KAPLAN Readiness Exam-11 With 100% Correct Answers.The healthcare provider has ordered a fenestrated tracheostomy tube to be capped.
Which is the MOST
... [Show More] important action for the nurse to take before the tracheostomy
tube is plugged?
1. Administer 100% oxygen.
2. Deflate the cuff of the tracheostomy tube.
3. Suction the tracheostomy tube.
4. Administer humidified oxygen.
2. Deflate the cuff of the tracheostomy tube.
(allows for an airway)
1: unnecessary in this situation; done before suctioning
The nurse cares for the client diagnosed with Parkinson's. The nurse notes that the
client is ambulating with short, accelerating steps. Which action is the MOST
appropriate for the nurse to take?
1. Offer the client a wheelchair.
2. Provide the client a walker.
3. Suggest that the client wear comfortably fitting shoes.
4. Teach the client to walk with a broad-based gait.
4. Teach the client to walk with a broad-based gait.
(concentrate on walking erect with eyes on horizon)
2: client needs to alter method of walking
The nurse instructs a client on 100 mg losartan (Cozaar) and 25 mg
hydrochlorothiazide (Hyzaar 100-25) tablets to be taken once daily. Which
statement requires an intervention by the nurse?
1. "I will eat more fresh fruits while taking this medication."
2. "I should call my health care provider if I develop swelling of my lips."
3. "I can take this medication with or without food."
4. "I understand that I may develop a dry cough while taking this medication."
4. "I understand that I may develop a dry cough while taking this medication."
(outcome not expected; dry, nonproductive cough may occur with angiotensin-converting
enzyme inhibitors (ACE inhibitors), not ARBs)
losartan-ARBS
A 50-year-old man scheduled for a vasectomy asks the nurse if he will be able to
have sexual intercourse when he recovers from the surgery. Which statement, if
made by the nurse, would be MOST accurate?
1. "My understanding is that each case is different after this procedure."
2. "There will be a short period of time during which you will be unable to sustain
an erection."
3. "Most couples find that their sexual activity is more spontaneous after a
vasectomy."
4. "This surgery should have no permanent effect on your sexual functioning."
4. "This surgery should have no permanent effect on your sexual functioning."
vasectomy-sterilization for men
The nurse teaches the client with a spinal cord injury how to perform selfcatheterization at home. Which statement, if made by the client, indicates that
teaching has been successful?
1. "I will keep the catheter in a plastic bag."
2. "I will catheterize myself every 2 hours."
3. "I will wear sterile gloves."
4. "I will wash the perineum with alcohol prior to catheterizing myself."
1. "I will keep the catheter in a plastic bag."
(after use, catheter is soaked in solution of Betadine, bleach, or hydrogen peroxide, then
dried and stored in a towel or bag; clean procedure in the home)
2: cath self q 6-8 hrs
4: wash with soap and water
A mother brings her 2-month-old infant to the emergency room. The mother states
that her daughter has an elevated temperature and "hasn't kept anything down
since yesterday." Which nursing action is MOST appropriate?
1. Administer 0.9% NaCl at 30 mL/hour.
2. Inquire if the child was delivered prematurely.
3. Offer the infant 4 oz of oral rehydration solution (ORS).
4. Ask if the child's older siblings have been ill.
3. Offer the infant 4 oz of oral rehydration solution (ORS).
(offer oral rehydration therapy first with moderate dehydration)
1: offer oral rehydration therapy first; continue to assess fluid and electrolyte balance;
may use if severe dehydration or shock noted
A 42-year-old woman has a right mastectomy for treatment of breast cancer. The
client is returned to her room with a Hemovac drain. Which is the MOST important
action for the nurse to take?
1. Open the drain port to provide an air vent.
2. Tape the collection chamber to the client's bed.
3. Compress the evacuator completely after emptying it.
4. Empty the collection chamber every 2 hours.
3. Compress the evacuator completely after emptying it.
(provides for negative pressure of 45 mm Hg for wound suction)
The home care nurse visits the client who had a traditional cholecystectomy 10 days
ago. The client returned to the healthcare provider to have the T-tube removed 2
days ago. It is MOST important for the nurse to take which action?
1. Observe the color of the client's urine and stool.
2. Ask the client to describe the quality and quantity of pain she is experiencing.
3. Instruct the client to avoid fatty foods for 6 weeks.
4. Listen to bowel sounds. [Show Less]