,1. A nurse is assessing a client who is receiving magnesium sulfate IV
for the treatment of hypomagnesemia. Which of the following findings
indicates effectiveness of the medication?
-Lungs clear
-Hypoactive bowel sounds- Reduced motility, anorexia, nausea, constipation,
and abdominaldistention are common. A paralytic ileus may occur when
hypomagnesemia is severe.
-Blood pressure 90/50 mm Hg-hypomagnesemia causes hypertension, but this
is too low,abnormal
-Apical pulse 82/min
One aspect of the conduction problems is that, when serum magnesium
levels are low, intracellular potassium levels are also low. This changes the
resting membrane potential incardiac muscle cells, slowing normal
conduction and triggering ectopic beats.
2. A nurse is preparing a client for a lumbar puncture. Which of the
following images indicatesthe position the nurse should assist the client into
for this procedure?
- “Cannonball position on the side” picture #4 (ATI page 20)
3. A nurse is reviewing a clients ABG results: pH 7.42, PaCO2 30 mm
Hg, and HCO3 -21 mEq/L. The nurse should recognize these findings as
an indication of which of the followingconditions?
-Compensated respiratory alkalosis
-Uncompensated respiratory acidosis
-Metabolic acidosis
-Metabolic alkalosis
4. A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of the
following routine medications togive at 0800 should the nurse withhold?
-Metoprolol
-Metformin
-Fluticasone
-Valproic Acid
5. A nurse is planning care for a client who is experiencing seizures
secondary to meningitis.Which of the following interventions should the
nurse include in the plan of care? (Select all that apply.)
-Assist the client to ambulate every 4 hr.
-Place a tongue blade at the bedside.
-Have suction equipment at the bedside.
-Dim the overhead lights.
-Apply a warming blanket.
6. A nurse is caring for a client who has a pressure ulcer with necrotic
,tissue and requires wetto damp dressing changes daily. Which of the
following types of debridement should the nurse include in the plan of care?
-Enzymatic
-Surgical
-Autolytic
-Mechanical
7. A nurse is caring for a female who has toxic shock syndrome.
Which of the followingfindings should the nurse expect?
-Elevated platelet count
-Decreased total bilirubin
-Generalized rash
-Hypertension
8. A nurse is preparing to administer a medication for a client
though a non-tunneledpercutaneous central catheter. Which of
the following actions should the nurse take?
-Close the inline clamp
-Apply a local anesthetic to the skin
-Don sterile gloves
-Flush the catheter with 10 mL of 0.9% sodium chloride.
9. A nurse is caring for a client who was admitted with nausea, vomiting,
and a possible bowelobstruction. An NG tube is placed and set to a low
intermittent suction. Which of the following findings should the nurse report
to the provider?
-The client reports being extremely thirst with a sore throat
-The drainage is bright green in color with brown fecal material
-The amount of drainage is gradually decreasing
-The client’s abdomen becomes distended and firm.
10. A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of thefollowing findings should the nurse expect?
-Elevated blood pressure
-Hypothermia
-Urine specific gravity 1.001
-Bun 15 mg/d:
11. The nurse is caring for a client who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse give to
the client regarding management of thyroidstorm?
-You will need to begin taking an ACE inhibition medication
-You will need a pacemaker to increase your heart rate
-You will need a cooling blanket to lower your body temperature
-You will need additional thyroid supplementation
12. The nurse is reviewing the medical record of a client who has acute
, gout. The nurse shouldexpect an increase in which of the following
laboratory results?
-Uric acid
-Intrinsic factor
-Creatinine kinase
-Chloride level
13. A nurse is preparing to administer peritoneal dialysis to a client.
Which of the followingactions should the nurse take?
-Use clean technique to access the catheter
-Chill the dialysate before administration
-Hang the drainage bag below the client’s abdomen
-Place the client in high-Fowler’s position.
14. A nurse in the emergency department is caring for a client who has
deep partial thickness burns over 30% of his body, including his upper
chest and abdomen. Which of the followingactions is the nurse priority?
-Insert an 18-gauge IV catheter
-Administer tetanus toxoid
-Check the clients mouth for black particles
-Remove the clients burned clothing.
15. A nurse is presenting an in-service program about Parkinson’s disease
(PD). Which of thefollowing statements should the nurse include in
teaching?
-PD results form a decreased amount of dopamine in the client’s brain
-PD causes clients to have an increased sympathetic nervous system response
-PD results in the development of neurofibrillary tangles within the client’s brain
-PD manifestations worsen due to the clients decreased production of acetylcholine
16. A nurse is caring for a client who has a serum sodium level of 150
mEq/L. Which of thefollowing actions should the nurse take?
-Increase sodium in the client’s diet
-Administer hypotonic IV fluids to the client
-Restrict the client’s oral fluid intake
-Administer a beta blocker
17. A nurse is caring for a client who takes lisinopril for hypertension.
Which of the followingclient statements indicates an adverse effect of the
medication?
-I seem to be bruising more easily
-I have a nagging, dry cough
-I have a heightened sense of taste
-I have to urinate frequently
18. A nurse is providing discharge teaching to a client following a modified
for the treatment of hypomagnesemia. Which of the following findings
indicates effectiveness of the medication?
