Time Remaining (Minutes): 30
1. A patient’s blood transfusion has been hanging for 2 hours. The patient is complaining of a raised itchy rash and
shortness of breath; she is wheezing, anxious, and very restless. Which of the following is suggested by the
assessment findings?
a. Acute transfusion
reaction
b. Circulatory overload
c. Febrile reaction
d. Hemolytic reaction
2. When evaluating a patient with symptoms of shock, the nurse must differentiate between neurogenic and
hypovolemic shock. How do the symptoms of neurogenic shock differ from hypovolemic shock?
a. In hypovolemic shock, capillary refill is
brisk.
b. In hypovolemic shock, there is bradycardia.
c. In neurogenic shock, capillary refill is
delayed.
d. In neurogenic shock, the skin is warm
and dry.
3. A 67-year-old man had a physical examination prior to beginning volunteer work at a hospital. A routine chest x-
ray demonstrated left ventricular hypertrophy. His blood pressure was 180/110. He is 45 pounds overweight, his
diet is high in sodium and fat, and he has a strong family history of hypertension. His provider placed him on anti-
hypertensive medication, a diet low in sodium and fat, and an exercise regimen. On his next visit to the provider,
his willingness to adhere to the treatment plan would best be determined with:
, a. a blood pressure reading of 130/70 and a 5 pound weight loss.
b. no evidence of left ventricular hypertrophy on the chest x-ray.
c. no side effects from the medication and an accurate pill count.
d. serum blood levels of the anti-hypertensive medication within a
therapeutic range.
4. A patient is being discharged and will continue enteral feedings at home. Which of the following statements by a
family member indicates the need for further teaching?
a. “I should anticipate that he will gain about 2 pounds per day now that he is on
continuous feedings."
b. “I should use prepared or open formula within 24 hours and store unused portions in the
refrigerator.”
c. “If he develops diarrhea lasting for more than 2-3 days, I will contact the doctor or
nurse.”
d. “It is important to get him to sit up in a chair during feedings or keep the head of his bed
elevated.”
5. Prior to administering digoxin (Lanoxin®) to a patient with congestive heart failure, the nurse needs to assess
the:
a. apical pulse for 1
minute.
b. radial pulse for 1 minute.
c. radial pulse for 2
1. A patient’s blood transfusion has been hanging for 2 hours. The patient is complaining of a raised itchy rash and
shortness of breath; she is wheezing, anxious, and very restless. Which of the following is suggested by the
assessment findings?
a. Acute transfusion
reaction
b. Circulatory overload
c. Febrile reaction
d. Hemolytic reaction
2. When evaluating a patient with symptoms of shock, the nurse must differentiate between neurogenic and
hypovolemic shock. How do the symptoms of neurogenic shock differ from hypovolemic shock?
a. In hypovolemic shock, capillary refill is
brisk.
b. In hypovolemic shock, there is bradycardia.
c. In neurogenic shock, capillary refill is
delayed.
d. In neurogenic shock, the skin is warm
and dry.
3. A 67-year-old man had a physical examination prior to beginning volunteer work at a hospital. A routine chest x-
ray demonstrated left ventricular hypertrophy. His blood pressure was 180/110. He is 45 pounds overweight, his
diet is high in sodium and fat, and he has a strong family history of hypertension. His provider placed him on anti-
hypertensive medication, a diet low in sodium and fat, and an exercise regimen. On his next visit to the provider,
his willingness to adhere to the treatment plan would best be determined with:
, a. a blood pressure reading of 130/70 and a 5 pound weight loss.
b. no evidence of left ventricular hypertrophy on the chest x-ray.
c. no side effects from the medication and an accurate pill count.
d. serum blood levels of the anti-hypertensive medication within a
therapeutic range.
4. A patient is being discharged and will continue enteral feedings at home. Which of the following statements by a
family member indicates the need for further teaching?
a. “I should anticipate that he will gain about 2 pounds per day now that he is on
continuous feedings."
b. “I should use prepared or open formula within 24 hours and store unused portions in the
refrigerator.”
c. “If he develops diarrhea lasting for more than 2-3 days, I will contact the doctor or
nurse.”
d. “It is important to get him to sit up in a chair during feedings or keep the head of his bed
elevated.”
5. Prior to administering digoxin (Lanoxin®) to a patient with congestive heart failure, the nurse needs to assess
the:
a. apical pulse for 1
minute.
b. radial pulse for 1 minute.
c. radial pulse for 2
