NUR265 PRACTICE 3
NUR265 Praqctice 3
1. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is
digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
______ tablet(s)
2. A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following
room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
B. A room with another nonsurgical client
C. A room in the ICU
D. A room that is within view of the nurses' station
3. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle
crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing
them in the selected order of performance. Use all the steps.)
A. Perform a Glasgow Coma Scale assessment.
B. Establish IV access.
C. Open the airway using a jaw-thrust maneuver.
D. Determine effectiveness of ventilator efforts.
E. Remove clothing for a thorough assessment.
4. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
A. Positive Western blot test
B. CD4-T-cell count 180 cells/mm3
C. Platelets 150,000/mm3
D. WBC 5,000/mm3
5. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous
rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse
Created on:06/04/2018 Page 1
, NUR265 Praqctice 3
effects?
A. Constipation
B. Black colored stools
C. Staining of teeth
D. Body secretions turning a red-orange color
6. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to
assess in this client? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Barrel chest
D. Clubbing of the fingers
E. Deep respirations
7. A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of
the following findings should the nurse expect?
A. Hyperpigmentation
B. Intention tremors
C. Hirsutism
D. Purple striations
8. A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO
once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following
responses should the nurse provide?
A. "Crushing the medication might cause you to have a stomachache or indigestion."
B. "Crushing the medication is a good idea, and I can mix it in some ice cream for you."
C. "Crushing the medication would release all the medication at once, rather than over time."
D. "Crushing is unsafe, as it destroys the ingredients in the medication."
Created on:06/04/2018 Page 2
, NUR265 Praqctice 3
9. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused
breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
10. A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible.
The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority
for the nurse to take?
A. Prevent aspiration.
B. Ensure adequate nutrition.
C. Promote oral hygiene
D. Relieve the client's pain.
11. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that
the aspirin is given due to which of the following actions of the medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic
12. A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering
the medication, the nurse should check to see that which of the following tests have been completed?
A. Thyroid hormone assay
B. Liver function tests
C. Erythrocyte sedimentation rate
D. Brain natriuretic peptide
Created on:06/04/2018 Page 3
NUR265 Praqctice 3
1. A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is
digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
______ tablet(s)
2. A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following
room assignments should the nurse make for the client?
A. A room with air exhaust directly to the outdoor environment
B. A room with another nonsurgical client
C. A room in the ICU
D. A room that is within view of the nurses' station
3. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle
crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing
them in the selected order of performance. Use all the steps.)
A. Perform a Glasgow Coma Scale assessment.
B. Establish IV access.
C. Open the airway using a jaw-thrust maneuver.
D. Determine effectiveness of ventilator efforts.
E. Remove clothing for a thorough assessment.
4. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
A. Positive Western blot test
B. CD4-T-cell count 180 cells/mm3
C. Platelets 150,000/mm3
D. WBC 5,000/mm3
5. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous
rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse
Created on:06/04/2018 Page 1
, NUR265 Praqctice 3
effects?
A. Constipation
B. Black colored stools
C. Staining of teeth
D. Body secretions turning a red-orange color
6. A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to
assess in this client? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Barrel chest
D. Clubbing of the fingers
E. Deep respirations
7. A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of
the following findings should the nurse expect?
A. Hyperpigmentation
B. Intention tremors
C. Hirsutism
D. Purple striations
8. A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO
once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following
responses should the nurse provide?
A. "Crushing the medication might cause you to have a stomachache or indigestion."
B. "Crushing the medication is a good idea, and I can mix it in some ice cream for you."
C. "Crushing the medication would release all the medication at once, rather than over time."
D. "Crushing is unsafe, as it destroys the ingredients in the medication."
Created on:06/04/2018 Page 2
, NUR265 Praqctice 3
9. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused
breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
A. Check the client's vital signs.
B. Request a dietitian consult.
C. Suggest that the client rests before eating the meal.
D. Request an order for an antiemetic.
10. A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible.
The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority
for the nurse to take?
A. Prevent aspiration.
B. Ensure adequate nutrition.
C. Promote oral hygiene
D. Relieve the client's pain.
11. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that
the aspirin is given due to which of the following actions of the medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic
12. A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering
the medication, the nurse should check to see that which of the following tests have been completed?
A. Thyroid hormone assay
B. Liver function tests
C. Erythrocyte sedimentation rate
D. Brain natriuretic peptide
Created on:06/04/2018 Page 3
