PRACTICE (50 QUESTIONS) ACTUAL
EXAM QUESTIONS WITH CORRECT
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Amnursemismmonitoringmamclientmfollowingmamthyroidectomy.mWhichmofmthemfollowingmfindingsmsho
uldmthemnursemidentifymasmanmindicationmofmhypoparathyroidism?m-
mCORRECTmANSWERmInvoluntarymmusclemspasmsm
(occursmifmthemparathyroidmglandsmaremdamagedmormremovedmduringmamthyroidectomy.mMusclemt
witchingmandmparesthesiasmcanmresultmduemtomdecreasedmparathyroidmhormonemlevelsmandmcalciu
mmdeficiency.)
Amnursemismreinforcingmdischargemteachingmwithmamclientmwhomhasmamnewmpermanentmpacemaker.
mWhichmofmthemfollowingmstatementsmbymthemclientmindicatesmanmunderstandingmofmthemteaching?
m-mCORRECTmANSWERm"Imshouldmcheckmmymheartmratemeachmday."•
Amnursemismreinforcingmdischargemteachingmaboutmimprovingmgasmexchangemwithmamclientmwhomha
smemphysema.mWhichmofmthemfollowingminformationmshouldmthemnursemincludeminmthemteaching?m
-mCORRECTmANSWERmUsempursed-lipmbreathingmduringmperiodsmofmdyspnea.
Amnursemismreinforcingmteachingmwithmamclientmwhomhasmamnewmdiagnosismofmmultiplemsclerosism(
MS).mThemclientmasksmthemnursemaboutmthemusualmcoursemofmMS.mWhichmofmthemfollowingmrespons
esmshouldmthemnursemmake?m-
mCORRECTmANSWERm"Acutemepisodesmaremusuallymfollowedmbymremissions,mwhichmcanmlastmvaryi
ngmlengthsmofmtime."
amnurseminmanmemergencymdepartmentmismcaringmformamclientmwhomreportsmdevelopingmseveremrig
htmeyempainmwithmamgrittymsensationmwhilemsawingmwood.mWhatsmpriority?m-
mCORRECTmANSWERmAskmthemclientmaboutmfirstmaidmperformedmatmthemscene
, Amnursemismpreparingmtomadministermtimololmeyemdropsmformamclientmwhomhasmglaucoma.mWhenmin
stillingmthemmedication,mwhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmApplympressuremtompunctamafterminstillationmofmthemmedication.
AmnursemismcaringmformamclientmwhomhasmamstagemIIImpressuremulcermonmhismheel.mWhenmpreparingm
tomirrigatemthemwound,mwhichmofmthemfollowingmactionsmshouldmthemnursemtakemrst?m-
mCORRECTmANSWERmCheckmthemclient'smpainmlevel
Amnursemismcaringmformamclientmwhombeginsmhavingmamtonic-
clonicmseizuremwhilemsittingminmamchairmatmthembedside.mWhichmofmthemfollowingmactionsmshouldmt
hemnursemtakemfirst?m-mCORRECTmANSWERmLowermthemclientmtomthemfloor.
Amnursemismcaringmformamclientmwhomhasmtypem1mdiabetesmmellitusmandmamcapillarymbloodmglucosem
readingmofm48mmg/dL.mWhichmofmthemfollowingmfindingsmshouldmthemnursemexpect?m-
mCORRECTmANSWERmDiaphoresis
Amclientmwhomhasmambloodmglucosemlevelmbelowm70mmg/dLmtomexhibitmindicationsmofmhypoglycemi
a.mIncludingmweakness,mhunger,mdiaphoresis,mnausea,mshakiness,mandmconfusion.
Amnursemismreinforcingmteachingmwithmamclientmwhomismscheduledmformamsigmoidmcolonmresectionm
withmcolostomy.mWhichmofmthemfollowingmstatementsmbymthemclientmindicatesmamneedmformfurtherm
teaching?m-mCORRECTmANSWERm"Mymdietmwillmhavemtomchangemtomamsoftmdietmaftermsurgery."•
(mAftermsurgery,mthemclient'smdietmquicklymreturnsmtomamregularmdietmandmtheremaremnotmanymfoodmr
estrictions.)
Amnursemismreviewingmamclient'smlaboratorymreport.mThemclient'smABGmlevelsmarempHm7.5,mPaCOm32m
mmmHG,mandmHCOm24mmEq/L.mThemnursemshouldmdeterminemthatmthemclientmhasmwhichmofmthemfo
llowingmacid-basemimbalances?m-mCORRECTmANSWERmRespiratorymalkalosis
(Themnursemshouldmidentifymthatmthemclient'smpHmismelevatedmabovemthemexpectedmreferencemrang
emofm7.35mtom7.45,mindicatingmalkalosis.mThemnursemshouldmthenmidentifymthatmthemclient'smPaCOmi
smlow,mbelowmthemexpectedmreferencemrangemofm35mtom45mmmmHg,mwhichmindicatesmamrespiratory
morigin.mThemnursemshouldmconcludemthatmthemclient'smelevatedmpHmandmdecreasedmPaCOmindicate
mrespiratorymalkalosis.)