Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care - Question List

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91.

The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following actions would the nurse include in the client's postoperative plan of care?

  1. Position the client on the affected side
  2. Irrigating the Penrose drain using sterile procedure
  3. Changing dressings frequently around the Penrose drain
  4. Weighing dressings and adding the amount to the output
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92. A client who had a Billroth I procedure is beginning to eat solid foods. The nurse should assess the client for the development of dumping syndrome by determining the presence of which of the following?
  1. Bradycardia
  2. Diarrhea
  3. Fever
  4. Tumor formation
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93.

After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take?

  1. Call the physician immediately
  2. Administer the prescribed antiemetic
  3. Check the patency of the nasogastric tube for any obstruction
  4. Change the patient's position
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94. A 45-year-old client with leg ulcers and arterial insufficiency is admitted to the hospital. The nurse understands that leg ulcers of this nature are usually caused by:
  1. Decreased arterial blood flow secondary to vasoconstriction
  2. Decreased arterial blood flow leading to hyperemia
  3. Atherosclerotic obstruction of arteries
  4. Trauma to the lower extremities
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95. The client is admitted with metabolic acidosis secondary to diabetic ketoacidosis (DKA). Understanding metabolic acidosis, the nurse should choose which of the following as the priority nursing diagnosis?
  1. Decreased urinary elimination related to reduced output and muscle function.
  2. Decreased cardiac output related to fluid and electrolyte imbalance.
  3. Ineffective breathing pattern related to hyperventilation.
  4. Anxiety related to fears of long-term outcomes and discomfort.
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