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PRACTICE QUESTION # 1
A 22 y/o adult has a cholesterol blood test done at a screening clinic sponsored by a local health club. The RN volunteering at the screening teaches the client that diet & exercise should be used as health measures to keep the total cholesterol level below:
A. 80mg/dL
B. 200 mg/dL
C. 250 mg/dL
D. 300 mg/dL
PRACTICE QUESTION # 2
A client is suspected of having a myocardial infarction. The nurse assesses for elevations in which of the following isoenzyme values reported with the creatine kinase level?
A. MM
B. MB
C. BB
D. MK
PRACTICE QUESTION # 3
A client with a history of cardiac disease is due for a morning dose of furosemide (Lasix). Which serum potassium level should be reported to the surgeon before administering the dose of furosemide?
A. 3.2mEq/L
B. 3.8mEq/L
C. 4.2mEq/L
D. 4.8mEq/L
PRACTICE QUESTION # 4
A client complains of calf tenderness. On assessment, the nurse notes the presence of Homans' sign. The nurse next assesses the client for:
A. Coolness and pallor of the affected limb
B. Diminished distal peripheral pulses
C. Increased calf circumference
D. Bilateral edema
PRACTICE QUESTION # 5
A nurse is implementing a plan of care for a client with deep vein thrombosis of the right leg. Which intervention would be INAPPROPRIATE for the nurse to include in delivering care to this client?
A. Elevation of the right leg
B. Ambulation in the hall twice per shift
C. Application of moist heat to the right leg
D. Administration of acetaminophen (Tylenol)
PRACTICE QUESTION # 6
Oral neomycin has been prescribed for a client with a diagnosis of portosystemic encephalopathy. The nurse reviews the physician's order and determines that this medication has been prescribed to:
A. Prevent infection
B. Destroy normal bacteria found in the bowel
C. Prevent restlessness in the client
D. Prevent fluid retention and ascites
PRACTICE QUESTION # 7
Lactulose is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse would determine that this medication has had a therapeutic effect if assessment reveals which of the following?
A. Increased red blood cell count
B. Decreased serum ammonia level
C. Increased protein level
D. Decreased white blood cell count
PRACTICE QUESTION # 8
The client with acute pancreatitis is experiencing severe pain from the disorder. The nurse determines that the client understands suggestions for positioning to reduce pain of the client AVOIDS:
A. Leaning forward
B. Drawing the legs up to the chest
C. Sitting up
D. Lying flat
PRACTICE QUESTION # 9
The RN is caring for a client with a resolved intestinal obstruction who has a nasogastric tube in place. The client has tolerated the tube being clamped every 2 hours for 1 hour. The MD has now ordered the NG tube to be removed. Prior to removing the tube, the nurse assesses for:
A. Proper NG tube placement
B. Normal serum electrolyte levels
C. The presence of bowel sounds in all four quadrants
D. Normal pH of the gastric aspirate
PRACTICE QUESTION # 10
A home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need:
A. Vitamin B12 Injections
B. Vitamin B6 Injections
C. Antibiotic
D. Antacid
PRACTICE QUESTION # 11
A nurse has been caring for a client with a Sengstaken-Blakemore tube. The MD arrives on the nursing unit and deflates the esophageal balloon. Afterward, the nurse should monitor the client most closely for which of the following?
A. Swelling of the abdomen
B. Bloody Diarrhea
C. Hematemesis
D. Elevated temp and a rise in blood pressure
PRACTICE QUESTION # 12
A nurse is assessing a client with a duodenal ulcer. The nurse interprets that which of the following signs and symptioms in the client is most consistent with the typical presentation of duodenal ulcer?
A. Nausea and vomiting
B. Weight loss
C. Pain that is relieved by food intake
D. Pain that is aggravated by food intake
PRACTICE QUESTION # 13
After undergoing Billroth I gastric surgery, the client experiences fatigue and complains of numbness and tingling in the feet and difficulties with balance. On the basis of these symptoms, the nurse suspects which postoperative complication?
A. Pernicious anemia
B. Bacterial meningitis
C. Stroke
D. Peripheral arterial disease
PRACTICE QUESTION # 14
A client experiencing chronic dumping syndrome makes all of the following comments to the nurse. which one needs further discussion?
A. I eat at least 3 large meals each day
B. I eat while lying in a semirecumbent position
C. I have eliminated taking liquids w/ my meals
D. I eat a high-protein, low to moderate carbohydrate diet.
PRACTICE QUESTION # 15
A nurse obtains an admission history for a client with suspected peptic ulcer disease. Which of the following client factors documented by the nurse would increase the risk for PUD?
