Practice 2019 A
A nurse is caring for a client 1 hr following a cardiac catheterization. The
nurse notes the formation of a hematoma at the insertion site & a decreased
pulse rate in the affected extremity. Which of the following interventions is
the nurse's priority?
a. Initiate oxygen at 2L/min via nasal cannula.
b. Apply firm pressure to the insertion site.
c. Take the client's vital signs.
d. Obtain a stat order for an aPTT. - ANS: B
b. Apply firm pressure to the insertion site.
A nurse is caring for a client who has emphysema & is receiving mechanical
ventilation. The client appears anxious & restless, & the high-pressure
alarm is sounding. Which of the following actions should the nurse take
first?
a. Obtain ABGs.
b. Administer Propofol to the client.
c. Instruct the client to allow the machine to breathe for them.
d. Disconnect the machine & manually ventilate the client. - ANS: C
C. Instruct the client to allow the machine to breathe for them.
The least restrictive intervention should be used first.
A nurse is reviewing the laboratory results of a client who has cirrhosis.
Which of the following laboratory values should the nurse expect?
a. Decreased prothrombin time
b. Elevated bilirubin level
c. Decreased ammonia level
d. Elevated albumin level - ANS: B
b. Elevated bilirubin level
, A nurse is teaching a client who has venous insufficiency about self-care.
Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
a. "I should avoid walking as much as possible."
b. "I should sit down & read for several hours a day."
c. "I will wear clean graduated compression stockings every day."
d. "I will keep my legs level with my body when I sleep at night." - ANS: C
c. "I will wear clean graduated compression stockings every day."
A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse
report to the provider?
a. Potassium 4 mEq/L
b. WBC count 10,000/mm
c. Hct 45%
d. Hgb 8 g/dL - ANS: D
d. Hgb 8 g/dL
A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing?
a. WBC count 6,000/mm
b. BMI 24
c. Urine output 25 mL/hr
d. Albumin 4 g/dL - ANS: C
c. Urine output 25 mL/hr
A nurse is caring for a client who is undergoing hemodialysis to treat end-
stage kidney disease (ESKD). The client reports muscle cramps & a tingling
sensation in their hands. Which of the following medications should the
nurse plan to administer?
a. Epoetin alfa
b. Furosemide
c. Captopril