lOMoARcPSD| 67043156
NGN
1. The school nurse is screening students for scoliosis and notes that one student has
lordosis. Which finding should the nurse document in the student's screening record?
a. Lateral curvature that creates asymmetry of the shoulders.
b. Excessive concave curvature of the lumbar spine.
c. Posterior curvature that is convex in the thoracic area
d. Rounded spine from head to hips without concave curves. ANS: B
2. A client with an acute myocardial infarction (MI) is given a thrombolytic medication,
aspirin, and VI heparin in the emergency department. Which finding indicates the client
is having a satisfactory response?
a. Cardiac tracing shows 1.2mm wide Q waves half the height of the complex.
b. Activated partial thromboplastin time (aPTT) is 2 times the control value.
c. S3 heart sounds are present with auscultation.
d. Guaiac test of the stools is positive. ANS: B
3. NGN
4.
, lOMoARcPSD| 67043156
5. NGN
6. NGN
, lOMoARcPSD| 67043156
NGN
7. NGN
8.
, lOMoARcPSD| 67043156
9. A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to the
unit for the third time in two months with a current fasting blood sugar (FBS) of 325
mg/dl (18 mmol/L). The client describes to the nurse of not understanding why the blood
glucose level continues to be out of control. What interventions should the nurse
implement? SATA
Reference Range
Blood Glucose (74 to 106) (4.1 to 5.9 mmol/L)
a. Ask the client if they want a different manufacturer's glucose monitoring
device.
b. Have the client demonstrate technique used to monitor blood glucose levels
c. Evaluate the client's asthma medications that can elevate the blood glucose.
d. Determine if the client is using a new insulin needle each administration
e. Have the client describe a typical day at work, home, and social activities.
ANS: B,C,D,E
10. An older adult client asks the nurse about the best foods to help prevent osteoporosis.
Which type of foods should the nurse recommend to the client?
a. Iron-rich meats.
b. Water and herbal teas.
c. Low fat dairy products.
d. Fresh fruits and vegetables. ANS: C
11. An adult client who is admitted to the mental health unit for treatment of bipolar disorder
has a slightly slurred speech pattern and an unsteady gait. Which assessment finding is
most important for the nurse to report to the healthcare provider? Reference Range:
NGN
1. The school nurse is screening students for scoliosis and notes that one student has
lordosis. Which finding should the nurse document in the student's screening record?
a. Lateral curvature that creates asymmetry of the shoulders.
b. Excessive concave curvature of the lumbar spine.
c. Posterior curvature that is convex in the thoracic area
d. Rounded spine from head to hips without concave curves. ANS: B
2. A client with an acute myocardial infarction (MI) is given a thrombolytic medication,
aspirin, and VI heparin in the emergency department. Which finding indicates the client
is having a satisfactory response?
a. Cardiac tracing shows 1.2mm wide Q waves half the height of the complex.
b. Activated partial thromboplastin time (aPTT) is 2 times the control value.
c. S3 heart sounds are present with auscultation.
d. Guaiac test of the stools is positive. ANS: B
3. NGN
4.
, lOMoARcPSD| 67043156
5. NGN
6. NGN
, lOMoARcPSD| 67043156
NGN
7. NGN
8.
, lOMoARcPSD| 67043156
9. A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to the
unit for the third time in two months with a current fasting blood sugar (FBS) of 325
mg/dl (18 mmol/L). The client describes to the nurse of not understanding why the blood
glucose level continues to be out of control. What interventions should the nurse
implement? SATA
Reference Range
Blood Glucose (74 to 106) (4.1 to 5.9 mmol/L)
a. Ask the client if they want a different manufacturer's glucose monitoring
device.
b. Have the client demonstrate technique used to monitor blood glucose levels
c. Evaluate the client's asthma medications that can elevate the blood glucose.
d. Determine if the client is using a new insulin needle each administration
e. Have the client describe a typical day at work, home, and social activities.
ANS: B,C,D,E
10. An older adult client asks the nurse about the best foods to help prevent osteoporosis.
Which type of foods should the nurse recommend to the client?
a. Iron-rich meats.
b. Water and herbal teas.
c. Low fat dairy products.
d. Fresh fruits and vegetables. ANS: C
11. An adult client who is admitted to the mental health unit for treatment of bipolar disorder
has a slightly slurred speech pattern and an unsteady gait. Which assessment finding is
most important for the nurse to report to the healthcare provider? Reference Range:
