Med-Surg:
A inurse iis icaring ifor ia iclient iwho ihave ia ilower iextremity ifracture iand ia iprescription ifor icrutches.
iWhich iof ithe ifollowing iclient istatements iindicate ithat iclient iis iadapting ito ithe irole iof ichange?
-I iwill ineed imy ipartner ito itake iover ishopping ifor igroceries
A inurse iis iassessing ia iclient iwho ihas ia inew idiagnosis iof icolon icancer. iWhich iof ithe ifollowing
ifindings ishould i the inurse iexpect?
a) hematochezia
b) weight igain
C) elevated ihemoglobin
D) Steatorrhea
A inurse iis icaring ifor ia iclient iwho iis ireceiving iTPN. iThe iprime iinfusion iis ialmost icomplete iand
ithe inew isolution iis inot iavailable. iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
Infuse idextrose i10% iin iwater
A inurse iis ireviewing ia icardiac irhythm istrip iof ia iclient iwho ihas iatrial iflutter. iWhich iof ithe
ifollowing ifindings i should ithe inurse iexpect?
A isaw itooth ipattern
A inurse iis icaring ifor ia iclient iadmitted iwith ia iskull ifracture. iWhich iof ithe ifollowing iassessment
ifindings ishould i be ithe igreatest iconcern ito ithe inurse?
Glasgow icoma iscale iscore ichanges ifrom i14 ito i9
A inurse iis icompleting ian iassessment iof ian iolder iadult iclient iand inotes iredness iareas iover ithe
ibony iprominences, ibut ithe iclient’s iskin iis iintact. iWhich iof ithe ifollowing iinterventions ishould ithe
inurse iinclude i in ithe iplan iof i care?
Support ibony iprominences iwith ipillows
A inurse iis icaring ifor ia iclient iwho iis ireceiving ia iblood itransfusion. iThe inurse iobserves ithe iclient
ihad ibounding iperipheral ipulses, ihypertension, iand idistended ijugular ivein. iThe inurse ishould
ianticipate iadministering iwhich iof i the ifollowing iprescribed imedications?
Furosemide
A inurse iis icaring ifor ia ipatient iwho ihas ia isealed iradiation iimplant. iWhich iof ithe ifollowing iactions
ishould ithe inurse i take?
Limit ifamily imember ivisits ito i30 imins/day
A inurse iis iproviding idischarge iteaching ifor ia iclient iwho iis ireceiving itreatment ifor igenital iherpes.
iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ieffectiveness iof ithe iteaching?
I ishould iexpect imy ilesions ito iheal iin i6 iweeks
A inurse iis icaring ifor ia iclient iwho ihas ia itraumatic ibrain iinjury. iThe iclient, iwho ihas ibeen iquiet
,and icooperative, ibecomes iagitated iand irestless. iWhich iof ithe ifollowing iassessments ishould ithe
inurse iperform i first?
Blood iglucose
Blood ipressure iI ithink?
iUrinary ioutput
Motor iresponses i*wrong ianswer*
A inurse iis ireviewing ithe imedical irecord iof ia iclient iwho iis ito iundergo iopen iheart isurgery. iWhich
iof ithe ifollowing ifindings ishould ithe inurse ireport ito ithe iprovider ias ia icontraindication ifor ireceiving
iheparin?
Thrombocytopenia
A icharge inurse ireceives ia icall ifrom ithe ihouse isupervisor irequesting iroom iassignments ifor ifour
inew iclients. iBased ion ithe iadmission idiagnoses, iwhich iof ithe ifollowing iclients irequires ia iprivate
iroom?
A iclient iwho ireports ihaving ifever, inight isweats, iand icough ifor i2 idays
A inurse iis iplanning ito iteach ia iclient iwhose iprovider ihas iprescribed ia ilow ipurine idiet. iThe inurse
should iplan ito iinstruct ithe iclient ithat ihe ican iinclude iwhich iof ithe ifollowing ifoods iin ihis idiet.
i
SATA
-sardines -apricots -nuts -liver i -scallops
A inurse iis iassessing ia iclient ifollowing ithe iinsertion iof ia icentral ivenous icatheter. iWhich iof ithe
ifollowing ifindings i indicates ia ipneumothorax?
Diminished ibreath isounds
A inurse iis icaring ifor ia iclient iwho ihas ipancreatitis iand ihas ibeen ireceiving itotal iparenteral
inutrition. iWhich iof ithe ifollowing ilaboratory itests ishould ithe inurse imonitor ifor ioverall inutritional
istatus?
