Comprehensive Exam
133- Cyclobenzaprine(Flexeril)isprescribedtoaclientwithmultiplesclerosisforthetreatmentof musclespasms.Forwhichcommonsideeffectofthismedicationdoesthenursemonitortheclient?
A. Diarrhea
B. Dr
...
Comprehensive Exam
133- Cyclobenzaprine(Flexeril)isprescribedtoaclientwithmultiplesclerosisforthetreatmentof musclespasms.Forwhichcommonsideeffectofthismedicationdoesthenursemonitortheclient?
A. Diarrhea
B. Drowsines Correct
C. Abdominalpain
D. Increasedsalivation
134- Anurseadministersnitroglycerinsublingualytoaclientwithanginapectoriswhocomplainsof chestpain.Themedicationisineffective,sothenursepreparestoadministeraseconddose.Before administeringthenitroglycerin,whichactiondoesthenursemakeapriority?
A. Checkingtheclient'sblo dpresureCorrect
B. Obtainingblo dlevelsofcardiacenzymes
C. Askingtheclientwhetherhehasaheadache
D. Obtaininga12-leadelectrocardiogram (ECG)
135- Ciprofloxacinhydrochloride(Cipro)isprescribedtoaclientwithaurinarytractinfection.The nurse,providinginstructionabouthemedication,telstheclienthatitisbestotakethemedication:
A. Withmilk
B. Withanantacid
C. 2hoursaftermealCorrect
D. Withaluminum hydroxide
136.-
Anurseprovideshomecareinstructionstoaclientwithcoronaryarterydisease(CAD)whoisbeing dischargedfrom thehospital.Whichstatementbytheclientindicatesane dforfurtherinstruction?
A. "Ine dtocarrymynitroglycerinwithmeataltimes."
B. "Ine dtocheckmypulsebefore,during,andafterexercise."
C. "Ine dtoavoidfo dswithsaturatedfatsandfo dshighincholesterol."
D. "Ine dtoparticipateinaerobicandweightliftingexercisethre timesawek.Correct
137-Anurseprovidesinformationtoaclientwhowilbeundergoingendoscopicretrograde cholangiopancreatography(ERCP).Thenursetelstheclienthat:
A. Thereisnone dtofast(NPOstatus)beforetheprocedure
B. Thegalblad eriseasilyremovedduringthisprocedureifgalstonesarefound
C.
Theprocedureisperformedspecificalytovisualizetheesophagus,stomach,and duodenum
D.
Dyemaybeinjectedduringtheproceduretopermitvisualizationofthepancreaticand biliaryductCorrect
138ID:383713175
Aclientwhohasundergonekne-replacementsurgerywilbeself-administeringenoxaparinsodium (Lovenox)athome.Thenurseteachestheclientabouthemedicationandtelsthecliento:
A. Storethemedicationintherefrigerator
B. LiedowntoadministerthesubcutaneousinjectionCorrect
C. Injecthemedicationintheup erouteraspectofthearm
D. Discardthemedicationifthesolutionap earspaleyelow
139ID:383703667
Anintravenousdoseofadenosine(Adenocard)isprescribedforaclientotreatWolff-Parkinson- Whitesyndrome.Whichpieceofequipmentdoesthenursemakeapriorityofobtainingbefore administeringthemedication?
A. Pulseoximeter
B. Cardiacmonito Correct
C. Blo d-presurecuff
D. Suctioncatheterandsuctionmachine
140ID:383703619
Anurseprovidesinformationtoaclientwithcoronaryarterydisease(CAD)aboutsmoking-cesation measures.Whichstatementbytheclientindicatesane dforfurtherinformation?
A. "Acommunitysup ortgroupwilhelpmequit."
B. "Ishoulddrinkacupofcoffe ifIfe ltheurgetosmoke.Correct
C. "Relaxationexerciseswilhelpcontrolmyurgetosmoke."
D. "Icantrychewinggum orsuckingonhardcandyifIfe ltheurgetosmoke."
141ID:383708584
Captopril(Capoten)isprescribedforahospitalizedclientwithheartfailure.Whichactionisapriority oncethenursehasadministeredthefirstdose?
A. Checkingtheclient'sapicalheartrate
B. Maintainingtheclientonbedrestfor3hour Correct
C. Monitoringtheclientforincreasedurineoutput
D. Checkingtheclient'sbreathsoundsfordecreasedwhe zing
142ID:383706680
Aclientwithheartfailuresud enlyexperiencesprofounddyspnea,palor,audiblewhe zing,and cyanosis,andthenursesuspectspulmonaryedema.Thenursewouldfirst:
A. Obtainapulseoximetryreading
B. Raisetheheadoftheclient'sbedCorrect
C. Administeradoseofmorphinesulfate
D. Obtainaspecimenforanarterialblo dgasdetermination
143ID:383703665
Thenurseadministersintravenousmorphinesulfatetoaclientinpulmonaryedema.Forwhich intendedeffectofthemedicationdoesthenursemonitortheclient?
A. Reliefofpain
B. ReliefofanxietCorrect
C. Decreasedurineoutput
D. Increasedblo dpresure
14 ID:383702944
Anurseisprovidinghomecareinstructionstoaclientwithcoronaryarterydisease(CAD)whowil bedischargedhomeandwilbetaking1aspirindaily.Thenursetelstheclient:
A. Tostoptheaspirinifnauseaocur Incorrect
B. Totaketheaspirinonanemptystomach
C.
Thatheaspirinisashort-term treatmentandwilprobablybediscontinuedin2 we ks
145ID:383713112
Aclientreceivingparenteralnutrition(PN)sud enlyexperienceschestpainanddyspnea,andthe nursesuspectsanairembolism.ThenurseimmediatelyplacestheclientinalateralTrendelenburg position,ontheleftside.Whatactiondoesthenursetakenext?
A. Auscultatingheartsounds
B. Clampingtheintravenouscathete Correct
C. Checkingtheclient'sblo dpresure
D. Obtaininganarterialblo dgasspecimen
146ID:383711448
Anurseisteachingaclientwithleft-sideweaknes howtowalkwiththeuseofaquad-cane.The nurseensuresthat:
A. Theclientplacesthecaneontheleftside
B. Thetopofthecaneislevelwiththeclient'swaist
C.
30-degre flexionoftheclient'selbowismaintainedwhentheclientisholdingthe caneCorrect
D.
Theclientleansonthecaneandplacesasmuchweightasposibleonthecane whenmovingitforward
147ID:383702961
Anurseispreparingthero m ofaclientinskeletaltractionwhowilbeadmitedtothenursingunit. Whichitem forusebytheclientdoesthenurseidentifyasthemostimportant?
A. Telephone
B. Television
C. Trapezeba Correct
D. Bedsidecommode
148ID:383702975
Anursetakingthevitalsignsofaclientimmediatelyaftershehasdeliveredanewbornnotesthathe client'sheartrateis1 0beats/min.Thenursewouldfirst:
A. Documenthefindings
B. Offertheclientoralfluids
C. Rechecktheheartratein1hour
D. ChecktheuterusandamountoflochiadischargeCorrect
149ID:383708504
Aclientisreceivinganintravenousinfusionofalteplase(tisueplasminogenactivator,recombinant; tPA).Forwhichadverseeffectofthemedicationdoesthenursemonitortheclientmostclosely?
A. Ble dingCorrect
B. Hearinglos
C. Decreasedurineoutput
D. Increasedblo dpresure
150ID:383708596
Viewvideo.Thenurseisperformingasterilechangeofanabdominaldresing.Oncethedresing hasbe nremovedanddiscardedinawaterpro fbag,whichactionshouldthenursetakenext?
