Which information is a priority for the RN to reinforce to an
older client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is
tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid
every hour for the next 2
days
D) Measure the urine output for the next day and immediately
notify the health care
provider if it should decrease.
The correct answer is D: Measure the urine output for the next day
and immediately
notify the health care provider if it should decrease.
A nurse is performing CPR on an adult who went into
cardiopulmonary arrest.
Another nurse enters the room in response to the call. After
checking the client’s pulse
and respirations, what should
be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions or
breathing
The nurse assesses a 72 year-old client who was admitted
for right sided congestive
,heart failure. Which of the following would the nurse anticipate
finding?
,A) Decreased urinary
output B) Jugular vein
distention
C) Pleural effusion
D) Bibasilar crackles
The correct answer is B: Jugular vein distention
A client with heart failure has a prescription for digoxin. The
nurse is aware that
sufficient potassium should be included in the diet because
hypokalemia in combination
with this medication
A) Can predispose to dysrhythmias
B) May lead to oliguria
C) May cause irritability and anxiety
D) Sometimes alters consciousness
The correct answer is A: Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room
following a motor vehicle
accident. Which of the following neurological signs is of most
concern?
A) Flaccid paralysis
B) Pupils fixed and dilated
C) Diminished spinal reflexes
D) Reduced sensory responses
The correct answer is B: Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is
admitted to the hospital with a
diagnosis of vaso-occlusive crisis. Which statements by the client
would be most
, indicative of the etiology of this crisis?
A)”I knew this would happen. I've been eating too much red meat
lately."
B)”I really enjoyed my fishing trip yesterday. I caught 2 fish."
C)”I have really been working hard practicing with the debate
team at school."
D)”I went to the health care provider last week for a cold
and I have gotten worse."
The correct answer is D: "I went to the doctor last week for a
cold and I have gotten
worse."
Which these findings would the nurse more closely
associate with anemia in a 10
month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The correct answer is B: Pale mucosa of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an
intensive care unit. The
priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil
responses
The correct answer is D: Pupil responses
older client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is
tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid
every hour for the next 2
days
D) Measure the urine output for the next day and immediately
notify the health care
provider if it should decrease.
The correct answer is D: Measure the urine output for the next day
and immediately
notify the health care provider if it should decrease.
A nurse is performing CPR on an adult who went into
cardiopulmonary arrest.
Another nurse enters the room in response to the call. After
checking the client’s pulse
and respirations, what should
be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions or
breathing
The nurse assesses a 72 year-old client who was admitted
for right sided congestive
,heart failure. Which of the following would the nurse anticipate
finding?
,A) Decreased urinary
output B) Jugular vein
distention
C) Pleural effusion
D) Bibasilar crackles
The correct answer is B: Jugular vein distention
A client with heart failure has a prescription for digoxin. The
nurse is aware that
sufficient potassium should be included in the diet because
hypokalemia in combination
with this medication
A) Can predispose to dysrhythmias
B) May lead to oliguria
C) May cause irritability and anxiety
D) Sometimes alters consciousness
The correct answer is A: Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room
following a motor vehicle
accident. Which of the following neurological signs is of most
concern?
A) Flaccid paralysis
B) Pupils fixed and dilated
C) Diminished spinal reflexes
D) Reduced sensory responses
The correct answer is B: Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is
admitted to the hospital with a
diagnosis of vaso-occlusive crisis. Which statements by the client
would be most
, indicative of the etiology of this crisis?
A)”I knew this would happen. I've been eating too much red meat
lately."
B)”I really enjoyed my fishing trip yesterday. I caught 2 fish."
C)”I have really been working hard practicing with the debate
team at school."
D)”I went to the health care provider last week for a cold
and I have gotten worse."
The correct answer is D: "I went to the doctor last week for a
cold and I have gotten
worse."
Which these findings would the nurse more closely
associate with anemia in a 10
month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The correct answer is B: Pale mucosa of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an
intensive care unit. The
priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil
responses
The correct answer is D: Pupil responses
