Exam Newest With Questions And
Answers
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to
2g per day. Which of the following statements by the client indicates an understanding of the teaching?
a. I can season my foods with garlic and onion salts
b. I can have mayonnaise on my sandwiches
c. I can have frozen fruit juice bar for dessert
d. I can drink vegetable juice with a meal - ANSWER>c. I can have frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following chemical splash to the eye. Which of the
following actions should the nurse plan to take first?
a. Instill 0.9% sodium chloride solution into the affected eye
b. administer proparacaine eyedrops into the affected eye
c. collect information about the irritant that caused the injury - ANSWER>c. collect information about the irritant
that caused the injury
,A nurse is assessing a client following extubation from a ventilator. For which of the following should the nurse
intervene immediately?
a. Rhonchi
b. SaO2 92%
c. Sore throat
d. Stridor - ANSWER>d. Stridor
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings
should the nurse expect?
a. elevated serum calcium
b. elevated blood glucose
c. decreased serum amylase
d. decreased erythrocyte sedimentation rate - ANSWER>b. elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
,c. Elevated blood pressure
d. BUN 15 mg/dl - ANSWER>b. Urine specific gravity 1.001 (<1.005)
A nurse is planning care for a client who has pulmonary embolism. Which of the following interventions should the
nurse include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours - ANSWER>a. initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following
instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination - ANSWER>a. Avoid extremely hot or cold temperatures
, A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following
actions should the nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
c. administer IV therapy
d. monitor urine output - ANSWER>b. insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate
circulation of the graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill - ANSWER>d. palpable thrill
A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings
indicates hypokalemia?
a. oliguria
b. hypertension