A. AsesingthewoundCorrect
B. Don ingsterilegloves
C. Cleansingthewound
D. Setingupthesterilefield
151ID:383706038
Anurseisprovidingmorningcaretoaclientwhohasundergonesurgerytorepairafracturedleft hip.Whichitem ismostimportantforthenursetouseinturningtheclientfrom sidetosidetochange thebedlinens?
A. Trapezebar
B. Slidingboard
C. Ad uctiondevice
D.
AbductiondeviceCorrec 152ID:383710526
Anurseprovidesdietaryinstructionstoaclientwithosteoporosiswhohassustainedafractureabout fo dsthatwilpromotehealing.Thenursetelstheclienthatitisbestoconsumefo dsthatare highin:
A. Fats
B. VitaminCCorrect
C. Carbohydrates
D. Concentratedsugar
153ID:383710520
Anurseinaphysician'sofficeistalkingtoaclientwhounderwentmastectomyoftherightbreast2 weksago.Theclientsaystothenurse,"Ihatelokingathisincision.Ife lthatI'm notevenmyself anymore."Thenurseinterpretsthisstatementomeanthatheclientisexperiencingwhichproblem?
A. Inabilitytocope
B. DistortedbodyimageCorrect
C. Inabilitytocareforself
D. Inabilitytomaintainhealth
154ID:383703639
Anursediscoversthataclientreceivingheparinsodium bywayofcontinuousintravenous(IV) infusionhasremovedtheIVtubingfrom theinfusionpumptochangehishospitalgown.After asesingtheclientandplacingthetubingbackintheinfusionpump,whichmedicationdoesthe nursecheckforinthemedicationro m incaseaheparinoverdosehasocurred?
A. ProtaminesulfateCorrect
B. Enoxaparin(Lovenox)
C. Phytonadione(vitaminK)
D. Aminocaproicacid(Amicar)
15 ID:383703663
Themotherofanewbornfoundtohaveacongenitaldiaphragmaticherniaasksthenursetoexplain thediagnosis.Thenursetelsthemotherthatinthiscondition:
A. Theesophagusterminatesbeforeitreachesthestomach
B. Gastriccontentsareregurgitatedbackintotheesophagus
C. Abdominalcontentsherniatethroughanopeningofthediaphragm Correct
D. Aportionofthestomachprotrudesthroughtheesophagealhiatusofthediaphragm
156ID:383710522
Anurseisperforminganasesmentofanewbornwithadiagnosisofesophagealatresia(EA)and tracheoesophagealfistula(TEF).Whichfindingsdoesthenurseexpectonoteintheinfant?Select allthatapply.
A. Dro lingCorrect
B. Whe zing
C. Hicuping
D. Shortperiodsofapnea
E. Excesiveoralsecretion Correct
F.
Bowelsoundsoverthechest
157ID:383711493
Anurseisreviewingthemedicalrecordofaninfantinwhom hypertrophicpyloricstenosis(HPS)is suspected.Whichcharacteristicsasociatedwiththedisorderdoesthenurseexpectsse documentedintheinfant’smedicalrecord?Selectallthatapply.
A. Weightlos Correct
B. Facialedema
C. Metabolicacidosis
D. ProjectilevomitingCorrect
E. Distendedup erabdomenCorrect
158ID:383703641
Aclientwithahistoryofanginapectoristelsthenursethathechestpainusualyocurswith moderatetoprolongedexertionandisgeneralyrelievedbynitroglycerinorest.Whichtypeof anginadoesthenurserecognizeintheclient’sdescription?
A. StableCorrect
B. Variant
C. Unstable
D. Crescendo
159ID:383706082
Methylergonovine(Methergine)isprescribedforaclientocontrolpostpartum ble ding.Which actiondoesthenursetakebeforeadministeringthemedication?
A. Checkingtheepisiotomysite
B. Palpatingtheclient'sblad er
C. Checkingtheclient'sblo dpresureCorrect
D. Ensuringthatheuterusiscontracted
160ID:383706068
Anurseisteachingaclientwithanginapectoriswhoisbeingdischargedfrom thehospitalabout managingchestpainathome.Whichstatementbytheclientindicatesane dforfurtherteaching?
A. "Ine dtoke pfreshnitroglycerinavailableincaseIne dit."
B. "Ine dtochecktheexpirationdateonthenitroglycerinbotle."
C. "IfIhaveanychestpain,Ine dtostopwhatIam doingandsitorliedown."
D.
"IfIgetchestpain,Ishouldput3nitroglycerintabletsundermytongueandthengoto theemergencydepartmentifthatdoesn’twork.Correct
161ID:383707949
Anursedevelopsalistofhomecareinstructionsforaclientwhoiswearingahalofixationdevice aftersustainingacervicalfracture.Whichinstructionsshouldthenurseinclude?Selectallthat apply.
A. UseastrawtodrinkCorrect
B. Avoidsexualactivitywhilethevestisinplace.
C. Ap lypowderunderthevestopreventirritation.
D. Usecautionwhenleaningforwardorbackward Correct
E. Wearsnugclothingtopreventhedevicefrom shifting.
F.
Donotdrive,becausefulrangeofvisionisimpairedwiththedevice Correct
162ID:383710057
Anurseisasesingaclientwhoisexperiencingchestpain.Whichofthefolowingobservations indicatestothenursethathepainismostlikelyaresultofangina?
A. Thepainisrelievedbyrestandnitroglycerin Correct
B. Thepainisrelievedbytheadministrationofanantacid.
C. Thepainisrelievedbytheadministrationofanantinflammatorymedication.
D.
Thepainisrelievedwithanuprightsitingpositionandtheadministrationofan analgesic.
163ID:383706640
Anursehasprovidednutritioninstructionstoamotherofaninfant.Whichstatementbythemother indicatestothenursethathemotherequiresfurtherinstruction?
A. "It’sbestousecow'smilk,aslongasit’swholemilkandnotskim.Correct
B. "WhenIstartfe dingsolidfo ds,Imightne dtoad watertothefo d."
C.
"Whenthebabystartstotakejuices,Ishouldn’twarm thejuice,becausethatwil destroythevitaminC."
D.
"ThebabywilgetherightnutritionifIfe dbreastmilkorstore-boughtformulathat’s be nfortifiedwithiron.”
164ID:383703671
Apediatricnurseiscaringforahospitalizedtod ler.Whichofthefolowingactivitiesdoesthenurse de m themostap ropriateforthetod ler?
A. Singinggames
B. Watchingvideos
C. Simpleboardgames
D. Largebuildingblock Correct
165ID:383709206
Anurseinaphysician'sofficeisreviewingthemedicalrecordofachildwithadiagnosisoflactose intolerance.Whichofthefolowingfindingsdoesthenurseexpectose documentedinthechild's record?
A. Fatystols
B. Episodesofoul-smelingribonlikesto ls
C. Episodesofprofusewaterydiarrheaandvomiting
D. Episodesofcrampingabdominalpainandexcesiveflatu Correct
16 ID:383712470
Anurseisprovidingdietaryinstructionstothemotherofachildwithceliacdisease.Thenursetels themotherthatitisaceptabletogivethechild:
A. BoiledriceCorrect
B. Cokedpasta
C. Warm oatmeal
D. Bakedmacaroniandche se
167ID:383713110
Anurseadmitinganewborntothenurserynotesthathephysicianhasdocumentedthathe newbornhasagastroschisis.Thenurseperformsanasesment,expectingtonotethatheviscera are:
A. Insidetheabdominalcavityandundertheskin
B. Insidetheabdominalcavityandunderthedermis
C. Outsidetheabdominalcavity,notcoveredwithasa Correct
D.
