Practice Exam 1 (STUDY MODE)
1. The nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The
nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria Answer
2. A client with cancer is admitted to the oncology unit. Stat
lab values reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0,
Na+ 136, and platelets 178,000. The nurse evaluates that
the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
3. A 24-year-old female client is scheduled for surgery in the
morning. Which of the following is the primary responsibility
of the nurse?
A. Taking the vital signs
B. Obtaining the permit
C. Explaining the procedure
D. Checking the lab work
4. The nurse is working in the emergency room when a client
arrives with severe burns of the left arm, hands, face, and
neck. Which action should receive priority?
A. Starting an IV
B. Applying oxygen
C. Obtaining blood gases
D. Medicating the client for pain
5. The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for
alendronate (Fosamax). Which instruction should be given
to the client?
A. Rest in bed after taking the medication for at least 30
minutes
,B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and
taking other medications
6. The nurse is making initial rounds on a client with a C5
fracture and crutchfield tongs. Which equipment should be
kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
7. An infant weighs 7 pounds at birth. The expected weight
by 1 year should be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
8. A client is admitted with a Ewing’s sarcoma. Which
symptoms would be ex- pected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
9. The nurse is caring for a client with epilepsy who is being
treated with carba- mazepine (Tegretol). Which laboratory
value might indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
10.A 6-month-old client is admitted with possible
intussuception. Which question during the nursing history is
least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
, B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
11.The nurse is assisting a client with diverticulosis to select
appropriate foods. Which food should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
12.A client has rectal cancer and is scheduled for an abdominal
perineal resection. What should be the priority nursing care
during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
13.The nurse is performing discharge teaching on a client
with diverticulitis who has been placed on a low-roughage
diet. Which food would have to be eliminated from this
client’s diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
14.The nurse is caring for a new mother. The mother asks why
her baby has lost weight since he was born. The best
explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to lack of glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium
stool, loss of extra- cellular fluid, and initiation of breast-
feeding.
1. The nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. The
nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria Answer
2. A client with cancer is admitted to the oncology unit. Stat
lab values reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0,
Na+ 136, and platelets 178,000. The nurse evaluates that
the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
3. A 24-year-old female client is scheduled for surgery in the
morning. Which of the following is the primary responsibility
of the nurse?
A. Taking the vital signs
B. Obtaining the permit
C. Explaining the procedure
D. Checking the lab work
4. The nurse is working in the emergency room when a client
arrives with severe burns of the left arm, hands, face, and
neck. Which action should receive priority?
A. Starting an IV
B. Applying oxygen
C. Obtaining blood gases
D. Medicating the client for pain
5. The nurse is visiting a home health client with
osteoporosis. The client has a new prescription for
alendronate (Fosamax). Which instruction should be given
to the client?
A. Rest in bed after taking the medication for at least 30
minutes
,B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour between taking the medicine and
taking other medications
6. The nurse is making initial rounds on a client with a C5
fracture and crutchfield tongs. Which equipment should be
kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
7. An infant weighs 7 pounds at birth. The expected weight
by 1 year should be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
8. A client is admitted with a Ewing’s sarcoma. Which
symptoms would be ex- pected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
9. The nurse is caring for a client with epilepsy who is being
treated with carba- mazepine (Tegretol). Which laboratory
value might indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
10.A 6-month-old client is admitted with possible
intussuception. Which question during the nursing history is
least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
, B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
11.The nurse is assisting a client with diverticulosis to select
appropriate foods. Which food should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
12.A client has rectal cancer and is scheduled for an abdominal
perineal resection. What should be the priority nursing care
during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
13.The nurse is performing discharge teaching on a client
with diverticulitis who has been placed on a low-roughage
diet. Which food would have to be eliminated from this
client’s diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
14.The nurse is caring for a new mother. The mother asks why
her baby has lost weight since he was born. The best
explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to lack of glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium
stool, loss of extra- cellular fluid, and initiation of breast-
feeding.
