A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the
following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers
Give this one a try later!
, b) Perform a neurological assessment
A nurse is provide preoperative teaching for a client who is having left-sided cardiac
catheterization. Which of the following information should the nurse include in the
teaching?
a) You should plan to remain in bed 18 hours after the procedure
b) You will have blood pressure measurements every 5 minutes for the first 2 hours
after the procedure
c) You will receive a general anesthetic during the procedure
d) You should expect a warm sensation after the injection of the contrast dye during
the procedure
Give this one a try later!
d) You should expect a warm sensation after the injection of the contrast
dye during the procedure
A nurse is caring for four clients. Which of the following clients is at risk for developing
metabolic alkalosis?
a) A client who is receiving continuous gastric suctioning
b) A client who has aspiration pneumonia
c) A client who is experiencing an opioid overdose
d) a client who has uncontrolled diabetes mellitus
Give this one a try later!
a) A client who is receiving continuous gastric suctioning
,A nurse is caring for client who has cancer. The client tells the nurse, "I would prefer to
try vitamins and minerals instead of chemotherapy". Which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) You should ask your provider about your plan
c) The best way to treat your cancer is chemotherapy
d) Tell me what you know about chemotherapy
Give this one a try later!
d) Tell me what you know about chemotherapy
A nurse is providing discharge teaching to the partner of a client who has a linear
incision sit following an open cholecystectomy. Which of the following wound care
instructions should the nurse include?
a) Change the dressing four times per day
b) Use sterile gloves when performing the dressing change
c) Clean from the incision site to the surrounding skin
d) Apply tincture of benzoin prior to removing the dressing
Give this one a try later!
c) Clean from the incision site to the surrounding skin
A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
a) Elevate the knees higher than the hips when sitting
b) Remove the wedge device when turning
c) Encourage the client to lean forward when attempting to stand
d) Place two bed pillows between the legs when in bed
, Give this one a try later!
d) Place two bed pillows between the legs when in bed
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as a
contraindication for receiving the medication?
a) Creatinine 0.8 mg/dL
b) Sodium 136 mEq/L
c) Potassium 3.2 mEq/L
d) Bun 18 mg/dL
Give this one a try later!
c) Potassium 3.2 mEq/L
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients.
Which of the following clients should the nurse identify as having the greatest risk for
developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain
medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is
receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant
therapy
Give this one a try later!
b) A client who has COPD and is receiving steroid therapy
following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers
Give this one a try later!
, b) Perform a neurological assessment
A nurse is provide preoperative teaching for a client who is having left-sided cardiac
catheterization. Which of the following information should the nurse include in the
teaching?
a) You should plan to remain in bed 18 hours after the procedure
b) You will have blood pressure measurements every 5 minutes for the first 2 hours
after the procedure
c) You will receive a general anesthetic during the procedure
d) You should expect a warm sensation after the injection of the contrast dye during
the procedure
Give this one a try later!
d) You should expect a warm sensation after the injection of the contrast
dye during the procedure
A nurse is caring for four clients. Which of the following clients is at risk for developing
metabolic alkalosis?
a) A client who is receiving continuous gastric suctioning
b) A client who has aspiration pneumonia
c) A client who is experiencing an opioid overdose
d) a client who has uncontrolled diabetes mellitus
Give this one a try later!
a) A client who is receiving continuous gastric suctioning
,A nurse is caring for client who has cancer. The client tells the nurse, "I would prefer to
try vitamins and minerals instead of chemotherapy". Which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) You should ask your provider about your plan
c) The best way to treat your cancer is chemotherapy
d) Tell me what you know about chemotherapy
Give this one a try later!
d) Tell me what you know about chemotherapy
A nurse is providing discharge teaching to the partner of a client who has a linear
incision sit following an open cholecystectomy. Which of the following wound care
instructions should the nurse include?
a) Change the dressing four times per day
b) Use sterile gloves when performing the dressing change
c) Clean from the incision site to the surrounding skin
d) Apply tincture of benzoin prior to removing the dressing
Give this one a try later!
c) Clean from the incision site to the surrounding skin
A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
a) Elevate the knees higher than the hips when sitting
b) Remove the wedge device when turning
c) Encourage the client to lean forward when attempting to stand
d) Place two bed pillows between the legs when in bed
, Give this one a try later!
d) Place two bed pillows between the legs when in bed
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as a
contraindication for receiving the medication?
a) Creatinine 0.8 mg/dL
b) Sodium 136 mEq/L
c) Potassium 3.2 mEq/L
d) Bun 18 mg/dL
Give this one a try later!
c) Potassium 3.2 mEq/L
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients.
Which of the following clients should the nurse identify as having the greatest risk for
developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain
medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is
receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant
therapy
Give this one a try later!
b) A client who has COPD and is receiving steroid therapy
