UPDATED QUESTIONS AND ANSWERS
◉A nurse in a community clinic is assessing an older adult client for
manifestations of dehydration.
Which of the following findings should the nurse expect?
A. Hypothermia
B. Protruding eyeballs
C. Elevated blood pressure
D. Furrows in the tongue. Answer: D. Furrows in the tongue
◉A nurse is monitoring a client who is
postoperative following a thyroidectomy. Which of the following
data should the nurse identify as the
priority to monitor?
A. Airway patency
B. Temperature
C. Urination
,D. Pain control. Answer: A. Airway patency
◉A nurse is teaching a client who has peripheral arterial disease.
Which of the following statements
should the nurse include in the teaching to explain peripheral
arterial disease?
A. "Blood flow is altered due to incompetent valves
causing increased venous pressure."
B. "Blood flow is altered due to excessive stretching of the ventricles
impairing the heart to contract."
C. "Blood flow is altered due to atherosclerosis affecting
the tissues' ability to receive oxygen-rich blood."
D. "Blood flow is altered and causes blood to pool in the legs.".
Answer: C. "Blood flow is altered due to atherosclerosis affecting
the tissues' ability to receive oxygen-rich blood."
◉A nurse is caring for a client who has Addison's disease and is at
risk for Addisonian crisis. Which of the following actions should the
nurse take
A. Provide a low-carbohydrate diet.
B. Weigh the client daily.
,C. Administer oral corticosteroids
D. Restrict fluid intake.. Answer: B. Weigh the client daily.
◉A client was admitted to the surgical unit following a repair of a
right femur fracture. Which of the following assessments is a
priority in the
postoperative period?
A. Presence of significant other
B. Operative leg skin color
C. Last bowel movement
D. Dietary restriction. Answer: B. Operative leg skin color
◉A nurse is providing teaching to a client about hypothyroidism.
Which of the following potentially
fatal conditions associated with hypothyroidism will the nurse
include?
A. Goiters
B. Hashimoto's disease
C. Sjogren's syndrome
D. Myxedema coma. Answer: D. Myxedema coma
, ◉A nurse is caring for a client who has psoriasis presenting as
reddish/purple and flaky patches on their arms and legs. The nurse
should be alert to which of the following potential complications of
this condition?
A. Psychological distress
B. Decreased breath sounds
C. Urinary tract infection
D. Hiatal hernia. Answer: A. Psychological distress
◉A client in the emergency department is in critical condition. The
client's nurse recognizes that which of the following actions would
be therapeutic for the family?
A. Providing open communication and updates on the client's
condition
B. Notifying the family once the client's care has been completed
C. Asking the charge nurse to manage all communication
with the client's family
D. Asking the family to wait in the waiting room during the. Answer:
A. Providing open communication and updates on the client's
condition