Outsidetheabdominalcavitybutinsideatranslucentsaccoveredwithperitoneum andamnioticmembrane
168ID:383707998
Anurseismonitoringachildwithintususceptionforsignsofperitonitis.Forwhichofthefolowing findings,indicativeofthiscomplication,doesthenursenotifythephysician?
A. Increasedalertnes
B. IncreasedheartrateCorrect
C. Asausage-shapedabdominalmas
D. Diarrheaandthepasageofblo dymucoussto l
169ID:383713179
Thenurse,auscultatingthebreathsoundsofaclient,hearsthesesounds.Whatarethey?
A. Rhonchi
B. Crackles
C. Whe ze Correct
D. Vesicular
170ID:383703631
Aregisterednurseisplan ingclientasisgnmentsfortheday.Thereisalicensedpracticalnurse andanursingasistantontheteam.Whichclientistheap ropriatechoiceforthenursingasistant?
A. Aclientwithhemophiliawhone dsasistancewithshaving
B. Aclientwithpneumoniawhorequiresfrequentoropharyngealsuctioning
C.
Aclientwithrheumatoidarthritiswhone dsasistancewithfe dingand ambulationCorrect
D. Aclientwithheartfailurewhonedsdailyweightsandmonitoringofintakeandoutput
171ID:383706623
Anurseismonitoringaclientwithbronchogeniccarcinomaforsignsofsuperiorvenacava syndrome.Forwhichearlysignofthisoncologicalemergencydoesthenurseases theclient?
A. Dyspnea
B. Cyanosis
C. Hypotension
D. StokessignCorrect
172ID:383704500
Anurseiscaringforaclientwhohasundergonetransphenoidalhypophysectomytoremovea microadenomaofthepituitarygland.Whichofthesefindingswouldbeofgreatestconcerntothe nurse?
A. UrinaryspecificgravityislowCorrect
B. Blo dpresureis138/80mm Hg.
C. Theclientcomplainsofadrymouth.
D. Theclientfrequentlyperformsde p-breathingexercises.
173ID:383703683
Thenursenotesthepresenceofdrainageonthemustachedresingofaclientwhohasundergone transphenoidalhypophysectomy.Theinitialnursingactionisto:
A. Contacthesurgeon
B. Changethedresing
C. Documenthefindings
D. CheckthedrainageforglucoseCorrect
174ID:383706676
Anurseismonitoringaclientwhohasundergonesubtotalthyroidectomyforsignsofpostoperative complications.Whichofthefolowingfindingswouldbeamaterofconcernforthenurseasan indicationofhypocalcemia?
A. Theclient'stemperatureis10 .6˚F.
B. Theclient'svoiceishoarseandweak.
C. Theclient'sheartrateis92beats/min.
D. Theclientcomplainsofatinglingsensationaroundthemouth Correct
175ID:383705065
Anurseismonitoringaclientwhowasbroughtotheemergencydepartmentinanunresponsive stateandisnowbeingtreatedforhyperglycemichyperosmolarnonketoticsyndrome(HHNS).Which ofthefolowingfindingsindicatestothenursethatfluidreplacementisinadequate?
A. Increasedurineoutput
B. Potasium levelof3.6mEq/L
C. Blo dpresureof128/80mm Hg
D. Levelofconsciousnes remainsunchangedCorrect
176-Anurseisreviewingthelaboratoryresultsofaclientintheemergencydepartmentwithdiabetic ketoacidosis(DKA).Whichlaboratoryresultwouldthenurseexpectonote?
A. Creatinine1.0mg/dL
B. Serum bicarbonateof12mEq/LCorrect
C. Blodureanitrogen(BUN)of15mg/dL
D. Negativeresultsonurinaryketonetesting
17 ID:383710513
Propylthiouracil(PTU)hasbenprescribedforaclientwithGravesdisease,andthenurseprovides instructionstotheclientabouthemedication.Forwhichofthefolowingocurencesdoesthenurse telstheclientocontacthephysician?
A. Fatigue
B. Diaphoresis
C. Sorethroa Correct
D. Heatintolerance
178ID:383709215
Anurseisprovidinginformationtoaclientwithdiabetesinsipiduswhowilbetakingdesmopresin acetate(DDAVP)bywayofthenasalroute.Forwhichofthefolowingocurrencesdoesthenurse teltheclientocontacthephysician?
A. Abdominalcramps
B. Stuffyorunynose
C. HeadacheandnauseaCorrect
179ID:383702948
Aclientwithdiabetesmelituscalstheclinicnurseandreportsthatshehasbe nvomitingduringthe nightandnowhasdiarrhea.Whichquestiondoesthenursemakeapriorityofaskingtheclient?
A. "Doyouhaveafever?"
B. "Didyoueatanybreakfast?"
C. "Areyouurinatingfrequently?"
D. "Haveyoutestedyourblo dglucose? Correct
180ID:383708540
Anurseisprovidinginformationtoaclientwhowilbeself-administeringregularinsulinabout storageoftheinsulin.Thenursetelstheclient:
A. Thatplacingthevialnearheatorinsunlightwilnotaffectheinsulin
B.
Tofrezeunopenedvialsandremoveavialfrom thefrezer24hoursbeforeopening it
C. Thatinsulinstoredatro m temperaturecausesmorediscomfortoninjectionthan
doescoldinsulin
D.
Thathevialincurentusemaybekeptatro m temperatureforaslongas1month withoutsignificantlos ofactivitCorrect
181ID:383704568
Anursereviewsthemedicalrecordofaclientwithhistoplasmosis.Whichclinicalmanifestationof thisinfectiondoesthenurseexpectose documented?
A. Neurologicaldeficits
B. Cardiacdysrhythmias
C. Gastrointestinaldisturbances
D. Flulikepulmonarysymptom Correct
182ID:383704517
Aclientwithamedicalhistoryofdiabetesmelitusisfoundtohavesarcoidosis,andoralprednisone isprescribed.Thenurseprovidesinstructionstotheclientabouthemedicationandtelstheclient to:
A. Eatfo dsthatarehighinsodium
B. Decreasethedailydoseofinsulin
C. Eatfo dsthatarelowinpotasium
D. Closelymonitortheblo dglucoseleveCorrect
183ID:383711481
Aclientwithtuberculosiswilbetakingpyrazinamide(Pyrazinamide),andthenurseprovides instructionsaboutheadverseeffectsofthemedication.Forwhichofthefolowingocurencesdoes thenurseteltheclientocontacthephysician?
A. Headache
B. YelowskinCorrect
C. Difficultysle ping
D. Nasalcongestion
184ID:383702946
Aclientwhowasinvolvedinahigh-spe dmotorvehiclecrashisbroughtotheemergency department.Whichofthefolowingfindingsindicatestothenursethatheclienthassustainedflail chest?
A. Asymmetricalchestmovemen Correct
B. Complaintsofmildchestdiscomfort
C. Increasedbreathsoundsonauscultation
D. Deprespirations,18breaths/min
185ID:383708594
Aclientisfoundtohavehypoxemicrespiratoryfailure.Whichfindingdoesthenurseexpectonote onreviewoftheresultsoftheclient'sarterialblodgasanalysis?