Prealbumin
A inurse iis icaring ifor ia iclient iin idiabetic iketoacidosis. iWhich iof ithe ifollowing iis ithe ipriority
iintervention iby ithe i nurse?
Check ipotassium ilevels
A inurse iis ipreparing ito iadminister ifurosemide ito ia iclient iwho ihas iacute iheart ifailure. iWhich iof
ithe ifollowing ilaboratory iresults ishould ithe inurse iidentify ias ia icontraindication ifor ireceiving ithe
imedication?
Potassium i3.2
A inurse iin ithe iemergency idepartment iis ipreparing ia iclient ifor iemergency isurgery. iThe iclient’s
ialcohol ilevel iis i180. i Which iof ithe ifollowing iaction iis ithe inurse ipriority?
Insert ian iNG iTube
,A inurse iis icaring ifor ia iclient iwho ihas ibladder icancer iand ia iWBC iof i900. iWhich iof ithe ifollowing
iaction ishould ithe inurse itake?
Use iContact iisolation iwhile iproviding icare
A inurse iis iteaching ia iclient iwho ihas iasthma iabout ithe iuse iof ia ipeak iflow imeter. iAfter isetting ithe
imeter ito ithe izero ibaseline, iwhat iis ithe isequence iof isteps ithe inurse ishould iinstruct ithe iclient ito
itake? i (Use i all i steps) i *this i is i the i correct i steps… iI ifound
the icorrect isequence. i*
“Stand iupright.”1
“Fill iyour ilungs iwith ia ideep ibreath.”3
i“Seal iyour ilips iaround ithe imouthpiece.”2
i“Exhale iforcefully iand iquickly.”4
“Record ithe ihighest iof ithree iconsecutive ireadings.”5
A inurse iis ipreparing ito iperform iocular iirrigation ifor ia iclient ifollowing ia ichemical isplash ito ithe
ieye. i Which iof ithe ifollowing iactions i should ithe inurse iplan ito itake?
Collect iinformation iabout ithe iirritant ithat icaused iinjury i*I ithink ithis iis icorrect*
iAdminister iproparacaine ieyedrop i into ithe i infected ieye
Place ia istrip iof iph ipaper ionto ithe icolder isac iof i the iinfected ieye
iInstill i0.9% isodium ichloride iinto ithe iaffected ieye i*do inot ichoose ithis*
A inurse iis iproviding iinstructions iabout ifoot icare ifor ia iclient iwho ihas iperipheral iarterial idisease.
iThe inurse ishould iidentify ithat iwhich iof ithe ifollowing istatements iby ithe iclient iindicates ian
iunderstanding iof ithe i teaching?
I irest iin imy irecliner iwith imy ifeet ielevated ifor iabout ian ihour ievery iafternoon
A inurse iis icaring ifor iolder iclient iwith idementia, iwhich iof ithe ifollowing ifinding iquestions ishould
ithe inurse iask ito i assess i the iclients iabstract ithinking?
Can iyou itell ime ithe istate iwhere iyou iwere iborn?
Can i you i count ibackwards? i Do i not ichoose i this i answer… i got i it i wrong
“what ido ia idog iand icat ihave iin icommon” iask iwhat itwo itraits iare isimilar ibut inot iidentical
A inurse iis icaring ifor ia iclient iwho iis ischeduled ifor ian iabdominal iparacentesis. iThe inurse ishould
iplan ito itake i which iof i the i following iactions?
Ask iclient ito iempty ihis ibladder iprior ito ithe iprocedure
A inurse iis icaring ifor ia iclient iwho ihas ihypotension, icool iand iclammy iskin, itachycardia,
iand itachypnea. iIn iwhich iof ithe ifollowing ipositions ishould ithe inurse iplace ithe iclient?
iReverse iTrendelenburg i*
Side iLying
iHigh iFowlers
iFeet ielevated
, A inurse iis iassessing ia iclient iwho iis ipreoperative iand ireports ian iallergy ito ibananas. iThe inurse
ishould irecognize ithat ithe iclient iis iat irisk ifor ian iallergic icross ireactivity ito iwhich iof ithe ifollowing
isubstance?
latex
A inurse iis icaring ifor ia iclient iwho ihas idiabetes imellitus iand ihas ibeen ifollowing ia itreatment iplan
ifor i3 imonths. iWhich iof ithe ifollowing ilaboratory iresult ishould ithe inurse imonitor ito idetermine ilong
iterm idiabetes?