A. Recently retired from a job
B. Significant other has a gastric ulcer
C. Takes ibuprofen for osteoarthritis
D. Occasionally drinks one cup of coffee in the morning
PRACTICE QUESTION # 16
A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?
A. Cyanosis
B. Arm Edema
C. Periorbital Edema
D. Mental status changes
PRACTICE QUESTION # 17
The client has undergone mastectomy. The nurse interprets that the client is making the best adjustment to the loss of the breast if w/c of the ff behaviors is observed?
A. Participating in the care of the surgical drain
B. Reading the postoperative care booklet
C. Refusing to look at the wound
D. Asking for pain medication when needed
PRACTICE QUESTION # 18
A client is scheduled for a Papanicolaou smear at the next scheduled clinic visit. The nurse provides instructions to the client regarding preparation for this test. The nurse tells the client that:
A. The test can be performed during menstruation
B. Fluids are restricted on the day of the test
C. The test is painless
D. Vaginal douching is required 2 hours before the test
PRACTICE QUESTION # 19
The client has been hospitalized for a cervical radiation implant. The implant is removed and the nurse provides home care instructions to the client. Which statement made by the client indicates a need for further instructions?
A. Cream may be used to relieve dryness or itching
B. Foul-smelling vaginal discharge is a sign of an infection
C. Sexual intercourse may be resumed after 7 to 10 days
D. Some vaginal bleeding is expected for 1 to 3 months
PRACTICE QUESTION # 20
The nurse teaches skin care to the client receiving external radiation therapy. Which of the following statements, if made by the client, would indicate the need for further instruction?
A. I will handle the area gently
B. I will avoid the use of deodorants
C. I will limit sun exposure to 1 hour daily
D. I will wear loose-fitting clothing
PRACTICE QUESTION # 21
A client suspected of having an abdominal tumor is scheduled for a computed tomography scan with dye injection. The nurse tells the client that:
A. The test may be painful
B. The dye injected may cause a warm, flushing sensation
C. Fluids will be restricted following the test
D. The test takes approximately 2 hours
PRACTICE QUESTION # 22
A home care nurse visits a client who has just returned from the hospital after a mastectomy. The client has a Jackson-Pratt drain in place. The nurse instructs the client to avoid which of the following?
A. Elevation of the arm when lying or sitting
B. Emptying the drain to prevent infection
C. Full range of motion exercises to the upper arm
D. Applying lotion to the area after healing of the incision
PRACTICE QUESTION # 23
A RN is reviewing the record of a client who was admitted to the hospital with a diagnosis of ovarian cancer. The RN understands that w/c assessment finding is UNASSOCIATED w/ this disorder?
A. Abdominal distention
B. Urinary frequency and urgency
C. Pain
D. Frequent diarrhea
PRACTICE QUESTION # 24
A nurse is reviewing the lab test result for a client with bladder cancer and bone metastasis. Which finding would alert the nurse that physician notification is required?
A. K = 3.8 mEq/L
B. Ptt ct = 200,000
C. Ca = 15mg/dL
D. WBC = 6,000
PRACTICE QUESTION # 25
A physician orders the instillation of mydriatic eyedrops to both eyes of a client. The nurse administers the eye drops and monitors the client for an effective response from the medication, as indicated by:
PRACTICE QUESTION # 26
A clinic nurse is performing an abdominal assessment on a client and is preparing to auscultate bowel sounds. The nurse places the stethoscope in which quadrant FIRST?
PRACTICE QUESTION # 27
A nurse providing care for a client on cardiac telemetry notes this cardiac rhythm on the monitr.
The nurse interprets the rhythm as:
A. NSR
B. Bradycardia
C. A-fib
D. A-flutter
PRACTICE QUESTION # 28
A nurse is performing an assessment on a client with a head injury and notes that the client is assuming this posture.
The nurse contacts the physician and reports that the client is exhibiting:
A. Decorticate Rigidity
B. Decerebrate Rigidity
C. Flaccid quadriplegia
D. Opisthotonos
PRACTICE QUESTION # 29
To perform CPR, the nurse would use the method shown to open the airway in which of the following situations?
A. In all situations requiring CPR
B. If neck trauma is suspected
C. If the client is unconscious
D. if the client has a history of headaches
PRACTICE QUESTION # 30
A nurse is assigned to change the surgical dressing on a client who had abdominal surgery. After removing the old dressing, the nurse assesses the surgical site. The nurse takes which initial action if this appearance is observed?
A. Redress the wound with a dry sterile dressing
B. Document the findings
C. Apply a sterile nonadherent dressing
D. Ask the client to cough to assess for protrusion of the internal structures
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