RNSG 2341Prep U.docx
1. After a bronchoscopy with biopsy, the nurse assesses the client. The nurse should report which finding to the
health care provider?
• laryngeal stridor
2. A client has a plural chest tube following removal of the lower lobe of the lung. Two days after surgery, the tube
is accidentally pulled out of the chest wall. What should the nurse do first?
• Apply an occlusive dressing such as petroleum jelly gauze.
3. The client asks the nurse, “Why won’t the health care provider tell me exactly how much of my leg he is going to
take off? Don’t you think I should know that?” On which information should the nurse base the response?
• the adequacy of the blood supply to the tissues
4. An unlicensed assistive personnel (UAP) tells the nurse, “I think the client is confused. He keeps telling me he
has to void, but that’s not possible because he has a catheter in place that is draining well.” What should the
nurse tell the UAP?
• "The urge to void is usually created by the large catheter, and he may be having some bladder
spasms."
5. When assessing a client with advanced chronic obstructive pulmonary disease (COPD) which are expected
findings?
• increased anteroposterior chest diameter
6. The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for
30 minutes. Which factors would require the nurse to discontinue prone positioning and return the client to the
supine position? Select all that apply.
• The SpO2 and PO2 have decreased.
• The client is tachycardic with drop in blood pressure.
• The face has increased skin breakdown and edema.
7. The nurse is planning care for a client who has just returned to the medical-surgical unit following repair of an
aortic aneurysm. What is a priority assessment for this client?
• decreased urinary output
8. Which is the most important initial postprocedure nursing assessment for a client who has had a cardiac
catheterization?
• Observe the puncture site for swelling and bleeding.
9. A client has had a cerebrovascular accident, which has affected the left side of the client’s brain. The nurse
should assess the client for which symptom?
• aphasia
10. The nurse is instructing an unlicensed assistive personnel (UAP) to collect a urine specimen from an indwelling
catheter. Which statement indicates that the UAP understands the instructions?
• “I’ll get a sterile syringe and remove urine from the catheter through the collection port to place in
the specimen container.”
11. A client comes to the physician's office for a follow-up visit 4 weeks after suffering a myocardial infarction (MI).
The nurse takes this opportunity to evaluate the client's knowledge of the ordered cardiac rehabilitation program.
Which evaluation statement suggests that the client needs more instruction?
• "Client walks 4 miles (6.4 kilometers) in 1 hour every day."
12. A client undergoes a craniotomy with supratentorial surgery to remove a brain tumor. On the first postoperative
,RNSG 2341Prep U.docx
day, the nurse notes the absence of a bone flap at the operative site. How should the nurse position the client's he
,RNSG 2341Prep U.docx
ad?
• elevated 30 degrees
13. After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive
isoniazid (INH) as prophylaxis against tuberculosis. The client's family asks the nurse how long the drug must be
taken. What is the usual duration of prophylactic isoniazid therapy?
• 6 to 12 months
14. The nurse is assisting a client with a stroke who has homonymous hemianopia. The nurse should understand that
the client will do which when eating?
• Eat food on only half of the plate.
15. A client is arousing from a coma and keeps saying, “Just stop the pain.” The nurse responds based on the
knowledge that the client’s first response to pain will be to do what?
• Escape the source of pain.
16. The nurse sees a client walking in the hallway who begins to have a seizure. What should the nurse do in order of
priority from first to last? All options must be used.
• Ease the client to the floor.
• Maintain a patent airway.
• Obtain vital signs.
• Record the seizure activity observed.
17. The nurse is teaching a client with multiple sclerosis about prevention of urinary tract infection (UTI) and renal
calculi. Which nutrition recommendations by the nurse would be the most likely to reduce the risk of these
conditions?
• Increase fluids (2500 mL/day) and maintain urine acidity by drinking cranberry juice.
18. A nurse is assigned to care for a client with chest pain in the intensive care unit. The client is reading a book
when the nurse observes a flat line on the monitor and the alarm rings. What is the nurse's priority intervention
at this time?
• assessing the client
19. A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution intravenously over 5
minutes. The client weighs 132 lb (60 kg). How many grams would the nurse administer? Record your answer as
a whole number.
• 12
20. A client with chronic renal failure receives hemodialysis treatments through a mature arteriovenous (AV) fistula.
What intervention will the nurse include in the care plan?
• Auscultate the AV fistula for a bruit.
21. A client whose condition remains stable after a myocardial infarction is to gradually increase activity. Which sign
best indicates that the activity is appropriate for the client?
• respiratory rate
22. A client with heart failure will take oral furosemide at home. To help the client evaluate the effectiveness of
furosemide therapy, the nurse should teach the client to:
• weigh daily.
23. The client is on a fluid restriction of 500 mL/day plus replacement for urine output. Because the client’s 24-hour
, RNSG 2341Prep U.docx
urine output yesterday was 150 mL, the total fluid allotment for the next 24 hours is 650 mL. How should the
nurses distribute this fluid over the next 24 hours?
