nurse 612-Exam 1 unit 1, 2, 3 test questions
An older adult's dysfunctional temperature regulator function B
places the client at greatest riskfor:
A) Acute dementia
B) Delayed initiation of appropriate treatment
C) Acute renal failure
D) Misdiagnosis of pathology
A client asks why his temperature is always below 98.6F. D
The nurse responds:
A) The best way to bring your body temperature up to normal is to
live in a warmer climate
B) Some people maintain a core body temperature of
41C and that is normal for them
C)A person's highest point of core temperature is usually first thing in
the morning
D) Normal core temperature varies between individuals
within the range of 97F to 99.5F
The nurse assessing a client admitted with a diagnosis of "fever of A
unknown origin" notes that the temperature is elevated, but the heart
rate is within normal range.What
further assessment will the client require?
A) Test for Legionnaire disease
B) V/Q scan for pulmonary emboli
C) Thyroid scan for nodules
D) Sedimentation rate for RA
,A 24-year-old woman presents with fever and painful
swollen cervical lymph nodes. Her blood work indicates
neutrophilia with a shift to the left. She most likely has:
A) A mild viral infection
B) A mild parasitic infection
C) A severe bacterial infection
D) A severe fungal infection
A nurse is providing care for several clients on a neurological A
unit of a hospital. With which of the
following clients would the nurse be justified in
predicting a problem with thermoregulation?
A) A 66 year old male with damage to his thalamus
secondary to a cerebral vascular accident
B) A 22 year old male with damage to his cerebellum secondary to
a motorcycle accident
C) A 45 year old female with a T8 fracture secondary to a diving accident
D) A 68 year old male with end stage neurosyphilis
While sponging a client who has a high temperature, the nurse B
observes the client begins to shiver. At this point,the priority nursing
intervention would be to:
A) Administer an extra does of aspirin
B) Stop sponging the client and retake a set of vital signs
C) Increase the room temperature by turning off the air
conditioner and continue sponging the client with warmer
water
D) Place a heated electric blanket on the client's bed
A client has an increase in core body temperature. What assessment A
findings does the nurse expect?
A)Flushed skin
B) Decreased skin temperature
C) Blue nail beds
D) Decreased urination
Which of the following patients is most likely to have B
impairments to the wound healing process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired
mobility
B)Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
D) Congenital heart defects and anemia
, A two-day postoperative patient's temperature was 98.5F at 3:00 PM. B
At 6:00 PM, the unlicensed assistant notifies
the nurse that the patient's temperature is 102F. Which of
the following actions should the nurse take?
A) Increase intravenous fluid rate
B) Notify the physician
C) Document the temperature
D) Offer the client a cold drink
A patient diagnosed with bacterial pneumonia is admitted to the A
hospital. The nurse reviewing the patient's
laboratory results notes an increase in the number of
bands in the white blood cell count. Which of the following is
the priority action of the nurse?
A) Continuing to monitor the client's laboratory results;this is an
expected finding in an acute infection
B) Placing the client in contact isolation immediately
C) Requesting a repeat blood draw to verify the findings
D) Notifying the physician of the abnormal lab result
The nurse is caring for a client whose temperature is increasing. B
The nurse is aware that the client will also experience an increase
in:
A)White blood cell count
B) Heart rate
C) Respiratory rate
D) Blood pressure
A patient with a rising temperature is pale and has begun B
to shiver. The nurse reports that the patient is in which of the following
phases of fever development?
A) Prodrome
B)Chill
C)Flush
D)Defervescence
A client is said to be in the chill stage of the fever process when the nurse B
does which of the following?
A) Administers an antipyretic medication
B) Observes piloerection on the skin
C) Observes the client is sweating
D) Determines the client will benefit from a cool sponge
bath
What is the most common cause of drug fever? B
A) Increased heat production from PTU
B) Hypersensitivity reaction to medication
C) Impaired peripheral heat dissipation by atropine
D) Serotonin syndrome
An older adult's dysfunctional temperature regulator function B
places the client at greatest riskfor:
A) Acute dementia
B) Delayed initiation of appropriate treatment
C) Acute renal failure
D) Misdiagnosis of pathology
A client asks why his temperature is always below 98.6F. D
The nurse responds:
A) The best way to bring your body temperature up to normal is to
live in a warmer climate
B) Some people maintain a core body temperature of
41C and that is normal for them
C)A person's highest point of core temperature is usually first thing in
the morning
D) Normal core temperature varies between individuals
within the range of 97F to 99.5F
The nurse assessing a client admitted with a diagnosis of "fever of A
unknown origin" notes that the temperature is elevated, but the heart
rate is within normal range.What
further assessment will the client require?
A) Test for Legionnaire disease
B) V/Q scan for pulmonary emboli
C) Thyroid scan for nodules
D) Sedimentation rate for RA
,A 24-year-old woman presents with fever and painful
swollen cervical lymph nodes. Her blood work indicates
neutrophilia with a shift to the left. She most likely has:
A) A mild viral infection
B) A mild parasitic infection
C) A severe bacterial infection
D) A severe fungal infection
A nurse is providing care for several clients on a neurological A
unit of a hospital. With which of the
following clients would the nurse be justified in
predicting a problem with thermoregulation?
A) A 66 year old male with damage to his thalamus
secondary to a cerebral vascular accident
B) A 22 year old male with damage to his cerebellum secondary to
a motorcycle accident
C) A 45 year old female with a T8 fracture secondary to a diving accident
D) A 68 year old male with end stage neurosyphilis
While sponging a client who has a high temperature, the nurse B
observes the client begins to shiver. At this point,the priority nursing
intervention would be to:
A) Administer an extra does of aspirin
B) Stop sponging the client and retake a set of vital signs
C) Increase the room temperature by turning off the air
conditioner and continue sponging the client with warmer
water
D) Place a heated electric blanket on the client's bed
A client has an increase in core body temperature. What assessment A
findings does the nurse expect?
A)Flushed skin
B) Decreased skin temperature
C) Blue nail beds
D) Decreased urination
Which of the following patients is most likely to have B
impairments to the wound healing process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired
mobility
B)Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
D) Congenital heart defects and anemia
, A two-day postoperative patient's temperature was 98.5F at 3:00 PM. B
At 6:00 PM, the unlicensed assistant notifies
the nurse that the patient's temperature is 102F. Which of
the following actions should the nurse take?
A) Increase intravenous fluid rate
B) Notify the physician
C) Document the temperature
D) Offer the client a cold drink
A patient diagnosed with bacterial pneumonia is admitted to the A
hospital. The nurse reviewing the patient's
laboratory results notes an increase in the number of
bands in the white blood cell count. Which of the following is
the priority action of the nurse?
A) Continuing to monitor the client's laboratory results;this is an
expected finding in an acute infection
B) Placing the client in contact isolation immediately
C) Requesting a repeat blood draw to verify the findings
D) Notifying the physician of the abnormal lab result
The nurse is caring for a client whose temperature is increasing. B
The nurse is aware that the client will also experience an increase
in:
A)White blood cell count
B) Heart rate
C) Respiratory rate
D) Blood pressure
A patient with a rising temperature is pale and has begun B
to shiver. The nurse reports that the patient is in which of the following
phases of fever development?
A) Prodrome
B)Chill
C)Flush
D)Defervescence
A client is said to be in the chill stage of the fever process when the nurse B
does which of the following?
A) Administers an antipyretic medication
B) Observes piloerection on the skin
C) Observes the client is sweating
D) Determines the client will benefit from a cool sponge
bath
What is the most common cause of drug fever? B
A) Increased heat production from PTU
B) Hypersensitivity reaction to medication
C) Impaired peripheral heat dissipation by atropine
D) Serotonin syndrome
