Questions 9

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Fundamental Concepts and Skills for Nursing Test Questions Questions

Question 1 of 5

A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?

Correct Answer: D

Rationale: Early preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, commonly the liver and kidneys. Severe epigastric pain is a common symptom of this organ involvement. It is caused by liver distention due to the breakdown of red blood cells and platelets, which can lead to a condition known as HELLP syndrome. This manifestation is a significant indicator of early preeclampsia and requires prompt evaluation and intervention to prevent complications for both the mother and the baby. While the other options may be present in preeclampsia, severe epigastric pain is a more specific and concerning symptom requiring immediate attention.

Question 2 of 5

A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?

Correct Answer: B

Rationale: Keeping the extremities warm (Choice B) is the appropriate nursing intervention for a client with peripheral vascular disease (PVD) experiencing pain. Maintaining warmth helps promote vasodilation and improve blood flow to the affected areas, reducing pain and discomfort. Cold temperatures can exacerbate vasoconstriction and worsen symptoms in individuals with PVD. Elevating the legs in bed (Choice A) may be beneficial in some cases to improve circulation, but in the context of pain management for PVD, keeping the extremities warm is more pertinent. Encouraging ambulation (Choice C) can also help improve circulation, but it may not be suitable during episodes of pain. Applying cool compresses (Choice D) is contraindicated for PVD-related pain as it can further exacerbate vasoconstriction and discomfort.

Question 3 of 5

A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Ineffective Peripheral Tissue Perfusion. Which actions interventions are appropriate for this diagnosis? Select all that apply.

Correct Answer: B

Rationale: - Elevating the client's knees on the bed or with a pillow can help improve venous return and promote circulation, ultimately enhancing peripheral tissue perfusion in a client with DIC.

Question 4 of 5

The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?

Correct Answer: A

Rationale: Understanding human growth and development is crucial when discussing the risks of alcohol consumption for the developing fetus. Alcohol can have profound negative effects on the developing fetus, leading to a range of physical, cognitive, and behavioral abnormalities known as Fetal Alcohol Spectrum Disorders (FASDs). These effects can impact the fetus at various stages of development, making it important for pregnant clients to be aware of the risks associated with alcohol consumption during pregnancy. By focusing on human growth and development, the nurse can help pregnant clients grasp the critical importance of avoiding alcohol to ensure the healthy growth and development of their babies.

Question 5 of 5

The nurse is assessing the musculoskeletal status of a 70-year-old patient. What findings should the nurse consider as expected age-related changes in this body system? Select all that apply.

Correct Answer: A

Rationale: A. Decreased muscle mass: As individuals age, there is a natural decline in muscle mass known as sarcopenia. This can lead to overall decreased muscle strength and functional ability.

Similar Questions

The nurse is assessing the musculoskeletal status of a 70-year-old patient. What findings should the nurse consider as expected age-related changes in this body system? Select all that apply.
A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?
The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care? Select all that apply.
A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?

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