A. Pao2 of73mm Hg,Paco2 of62mm Hg
B. Pao2 of58mm Hg,Paco2 of35mm Hg
C. Pao2 of60mm Hg,Paco2 of45mm Hg
D. Pao2 of49mm Hg,Paco2 of32mm HgCorrect
186ID:383707958
Aclientwithacutegoutyarthritisisbeingstartedonmedicationtherapywithindomethacin(Indocin). Thenurse,providingmedicationinstructions,andtelstheclientotakethemedication:
A. Atbedtime
B. Withfo dCorrect
C. 1hourbeforemeals
D. Onanemptystomach
187ID:383705037
Anemergencydepartmentnurseismonitoringaclientwhosustainedasevereinhalationburninjury duringafireinwhichtheclientwastrap edinanenclosedspace.Thenurseauscultatestheclient's tracheaandnotesthathepreviouslyheardwhe zingsoundshavedisap eared.Thenurse mostapropriately:
A. Continuesmonitoringtheclient
B. NotifiestheemergencydepartmentphysicianCorrect
C. Documentstheclient'simprovementinthemedicalrecord
D.
Removestheoxygenmaskandfitstheclientwithanasalcan ula 18 ID:383703645
Anursereviewsarterialblo dgasvaluesandnotesapHof7.50andaPco2 of30mm Hg.The nurseinterpretsthesevaluesasindicativeof:
A. Metabolicacidosis
B. Metabolicalkalosis
C. Respiratoryacidosis
D. RespiratoryalkalosiCorrect
189ID:383702997
Anurseprovidesinformationtoaclientwithchronicobstructivepulmonarydisease(COPD)about methodsofaleviatingshortnes ofbreathwhiletheclientiseating.Whichstatementbytheclient indicatesane dforfurtherinstruction?
A. "IshouldrestbeforeIeat."
B. "Ishouldusemybronchodilator30minutesbeforeIeat."
C. "Pursed-lipbreathingwilhelprelievemyshortnes ofbreath."
D.
"Ishouldeathre mealsaday,andthebig estmealshouldbeat supertime.Correct
190ID:383712487
Apostoperativeclientwithde p-veinthrombosisisatriskforpulmonaryembolism.Forwhich characteristicsignorsymptom ofthiscomplicationdoesthenursemonitortheclient?
A. PleuriticchestpainCorrect
B. Slowedheartrate
C. Chilsandahighfever
D. Decreasedrespiratoryrate
191ID:383710589
Anursecaringforaclient24hoursafteraradicalneckdisectionnotesthepresenceof serosanguineousdrainageintheportablewoundsuctiondeviceatachedtothesurgicalsite.Onthe basisofthisfinding,thenurseshould:
A. Contacthephysician
B. Documenthefinding Correct
C. Askthephysiciantoremovethedrains
D. Increasethepresureonthewoundsuctiondevic
192-Althoughpreviouslywelcontroledwithglyburide(Diabeta),aclient’sfastingblo dglucosehas benrun ing180to20 mg/dL.Onreviewingtheclient'srecord,whichmedication,recentlyad ed totheclient'sregimen,doesthenurserecognizeasaposiblecontributortothehyperglycemia?
A. Phenelzine(Nardil)
B. Atenolol(Tenormin)
C. Alopurinol(Zyloprim)
D. Lithium carbonate(Lithobid Correct
193ID:383704525
Anurseisperforminganasesmentofaclientwithsuspectedpheochromocytoma.Whichclinical manifestationdoesthenurseexpectonote?
A. Weightgain
B. Flushedface
C. Clientcomplaintofdiarrhea
D. AblodpresurehigherthanthenormalrangeCorrect
194ID:383712485
Thenurseisthefirstresponderathesceneofabuscrash.Afteraquickasesmentofthevictims, whichonedoesthenursecareforfirst?
A. Avictim withatwistedankleandlegbruises
B. Avictim withanopenfractureofthearm thatisble dingprofuselCorrect
C. Avictim whoisanxiouslymovingamongthevictims,searchingforherhusband
D.
Avictim whoisunresponsive,withsevereswelingandbruisingaroundtheeyes,and isnotbreathing
195ID:383705057
AclientwithsuspectedHIVinfectionhaspositiveresultsonenzyme-linkedimmunosorbentasay (ELISA)andWesternblotests.TheplasmaHIVRNAlevelisasesed,andtheresultisreportedas 800copies/mL.ThenurseinterpretstheresultsoftheHIVRNAtestasindicatingthatheclient:
A. IsatlowriskforAIDSCorrect
B. IsathighriskforAIDS
C. IsatriskforHIVinfection
D. Requiresfurthertestingtoconfirm thepresenceofHIV
196ID:383703675
AnursedevelopingaplanofcareforaclientwithHIVinfectionidentifiesseveralconcerns.Listhem inorderofpriority,from highestolowest.
Correct
1. Posibleinfection
2. Decreasednutrition
3. Fatigue
4. Despair
197ID:383710518
Aclientisfoundtohaveiron-deficiencyanemia,andferoussulfate(Feosol)isprescribed.Thenurse telstheclienthatitisbestotakethemedicationwith:
A. Milk
B. Aplejuice
C. OrangejuiceCorrect
D. Scrambledegs
198ID:383705086
Anurseismonitoringaclientwithpheochromocytomawhoisreceivinganintravenous(IV)infusion ofphentolamine.Whichvitalsigndoesthenursemonitormostcloselyduringtheinfusion?
A. Apicalpulse
B. Respirations
C. Temperature
D. Blo dpresureCorrect
19 ID:383711489
Oralprednisone5mg/dayhasbe nprescribedforaclientwithachronicrespiratorydisorder,and thenurseprovidesinstructionstotheclientabouthemedication.Thenursetelsthecliento:
A. Takethemedicationonanemptystomach
B. Takehalfofthedailydoseifweightgainocurs
C. Stoptakingthemedicationiftheanklesbegintoswel
D. Calthephysicianifafever,sorethroat,ormuscleachesdevelopCorrect
20 ID:383705035
Asanursepreparestoadministermedicationstoanasignedclient,theclientasks,"Whydon'tyou justleavemealone?"Whatisthebestresponsebythenurse?
A. "Don'tyelatme."
B. "Thesemedicationswilhelpyoufe lmuchbeter."
C. "Whydoyouwantobeleftalone?I’m heretohelpyou."
D. "Icanse thatyou’reupset.Wouldyouliketotalkaboutit? Correct
201ID:383703635
Anurseisasesingaclientwithhepatitisforsignsofjaundice.Whichareadoesthenursecheck, knowingthatitwilprovidethebestdataregardingthepresenceofjaundice?
A. Lips
B. Soles
C. Palms
D. Mucousmembrane Correct
202ID:383713181
Amothercalstheemergencydepartmentandtelsthenursethather3-year-oldchilddrank ammoniafrom abotlewhilethemotherwascleaninghouse.Thenursetelsthemotherto immediately:
A. Inducevomiting
B. Calthechild'sphysician
C. Bringthechildtotheemergencydepartment
D. Encouragethechildtodrinkwaterormilkinsmalamount Correct
203ID:383703651
Calcium disodium edetate(EDTA)andBritishantilewisite(BAL,dimercaprol)isprescribedforachild withleadpoisoning.Whatdoesthenurseaskthechild'smotherbeforeadministeringthe medications?
