EXIT EXAM 11.19.23

The nurse is caring for a client with increased intracranial pressure as a result of a head injury. The nurse would note which trend in vital signs if the intracranial pressure is rising?

The nurse cares for a client following the insertion of a permanent pacemaker. What discharge instruction(s) should the nurse review with the client? Select all that apply.

Cerebral Edema peaks at which time point after intracranial surgery?

The nurse is caring for a patient with cirrhosis of the liver and observes that the patient is having hand-flapping tremors. What does the nurse document this finding as?

A client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing which problem?

The nurse is assigned to care for clients with SCI on a rehabilitation unit. Which signs does the nurse recognize as clinical manifestations of autonomic dysreflexia? Select all that apply.

A client is returned to the nursing unit after thoracic surgery with chest tubes in place. During the first few hours postoperatively, what type of drainage should the nurse expect?

Which medication below is used to treat digitalis dysrhythmias?

A client with cirrhosis has a massive hemorrhage from esophageal varices. Balloon tamponade is used temporarily to control hemorrhage and stabilize the client. In planning care, the nurse gives the highest priority to which goal?

Which position should be used for a client undergoing a paracentesis?

While providing mouth care to a patient with late-stage cirrhosis, you note a pungent, sweet, musty smell to the breath. This is known as:

A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:

A patient arrives to the ER due to experiencing burns while in an enclosed warehouse. Which assessment findings below demonstrate the patient may have experienced an inhalation injury?

What is an approximate normal range for a PT (prothrombin) level?

The nurse is monitoring for adverse effects in a client who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply.

Which colloid solution is used to treat tissue hypoperfusion due to hemorrhage?

Which nursing care is essential when treating a patient with an abdominal aortic aneurysm who is awaiting surgery?

What medication below could cause a First-Degree Heart Block?

An Effective MAP level is

What is the FIRST action to take in a patient with Septic Shock?

When sepsis is diagnosed in a client, when will the nurse initiate the prescribed antibiotic therapy?

Brain injury with widespread shearing and rotational forces that produce damage throughout the brain, axons, corpus callosum, and brain stem.

According the the "Rule of Nines" what is the TBSA percentage of burns to HALF of one leg?

Which type of head injury occurs when a head hits an immovable object?

Organ failure associated with multiple organ dysfunction syndrome (MODS) usually begins in which organ?

What would be the treatment option of choice for an AAA that is 6 cm?

The nurse is caring for a female client following a Billroth II procedure. Which postoperative order should the nurse question and verify?

A client recovering from a head injury is participating in care. The nurse determines that the client understands measures to prevent elevations in intracranial pressure if the nurse observes the client doing which activity?

The nurse is caring for a client with several broken ribs. The client is most likely to experience what type of acid-base imbalance?