• given in small amounts throughout each shift
1. After a bronchoscopy with biopsy, the nurse assesses the client. The nurse should report which finding to the
health care provider?
• laryngeal stridor
2. A client has a plural chest tube following removal of the lower lobe of the lung. Two days after surgery, the tube
is accidentally pulled out of the chest wall. What should the nurse do first?
• Apply an occlusive dressing such as petroleum jelly gauze.
3. The client asks the nurse, “Why won’t the health care provider tell me exactly how much of my leg he is going to
take off? Don’t you think I should know that?” On which information should the nurse base the response?
• the adequacy of the blood supply to the tissues
4. An unlicensed assistive personnel (UAP) tells the nurse, “I think the client is confused. He keeps telling me he
has to void, but that’s not possible because he has a catheter in place that is draining well.” What should the
nurse tell the UAP?
• "The urge to void is usually created by the large catheter, and he may be having some bladder
spasms."
5. When assessing a client with advanced chronic obstructive pulmonary disease (COPD) which are expected
findings?
• increased anteroposterior chest diameter
6. The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for
30 minutes. Which factors would require the nurse to discontinue prone positioning and return the client to the
supine position? Select all that apply.
• The SpO2 and PO2 have decreased.
• The client is tachycardic with drop in blood pressure.
• The face has increased skin breakdown and edema.
7. The nurse is planning care for a client who has just returned to the medical-surgical unit following repair of an
aortic aneurysm. What is a priority assessment for this client?
• decreased urinary output
8. Which is the most important initial postprocedure nursing assessment for a client who has had a cardiac
catheterization?
• Observe the puncture site for swelling and bleeding.
9. A client has had a cerebrovascular accident, which has affected the left side of the client’s brain. The nurse
should assess the client for which symptom?
• aphasia
10. The nurse is instructing an unlicensed assistive personnel (UAP) to collect a urine specimen from an indwelling
catheter. Which statement indicates that the UAP understands the instructions?
• “I’ll get a sterile syringe and remove urine from the catheter through the collection port to place in
the specimen container.”
11. A client comes to the physician's office for a follow-up visit 4 weeks after suffering a myocardial infarction (MI).
The nurse takes this opportunity to evaluate the client's knowledge of the ordered cardiac rehabilitation program.
Which evaluation statement suggests that the client needs more instruction?
• "Client walks 4 miles (6.4 kilometers) in 1 hour every day."
12. A client undergoes a craniotomy with supratentorial surgery to remove a brain tumor. On the first postoperative
,RNSG 2341Prep U.docx
day, the nurse notes the absence of a bone flap at the operative site. How should the nurse position the client's he
,RNSG 2341Prep U.docx
ad?
• elevated 30 degrees
13. After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive
isoniazid (INH) as prophylaxis against tuberculosis. The client's family asks the nurse how long the drug must be
taken. What is the usual duration of prophylactic isoniazid therapy?
• 6 to 12 months
14. The nurse is assisting a client with a stroke who has homonymous hemianopia. The nurse should understand that
the client will do which when eating?
• Eat food on only half of the plate.
15. A client is arousing from a coma and keeps saying, “Just stop the pain.” The nurse responds based on the
knowledge that the client’s first response to pain will be to do what?
• Escape the source of pain.
16. The nurse sees a client walking in the hallway who begins to have a seizure. What should the nurse do in order of
priority from first to last? All options must be used.
• Ease the client to the floor.
• Maintain a patent airway.
• Obtain vital signs.
• Record the seizure activity observed.
17. The nurse is teaching a client with multiple sclerosis about prevention of urinary tract infection (UTI) and renal
calculi. Which nutrition recommendations by the nurse would be the most likely to reduce the risk of these
conditions?
• Increase fluids (2500 mL/day) and maintain urine acidity by drinking cranberry juice.
18. A nurse is assigned to care for a client with chest pain in the intensive care unit. The client is reading a book
when the nurse observes a flat line on the monitor and the alarm rings. What is the nurse's priority intervention
at this time?
• assessing the client
19. A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution intravenously over 5
minutes. The client weighs 132 lb (60 kg). How many grams would the nurse administer? Record your answer as
a whole number.
• 12
20. A client with chronic renal failure receives hemodialysis treatments through a mature arteriovenous (AV) fistula.
What intervention will the nurse include in the care plan?
• Auscultate the AV fistula for a bruit.
21. A client whose condition remains stable after a myocardial infarction is to gradually increase activity. Which sign
best indicates that the activity is appropriate for the client?
• respiratory rate
22. A client with heart failure will take oral furosemide at home. To help the client evaluate the effectiveness of
furosemide therapy, the nurse should teach the client to:
• weigh daily.
23. The client is on a fluid restriction of 500 mL/day plus replacement for urine output. Because the client’s 24-hour
, RNSG 2341Prep U.docx
urine output yesterday was 150 mL, the total fluid allotment for the next 24 hours is 650 mL. How should the
nurses distribute this fluid over the next 24 hours?
• given in small amounts throughout each shift