A1C iglycated ihemoglobin
A inurse iis iteaching ia iclient iwho ihas idiabetes imellitus iabout ifoot icare. iWhich iof ithe ifollowing
iinstructions ishould i the inurse i include?
“Wear icotton irather ithan inylon isock”
A inurse iis iassessing ia iclient iwho ihas ipericarditis, iin iwhich iof ithe ifollowing iareas iof ithe iclient’s
ichest i should i the i nurse i place ithe i stethoscope i to ipleural i friction i rub? iThis i will i be ian i image…..
ichoose iErb’s iPoint i(3rd iIntercostal, iCentral)
A inurse iis iproviding iteaching ito ia iclient iand ihis ipartner iabout iperforming iperitoneal idialysis iat
ihome. iWhen idiscussing iperitonitis, iwhich iof ithe ifollowing imanifestations ishould ithe inurse
iidentify ias ithe iearliest i indication i of ithis icomplication?
Generalized iabdominal ipain
Cloudy ieffluent
Fever
Increased iheart irate
A inurse iis ireviewing ithe imedication ilist iof ia iclient iwho iis ibeing iadmitted iwith idiabetes iinsipidus.
iWhich iof ithe ifollowing imedication iplaces ithe iclient iat ian iincreased irisk ifor ideveloping idiabetes
iinsipidus? i (according ito i google… i drugs i include i lithium, i amphotericin, i cidofovir, idemeclocycline,
ididanosine, ifoscarnet, iofloxacin, iorlistat)
Ranitidine
Atorvastatin i do i not i choose… i got i it i wrong
??didn’t igive ithe ianswer ichoice
??didn’t igive ithe ianswer ichoice
A inurse iis iplanning ia istaff ieducation isession iabout ihepatitis iA. iWhich iof ithe ifollowing
iinformation ishould i the i nurse iinclude?
Immunization ifor ihep iA iis irecommended iprior ito itravel
A inurse iis iadministering ipotassium ichloride ivia iIV iinfusion ito ia iclient iwho ihas isever
ihypokalemia. iWhich iof ithe ifollowing iactions i should ithe inurse itake?
Monitor ithe iclient ifor iadequate iurine ioutput
A inurse iis iassessing ia iclient iwho ihas ia inew idiagnosis iof idiverticulitis iand ireport ithat ihe iuses
A inurse iis icaring ifor ia iclient iwho ihave ia ilower iextremity ifracture iand ia iprescription ifor icrutches.
iWhich iof ithe ifollowing iclient istatements iindicate ithat iclient iis iadapting ito ithe irole iof ichange?
-I iwill ineed imy ipartner ito itake iover ishopping ifor igroceries
A inurse iis iassessing ia iclient iwho ihas ia inew idiagnosis iof icolon icancer. iWhich iof ithe ifollowing
ifindings ishould i the inurse iexpect?
a) hematochezia
b) weight igain
C) elevated ihemoglobin
D) Steatorrhea
A inurse iis icaring ifor ia iclient iwho iis ireceiving iTPN. iThe iprime iinfusion iis ialmost icomplete iand
ithe inew isolution iis inot iavailable. iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
Infuse idextrose i10% iin iwater
A inurse iis ireviewing ia icardiac irhythm istrip iof ia iclient iwho ihas iatrial iflutter. iWhich iof ithe
ifollowing ifindings i should ithe inurse iexpect?
A isaw itooth ipattern
A inurse iis icaring ifor ia iclient iadmitted iwith ia iskull ifracture. iWhich iof ithe ifollowing iassessment
ifindings ishould i be ithe igreatest iconcern ito ithe inurse?
Glasgow icoma iscale iscore ichanges ifrom i14 ito i9
A inurse iis icompleting ian iassessment iof ian iolder iadult iclient iand inotes iredness iareas iover ithe
ibony iprominences, ibut ithe iclient’s iskin iis iintact. iWhich iof ithe ifollowing iinterventions ishould ithe
inurse iinclude i in ithe iplan iof i care?
Support ibony iprominences iwith ipillows
A inurse iis icaring ifor ia iclient iwho iis ireceiving ia iblood itransfusion. iThe inurse iobserves ithe iclient
ihad ibounding iperipheral ipulses, ihypertension, iand idistended ijugular ivein. iThe inurse ishould
ianticipate iadministering iwhich iof i the ifollowing iprescribed imedications?
Furosemide
A inurse iis icaring ifor ia ipatient iwho ihas ia isealed iradiation iimplant. iWhich iof ithe ifollowing iactions
ishould ithe inurse i take?
