CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
1. 1.
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours
2. 2.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
licensed practical nurse reinforces instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema on the
morning of the test."
D. "I need to take a laxative after the test is completed, because
the liquid that I’ll have to drink for the test can be constipating."
3. 3.
A nurse on the evening shift checks a physician's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls
the physician's answering service and is told that the physician is off for the night
and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact
the on-call physician
C. Withhold the medication until the physician can be reached in
the morning
,CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
D. Administer the medication but consult the physician when he
becomes available
4. 4.
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature ventricular contractions
(PVCs) on the monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
,CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
5. 5.
NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a
small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the
day after the ECT
6. 6.
A client who recently underwent coronary artery bypass graft surgery comes to
the physician's office for a follow-up visit. On assessment, the client tells the
nurse that he is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you’re feeling."
B. "That’s a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over
this depression."
D. "Every client who has this surgery feels the same way for
about a month."
7. 7.
A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks
the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse’s priority?
, CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the
FHR 8. 8.
A nurse helps provide an educational session to community members about
cancer of the cervix. The nurse informs the group members that an early sign of
this type of cancer is:
A. Dark, foul-smelling vaginal drainage
1. 1.
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours
2. 2.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
licensed practical nurse reinforces instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema on the
morning of the test."
D. "I need to take a laxative after the test is completed, because
the liquid that I’ll have to drink for the test can be constipating."
3. 3.
A nurse on the evening shift checks a physician's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls
the physician's answering service and is told that the physician is off for the night
and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact
the on-call physician
C. Withhold the medication until the physician can be reached in
the morning
,CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
D. Administer the medication but consult the physician when he
becomes available
4. 4.
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature ventricular contractions
(PVCs) on the monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
,CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
5. 5.
NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the
procedure, the nurse checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a
small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the
day after the ECT
6. 6.
A client who recently underwent coronary artery bypass graft surgery comes to
the physician's office for a follow-up visit. On assessment, the client tells the
nurse that he is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you’re feeling."
B. "That’s a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over
this depression."
D. "Every client who has this surgery feels the same way for
about a month."
7. 7.
A client in labor experiences spontaneous rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR) for 1 full minute and then checks
the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor.
Which of the following actions should be the nurse’s priority?
, CHM MISC1Comprehensive Exam 266 Questions And Correct Answers 2022.
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the
FHR 8. 8.
A nurse helps provide an educational session to community members about
cancer of the cervix. The nurse informs the group members that an early sign of
this type of cancer is:
A. Dark, foul-smelling vaginal drainage
