1. A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma.
Which of the following findings should the nurse suspect? Oncology
A. Bone and joint pain
B. Enlarged lymph nodes
C. Inte
...
1. A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma.
Which of the following findings should the nurse suspect? Oncology
A. Bone and joint pain
B. Enlarged lymph nodes
C. Intermittent hematuria
D. Productive cough
2. A nurse in the emergency department is caring for a client who has a snakebite on her arm.
Which of the following interventions should the nurse implement? Dermatology
A. Immobilize the limb at the level of the heart
B. Apply a tourniquet to the affected limb
C. Use a sterile scapula to incise the wound
D. Apply ice to the skin over the snakebite wound
3. A nurse in a provider's office is teaching a client with a recent diagnosis of rheumatoid arthritis
who has a new prescription for naproxen tablets. Which of the following statements by the
client indicates the need for further teaching?
A. "After taking this medication for 4 weeks, I’ll start to notice relief in my joints."
B. "I can take an antacid with this medication for indigestion."
C. "I can take this medication with aspirin."
D. "The naproxen goes down easier when I crush it and put it in applesauce.”
4. A nurse is providing teaching to a client who has anemia and a new prescription for
epoetin alfa. Which of the following pieces of information should the nurse include in the
teaching? Hematology
A. Hospitalization is required when administering each treatment.
B. The maximum effect of the medication will occur in 6 months.
C. Hypertension is a common adverse effect of this medication.
D. Blood transfusions are needed with each treatment.
5. A nurse is teaching a client who has acute pyelonephritis. Which of the following
instructions should the nurse include in the teaching? Renal & Urinary
A. “You should complete the entire cycle of antibiotic therapy.”
B. “You should maintain complete bed rest until manifestations decrease.”
C. “You should drink 1,000 mL of fluid per day.”
D. “You should avoid using NSAIDs for pain.”
6. A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following
findings should the nurse expect? Gastrointestinal
A. Emesis with a coffee-ground appearance
B. Increased blood pressure
C. Decreased heart rate
D. Bright green stools
7. A nurse is providing teaching to the family of a client who has a new diagnosis of
amyotrophic lateral sclerosis (ALS). Which of the following findings is an early
manifestation of ALS? Neurosensory
A. Sensory dysfunction
B. Weakness of the distal extremities
C. Decreased vision
D. Altered temperature regulation
8. A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which of
the following pieces of information should the nurse include in the teaching? Neurosensory
A. A TIA can cause irreversible hemiparesis.
B. A TIA can be the result of cerebral bleeding.
C. A TIA can cause cerebral edema.
D. A TIA can precede an ischemic stroke.
9. A nurse is caring for a client who has a major burn injury and is experiencing third
spacing. Which of the following fluid or electrolyte imbalances should the nurse expect?
Fluids, Electrolytes Imbalance
A. Hypokalemia
B. Hypernatremia
C. Elevated Hct
D. Decreased Hgb
10. A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse
observes that the peritoneal fluid is not adequately draining. Which of the following actions
should the nurse take?
A. Turn the client from side to side
B. Elevate the height of the dialysate bag
C. Lower the head of the client’s bed
D. Advance the catheter approximately 2.5 cm (1 in) further
11. A nurse is providing teaching about exercise to a client who has type 1 diabetes mellitus.
Which of the following statements should the nurse include? Endocrine
A. "You should exercise during a peak insulin time."
B. "Wear a medical alert identification tag when you exercise."
C. "Exercise can decrease the effects of insulin and cause your blood glucose levels to increase."
D. "You will get the most benefit from exercise when your glucose levels are higher than normal.
12. A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The
nurse should ensure the client understands that she will receive which of the following
interventions? Oncology
A. Chemotherapy via a central venous access device
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor imaging
D. Radioactive infusions or insertions into or near the tumor
13. A client is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation of the right side of the client's chest. After
notifying the provider, the nurse should document this finding as which of the following?
Respiratory
A. Friction rub
B. Crackles
C. Crepitus
D. Tactile fremitus
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