Reduction of Risk Potential: Preventing complications and monitoring for changes9–15%
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Question 1 of 20
1. The nurse is performing a test on a client. Which of the following findings indicates a positive test, suggesting normal hearing or sensorineural loss?
New ChoiceBone conduction is greater than air conduction by a 3:1 ratio
Air conduction is greater than bone conduction by a 2:1 ratio
Air conduction and bone conduction are equal
Bone conduction is absent
Question 2 of 20
2. The nurse is reviewing diagnostic results for a client with vision changes. Which of the following conditions is characterized by an abnormal increase in intraocular pressure?
Cataracts
Detached retina
Glaucoma
Retinopathy of Prematurity
Question 3 of 20
3. The nurse is evaluating a client’s coagulation studies. Which of the following is the normal conventional value range for prothrombin time in seconds?
5 to 7 seconds
15.5 to 18.0 seconds
9.5 to 12.0 seconds
20 to 25 seconds
Question 4 of 20
4. The nurse is preparing a client for a scheduled bronchoscopy procedure. For how long must the client remain (nothing by mouth) before undergoing this procedure?
2 hours
4 hours
6 hours
8 hours
Question 5 of 20
5. The nurse is monitoring a client admitted with jaundice. Which of the following is the normal conventional value range for total serum bilirubin in milligrams per deciliter ?
0.1 to 0.4 mg/dL
0.3 to 1.0 mg/dL
1.5 to 2.5 mg/dL
3.0 to 5.0 mg/dL
Question 6 of 20
6. The nurse is preparing a client for a routine lumbar puncture . The client should be positioned in which of the following ways for this procedure?
Semi-Fowler’s position
Prone with legs straight
Lateral recumbent fetal position
Sitting upright on the edge of the bed
Question 7 of 20
7. The nurse is providing dietary teaching for a client scheduled for a lower series (Barium enema). What is the primary purpose of placing the client on a low-residue diet prior to this test?
To maintain fluid balance
To reduce cholesterol intake
To maximize bulk in stools
To minimize intestinal activity
Question 8 of 20
8. The nurse is reviewing the results of a client's renal function tests. Which of the following is the normal conventional value range for serum creatinine in milligrams per deciliter ?
0.3 to 0.6 mg/dL
0.7 to 1.4 mg/dL
10 to 20 mg/dL
Question 9 of 20
9. The nurse is reviewing the results of a client's renal function tests. Which of the following is the normal conventional value range for (Blood Urea Nitrogen) in milligrams per deciliter ?
5 to 10 mg/dL
25 to 35 mg/dL
40 to 50 mg/dL
Question 10 of 20
10. The nurse is assessing a client for signs of glaucoma. Which of the following diagnostic tests is specifically used to measure intraocular pressure?
Visual fields
Snellen chart
Tonometry
Ophthalmoscopy
Question 11 of 20
11. The nurse is assessing a client diagnosed with . Which of the following sequences describes the typical change in pupil color as the condition progresses?
Gray to black to milky white
Black to gray to milky white
Milky white to gray to black
Black to yellow to red
Question 12 of 20
12. The nurse is monitoring a client at risk for increased intracranial pressure . Which of the following is often the earliest and most sensitive sign of increased ?
Bradycardia
Increased
Altered level of consciousness (LOC)
Widening pulse pressure
Question 13 of 20
13. The nurse is observing a client post-surgery for signs of complications. Postoperative wound infections are typically anticipated to occur within which of the following time frames?
1 to 2 day
3 to 5 days
8 to 12 days
7 to 10 days
Question 14 of 20
14. The nurse is monitoring a client for wound complications after abdominal surgery. The complication of (disruption of the surgical incision) is typically experienced within how many days after surgery?
1 to 2 days
3 to 4 days
5 to 6 days
Question 15 of 20
15. The nurse is caring for a child admitted with acute . The child is required to be on bedrest if which of the following assessment findings is present?
Headache
Ringing in the ears
Fever is elevated
Deafness
Question 16 of 20
16. The nurse is providing postoperative care for a client following a total hip replacement surgery. Which of the following is the most common mechanical complication following this surgery?
Thromboembolism
Hemorrhage
Dislocation of the prosthesis
Infection
Question 17 of 20
17. The nurse is verifying the placement of a newly inserted peripherally inserted central catheter . Where should the tip of the be correctly positioned?
Subclavian vein
Axillary vein
Superior vena cava or brachiocephalic veins
Right atrium
Question 18 of 20
18. The nurse is assessing a client's fingernails for signs of chronic oxygenation issues. The normal angle of the nail bed in a healthy adult should be which of the following?
Greater than 180∘
Less than or equal to 160∘
170∘
180∘
Question 19 of 20
19. The nurse is evaluating a client’s risk for atherosclerosis. Which of the following is the conventional value range for serum triglycerides in milligrams per deciliter ?
50 to 100 mg/dL
100 to 200 mg/dL
250 to 300 mg/dL
300 to 450 mg/dL
Question 20 of 20
20. The nurse is planning chest physiotherapy for a client with pneumonia. Postural drainage should generally be performed at which of the following times?
After meals
2 to 4 times daily before meals and at hs
Once daily in the evening
Only when the client reports shortness of breath