NURSING 200 practice exam questions containing all correct answers

NURSING 200 practice exam questions containing all correct answers 162. A nurse is assessing a client who is experiencing chest pain. Which of the following observations indicates to the nurse that the pain is most ...

NURSING 200 practice exam questions containing all correct answers 162. A nurse is assessing a client who is experiencing chest pain. Which of the following observations indicates to the nurse that the pain is most likely a result of angina? A. The pain is relieved by rest and nitroglycerin B. The pain is relieved by the administration of an antacid. C. The pain is relieved by the administration of an antiinflammatory medication. D. The pain is relieved with an upright sitting position and the administration of an analgesic. 163. A nurse has provided nutrition instructions to a mother of an infant. Which statement by the mother indicates to the nurse that the mother requires further instruction? A. "It’s best to use cow's milk, as long as it’s whole milk and not skim." B. "When I start feeding solid foods, I might need to add water to the food." C. "When the baby starts to take juices, I shouldn’t warm the juice, because that will destroy the vitamin C." D. "The baby will get the right nutrition if I feed breast milk or store-bought formula that’s been fortified with iron.” 164. A pediatric nurse is caring for a hospitalized toddler. Which of the following activities does the nurse deem the most appropriate for the toddler? A. Singing games B. Watching videos C. Simple board games D. Large building blocks 165. A nurse in a physician's office is reviewing the medical record of a child with a diagnosis of lactose intolerance. Which of the following findings does the nurse expect to see documented in the child's record? A. Fatty stools B. Episodes of foul-smelling ribbonlike stools C. Episodes of profuse watery diarrhea and vomiting D. Episodes of cramping abdominal pain and excessive flatus 166. A nurse is providing dietary instructions to the mother of a child with celiac disease. The nurse tells the mother that it is acceptable to give the child: A. Boiled rice B. Cooked pasta C. Warm oatmeal D. Baked macaroni and cheese 167 A nurse admitting a newborn to the nursery notes that the physician has documented that the newborn has a gastroschisis. The nurse performs an assessment, expecting to note that the viscera are: A. Inside the abdominal cavity and under the skin B. Inside the abdominal cavity and under the dermis C. Outside the abdominal cavity, not covered with a sac D. Outside the abdominal cavity but inside a translucent sac covered with peritoneum and amniotic membrane 168. A nurse is monitoring a child with intussusception for signs of peritonitis. For which of the following findings, indicative of this complication, does the nurse notify the physician? A. Increased alertness B. Increased heart rate C. A sausage-shaped abdominal mass D. Diarrhea and the passage of bloody mucous stool 169. The nurse, auscultating the breath sounds of a client, hears these sounds. What are they? A. Rhonchi B. Crackles C. Wheezes D. Vesicular 170.ID: 383703631 A registered nurse is planning client assisgnments for the day. There is a licensed practical nurse and a nursing assistant on the team. Which client is the appropriate choice for the nursing assistant? A. A client with hemophilia who needs assistance with shaving B. A client with pneumonia who requires frequent oropharyngeal suctioning C. A client with rheumatoid arthritis who needs assistance with feeding and ambulation D. A client with heart failure who needs daily weights and monitoring of intake and output 171. A nurse is monitoring a client with bronchogenic carcinoma for signs of superior vena cava syndrome. For which early sign of this oncological emergency does the nurse assess the client? A. Dyspnea B. Cyanosis C. Hypotension D. Stokes sign 172. A nurse is caring for a client who has undergone transsphenoidal hypophysectomy to remove a microadenoma of the pituitary gland. Which of these findings would be of greatest concern to the nurse? A. Urinary specific gravity is low B. Blood pressure is 138/80 mm Hg. C. The client complains of a dry mouth. D. The client frequently performs deep-breathing exercises. 173 The nurse notes the presence of drainage on the mustache dressing of a client who has undergone transsphenoidal hypophysectomy. The initial nursing action is to: A. Contact the surgeon B. Change the dressing C. Document the findings D. Check the drainage for glucose 174. A nurse is monitoring a client who has undergone subtotal thyroidectomy for signs of postoperative complications. Which of the following findings would be a matter of concern for the nurse as an indication of hypocalcemia? A. The client's temperature is 100.6˚ F. B. The client's voice is hoarse and weak. C. The client's heart rate is 92 beats/min. D. The client complains of a tingling sensation around the mouth. 