A. "Canyourchildswalowpils?"
B. "Hasyourchildbe nruningafever?"
C. "Doesyourchildhaveanalergytopeanuts? Correct
D. "Howlonghasyourchildbe nexposedtothelead?"
204ID:383706070
Achildisbroughtotheemergencydepartmentbyambulanceafterswalowingseveralcapsulesof acetaminophen(Tylenol).Whichmedicationdoesthenurseprepare,anticipatingthatitwilbe prescribedtotreathechild?
A. Protaminesulfate
B. Sucimer(Chemet)
C. Phytonadione(vitaminK)
D. Acetylcysteine(MucomystCorrect
205-Afemaleclientwithrheumatoidarthritisistaking3.6gofacetylsalicylicacid(aspirin)dailyina divideddose.Athephysician'soffice,theclientelsthenursethatshehasbenexperiencing ringingintheearsoverthepastfewdays.Thenursetelstheclienthat:
A. Thisisexpectedandnothingtobeconcernedabout
B. Itisimportantodrinkatleast10glasesofwateradaytopreventringingintheears
C.
Thisisasignoftoxicity,sotheaspirinwilbediscontinuedandreplacedwitha nonsteroidalantinflammatorymedication
D.
Thephysicianwilprobablywith oldtheaspirinuntilthesymptomshavesubsided,then resumetheaspirinatalowerdosageCorrect
206ID:383712468
Anurseiscaringforaclientwhosustainedburninjuriesontheanteriorlowerlegsandanterior thorax.Whatpercentageoftheclient’sbody,acordingtotheRuleofNines,hasbe naffected?
A. 36% Correct
B. 42%
C. 45%
D. 31.5%
207ID:383706625
Aclientisbroughtotheemergencydepartmentaftersustainingsmokeinhalationinjuryduringafire intheclient'shome.Thenurseplanstofirst:
A. CheckforapatentIVline
B. Provideemotionalsuportotheclient
C. Providetheclientwith10 % oxygenbymas Correct
D. Administerintravenous(IV)fluidsasprescribed
208ID:383702985
Aclientwithemphysemaisreceivingtheophyline(Theo-24).Whileprovidingdietaryinstructions,the nursetelstheclienthatitisaceptabletoconsume:
A. Cola
B. Coffe
C. Hotcocoa
D. AplejuiceCorrect
209-Testingoftheplasmatheophylinelevelinaclientwhoisreceivingacontinuousintravenous infusionoftheophylinerevealsalevelof20mcg/mL.Thenurseinterpretsthisresultas:
A. Belowthetherapeuticrange
B. Inexces ofthetherapeuticrange
C. AthetopofthetherapeuticrangeCorrect
D. Inthemid leofthetherapeuticrange
210ID:383702967
Fluticasonepropionate(Advair)andalbuterol(VentolinHFA),administeredbyinhalationtwicedaily, areprescribedforaclientwithasthma.Thenurse,providinginformationtotheclientabout administrationofthemedication,telstheclientousethe:
A. Fluticasonepropionateimmediatelyafterinhalingthealbuterol
B. Albuterolimmediatelyafterinhalingthefluticasonepropionate
C. Fluticasonepropionateseveralminutesbeforeinhalingthealbuterol
D. AlbuterolseveralminutesbeforeinhalingthefluticasonepropionateCorrect
21 ID:383702987
Anurseasesingthewoundofaclientwithastage3presureulcerandnotesthathewoundbed ispale.Thenurseinterpretsthisfindingasaposibleindicationthat:
A. Thewoundishealthy
B. Thewoundisimproving
C. Necrotictisueispresent
D. Theclient'shemoglobinlevelislowCorrect
212ID:383708555
Aclientcalstheemergencydepartmentandtelsthenursethathemayhavecomeincontactwith poisonivywhiletrimmingbushesinhisyard.Thenursetelstheclientoimmediately:
A. Contacthephysician
B. Reportotheemergencydepartmentfortreatment
C. Getintotheshowerandrinsetheskinforatleast15minute Correct
D.
Gotothedrugstore,purchaseanover-the-countertopicalcorticosteroid,andrubit intotheexposedskin
213-Anurseprovidesskincareinstructionstoaclientwithacnevulgaris.Whichstatementbythe clientindicatesanedforfurtherinstruction?
A. "Ishoulduseoil-basedcosmetics.Correct
B. "Ishouldn'tleavemake-uponovernight."
C. "Ishouldavoidrub ingmyfacevigorously."
D. "Ishouldwashmyfacetwoorthre timesadaywithamildcleanser."
214ID:383710053
Oralcandidiasis(thrush)developsinaclientinfectedwithHIV,andthenurseprovidesinstructionto theclientaboutmeasurestorelievethediscomfort.Whichstatementbytheclientindicatesane d forfurtherinstruction?
A. "Ishouldavoidspicyfo ds."
B. "Ishouldeatfo dswithasoftexture."
C. "Ishoulduseasoft-bristledtothbrush."
D. "Ishouldputiceinmydrinkstohelpsothethediscomfort.Correct
215ID:383710516
AclientwithHIVinfectionwhohasbe nfoundtohavehistoplasmosisisbeingtreatedwith intravenousamphotericinB(Fungizone).Whichparameterdoesthenursechecktodetecthemost commonadverseeffectofthismedication?
A. Temperature
B. Blo dpresure
C. Peripheralpulses
D. Intakeandoutpu Correct
216ID:383713108
Ahospitalizedclientscheduledforsurgeryistoldbythephysicianthatsheisextremelyanemicand wilnedablo dtransfusion.Theclient,aJehovah'sWitnes,telsthenursethatsheisrefusingthe transfusion.Whatisthemostap ropriateinitialnursingaction?
A. Sup ortingtheclient'sdecisiontorefusethetransfusionCorrect
B. Teachingtheclientwaystoincreasedietaryintakeofiron
C. Telingtheclientaboutheimportanceoftheblo dtransfusion
D.
Telingtheclienthatifsherefusestheblo dtransfusion,thesurgerywilhavetobe canceled
217ID:383706621
AnurseisperforminganasesmentofaclientwithMénièredisease.Whichquestiondoesthe nurseasktoelicitdataabouthemanifestationsofthisdisease?
A. "Doyouhaveheadaches?"
B. "Haveyouhadanylos ofap etite?"
C. "Doyouhaveepisodesofdizines? Correct
D. "Haveyoube nhavinganydiarrhea?"
218ID:383704521
Aclientwithchronicbackpainasksanurseaboutheuseofcomplementaryandalternative therapiestotreathepain.Thenursewouldinitialy:
A. Identifytheclient'streatmentgoalCorrect
B. Sharecurrentresearchoutcomeswiththeclient
C. Offeroptionsthatmaybebeneficialtotheclient
D. Teltheclienthathephysiciandoesnotbelieveinthesetherapies
219ID:383704547
Aclienthasbenscheduledforanelectronystagmography(ENG),andthenurseprovides instructionstotheclientabouthetest.Whichstatementbytheclientelsthenursethatheclient understandstheinstructions?
A. "Ine dtonotdrinkcoffe beforethetest.Correct
B. "I’lne dtoreceivesedationbeforethetest."
C. "Iwon’tbeabletoeatfor24hoursafterthetest."
D. "Icaneatalightbreakfastonthemorningofthetest."
2 0ID:383702952
Anemergencydepartmentnursehasaphysician'sprescriptiontoirrigateaclient'sears.Listinorder ofprioritythestepsthathenurseshouldtakeinperformingthisprocedure.
