NCM 112 lecture set 1
• Which action is the most important during bladder training in a patient
with a neurogenic bladder?
= Encourage walking
• What is the priority nursing diagnosis with your patient diagnosed with end-
stage renal disease?
= Activity tolerance
• You have a patient that might have a urinary tract infection (UTI) which
statement by the patient suggests that UTI is likely…
=
• When a client is admitted to the emergency department with tension
pneumothorax and mediastinal shift
= A sucking chest wound.
• You expect a patient in the oliguric phase of renal failure to have a 24-
hour urine output less than:
= 400 ml
• A patient with diabetes has had many renal calculi over the past 20 years
and now has…..
= protein
• You’re providing discharge teaching to a female patient on how...
= “Use scented sanitary napkins or tampons during menstruation”
• The nurse notes that a client in a long-term care facility has become
increasingly…
=Pneumonia
• A patient is diagnosed with respiratory infections. Which of the following
data that may qualify as fast breathing?
=18 months old = RR of 45 bpm
• A client with acute renal failure has an increase in the serum potassium
level. The nurse should monitor the client for:
=Excessive thirst
• A 30-year-old female patient is undergoing hemodialysis...
= Avoid taking blood pressures in the arm with the fistula.
• As part of the immediate care plan for the client with pulmonary
edema…
= Administer oxygen as ordered using high-flow retreater bag
• Nurse Mary is inserting a urinary catheter into a client who is extremely
anxious…
= breathe deeply
• Which intervention do you plan to include with a patient who has a renal
calctuff?
= increase dietary purines
• Which of the patient is at greatest risk for developing a urinary tract
infection (UTI)?
= A 50- year-old postmenopausal woman
• The nurse is caring for a young woman with pulmonary emboli who is
receiving heparin
= 10 mins
• Your patient with chronic renal failure reports pruritus.
= keep fingernails short and clean
• A patient is experiencing which type of incontinence if she experiences
leaking urine…
= Stress
• I don’t know q
= COPD
• Which of the following causes the majority of Urinary Tract Infection (UTI)?
= Inadequate perineal care
• Your patient returns from the operating room after abdominal aortic
aneurysm repair…
= Anuria
• To increase the level of comfort for a client with lung abscess, the nurse
would include…
= offer frequent oral hygiene
• The kidneys are responsible for performing all the following functions
EXCEPT?
= Maintaining cortisol production.
• A client admitted in the respiratory ward with a diagnosed of asthma.
Understanding…..
= Expiration because of narrowed bronchi.
• A young teenage patient, VC, is admitted in the ER and was diagnosed
with metabolic….
= a high pH (increased H+ concentration) and a low plasma bicarbonate
concentration.
• Which of the following is the function of the incentive spirometer?
= both a and b
• The client has been careful in maintaining his vaccinations…
= The illness is accompanied by gastrointestinal symptoms in
• Which of the following positions would best aid breathing for a patient.
= Semi-fowler’s position
• What measure at home could help a client with an upper respiratory
infection breathing….
= Increasing room humidity
• As a perspective nurse, you analyzed ONE of the diagnostic studies below
as…..
= Serum chloride >96 mEq/L
• A patient is diagnosed with upper respiratory infections. Which of the
following data…
= 18 months old = RR of 45 bpm
• After caring for a patient who had metabolic alkalosis. Nurse Mikhaela..
= the kidneys conserve potassium which increases hydrogen ions..
• A decongestant that has greater side effects because of systemic…
=intrathecal
• An 18-year-old girl has acute nasopharyngitis (a common cold).
= A cough that accompanies a cold should rarely be suppressed.
• What is the most accurate indication that SN Rhea is doing the bagging
properly?
= The head of the patient is tilted backward
• Patient JP is manifesting signs and symptoms of metabolic alkalosis
= Both A and B is correct
• A 7-year-old has been scheduled for a tonsillectomy. What would be most
important…
= Blood pressure both lying down and sitting up
• SN Laureen is about to perform suctioning of the airway. What equipment
is not…
= A suction machine
• You have to advise your patient to continue taking antitussive if:
= the cough is dry and irritating to the throat
• A client has frequent episodes od epistaxis. What intervention would be
best for this?
= Sit him upright and apply pressure to the sides of his nose.
• The nurse explaining an infection to a client with the flu
= A hypersensitivity reaction between a human antigen and biologic agent
• Which of the following drug acts to suppress the cough reflex in the brain?
= Antitussives
• When is the best time to check for fast breathing chest in drawing, and
stridor?
= child is calm
• A 6-year-old is diagnosed as having streptococcal pharyngitis.
= Swelled lymph nodes which obstruct the airway.
• Nurse Yuan has been assigned to care for the teenage patient, VC who is
manifesting metabolic alkalosis is:
= Early renal insufficiency
• Mark had multiple respiratory illnesses including bronchiolitis.
= it involves inflammation of the small bronchi.
• Nurse Dylan is caring for a patient with metabolic alkalosis and is currently
assessing the patient’s level …..
= The CNS must be assessed since it may be hypenmitable.
