Guide
The clinic nurse is reviewing the blood pressure readings from the client's home self-monitoring
device. The client states "Look, yesterday my blood pressure jumped up to 150/90 mm Hg. I
should be taking more medicine." The nurse's best response is:
a) Yes, that is dangerously high. What were you doing?
b) Yes, I'm sure your physician will want to increase the dose.
c) The doctor will first look at the pattern of your results.
d) Don't worry, I'm sure it's just because you were stressed. - ANS ✔✔c) The doctor will first
look at the pattern of your results.
A patient drinks 6oz of water. How many mL will be recorded as intake? - ANS ✔✔180 mL
A physician prescribes Simvastin 40 mg po daily. The medication is available as 20 mg tablets.
How many tablets will the nurse administer each dose? - ANS ✔✔2 tablets
The physician prescribes 250 mg Amoxicillin q8h po. The medication is available as Amoxicillin
suspension 500mg/10mL. How many tsp would the nurse administer? - ANS ✔✔1 tsp
Steps: (desired / have) * volume
= 0.5
0.5 * 10mL = 5mL
Convert to tsp: 1 tsp = 5mL
A nurse is assessing a client who is in respiratory distress. The nurse should recognize that which
of the following can cause a low pulse oximetry reading? Select all that apply.
a) Nail polish
, b) Inadequate peripheral circulation
c) Hyperthermia
d) Increased hemoglobin level
e) Edema - ANS ✔✔a) Nail polish
b) Inadequate peripheral circulation
e) Edema
Post-op, the patient is receiving morphine via the patient controlled analgesia pump (PCA). The
nurse finds the patient drowsy, with temp 97.2F, pulse 52, RR 11, BP 101/58, and pulse ox 93%
on 2L of oxygen. Which action should the nurse take first?
a) Attempt to arouse the patient
b) Contact the health care provider
c) Check the PCA pump setting and history
d) Document the findings - ANS ✔✔a) Attempt to arouse the patient
A nurse is screening a patient for hypertension. Which of the following actions by the client
increase his risk for hypertension? Select all that apply.
a) Drinking 8oz of nonfat milk daily
b) Eating popcorn at the movie theater
c) Walking 1 mile a day at a 12 min/mile pace
d) Consuming 36oz of beer daily
e) Getting a massage once a week - ANS ✔✔b) Eating popcorn at the movie theater
d) Consuming 36oz of beer daily
A nurse is instructing an assistive personnel in caring for a client who has a low platelet count
and needs vital signs taken. Which of the following statements contain the correct instructions
for this situation?
a) Count the patient's radial pulse for 60 seconds