CJE PRACTICE EXAM 1 – Questions With Verified
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Terms in this set (61)
The nurse is caring for a client with Yellowish sclera.
tuberculosis who is receiving isoniazid
and rifampin for tuberculosis. Which Possible side effect related to liver damage
adverse effect should the nurse be
most concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
What would the nurse expect to find Acute confusion
in the care of an 80-year-old client
who is experiencing a complication Dry cough - Vague sign
after a right knee replacement? The Acute confusion - Correct - sign of infection in an
patient is post-op day 1. older adult
Increased temperature - Older adult may not exhibit
1 normal signs of infection
Dry cough Purulent drainage from incision - Older adult may not
2 exhibit normal signs of infection
Acute confusion
3
Increased temperature
4
Purulent drainage from incision
,Which of these clients should the 48-year-old African-American male who is obese
nurse consider at greatest risk for and father and mother have type 2 DM.
developing type 2 diabetes mellitus?
1
48-year-old African-American male
who is obese and father and mother
have type 2 DM.
2
50-year-old male hemoglobin A1C of
5.5% during a routine physical
examination.
3
A 30-year-old female who delivered a
9-pound baby.
4
A 62-year-old male with an elevated
triglyceride level.
,The nurse is assessing a client with "You should add a thickener all liquids and make sure
Parkinson's disease who has been he sits upright while eating."
admitted to the hospital because of
significant weight loss. Assessment
data reveals a masklike facial
expression and slurred speech. A
swallowing evaluation reveals some
difficulty swallowing. The client's
daughter asks the nurse, "How am I
supposed to feed him at home?" What
is an appropriate response by the
nurse?
1
"He will be scheduled for surgery to
have a feeding tube placed".
2
"It's best to feed him only three meals
a day to reduce the chance of
choking."
3
"Make sure he drinks all liquids
through a straw and recline in chair
while eating."
4
"You should add a thickener all liquids
and make sure he sits upright while
eating."
, The nurse is caring for a client who "It appears you are hearing voices again. Tell me what
has been admitted to the psychiatric you are hearing."
in-client unit with schizophrenia. While
talking with the nurse alone, the client
suddenly stops midsentence, turns to
stare at the wall and states, "I told you
I can't do that!" What is an appropriate
response by the nurse?
1
"I will talk to you later when you can
pay attention."
2
"I will leave the room if you continue
to not pay attention"
3
"Is your mother talking to you again? I
wish she would leave you alone."
4
"It appears you are hearing voices
again. Tell me what you are hearing."
The nurse is participating in the "I know that my blood pressure is high when my nose
discharge plans for a client with starts bleeding."
hypertension. Which statement by the
client would cause concern? Correct - Hypertension is usually asymptomatic. A
nose bleed can occur with high blood pressure, but
1 it can occur for many other reasons as well. It is quite
"I am at risk for stroke or heart attack if common that the client's blood pressure is high and
my blood pressure is not controlled." the client experiences no symptoms. It is important
2 to help clients understand that they cannot rely on
"I know that my blood pressure is high one particular symptom to tell if their pressure is
when my nose starts bleeding." elevated. It would be very dangerous for clients to
3 think their blood pressure is only high if they have a
"I will take my blood pressure two nose bleed.
times a day for at least 7 days."
4
"I will ask my spouse to start walking
with me in the mornings."