Correct
1. Useanotoscopetoensurethathetympanicmembraneisintact.
2. Warm tapwatertobodytemperature.
3. Filanirrigatingsyringewithwarm water.
4. Insertheirrigatingsolutionbydirectingthesolutiontowardthewaloftheearcanal.
5. Documenthecompletionoftheprocedureandhowtheclientoleratedit.
2 1ID:383713148
Acommunityhealthnurseispreparingaposterforahealthfairthatwilincludeinformationabouthe waystopreventearinfectionoreartrauma.Whichpreventionmeasuresdoesthenurseincludeon theposter?Selectallthatapply.
A. Alwayssnezewiththemouthclosed.
B. Ocludeonenostrilwhenblowingthenose.
C. Ke pthevolumeofheadphonesathelowestseting Correct
D. Avoidenvironmentalconditionsinvolvingrapidchangesinairpresure Correct
E. CleantheexternalearandcanaldailyintheshowerorwhilewashingthehairCorrect
F.
Becautiouswhenusingcoton-tip edap licatorstocleantheexternalearcanal.
2 2ID:383708517
Anurseasignsanursingasistantocareforaclientwhoishearingimpairedandprovides instructionstothenursingasistantaboutheeffectivemethodsforcommunicatingwiththeclient. Whichstatementbythenursingasistantindicatesthatfurtherinstructionisne ded?
A. "Ishouldspeakslowlyandclearlytotheclient."
B. "IshouldstanddirectlyinfrontoftheclientwhenI’m talking."
C. "Ishouldmakesurethathero m iswelitwhenI’m talkingtotheclient."
D.
"Ishouldraisethevolumeofmyvoiceandstandontheclient'saffectedsidewhenI’m talkingtohim.Correct
2 3ID:383706084
ATensilontestisperformedonaclientwithsuspectedmyastheniagravis.Whichfindingconstitutes apositiveresult?
A. Adecreaseinmusclestrength
B. Nochangeinmusclestrength
C. AnincreaseinmusclestrengthCorrect
D. Thepresenceoftremorsinpreviouslyweakenedmuscles
2 4ID:383706086
Aclientwithmyastheniagraviswhohasbe ntakingpyridostigminebromide(Mestinon)forthe treatmentofthedisordercomestotheemergencydepartmentcomplainingofseveremuscle weaknes,andcholinergiccrisisisdiagnosed.Whichmedicationdoesthenursepreparefor immediateuseintreatingthecrisis?
A. AtropinesulfateCorrect
B. Carisoprodol(Soma)
C. Cyanocobalamin(vitaminB12)
D. Cyclobenzaprinehydrochloride(Flexeril)
2 5ID:383702993
AnurseprovidesinformationaboutactivityandexercisetothewifeofaclientwithParkinson's disease.Whichstatementbythespouseindicatesanedforfurtherinstruction?
A. "Hene dstohaveabroadbaseofsup ortwhenambulating."
B. "Hene dstoavoidstayinginonepositionforaprolongedperiod."
C.
"Ishouldencouragehim toke phishandshangingathissidewhenhe walks.Correct
D. "Ishouldhelphim perform range-of-motionexercisesofhisjointsthre timesaday."
2 6ID:383704589
Anurseiscaringforaclientwhohashadastrokeandisexperiencinghemianopsia.Whichofthe folowingmeasuresdoesthenursetakeinthecareoftheclient?
A. Ap roachingtheclientfrom thesideofnonintactvision
B. Teachingtheclientomovetheheadfrom sidetoside(scan)wheneatingCorrect
C. Placingobjectsnededforself-carewithintheclient'snonintactvisualfield
D. Positioningtheclientinthero m sothathisnonintactvisualfieldfacesthedor
2 7ID:383705063
Anursehasprovidedinformationaboutexercisetoaclientwithadiagnosisofdegenerativejoint disease(osteoarthritis).Whichofthefolowingtypesofexercisedoesthenursetelthecliento avoid?
A. High-impactexerciseCorrect
B. Swimmingandwaterexercise
C. Dailyrange-of-motionexercises
D. Regularexercisewithwarm-upandco l-downsesions
2 8ID:383713173
Aclientwithschizophreniasaystothenurse,"Idecidednototakemymedicationbecauseitcan't help.Iam theonlyonewhocanhelpme."Whichnursingresponseistherapeuticinthissituation?
A. "Onlyyoucanhelp?"
B. "Youdecidednototakeyourmedication?"
C.
"Ifyoucanmakethatobservation,youprobablydon'tne dyourmedicationany longer."
D.
"Yourdoctorwantsyoutocontinuethismedicationbecauseit’shelpingyou.Doyou recalne dingtobehospitalizedbecauseyoustop edyourmedication? Correct
2 9ID:383704539
Anursepreparestoadministerdigoxin(Lanoxin)toaclientwithcongestiveheartfailure.Whichvital signmustbecheckedbeforethemedicationisadministered?
A. Temperature
B. Respirations
C. ApicalpulseCorrect
D. Blo dpresure
230ID:383706058
Anursepreparingtoadministerdigoxin(Lanoxin)toaclientcalsthelaboratoryfortheresultofthe digoxinasayperformedonaspecimenthatwasdrawnat6a.m.Thelaboratoryreportsthathe resultwas2.4ng/mL.Onthebasisofthisresult,thenursewould:
A. ContacthephysicianCorrect
B. Administerthedigoxin
C. Waitforthephysiciantomakeroundsandreportheresult
D.
Checktheclient'sapicalheartrateandadministerthedigoxiniftherateisfasterthan 60beats/min
231ID:383706078
Anursetranscribingtheprescriptionsofaclientadmitedtothenursingunitnotesthatmetformin (Glucophage)850mg/dayhasbe nprescribed.Thenursemakesanoteintheclient'smedication recordthathemedicationshouldbeadministered:
A. Atno n
B. Withsup er
C. WiththemorningmeaCorrect
D. Withthemidafterno nsnack
232ID:383708580
Thewifeofaclientwithdiabetesmelituscalsthenurseandreportsthatherhusband'sblo d glucoselevelis60mg/dLandthatherhusbandisawakebutgrog y.Thenursetelstheclient'swife toimmediately:
A. Calthephysician
B. Administerglucagonhydrochloride(Glucagon)
C. Calanambulancetobringherhusbandtotheemergencydepartment
D. Placesomehoneyinherhusband'smouth,betwe nhisgumsandche Correct
23 ID:383706667
Aclientwithtype1diabetesmelitusisinstructedbythephysiciantoobtainglucagonhydrochloride (Glucagon)foremergencyhomeuse.Thenurseprovidesinformationtotheclient'swifeabouthe medication.Whichstatementbytheclient’swifeindicatesthatsheunderstandstheinformation?
A. "Ine dtostorethismedicationinthefre zer."
B. "Iknowthathisisusedtotreatepisodesofhighblo dsugar."
C. "Icangivethismedicationinsteadofinsulinifhisinsulinrunsout."
D. "Ine dtogivethisifhehassignsoflowblo dsugarandgoesintoacoma.Correct
234ID:383703615
Aclientwithhypoparathyroidism istakingcalcium gluconatetotreathypocalcemia.Theclientcals theclinicnurseandcomplainsofbecomingconstipatedsincestartingthemedication.Thenurse telsthecliento:
A. Stopthemedication
B. Contacthephysicianimmediately
C. Increaseintakeofhigh-fiberfo d Correct
D. Ad ahalf-ounceofmineraloiltothedailydiet
235-Aclienthasaphysician'sap ointmentogetaprescriptionforsildenafil(Viagra).Thenurse obtainsthehealthhistoryfrom theclient.Whichfindingindicatesthathemedicationis contraindicated?
