Practice Questions Compilation Week 2

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PRACTICE QUESTION # 31
A nurse is caring for a client with an intracranial pressure monitoring device. The nurse would become most concerned if the ICP readings drifted to and stayed in the vicinity of:
A. 5 mmHg
B. 8 mmHg
C. 14 mmHg
D. 22 mmHg

PRACTICE QUESTION # 32
A client is being hyperventilated by a mech vent to decrease client's ICP. On monitoring ABG results, the nurse would report values that are outside of which of the following ranges?
A. O2=60-100, CO2=25-30
B. O2= 60-100, CO2=30-35
C. O2=80-100, CO2=35-40
D. O2=80-100, CO2=25-35

PRACTICE QUESTION # 33
A client was seen and treated in the hospital emergency department for treatment of a concussion. The nurse determines that the family needs reinforcement of the discharge instructions if they verbalize to call the physician for which client sign or symptom?
A. Difficulty speaking
B. Difficulty awakening
C. Vomiting
D. Minor headache

PRACTICE QUESTION # 34
A nurse is caring for a client with an intracranial aneurysm who was previously alert. Which of the following assessments would not be an early indication that the level of consciousness is deteriorating?
A. Slight slurring of speech
B. Ptosis of the left eyelid
C. Mild drowsiness
D. Less frequent spontaneous speech

PRACTICE QUESTION # 35
A client with a subarachnoid hemorrhage to have surgery delayed until a stable clinical condition is achieved. The nurse plans to administer which of the following medications as ordered to prevent clot breakdown and dissolution?
A. Aminocaproic acid (Amicar)
B. Heparin sodium (Heparin)
C. Warfarin (Coumadin)
D. Alteplase (Activase)

PRACTICE QUESTION # 36
A client is having frequent premature venrticular contractions. A nurse would place priority on assessment of which of the following?
A. Sensation of palpitations
B. Causative factors, such as caffeine
C. Precipitating factors such as infection
D. Blood pressure and oxygen saturation

PRACTICE QUESTIONS # 37
A client has developed atrial fibrillation, with a ventricular rate of 150 beats/min. The nurse should assess the client for which associated signs or symptoms?
A. Flat neck veins
B. Nausea and Vomiting
C. Hypotension and dizziness
D. Hypertension and headache

PRACTICE QUESTION # 38
A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, "This is all the doctor's fault! I have done everything that the doctor has asked me to do!" The RN interprets the client's statement as a(n):
A. Expected coping mechanism
B. Need to notify hospital lawyer
C. Expression of guilt on the part of the client
D. Ineffective coping mechanism

PRACTICE QUESTION # 39
An adolescent is diagnosed with conjunctivitis and the nurse provides information to the adolescent about the use of contact lenses. Which statements by the client indicates the need for further information?
A. "My contact lenses can be worn if they are cleaned as directed"
B. "I should not wear my contact lenses."
C. "New contact lenses should be obtained"
D. "My old contact lenses should be discarded"

PRACTICE QUESTION # 40
A 4-year-old child is diagnosed with otitis media. The mother asks the nurse about the causes of this illness. The nurse responds, knowing that which of the following is an unassociated risk factor related to otitis media?
A. Household smoking
B. Bottle feeding
C. Exposure to illness in other children
D. A history of UTI

PRACTICE QUESTION # 41
The nurse caring for a client with Addison's disease would expect to note which of the following on assessment of the client?
A. Obesity
B. Edema
C. Hypotension
D. Hirsutism

PRACTICE QUESTION # 42
Mineral oil has been prescribed for a child with constipation, and the nurses teaches the mother about administration of the mineral oil. Which statement by the mother indicates effective teaching?
A. I will administer the mineral oil followed by a glass of warm water
B. I will mix the mineral oil with 8 ounces of warm juice before administration
C. I will mix the mineral oil with chilled chocolate milk before administration
D. I will administer the mineral oil before each meal

PRACTICE QUESTION # 43
A nurse is assessing a newborn infant with a diagnosis of hiatal hernia. Which of the following findings would the nurse most specifically expect to note in the infant?
A. Excessive oral secretions
B. Coughing, wheezing, and short periods of apnea
C. Bowel sounds heard over the chest
D. Hiccuping and spitting up after a meal

PRACTICE QUESTION # 44
A nurse is reviewing the laboratory results for an infant suspected of having hypertrophic pyloric stenosis. The nurse would expect to note which of the following as the most likely finding in this infant?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis

PRACTICE QUESTION # 45
Explain:
How will you assess and determine if the patient's chest pain is due to pericarditis or pleurisy?

PRACTICE QUESTION # 46
The nurse returns to the nurse’s station after making client rounds and finds four phone messages. Which of the following messages should the nurse return FIRST?
A. A client with hepatitis A who states, “My arms and legs are itching.”
B. A client with a cast on the right leg who states, “I have a funny feeling in my right leg.”
C. A client with osteomyelitis of the spine who states, “I am so nauseous that I can’t eat.”
D. A client with arthritis who states, “I am having trouble sleeping at night.”

PRACTICE QUESTION # 47
An 11 year old child is admitted to the hospital in vaso-occlusive sickle cell crisis. The nurse plans for which priority treatments in the care of the child?
A. Adequate hydration, pain management
B. Splenectomy, correction of acidosis
C. Frequent ambulation, oxygen administration
D. Passive range-of-main exercises, adequate hydration

PRACTICE QUESTION # 48
Cortsone acetate is prescribed for a client with adrenal insufficiency. he nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates a need for further instructions?
A. I will eat a good breakfast every day
B. I will avoid people with colds
C. I will limit my sodium intake
D. I will stop the medication when I feel better

PRACTICE QUESTION # 49
A nurse has provided dietary instructions to a client regarding food items that are high in vitamin B complex. The client demonstrates understanding of the dietary instructions by stating the importance of including which of the following in the diet
A. Grains
B. Butter
C. Tomatoes
D. Milk

PRACTICE QUESTION # 50
A nurse is providing instructions to a client regarding food items that are high in vitamin D. The client demonstrates understanding of the following instructions by stating the need to include which of the following in the diet?
A. Milk
B. Broccoli
C. Oranges
D. Meat

PRACTICE QUESTION # 51
A nurse is preparing a plan of care for a client with a diagnosis of agranulocytosis who is being admitted to the hospital. The nurse formulates which priority nursing diagnosis?
A. Deficient knowledge
B. Risk for infection
C. Fatigue
D. Constipation