulfate becomes becomes slightly disoriented. If this effect is due to the morphine, which intervention by the nurse would be most likely to reverse this adverse effect?

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The caregiver of a patient calls to report, "My mother just took her first dose of the prescribed opioid and became very nauseated." Select the nurse's best response:

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A nurse suspects that a patient is still in pain because of non-adherance to the opioid regimen. Which physical sign would help confirm this suspicion?

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While reviewing discharge instructions, a patient asks the nurse why the oral dose of the opioid is so much higher than the intravenous dose was. Select the nurse's best response.

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Select the most accurate description of physical dependence.

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In the emergency department a nurse assesses a stuporous patient who is suspected of overdosing on opioids. The nurse should prepare to administer which agent if the patient becomes comatose or develops respiratory depression?

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A patient who has been taking opioids for 2 years is preparing to stop. How should the nurse instruct the patient to discontinue the opioids after prolonged use?

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While caring for an unconscious client, the nurse knows that:

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Which of the following are commonly experienced side effects associated with administration of opioid analgesics? (select all that apply)

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Nursing practice should be guided by which of the following principles of pain management?

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Which of the following factors have the most significant effect on a client's response to pain medications? (select all that apply)

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An 80 year-old woman is brought to the health center for the first time by her 64 year-old daughter. Which of the following approaches by the nurse would be most appropriate at the time?

Practice exam for first exam of NURS 310

NURS 310 EXAM 1 PRACTIC EXAM

A client is taking several prescribed oral medications for treatment of congestive heart failure. He tells the nurse, "I'm going to take these at breakfast". Which response by the nurse is most appropriate?

In addition to less efficient renal excretion, what other physical change in aging may lead to a need to reduce medication dosage in an elderly client?

A nurse is administering medication to a hospitalized client. Which of the following is the most accurate way to assure that the right patient gets the medication?

A client asks, "what's the difference between Advil and ibuprofen?" The nurse responds by saying which of the following?

The nurse would expect the dose of morphine for a postoperative patient to be higher than usual for the patient's size and age is prescribed for a patient who routinely uses:

The decreased lean body mass common in the elderly is likely to affect:

Which of the following is an example of a primary prevention measure?

An older adult client who experiences several adverse effects of medications could benefit from:

One day after surgery, the nurse inspects the client's incision. Which of the following is evidence of a local inflammatory response?

Which is the best way to increase client compliance with a medication regimen?

Which of the following provides the best rationale for encouraging a client with a wound to consume a diet high in vitamin C?

The nurse is concerned about urinary retention in a client who has not voided for 8 hours since undergoing surgery. Which assessment finding is most likely?

A client who has had surgery has a poor cough effort due to incisional pain. He has crackles in his lower lobes bilaterally. Which of the following non-pharmacological interventions would be most effective in dealing with this problem?

The client is ordered to have morphine sulfate 2 mg IV every 6 minutes via PCA pump. However, the client has refused to take the medication. Which of the following actions by the nurse is most appropriate?

A nurse is evaluating a client for a post-operative infection. Which of the following signs is most indicative of an infection?

A client is at risk for hypovolemia in the postoperative period. Which of the following would insure the most accurate monitoring of fluid balance?

Which member of the healthcare team is responsible for obtaining informed consent from a client prior to a surgical procedure?

The nurse inadvertently gives the client a double dose of the medication. Who should be notified first?

Of the following clients, who is at the greatest risk for developing wound infection?

A client had surgery two hours ago. Vital signs at that time were BP 140/74, P 82, R 16, skin warm and dry. Vitals signs are now BP 110/62, P 102, R 22, skin cool. Which of the following should the nurse do first?