A. Theclienthastype2diabetesmelitus.
B. Theclienthasahistoryofrenalcalculi.
C. Theclientistakingglargine(Lantus)insulin.
D. Theclientakesisosorbidedinitrate(Isordil)Correct
236ID:383708586
Vasopresin(Pitresin)isprescribedtoaclientwithdiabetesinsipidus.Forwhichsign,indicativeof anadverseeffectofthemedication,doesthenursemonitortheclient?
A. ChestpainCorrect
B. Constipation
C. Los ofap etite
D. Decreasedurineoutput
237.ID: 383703605
Desmopresin(DDAVP)isprescribedtoaclientwithdiabetesinsipidus.Whichparameterdoesthe nurseteltheclienthatitisimportantomonitorwhilesheistakingthemedication?
A. Ap etite
B. Pulserate
C. Bowelpatern
D. Intakeandoutpu Correct
238ID:383706682
Warfarinsodium (Coumadin)isprescribedforahospitalizedclient.Whiletranscribingthephysician's prescription,thenursenotesthatheclientistakinglevothyroxine(Synthroid)totreathypothyroidism. Thenursecalsthephysiciantoconfirm theprescriptionforwarfarinsodium because:
A. Warfarinsodium amplifiestheeffectoflevothyroxine
B. Levothyroxineamplifiestheeffectofwarfarinsodium Correct
C. Warfarinsodium iscontraindicatedwiththeuseoflevothyroxine
D.
Aseverealergicreactionmayocurifwarfarinsodium isadministeredconcurrently withlevothyroxine
239ID:383706062
Iodinesolution(Lugolsolution)isprescribedtoaclientwhoisscheduledforsubtotalthyroidectomy. Theclientcalsthenurseatheclinicandcomplainsofaburningsensationinthemouthand sorenes ofthegumsandteth.Thenursemostap ropriatelytelstheclient:
A. TocontacthephysicianCorrect
B. Thatheseareexpectedsideeffectsofthemedication
C. Thathesediscomfortswilresolvewithcontinuedtherapy
D. Tostopthemedicationforthenext24hoursandthencontinueasprescribed
240ID:383712472
Levothyroxine(Synthroid)isprescribedtoaclientwithhypothyroidism.Onewe kafterbegin ingthe medication,theclientcalsthephysician'sofficeandtelsthenursethathemedicationhasnot helped.Thenursemostap ropriatelytelstheclienthat:
A. Themedicationwilne dtobechanged
B. Thefultherapeuticeffectmaytake4we k Correct
C. Anaditionalmedicationwilhavetobead edtotheregimen
D. Theblodlevelsoftheclient’sthyroidhormoneswilne dtoberechecked
241ID:383713183
Anurseprovidesinstructionstoaclientwhowilbetakinglevothyroxine(Synthroid)for hypothyroidism.Thenursetelstheclienthatitisbestotakethemedication:
A. Withmilk
B. Atbedtime
C. Withanantacid
D. Inthemorning,beforebreakfasCorrect
242ID:383706615
Aclientisbroughtotheemergencydepartmentbyambulance,anddiabeticketoacidosisis suspected.Blo dsamplesaretaken,andthenurseobtainssup liesthatwilbene dedtotreathe client.Whichtypeofinsulindoesthenursetakefrom themedicationsup lyro m forintravenous (IV)administration?
A. NPH(HumulinN)
B. Lente(HumulinL)
C. Regular(HumulinR Correct
D. NPH/regular50%/50% (Humulin50/50)
243ID:383711491
AhomecarenurseprefilssyringescontainingNPH(HumulinN)andregular(HumulinR)insulinfor aclientwithdiabetesmelituswhowilbeadministeringhisowninsulinbuthasdifficultyseingand acuratelypreparingdoses.Thenurseplacesthemedicationintheclient'srefrigeratorwiththe syringes:
A. Lyingflat
B. Inahorizontalposition
C. Inaverticalpositionwiththene dlespointingupCorrect
D.
Inaverticalpositionwiththene dlespointingdown 24 ID:383713106
Tolbutamide(Orinase)isprescribedtoaclientwhosetype2diabetesmelitushasnotben controledwithdietandexercisealone.Thenurseprovidesinstructionstotheclientabouthe medication.Whichstatementbytheclientindicatesane dforfurtherinstruction?
A. "Ine dtomaintainmyexerciseprogram."
B. "Ine dtostayonmycalorie-restricteddiet."
C. "Icantakethemedicationwithfo difitupsetsmystomach."
D.
"Icanhaveabe rorglas ofwineaslongasIstaywithinmydailydietary restrictions.Correct
245ID:383703609
Anurseistranscribingaphysician'sprescriptionfororalprednisone5mg/daythatwaswriteninthe chartofaclientwithtype2diabetesmelituswhoisalreadytakinganoralhypoglycemicmedication. Thenursecontactsthephysiciantoaskaboutheprescriptionbecause:
A. Prednisonecanlowertheblo dglucoselevel
B. Prednisonecanincreasetheblo dglucoseleveCorrect
C. Prednisoneiscontraindicatedwiththeuseoforalhypoglycemicmedications
D.
Forprednisonetobeeffectiveinaclientakinganoralhypoglycemicagent,ahigher dosageofprednisoneisrequired
246ID:383713104
Oralprednisone10mg/dayisprescribedforaclientwithanacuteexacerbationofrheumatoid arthritis.Thenurse,providinginformationtotheclientabouthemedication,telstheclienthatitis bestotakeit:
A. Atbedtime
B. Withlunch
C. Intheevening,after9p.m.
D. Inthemorning,before9:0 a.m Correct
247ID:383709204
Achildwithgrowthhormonedeficiencywilbereceivingsomatropin(Humatrope).Thenurse providesinformationtothemotherabouthemedication.Whichofthefolowinglaboratoryvalues doesthenursetelthemotherwilrequiremonitoring?
A. Creatinine
B. Hemoglobin
C. Blo dureanitrogen(BUN)
D. Thyroid-stimulatinghormone(TSH Correct
248ID:383708553
Laboratorystudiesareperformedonaclientwithsuspectedsickleceldisease,andelectrophoresis revealsalargepercentageofhemoglobinS(HbS).Whichad itionalaboratoryfindingwilthenurse expectonotethatisacharacteristicofthisdisease?
A. Lowreticulocytecount
B. Lowtotalbilirubinlevel
C. Increasedhematocritcount
D. Increasedwhiteblodcel(WBC)coun Correct
249ID:383703647
Aclientbeingseninthecliniccomplainsofatigueandweaknes.Laboratorystudiesare performedbecausethephysiciansuspectsiron-deficiencyanemia.Whichfindingindicativeofthis typeofanemiadoesthenurseexpectofindonreviewingthelaboratoryresults?
A. AnincreasedRBCcount
B. Anincreasedhematocritlevel
C. Anincreasedhemoglobinlevel
D. Microcyticredblo dcels(RBCs Correct
250ID:383708563
Alendronate(Fosamax)isprescribedforaclientwithpostmenopausalosteoporosis.Thenurse providesinformationonthemedicationtotheclient.Whendoesthenurseteltheclientotakethe alendronate?
A. Atbedtime
B. Withorangejuice,toenhanceabsorptionatnight
C. Everymorningbeforebreakfast,withafulglas ofwate Correct
D. Everymorningafterbreakfast,afterwhichtheclientshouldliedownfor30minutes
251ID:383703629
Calcium carbonate(Os-Cal50)isprescribedforaclientwithmildhypocalcemia.Whatfo ddoes thenurseinstructheclientoavoidconsumingwhiletakingthismedication?