Limit ifamily imember ivisits ito i30 imins/day
A inurse iis iproviding idischarge iteaching ifor ia iclient iwho iis ireceiving itreatment ifor igenital iherpes.
iWhich iof ithe ifollowing istatements iby ithe iclient iindicates ieffectiveness iof ithe iteaching?
I ishould iexpect imy ilesions ito iheal iin i6 iweeks
A inurse iis icaring ifor ia iclient iwho ihas ia itraumatic ibrain iinjury. iThe iclient, iwho ihas ibeen iquiet
,and icooperative, ibecomes iagitated iand irestless. iWhich iof ithe ifollowing iassessments ishould ithe
inurse iperform i first?
Blood iglucose
Blood ipressure iI ithink?
iUrinary ioutput
Motor iresponses i*wrong ianswer*
A inurse iis ireviewing ithe imedical irecord iof ia iclient iwho iis ito iundergo iopen iheart isurgery. iWhich
iof ithe ifollowing ifindings ishould ithe inurse ireport ito ithe iprovider ias ia icontraindication ifor ireceiving
iheparin?
Thrombocytopenia
A icharge inurse ireceives ia icall ifrom ithe ihouse isupervisor irequesting iroom iassignments ifor ifour
inew iclients. iBased ion ithe iadmission idiagnoses, iwhich iof ithe ifollowing iclients irequires ia iprivate
iroom?
A iclient iwho ireports ihaving ifever, inight isweats, iand icough ifor i2 idays
A inurse iis iplanning ito iteach ia iclient iwhose iprovider ihas iprescribed ia ilow ipurine idiet. iThe inurse
should iplan ito iinstruct ithe iclient ithat ihe ican iinclude iwhich iof ithe ifollowing ifoods iin ihis idiet.
i
SATA
-sardines -apricots -nuts -liver i -scallops
A inurse iis iassessing ia iclient ifollowing ithe iinsertion iof ia icentral ivenous icatheter. iWhich iof ithe
ifollowing ifindings i indicates ia ipneumothorax?
Diminished ibreath isounds
A inurse iis icaring ifor ia iclient iwho ihas ipancreatitis iand ihas ibeen ireceiving itotal iparenteral
inutrition. iWhich iof ithe ifollowing ilaboratory itests ishould ithe inurse imonitor ifor ioverall inutritional
istatus?
Prealbumin
A inurse iis icaring ifor ia iclient iin idiabetic iketoacidosis. iWhich iof ithe ifollowing iis ithe ipriority
iintervention iby ithe i nurse?
Check ipotassium ilevels
A inurse iis ipreparing ito iadminister ifurosemide ito ia iclient iwho ihas iacute iheart ifailure. iWhich iof
ithe ifollowing ilaboratory iresults ishould ithe inurse iidentify ias ia icontraindication ifor ireceiving ithe
imedication?
Potassium i3.2
A inurse iin ithe iemergency idepartment iis ipreparing ia iclient ifor iemergency isurgery. iThe iclient’s
ialcohol ilevel iis i180. i Which iof ithe ifollowing iaction iis ithe inurse ipriority?
Insert ian iNG iTube
,A inurse iis icaring ifor ia iclient iwho ihas ibladder icancer iand ia iWBC iof i900. iWhich iof ithe ifollowing
iaction ishould ithe inurse itake?
Use iContact iisolation iwhile iproviding icare
A inurse iis iteaching ia iclient iwho ihas iasthma iabout ithe iuse iof ia ipeak iflow imeter. iAfter isetting ithe
imeter ito ithe izero ibaseline, iwhat iis ithe isequence iof isteps ithe inurse ishould iinstruct ithe iclient ito
itake? i (Use i all i steps) i *this i is i the i correct i steps… iI ifound
the icorrect isequence. i*
“Stand iupright.”1
“Fill iyour ilungs iwith ia ideep ibreath.”3
i“Seal iyour ilips iaround ithe imouthpiece.”2
i“Exhale iforcefully iand iquickly.”4
“Record ithe ihighest iof ithree iconsecutive ireadings.”5
A inurse iis ipreparing ito iperform iocular iirrigation ifor ia iclient ifollowing ia ichemical isplash ito ithe
ieye. i Which iof ithe ifollowing iactions i should ithe inurse iplan ito itake?
