Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care - Question List

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51.

The nurse includes the important measures for stump care in the teaching plan for a client with an amputation. Which measure would be excluded from the teaching plan?

  1. Wash, dry, and inspect the stump daily
  2. Treat superficial abrasions and blisters promptly
  3. Apply a "shrinker" bandage with tighter arms around the proximal end of the affected limb
  4. Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool)
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52. In a client with new rib fractures, which assessment finding would best alert the nurse to the possible development of a pneumothorax?
  1. Pink, frothy sputum
  2. Hoarseness
  3. Decreased breath sounds on affected side
  4. Dullness to percussion on the affected side
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53. To promote continued improvement in the respiratory status of a client following chest tube removal after a chest surgery for multiple rib fracture, the nurse should:
  1. Encourage bed rest with active and passive range of motion exercises.
  2. Encourage frequent coughing and deep breathing.
  3. Turn him from side to side at least every 2 hours.
  4. Continue observing for dyspnea and crepitus.
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54. One potential complication of an abdominal hysterectomy is abdominal distention. Postoperative nursing measures designed to avoid abdominal distention are:
  1. Auscultation of the abdomen for bowel sounds
  2. Abdominal massage and bed rest
  3. Insertion of nasogastric and rectal tubes and ambulation, as ordered
  4. Progression of postoperative diet
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55. An HIV-positive client presents with a CD4 count of <200/μl and invasive cervical cancer. How would the nurse evaluate these findings in terms of current CDC guidelines?
  1. The client has seroconverted.
  2. The client is HIV-positive.
  3. The client in the latent period of the disease process.
  4. The client has AIDS.
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