A. Fish
B. Milk
C. SpinachCorrect
D. Watermelon
252ID:383705078
Anemergencydepartmentnurseiscaringforaclientinhypovolemicshock,aresultofexternal hemorrhagecausedbyagunshotwound.Whichnursinginterventionsshouldthenursetake?Select allthatapply.
A. MaintainingtheclientinahighFowler’sposition
B. Checkingtheclient'svitalsignseveryhouruntilstable
C. Ensuringthatdirectpresureisap liedtotheexternalhemorrhagesiteCorrect
D. Ensuringapatentairwayandsup lyingoxygentotheclientasprescribedCorrect
E. Insertinganintravenous(IV)catheterandadministeringfluidsasprescribedCorrect
F.
Ensuringthathecalbelisinplacefortheclient'susewhenthenurseisoutofthe ro m
253ID:383706658
AchildwithadiagnosisofWilms’tumorisbeingadmitedtothepediatricunit.Thenurseprepares thero m forthechildandplacesasignathechild'sbedsidethatelsstafftoavoid:
A. PalpatingtheabdomenCorrect
B. Takingtemperaturesrectaly
C. Turningthechildtotherightside
D. Measuringblo dpresureintherightarm
254ID:383713102
Aclientwithmultiplesclerosishasbe nstartedonbaclofen(Lioresal)formusclespasms.Theclient calsthephysician'soffice1wekafterbegin ingthemedicationandtelsthenursethatshefels extremelydrowsy.Thenursemostap ropriatelytelstheclient:
A. Thatshewilne dtobesenbythephysician
B. Thathemedicationwilne dtobediscontinued
C. Thatdrowsines usualydiminisheswithcontinuedtherap Correct
D. Tostopthemedicationfor2daysandthenresumeitatheprescribeddosage
25 ID:383703673
Alprazolam (Xanax)isprescribedforaclientotreatananxietydisorder.Whichsideeffectdoesthe nursewarntheclientof?
A. Headache
B. Urineretention
C. Lightheadednes Correct
D. Increasedsalivation
256ID:383710530
Viewvideo.Thenurseispreparingtoadministeratubefe dingbywayofanasogastrictube.Which actiondoesthenursecarryoutasaprioritybeforestartingtheflowofthesolution?
A. Flushingthetubewith30mLoftapwater
B. Checkingurineoutputintheprevious24hours
C. Scrubingtheportwithpovidone-iodine(Betadine)solution
D. Checkingforgastricresidualvolumeandasesingtubeplacemen Correct
257ID:383703655
Anurseiscaringforaclientwhohashadacastapliedtotheleftlegandisatriskforacute compartmentsyndrome.Forwhichearlysignofthiscomplicationdoesthenursemonitortheclient?
A. ParesthesiaCorrect
B. Cold,bluishtoes
C. Weakpedalpulse
D. Severepainrelievedbymedication
258ID:383710048
Aphysicianwritesaprescriptionfor10 0mLof0.9% normalsalinesolutiontobeadministered intravenously(IV)toaclientover10hours.Thedropfactorfortheinfusionsetis15gt/mL.Atwhat dripratedoesthenursesetheinfusion?
Typeanswerintheboxprovided.
gt/min
Correct
259ID:383704549
Anurseisperforminganasesmentofaclientbeingadmitedtothehospitalwithadiagnosisof multiplesclerosis.Theclientelsthenursethatsheto kbaclofen(Lioresal)forthepast9months butcompletelystop edthemedication2daysagobecauseitwasmakingherfelweak.Onthe basisofthisinformation,thenursenotesintheplanofcarethatheclientshouldbemonitoredmost closelyfor:
A. Spasticity
B. Drowsines
C. Musclespasms
D. SeizureactivitCorrect
260ID:383707951
Anurseiscaringforaclientwhoisimmobilizedinskeletaltractionaftersustainingalegfractureina motorvehiclecrash.Thenursenotesthatheclientisrestles,andtheclientcomplainsofbeing bored.Whichproblem doesthenurseidentifyonthebasisofthisinformation?
A. Lackofcontrol
B. Lackofphysicalmobility
C. LackofadequatediversionalactivitCorrect
D.
Lackofenergytobatheandfe dself 261ID:383708590
Aclientisfoundtohavepostraumaticstres disorder(PTSD)afterwitnesingaterroristatackthat causedthedeathsofhundredsofpeople.Thenurse,developingaplanofcarefortheclient, identifiespostraumasyndromeasaconcernandidentifiesaclientoutcomethatstates,"Theclient wilcopeeffectivelywiththoughtsandfe lingsoftheevent."Whichnursinginterventionswilasist theclientinachievingthisoutcome?Selectallthatapply.
A. Beinghonest,nonjudgmental,andempathetiCorrect
B. AsesingtheimmediatepostraumaticreactionCorrect
C. Encouragingtheclientoke pajournalfocusedonthetraumaCorrect
D.
Askingtheclientaboutheuseofalcoholanddrugsbeforeandsincethe even Correct
E. Promotingdiscusionofthereasonstheclientwasresponsibleforthetraumaticevent
F.
Discouragingtheuseofsuportgroupsuntiltheclientisabletouseeffectivecoping techniques
262ID:383703681
Anursereviewstheresultsofatotalserum calcium determinationinaclientwithrenalfailure.The resultsindicatealevelof12.0mg/dL.Inlightofthisresult,whichfindingdoesthenurseexpecto noteduringasesment?
A. Decreasedurineoutput
B. Hyperactivebowelsounds
C. Bounding,fulperipheralpulse Correct
D. Hyperactivede ptendonreflexes
263ID:383706662
Anurseispreparingtoprovideinformationtoaclientwhohasbe nfoundtohavestableangina. Thenurseplanstoteltheclienthathistypeofangina:
A. Requiressurgicaltreatment
B. Canbecuredwithmedication
C. Wileventualyne dtobetreatedwithacoronaryarterybypas graft
D.
Isoftenmanagedmedicalywithmedicationssuchascalcium chan elblockersand beta-blockingmedication Correct
264ID:383702963
Whilebeingsenbyaphysician,aclientcomplainsofpersistentfever,malaise,andnightsweats. Onphysicalexamination,thephysicianpalpatesenlargedlymphnodes,andtheclientstatesthathe nodesarepainles.Hodgkin'slymphomaissuspected,andseveraldiagnosticstudiesare performed.Whichcharacteristicofthistypeoflymphomadoesthenurseexpectonotewhile reviewingtheresultsofthediagnosticstudies?
A. Blastcelsinthebonemarrow
B. Epstein-Barrvirusintheblod
C. Increasedblo dureanitrogen(BUN)
D. Re d-SternbergcelsonbiopsyofalymphnodeCorrect
265ID:383711422
Anurseispreparingmedicationinstructionsforaclientwhowilbetakingadailyoraldoseofdigoxin (Lanoxin)0.25mginthetreatmentofcongestiveheartfailure(CHF).Whichinstructionsshouldthe nurseincludeonthelist?Selectallthatapply.
A. Takeyourpulsebeforetakingeachdose Correct
B. Avoideatingfo dsthatcontainpotasium
C. TakethedigoxinathesametimeeachdayCorrect
D. Takethedigoxinwithachewableantacidtopreventnausea.
E. Ifyouforgetotakeyourdailydose,doublethedoseonthenextday.
F.
Notifythephysicianifyouexperiencelos ofap etite,muscleweaknes,orvisual disturbancesCorrect
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