Collect iinformation iabout ithe iirritant ithat icaused iinjury i*I ithink ithis iis icorrect*
iAdminister iproparacaine ieyedrop i into ithe i infected ieye
Place ia istrip iof iph ipaper ionto ithe icolder isac iof i the iinfected ieye
iInstill i0.9% isodium ichloride iinto ithe iaffected ieye i*do inot ichoose ithis*
A inurse iis iproviding iinstructions iabout ifoot icare ifor ia iclient iwho ihas iperipheral iarterial idisease.
iThe inurse ishould iidentify ithat iwhich iof ithe ifollowing istatements iby ithe iclient iindicates ian
iunderstanding iof ithe i teaching?
I irest iin imy irecliner iwith imy ifeet ielevated ifor iabout ian ihour ievery iafternoon
A inurse iis icaring ifor iolder iclient iwith idementia, iwhich iof ithe ifollowing ifinding iquestions ishould
ithe inurse iask ito i assess i the iclients iabstract ithinking?
Can iyou itell ime ithe istate iwhere iyou iwere iborn?
Can i you i count ibackwards? i Do i not ichoose i this i answer… i got i it i wrong
“what ido ia idog iand icat ihave iin icommon” iask iwhat itwo itraits iare isimilar ibut inot iidentical
A inurse iis icaring ifor ia iclient iwho iis ischeduled ifor ian iabdominal iparacentesis. iThe inurse ishould
iplan ito itake i which iof i the i following iactions?
Ask iclient ito iempty ihis ibladder iprior ito ithe iprocedure
A inurse iis icaring ifor ia iclient iwho ihas ihypotension, icool iand iclammy iskin, itachycardia,
iand itachypnea. iIn iwhich iof ithe ifollowing ipositions ishould ithe inurse iplace ithe iclient?
iReverse iTrendelenburg i*
Side iLying
iHigh iFowlers
iFeet ielevated
, A inurse iis iassessing ia iclient iwho iis ipreoperative iand ireports ian iallergy ito ibananas. iThe inurse
ishould irecognize ithat ithe iclient iis iat irisk ifor ian iallergic icross ireactivity ito iwhich iof ithe ifollowing
isubstance?
latex
A inurse iis icaring ifor ia iclient iwho ihas idiabetes imellitus iand ihas ibeen ifollowing ia itreatment iplan
ifor i3 imonths. iWhich iof ithe ifollowing ilaboratory iresult ishould ithe inurse imonitor ito idetermine ilong
iterm idiabetes?
A1C iglycated ihemoglobin
A inurse iis iteaching ia iclient iwho ihas idiabetes imellitus iabout ifoot icare. iWhich iof ithe ifollowing
iinstructions ishould i the inurse i include?
“Wear icotton irather ithan inylon isock”
A inurse iis iassessing ia iclient iwho ihas ipericarditis, iin iwhich iof ithe ifollowing iareas iof ithe iclient’s
ichest i should i the i nurse i place ithe i stethoscope i to ipleural i friction i rub? iThis i will i be ian i image…..
ichoose iErb’s iPoint i(3rd iIntercostal, iCentral)
A inurse iis iproviding iteaching ito ia iclient iand ihis ipartner iabout iperforming iperitoneal idialysis iat
ihome. iWhen idiscussing iperitonitis, iwhich iof ithe ifollowing imanifestations ishould ithe inurse
iidentify ias ithe iearliest i indication i of ithis icomplication?
Generalized iabdominal ipain
Cloudy ieffluent
Fever
Increased iheart irate
A inurse iis ireviewing ithe imedication ilist iof ia iclient iwho iis ibeing iadmitted iwith idiabetes iinsipidus.
iWhich iof ithe ifollowing imedication iplaces ithe iclient iat ian iincreased irisk ifor ideveloping idiabetes
iinsipidus? i (according ito i google… i drugs i include i lithium, i amphotericin, i cidofovir, idemeclocycline,
ididanosine, ifoscarnet, iofloxacin, iorlistat)
Ranitidine
Atorvastatin i do i not i choose… i got i it i wrong
??didn’t igive ithe ianswer ichoice
??didn’t igive ithe ianswer ichoice
A inurse iis iplanning ia istaff ieducation isession iabout ihepatitis iA. iWhich iof ithe ifollowing
iinformation ishould i the i nurse iinclude?
Immunization ifor ihep iA iis irecommended iprior ito itravel
A inurse iis iadministering ipotassium ichloride ivia iIV iinfusion ito ia iclient iwho ihas isever
ihypokalemia. iWhich iof ithe ifollowing iactions i should ithe inurse itake?
Monitor ithe iclient ifor iadequate iurine ioutput
A inurse iis iassessing ia iclient iwho ihas ia inew idiagnosis iof idiverticulitis iand ireport ithat ihe iuses
