Nurs 4526 final practice Questions With Complete Solutions
A 48-year old male is first admitted to the coronary care unit, his
electrocardiographic (ECG) monitoring strip shows the
following rhythm: (sinus bradycardia) The client complains of
dizziness and his blood pressure is 82/60. Which order does the
nurse anticipate will be given by the health care provider?
a. Defibrillate the client
b. Prepare for transcutaneous pacing
c. Administer a beta-blocker (Metoprolol)
d. Continue monitoring the client Correct Answers B
A 48-year-old man has been diagnosed with metastatic
malignant melanoma and has a poor prognosis. He plans an
extensive trip around the country to visit family he has not seen
or talked with in years. What psychosocial response does the
nurse recognize that the client is manifesting?
a. Altered decision making
b. Unfinished business
c. Saying goodbye
d. Restlessness Correct Answers B
A client arrives at the emergency department with reports of a
headache, hives, itching, and difficulty swallowing. The client
states that he/she took ibuprofen 1 hour earlier and believes that
he/she is experiencing an allergic reaction to this medication.
After ensuring that the client has a patent airway, which
intervention does the nurse prepare the client for first?
a. Administration of normal saline solution
b. Administration of an intravenous (IV) glucocorticoid
c. Administration of a subcutaneous injection of epinephrine
,d. Administration of pain medication to relieve the client's
headache Correct Answers C
A client experiencing chest pain and dyspnea for 4 hours has
been diagnosed with an acute myocardial infarction (MI). Which
aspects should be included in the plan of care? Select all that
apply.
a. Monitor the need for antidysrhythmic agents
b. Encourage ambulation
c. Administer prescribed acetaminophen with codeine for pain
d. Monitor for bleeding during thrombolytic therapy.
e. Immediately report a decreasing total creatinine kinase level
Correct Answers A, C, D, ??
A client has had an elevated temperature of 38.2C for 3 days
since experiencing a myocardial infarction. What does the nurse
understand that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial
necrosis
d. Beginning congestive heart failure from increased myocardial
oxygen demand Correct Answers A
A client in shock has a pulmonary artery wedge pressure
(PAWP) reading of 18 mm Hg. This reading would most likely
indicate the client is experiencing which condition?
a. Afterload reduction
b. Left ventricular failure
c. Dehydration
d. Hypovelmia Correct Answers B
, A client is admitted to the emergency department with
respiratory failure. An arterial blood gas (ABG) is ordered and
the laboratory results indicate respiratory acidosis. Which other
result does the nurse anticipate seeing among the laboratory
results?
a. Hyperkalemia
b. Increased hematocrit
c. Hypokalemia
d. Hyponatremia Correct Answers A
A client is diagnosed with metabolic alkalosis as a result of
excessive antacid use. Which assessment finding would the
nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias Correct Answers B
A client is treated in the emergency department for shock
following an automobile accident. The nurse knows that shock is
a clinical syndrome in which cellular dysfunction and organ
failure occur primarily as a result of which of the following
conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion Correct Answers D
A client near death is manifesting a decrease in all body system
functions except for a heart rate of 124 beats/min and a
A 48-year old male is first admitted to the coronary care unit, his
electrocardiographic (ECG) monitoring strip shows the
following rhythm: (sinus bradycardia) The client complains of
dizziness and his blood pressure is 82/60. Which order does the
nurse anticipate will be given by the health care provider?
a. Defibrillate the client
b. Prepare for transcutaneous pacing
c. Administer a beta-blocker (Metoprolol)
d. Continue monitoring the client Correct Answers B
A 48-year-old man has been diagnosed with metastatic
malignant melanoma and has a poor prognosis. He plans an
extensive trip around the country to visit family he has not seen
or talked with in years. What psychosocial response does the
nurse recognize that the client is manifesting?
a. Altered decision making
b. Unfinished business
c. Saying goodbye
d. Restlessness Correct Answers B
A client arrives at the emergency department with reports of a
headache, hives, itching, and difficulty swallowing. The client
states that he/she took ibuprofen 1 hour earlier and believes that
he/she is experiencing an allergic reaction to this medication.
After ensuring that the client has a patent airway, which
intervention does the nurse prepare the client for first?
a. Administration of normal saline solution
b. Administration of an intravenous (IV) glucocorticoid
c. Administration of a subcutaneous injection of epinephrine
,d. Administration of pain medication to relieve the client's
headache Correct Answers C
A client experiencing chest pain and dyspnea for 4 hours has
been diagnosed with an acute myocardial infarction (MI). Which
aspects should be included in the plan of care? Select all that
apply.
a. Monitor the need for antidysrhythmic agents
b. Encourage ambulation
c. Administer prescribed acetaminophen with codeine for pain
d. Monitor for bleeding during thrombolytic therapy.
e. Immediately report a decreasing total creatinine kinase level
Correct Answers A, C, D, ??
A client has had an elevated temperature of 38.2C for 3 days
since experiencing a myocardial infarction. What does the nurse
understand that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial
necrosis
d. Beginning congestive heart failure from increased myocardial
oxygen demand Correct Answers A
A client in shock has a pulmonary artery wedge pressure
(PAWP) reading of 18 mm Hg. This reading would most likely
indicate the client is experiencing which condition?
a. Afterload reduction
b. Left ventricular failure
c. Dehydration
d. Hypovelmia Correct Answers B
, A client is admitted to the emergency department with
respiratory failure. An arterial blood gas (ABG) is ordered and
the laboratory results indicate respiratory acidosis. Which other
result does the nurse anticipate seeing among the laboratory
results?
a. Hyperkalemia
b. Increased hematocrit
c. Hypokalemia
d. Hyponatremia Correct Answers A
A client is diagnosed with metabolic alkalosis as a result of
excessive antacid use. Which assessment finding would the
nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias Correct Answers B
A client is treated in the emergency department for shock
following an automobile accident. The nurse knows that shock is
a clinical syndrome in which cellular dysfunction and organ
failure occur primarily as a result of which of the following
conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion Correct Answers D
A client near death is manifesting a decrease in all body system
functions except for a heart rate of 124 beats/min and a