-Lungs clear
-Hypoactive bowel sounds- Reduced motility, anorexia, nausea, constipation,
and abdominaldistention are common. A paralytic ileus may occur when
hypomagnesemia is severe.
-Blood pressure 90/50 mm Hg-hypomagnesemia causes hypertension, but this
is too low,abnormal
-Apical pulse 82/min
One aspect of the conduction problems is that, when serum magnesium
levels are low, intracellular potassium levels are also low. This changes the
resting membrane potential incardiac muscle cells, slowing normal
conduction and triggering ectopic beats.
2. A nurse is preparing a client for a lumbar puncture. Which of the
following images indicatesthe position the nurse should assist the client into
for this procedure?
- “Cannonball position on the side” picture #4 (ATI page 20)
3. A nurse is reviewing a clients ABG results: pH 7.42, PaCO2 30 mm
Hg, and HCO3 -21 mEq/L. The nurse should recognize these findings as
an indication of which of the followingconditions?
-Compensated respiratory alkalosis
-Uncompensated respiratory acidosis
-Metabolic acidosis
-Metabolic alkalosis
4. A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of the
following routine medications togive at 0800 should the nurse withhold?
-Metoprolol
-Metformin
-Fluticasone
-Valproic Acid
5. A nurse is planning care for a client who is experiencing seizures
secondary to meningitis.Which of the following interventions should the
nurse include in the plan of care? (Select all that apply.)
-Assist the client to ambulate every 4 hr.
-Place a tongue blade at the bedside.
-Have suction equipment at the bedside.
-Dim the overhead lights.
-Apply a warming blanket.
6. A nurse is caring for a client who has a pressure ulcer with necrotic
,tissue and requires wetto damp dressing changes daily. Which of the
following types of debridement should the nurse include in the plan of care?
-Enzymatic
-Surgical
-Autolytic
-Mechanical
7. A nurse is caring for a female who has toxic shock syndrome.
Which of the followingfindings should the nurse expect?
-Elevated platelet count
-Decreased total bilirubin
-Generalized rash
-Hypertension
8. A nurse is preparing to administer a medication for a client
though a non-tunneledpercutaneous central catheter. Which of
the following actions should the nurse take?
-Close the inline clamp
-Apply a local anesthetic to the skin
-Don sterile gloves
-Flush the catheter with 10 mL of 0.9% sodium chloride.
9. A nurse is caring for a client who was admitted with nausea, vomiting,
and a possible bowelobstruction. An NG tube is placed and set to a low
intermittent suction. Which of the following findings should the nurse report
to the provider?
-The client reports being extremely thirst with a sore throat
-The drainage is bright green in color with brown fecal material
-The amount of drainage is gradually decreasing
-The client’s abdomen becomes distended and firm.
10. A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of thefollowing findings should the nurse expect?
-Elevated blood pressure
-Hypothermia
-Urine specific gravity 1.001
-Bun 15 mg/d:
11. The nurse is caring for a client who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse give to
the client regarding management of thyroidstorm?
-You will need to begin taking an ACE inhibition medication
-You will need a pacemaker to increase your heart rate
-You will need a cooling blanket to lower your body temperature
-You will need additional thyroid supplementation
12. The nurse is reviewing the medical record of a client who has acute
, gout. The nurse shouldexpect an increase in which of the following
laboratory results?
-Uric acid
-Intrinsic factor
-Creatinine kinase
-Chloride level
13. A nurse is preparing to administer peritoneal dialysis to a client.
Which of the followingactions should the nurse take?
-Use clean technique to access the catheter
-Chill the dialysate before administration
-Hang the drainage bag below the client’s abdomen
-Place the client in high-Fowler’s position.
14. A nurse in the emergency department is caring for a client who has
deep partial thickness burns over 30% of his body, including his upper
chest and abdomen. Which of the followingactions is the nurse priority?
-Insert an 18-gauge IV catheter
-Administer tetanus toxoid
-Check the clients mouth for black particles
-Remove the clients burned clothing.
15. A nurse is presenting an in-service program about Parkinson’s disease
(PD). Which of thefollowing statements should the nurse include in
teaching?
-PD results form a decreased amount of dopamine in the client’s brain
-PD causes clients to have an increased sympathetic nervous system response
-PD results in the development of neurofibrillary tangles within the client’s brain
-PD manifestations worsen due to the clients decreased production of acetylcholine
16. A nurse is caring for a client who has a serum sodium level of 150
mEq/L. Which of thefollowing actions should the nurse take?
-Increase sodium in the client’s diet
-Administer hypotonic IV fluids to the client
-Restrict the client’s oral fluid intake
-Administer a beta blocker
17. A nurse is caring for a client who takes lisinopril for hypertension.
Which of the followingclient statements indicates an adverse effect of the
medication?
-I seem to be bruising more easily
-I have a nagging, dry cough
-I have a heightened sense of taste
-I have to urinate frequently
18. A nurse is providing discharge teaching to a client following a modified