175. A nurse is monitoring a client who was brought to the emergency department in an unresponsive state and is now being treated for hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which of the following findings indicates to the nurse that fluid replacement is inadequate? A. Increased urine output B. Potassium level of 3.6 mEq/L C. Blood pressure of 128/80 mm Hg D. Level of consciousness remains unchanged 176- A nurse is reviewing the laboratory results of a client in the emergency department with diabetic ketoacidosis (DKA). Which laboratory result would the nurse expect to note? A. Creatinine 1.0 mg/dL B. Serum bicarbonate of 12 mEq/L C. Blood urea nitrogen (BUN) of 15 mg/dL D. Negative results on urinary ketone testing 177 Propylthiouracil (PTU) has been prescribed for a client with Graves disease, and the nurse provides instructions to the client about the medication. For which of the following occurrences does the nurse tells the client to contact the physician? A. Fatigue B. Diaphoresis C. Sore throat D. Heat intolerance 178. A nurse is providing information to a client with diabetes insipidus who will be taking desmopressin acetate (DDAVP) by way of the nasal route. For which of the following occurrences does the nurse tell the client to contact the physician? A. Abdominal cramps B. Stuffy or runny nose C. Headache and nausea 179. A client with diabetes mellitus calls the clinic nurse and reports that she has been vomiting during the night and now has diarrhea. Which question does the nurse make a priority of asking the client? A. "Do you have a fever?" B. "Did you eat any breakfast?" C. "Are you urinating frequently?" D. "Have you tested your blood glucose?" 180. A nurse is providing information to a client who will be self-administering regular insulin about storage of the insulin. The nurse tells the client: A. That placing the vial near heat or in sunlight will not affect the insulin B. To freeze unopened vials and remove a vial from the freezer 24 hours before opening it C. That insulin stored at room temperature causes more discomfort on injection than does cold insulin D. That the vial in current use may be kept at room temperature for as long as 1 month without significant loss of activity 181. A nurse reviews the medical record of a client with histoplasmosis. Which clinical manifestation of this infection does the nurse expect to see documented? A. Neurological deficits B. Cardiac dysrhythmias C. Gastrointestinal disturbances D. Flulike pulmonary symptoms 182. A client with a medical history of diabetes mellitus is found to have sarcoidosis, and oral prednisone is prescribed. The nurse provides instructions to the client about the medication and tells the client to: A. Eat foods that are high in sodium B. Decrease the daily dose of insulin C. Eat foods that are low in potassium D. Closely monitor the blood glucose level 183. A client with tuberculosis will be taking pyrazinamide (Pyrazinamide), and the nurse provides instructions about the adverse effects of the medication. For which of the following occurrences does the nurse tell the client to contact the physician? A. Headache B. Yellow skin C. Difficulty sleeping D. Nasal congestion 184. A client who was involved in a high-speed motor vehicle crash is brought to the emergency department. Which of the following findings indicates to the nurse that the client has sustained flail chest A. Asymmetrical chest movement B. Complaints of mild chest discomfort C. Increased breath sounds on auscultation D. Deep respirations, 18 breaths/min 185. A client is found to have hypoxemic respiratory failure. Which finding does the nurse expect to note on review of the results of the client's arterial blood gas analysis? A. Pao2 of 73 mm Hg, Paco2 of 62 mm Hg B. Pao2 of 58 mm Hg, Paco2 of 35 mm Hg C. Pao2 of 60 mm Hg, Paco2 of 45 mm Hg D. Pao2 of 49 mm Hg, Paco2 of 32 mm Hg 186. A client with acute gouty arthritis is being started on medication therapy with indomethacin (Indocin). The nurse, providing medication instructions, and tells the client to take the medication: A. At bedtime B. With food C. 1 hour before meals D. On an empty stomach 187. An emergency department nurse is monitoring a client who sustained a severe inhalation burn injury during a fire in which the client was trapped in an enclosed space. The nurse auscultates the client's trachea and notes that the previously heard wheezing sounds have disappeared. The nurse most appropriately: A. Continues monitoring the client B. Notifies the emergency department physician C. Documents the client's improvement in the medical record D. Removes the oxygen mask and fits the client with a nasal cannula