Tiêu đề RECALLS 4 - NP3 - SC ✅

D. First degree 12. A burn characterized by pale white appearance, charred or with fat exposed and painlessness is: A. Superficial partial thickness burn B. Deep partial thickness burn C. Full thickness burn D. Deep full thickness burn 13. A burn that is said to be “WEEPING” is classified as: A. First Degree B. Second Degree C. Third Degree D. Fourth Degree 14. A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse in charge knows the purpose of this therapy is to: A. Prevent stress ulcer B. Block prostaglandin synthesis C. Facilitate protein synthesis. D. Enhance gas exchange 15. A client had burns of the right hand from boiling water. Which of the following nursing actions are inappropriate when caring for this client? A. immerse the right hand in cold water B. remove jewelries C. apply dressings on the fingers separately D. apply dressings with the fingers together. 16. Morphine is prescribed by the physician to manage the pain experienced by clients with severe burns. What is the best route of this medication? A. IV B. Oral C. IM D. Subcutaneous 17. A client is scheduled for hydrotherapy for a burn dressing change. Which action should the nurse take to ensure that the client is comfortable during the procedure? A. Ensure that the client is appropriately dressed. B. Administer an opioid analgesic 30 to 60 minutes before therapy . C. Schedule the therapy at a time when the client generally takes a nap. D. Assign an unlicensed assistive personnel (UAP) to stay with the client during the procedure 18. To facilitate fluid replacement in a burn patient, peripheral IV access is established. Which isotonic IV fluid is most appropriate to initiate fluid resuscitation? A. 5% NaCl B. Normal Saline C. Lactated Ringer's D. 0.33% Sodium Chloride 19. When a client accidentally splashes chemicals to his eyes at home, the initial priority care following the chemical burn is to: A. irrigate with normal saline for 1 to 15 minutes B. transport to a physician immediately C. irrigate with water for 15 minutes or longer D. cover the eyes with a sterile gauze 20. When a client will rush towards you and he has a burning clothes on, It is your priority to do which of the following first? You should tell the client to ______. A. log roll on the ground B. slap the flames with his hands C. Try to remove the burning clothes D. Splash the client with 1 bucket of cool water Situation: Nurse Gela is assigned to patients in the medical ward, several of whom are diagnosed with Diabetes Mellitus. The following questions apply. 21. River, newly diagnosed with Type 2 diabetes, asks about the primary treatment approach. What should Nurse Gela emphasize? A. “A pancreas transplant will cure my diabetes.” B. “I will take my oral antidiabetic agents only when my blood sugar is high.” C. “I will follow the weight loss plan provided by the dietitian.” D. “I will call the diabetes educator whenever I have questions about my insulin.” 22. A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important? A. Recheck the glucose level B. Give the patient 1⁄2 cup (4 oz) of fruit juice C. Call the doctor D. Keep the patient nothing by mouth 23. Nurse Gela is providing health teaching to River, a client with diabetes mellitus, about proper foot care to prevent trauma and the development of gangrene. Which of the following statements by the client indicates a need for further teaching? A. “I will inspect my feet daily for any cuts, blisters, or changes in color.” B. “I will wear well-fitting shoes and clean, dry socks every day.” C. “I can soak my feet in warm water for 30 minutes daily to keep them clean.” D. “I will massage my feet to help promote circulation.” 24. The nurse is monitoring a client diagnosed with type 1 diabetes mellitus. Today's blood work reveals a.glycosylated hemoglobin level of 10%. Nurse Claire creates a teaching plan based on the understanding that this result indicates which finding? A. A normal value that indicates that the client is managing blood glucose control well B. A value that does not offer information regarding the client's management of the disease C. A low value that indicates that the client is not managing blood glucose control very well D. A high value that indicates that the client is not managing blood glucose control very well 25. The nurse is instructing a client with diabetes mellitus regarding hypoglycemia. Which statement by the client indicates that need for further teaching is necessary? A. “Hypoglycemia can occur at anytime of the day or night” B. “I should drink 6 to 8 ounces of milk if hypoglycemia occurs” C. “If I feel sweaty or shaky, I might be experiencing hypoglycemia” D. “If hypoglycemia occurs, I need to take my regular insulin as prescribed” Situation: The following questions pertain to the proper administration of insulin, its types, and appropriate storage guidelines. 26. The nurse is teaching a client how to mix regular and NPH insulin in the same syringe. Which action should the nurse instruct the client to take? A. Draw up the NPH insulin into the syringe first B. Keep both bottles in the refrigerator at all times C. Mix regular insulin and NPH insulin in the same syringe D. Draw up regular insulin first, then NPH insulin in different syringes. 27. A client asks how long he can store a vial of insulin at room temperature before it goes bad. What is the best response? A. “If you use the vial within 1 month, it can be kept at room temperature.” B. “If you use the vial within 21 days, it may be kept at room temperature.” C. “If you use the vial within 2 weeks, it may be kept at room temperature.” D. “If you use the vial within 1 week, it may be kept at room temperature.” 28. Which of the following is a type of insulin that can be given intravenously? A. NPH B. Glargine C. Regular D. Lispro 29. A client diagnosed with diabetes mellitus receives 8 units of regular insulin subcutaneously at 7:30am. The nurse should be most alert to signs of hypoglycemia at what time during the day? A. 9:30 am to 11:30 am B. 11:30 am to 1:30 pm 2 | Page
