ANCC Medical-Surgical Nursing Exam Prep - Question List

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41. In developing the care plan for a client with pulmonary mycobacterium tuberculosis, what primary precaution should be included?
  1. Contact skin precautions
  2. Use of special mask to avoid inhaling infected airborne droplets
  3. Avoidance of blood contamination
  4. Containment of draining wounds
42. When administering drugs during CPR, what would be a priority for the nurse?
  1. Flush with saline between medications to prevent drug interactions.
  2. Check the expiration dates of emergency drugs.
  3. Identify potential adverse reactions of emergency drugs.
  4. Audit the emergency drugs that will be replaced on the medication cart.
43. Which initial nursing assessment finding would best indicate that a client has been successfully resuscitated after a cardio-respiratory arrest?
  1. Skin warm and dry
  2. Pupils equal and react to light
  3. Palpable carotid pulse
  4. Positive Babinski’s reflex
44. A 20-year-old client is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What type of instruction could be given to help the client reduce the discomfort he is having?
  1. “Hold in your cough as much as possible.”
  2. “Place the head of your bed flat to help with coughing.”
  3. “Restrict fluids to help decrease the amount of sputum.”
  4. “Splint your chest wall with a pillow for comfort.”
45. What is the expected outcome for a client with a nursing diagnosis of ineffective airway clearance related to inflammation?
  1. Closely monitor blood pH less than 7.25
  2. Client will experience reduction of anxiety
  3. Client will breathe easily and without dyspnea
  4. Teach percussion, postural drainage, and encourage coughing

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