QUESTION 1
A postsurgical client's urinary output via the Foley catheter is
30 mL in 3 hours. What is the nurse's first action?
Increase the IV infusion
rate.
Assess the client's skin
turgor.
Weigh the client.
Check the patency of the
catheter
QUESTION 2
A client who had a stroke is receiving clopidogrel (Plavix). Which
adverse effect does the nurse monitor for in this client?
Repeated syncope
New-onset confusion
Spontaneous
ecchymosis
Abdominal distention
QUESTION 3
A nurse is caring for a client who is undergoing preliminary
testing for a hematologic disorder. What sign or
symptom most likely suggests a potential hematologic
disorder?
Sudden change in level
of consciousness (LOC)
Recurrent
infections
Anaphylaxis
Severe fatigue
, QUESTION 4
When teaching a patient with heart failure about ventricular
remodeling, the nurse should recognize that additional teaching is
needed if the patient makes which statement? "Remodeling:
Leads to progressive worsening of heart function."
Can be described as an enlargement of the pumping
chamber."
Occurs with an increase in blood pressure and results in
weight gain."
Develops primarily because the heart is pumping harder.,
QUESTION 5
The nurse is assessing a client who was recently diagnosed
with a meningioma. Which statement indicates that the client
correctly understands the diagnosis?
"This is the worst type of brain tumor, and surgery is not an
option."
.My tumor can be removed, but I can still have damage
because of pressure in my brain."
"Even after the surgery, I will need chemotherapy to decrease
the spread of the tumor."
"Radiation is never used on brain tumors because of possible
nerve damage."
QUESTION 6
A client who had a stroke combs her hair only on the right side
of her head and washes only the right side of her face. How
does the nurse interpret these actions?
Poor left-sided motor control
Paralysis or contractures on the right
side
A postsurgical client's urinary output via the Foley catheter is
30 mL in 3 hours. What is the nurse's first action?
Increase the IV infusion
rate.
Assess the client's skin
turgor.
Weigh the client.
Check the patency of the
catheter
QUESTION 2
A client who had a stroke is receiving clopidogrel (Plavix). Which
adverse effect does the nurse monitor for in this client?
Repeated syncope
New-onset confusion
Spontaneous
ecchymosis
Abdominal distention
QUESTION 3
A nurse is caring for a client who is undergoing preliminary
testing for a hematologic disorder. What sign or
symptom most likely suggests a potential hematologic
disorder?
Sudden change in level
of consciousness (LOC)
Recurrent
infections
Anaphylaxis
Severe fatigue
, QUESTION 4
When teaching a patient with heart failure about ventricular
remodeling, the nurse should recognize that additional teaching is
needed if the patient makes which statement? "Remodeling:
Leads to progressive worsening of heart function."
Can be described as an enlargement of the pumping
chamber."
Occurs with an increase in blood pressure and results in
weight gain."
Develops primarily because the heart is pumping harder.,
QUESTION 5
The nurse is assessing a client who was recently diagnosed
with a meningioma. Which statement indicates that the client
correctly understands the diagnosis?
"This is the worst type of brain tumor, and surgery is not an
option."
.My tumor can be removed, but I can still have damage
because of pressure in my brain."
"Even after the surgery, I will need chemotherapy to decrease
the spread of the tumor."
"Radiation is never used on brain tumors because of possible
nerve damage."
QUESTION 6
A client who had a stroke combs her hair only on the right side
of her head and washes only the right side of her face. How
does the nurse interpret these actions?
Poor left-sided motor control
Paralysis or contractures on the right
side