C. 1:30 pm to 3:30 pm D. 3:30 pm to 5:30 pm 30. Nurse Kate provides teaching to the client about proper insulin administration. Which of the following client statements indicates a need for further teaching? A. “I can store my unused or unopened insulin in the refrigerator” B. “There’s no need for me to aspirate the needle before injecting the insulin” C. “I should aspirate the needle first before injecting the insulin to ensure proper placement to subcutaneous” D. “I can inject my insulin into my abdomen” Situation: Nurse Clara is assigned to care for clients with thyroid disorders in a medical-surgical unit. 31. Dos is diagnosed with hypothyroidism. Which signs/symptoms should Nurse Clara expect the client to exhibit, except? A. Weight gain B. dry, sparse hair C. slow speech D. diarrhea 32. As the nurse, you should anticipate to administer which of the following medications to Dos who is diagnosed to be suffering from hypothyroidism? A. Levothyroxine B. Lidocaine C. Propylthiouracil D. Methimazole 33. The client is diagnosed with hyperthyroidism. Which signs/symptoms should the nurse expect the client to exhibit? 1. bradycardia 2. moist hair 3. heat intolerance 4. constipation 5. hyperlipidemia 6. hypertension A. 1,3,5 B. 2,3,6 C. 1,2,5 D. 4,5,6 34. Which laboratory finding is most indicative of hyperthyroidism? A. Elevated TSH levels B. Low T3 and T4 levels C. Elevated T3 and T4 levels D. Normal T3 and T4 levels 35. Tapazole (Methimazole) is prescribed to a client with hyperthyroidism to inhibit the synthesis of thyroid hormones. Which of the following health teachings should the nurse include? A. “Report sore throat or fever immediately.” B. “You may stop the medication once symptoms improve.” C. “Administer the medication without meals for better absorption” D. “Weight loss indicates effectiveness of the medication” Situation: Shine is a graduating student nurse who aspires to top the boards. As a preparation, she decided to go over her notes on Fundamentals of Nursing and review the most salient concepts. 36. The nurse uses a stethoscope to auscultate a male patient’s chest. Which stamen about stethoscope with a bell and diaphragm is true? A. The bell detects high pitched sound best B. The diaphragm detects high pitched sounds best C. The bell detects thrills best D. The diaphragm detects low pitched sounds best 37. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? A. 4,500/mm3 B. 7,000/mm3 C. 10,000/mm3 D. 25,000/mm3 38. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing: A. Hypokalemia B. Hyperkalemia C. Anorexia D. Dysphagia 39. Which of the following statements about chest X-ray is false? A. No contradictions exist for this test B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist C. A signed consent is not required D. Eating, drinking, and medications are allowed before this test 40. The nurse wants to test the skin temperature of her client. Which part of the hand is best to be use by the nurse? A. Finger pads B. Ulnar part of the hand C. Dorsal part of the hand D. palm of the hand 41. The four main concepts to nursing that appear in each of the current conceptual models are: A. Person, nursing environment, medicine B. Person, health, nursing, support systems C. Person, health, psychology, nursing D. Person, environment, health, nursing 42. An emergency department nurse prepares to plan care for a child diagnosed with acetaminophen overdose. The nurse reviews the primary health care provider’ s prescriptions and prepares to administer which medication? A. Succimer B. Vitamin K C. Acetylcysteine D. Protamine sulfate 43. What action should the nurse take to assess the pharyngeal reflex on a child? A. Ask the client to swallow . B. Pull down on the lower eyelid. C. Shine a light toward the bridge of the nose. D. Stimulate the back of the throat with a tongue depressor. 44. A low dose of ondansetron is prescribed for a client receiving chemotherapy. The nurse anticipates that the primary health care provider will prescribe the medication by which route? A. Oral B. Intranasal C. Intravenous D. Subcutaneous 45. When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on percussion is most commonly heard over which organ? A. thigh B. liver C. intestine D. lung 46. A nurse is assigned to perform postmortem care. Upon touching the client's body, she notes that it feels cool to the touch. The physician declared the time of death 2 hours ago. Which postmortem change is the nurse observing? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 47. During a forensic case, the nurse observes purplish discoloration on the dependent areas of a deceased client. What is the most likely stage of mortis present? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 48. A client was pronounced dead at 6:00 AM. At 11:00 AM, the nurse notes that the body is stiff and hard to manipulate during postmortem care. Which stage of mortis is most likely being observed? A. Rigor mortis 3 | Page