The nurse conducts a physical assessment for a client with abdominal pain. Which finding
leads the nurse to suspect appendicitis?
A. Severe, steady RLQ pain
B. Abdominal pain that started a day after vomiting began
C. Abdominal pain that increases with knee flexion
D. Marked peristalsis and hyperactive bowel sounds
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A. Severe, steady RLQ pain
,A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4
months after radiation therapy for breast cancer. What response by the nurse is most
appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
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B. "It is normal to be fatigued even for months afterward."
A nurse cares for a postmenopausal patient who has had two episodes of bacterial
urethritis in the last 6 months. The client asks, "I never have UTIs. Why is this happening
now?" How would the nurse respond?
A. "Your immune system becomes less effective as you age."
B. "Low estrogen levels can make the tissue more susceptible to infection."
C. "You should be more careful with your personal hygiene in this area."
D. "It is likely that you have an untreated STD."
Give this one a try later!
B. "Low estrogen levels can make the tissue more susceptible to infection."
The nurse assesses a client who has just been brought to the postanesthesia care unit
(PACU). In the operating room, the client's BP was 136/80 mmHg, it is now 110/80 mmHg.
,Urine output was 40 mL/h and is now 10 mL/h. Which action by the nurse is best?
A. Awaken the client and encourage oral fluids
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
C. Put the client in Trendelenberg position
D. Assess the client's levels of consciousness and pain
Give this one a try later!
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
A nurse reviews a client's laboratory results. Which results from the client's urinalysis
would the nurse recognize as abnormal?
A. pH of 5.6
B. Ketone bodies present
C. Specific gravity of 1.020
D. Clear and yellow color
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B. Ketone bodies present
A client asks the nurse if eating only preservative- and dye-free foods will decrease
cancer risk. What response by the nurse is best?
A. "Maybe; preservatives, dyes, and preparation methods may be risk factors."
B. "No; research studies have never shown those things to cause cancer."
C. "There are other things you can do that will more effectively lower your risk."
D. "Yes; preservatives and dyes are well known to be carcinogens."
, Give this one a try later!
A. "Maybe; preservatives, dyes, and preparation methods may be risk factors."
A client has long-term rheumatoid arthritis (RA) that especially affects the hands. The
client wants to finish quilting a baby blanket before the birth of her grandchild. What
response by the nurse is appropriate?
A. "Let's ask your provider about increasing your pain pills."
B. "Hold ice bags against your hands before quilting."
C. "Try a paraffin wax dip 20 minutes before you quilt."
D. "You need to stop quilting before it destroys your fingers."
Give this one a try later!
C. "Try a paraffin wax dip 20 minutes before you quilt."
A client had surgical repair of a fractured ankle under local anesthesia and is being
transferred from the postanesthesia care unit (PACU) to the surgical floor. Once
admitted, what is the nurse's priority action?
A. Assess pressure points for breakdown
B. Assess the client's pain
C. Insert an IV for antibiotic therapy
D. Assess a full set of vital signs
Give this one a try later!
leads the nurse to suspect appendicitis?
A. Severe, steady RLQ pain
B. Abdominal pain that started a day after vomiting began
C. Abdominal pain that increases with knee flexion
D. Marked peristalsis and hyperactive bowel sounds
Give this one a try later!
A. Severe, steady RLQ pain
,A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4
months after radiation therapy for breast cancer. What response by the nurse is most
appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
Give this one a try later!
B. "It is normal to be fatigued even for months afterward."
A nurse cares for a postmenopausal patient who has had two episodes of bacterial
urethritis in the last 6 months. The client asks, "I never have UTIs. Why is this happening
now?" How would the nurse respond?
A. "Your immune system becomes less effective as you age."
B. "Low estrogen levels can make the tissue more susceptible to infection."
C. "You should be more careful with your personal hygiene in this area."
D. "It is likely that you have an untreated STD."
Give this one a try later!
B. "Low estrogen levels can make the tissue more susceptible to infection."
The nurse assesses a client who has just been brought to the postanesthesia care unit
(PACU). In the operating room, the client's BP was 136/80 mmHg, it is now 110/80 mmHg.
,Urine output was 40 mL/h and is now 10 mL/h. Which action by the nurse is best?
A. Awaken the client and encourage oral fluids
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
C. Put the client in Trendelenberg position
D. Assess the client's levels of consciousness and pain
Give this one a try later!
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
A nurse reviews a client's laboratory results. Which results from the client's urinalysis
would the nurse recognize as abnormal?
A. pH of 5.6
B. Ketone bodies present
C. Specific gravity of 1.020
D. Clear and yellow color
Give this one a try later!
B. Ketone bodies present
A client asks the nurse if eating only preservative- and dye-free foods will decrease
cancer risk. What response by the nurse is best?
A. "Maybe; preservatives, dyes, and preparation methods may be risk factors."
B. "No; research studies have never shown those things to cause cancer."
C. "There are other things you can do that will more effectively lower your risk."
D. "Yes; preservatives and dyes are well known to be carcinogens."
, Give this one a try later!
A. "Maybe; preservatives, dyes, and preparation methods may be risk factors."
A client has long-term rheumatoid arthritis (RA) that especially affects the hands. The
client wants to finish quilting a baby blanket before the birth of her grandchild. What
response by the nurse is appropriate?
A. "Let's ask your provider about increasing your pain pills."
B. "Hold ice bags against your hands before quilting."
C. "Try a paraffin wax dip 20 minutes before you quilt."
D. "You need to stop quilting before it destroys your fingers."
Give this one a try later!
C. "Try a paraffin wax dip 20 minutes before you quilt."
A client had surgical repair of a fractured ankle under local anesthesia and is being
transferred from the postanesthesia care unit (PACU) to the surgical floor. Once
admitted, what is the nurse's priority action?
A. Assess pressure points for breakdown
B. Assess the client's pain
C. Insert an IV for antibiotic therapy
D. Assess a full set of vital signs
Give this one a try later!
