NURS QUESTIONS WITH ANSWERS ASSURED A+
• A patient 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 patient is experiencing which of the
following? Hypokalemia
"Hypokalemia is evident from the lab values listed."
• A 26-year-old male patient is scheduled for surgery in the morning. Which
is the primary responsibility of the nurse?
• Taking the vital signs
• The nurse is working in the emergency room when a patient arrives with
severe burns on the left arm, hands, face, chest, and neck. Which action should
receive priority?
• Applying oxygen
• The patient with osteoporosis has a new prescription for alendronate
(Fosamax). Which instruction should be given to the patient?
• Avoid rapid movements after taking the medication
• The nurse is making initial rounds on a patient with a C5 fracture
and Crutchfield tongs. Which equipment should be kept at the bedside?
• torque wrench
• The nurse is caring for a patient with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side
effect of this drug?
• WBC 2,000 per cubic millimeter
• The nurse is assisting a patient with diverticulosis to select
appropriate foods. Which food should be avoided? Cucumber salad
• A patient has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
• Facilitating perineal wound drainage
• The nurse is performing discharge teaching on a patient with
diverticulitis who has been placed on a low-roughage diet. Which food would
have to be eliminated from this patient’s diet?
• Cooked broccoli
• The nurse is caring for a new mother. The mother asks why her baby
has lost weight since she was born. The best explanation for the weight loss is:
The baby is allergic to the formula the mother is giving her.
extracellular fluid, and initiation of breastfeeding.
• Removal of the left lower lobe of the lung is performed on a patient
with lung cancer. Which post-operative measure would usually be included in
the plan?
• Closed chest drainage
• Six hours after birth, the infant is found to have an area of swelling over
the right parietal area that does not cross the suture line. The nurse should
chart this finding as:
• A cephalohematoma
, • A patient in the cardiac step-down unit requires suctioning for excess
mucous secretions. The nurse should be most careful to monitor the patient
for which dysrhythmia during this procedure.
Bradycardia
• The nurse is assessing a patient with possible
pernicious anemia. Which data would support this
diagnosis? A red, beefy tongue
• A patient arrives in the emergency room with a possible fractured
femur. The nurse should anticipate an order for:
• Buck’s traction
• A patient with cancer is to undergo an intravenous pyelogram. The
nurse should:
• Ask the patient to void immediately before the study
• A patient is 2 days post-operative colon resection. After a coughing
episode, the patient’s wound eviscerates. Which nursing action is most
appropriate?
• Cover the wound with a sterile saline-soaked
dressing
• The nurse is preparing a patient for surgery. Which item is most
important to remove before sending the patient to surgery?
• Contact lenses
• When assessing a patient for the risk of hyperphosphatemia, which
piece of information is most important for the nurse to obtain?
• A history of radiation treatment in the neck region
• A patient is admitted to the acute care unit. Initial laboratory values reveal
serum sodium of 170meq/L. What behavior changes would be most common
for this patient? Mania
• A patient with pancreatitis has been transferred to the intensive care
unit. Which order would the nurse anticipate?
• Insertion of a Levine tube
• The patient is admitted to the unit after a cholecystectomy.
Montgomery straps are utilized with this patience. The nurse is aware that
Montgomery straps are utilized on this patient because:
• The patient will require frequent dressing changes.
• The physician has ordered that the patient’s medication be administered
intrathecally. The nurse is aware that medications will be contacted by which
method?
• Into the cerebrospinal fluid
• The nurse notes the patient care assistant looking through the personal
items of the patient with cancer. Which action should be taken by the
registered nurse?
• Report this behavior to the charge
nurse
• A patient 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 patient is experiencing which of the
following? Hypokalemia
"Hypokalemia is evident from the lab values listed."
• A 26-year-old male patient is scheduled for surgery in the morning. Which
is the primary responsibility of the nurse?
• Taking the vital signs
• The nurse is working in the emergency room when a patient arrives with
severe burns on the left arm, hands, face, chest, and neck. Which action should
receive priority?
• Applying oxygen
• The patient with osteoporosis has a new prescription for alendronate
(Fosamax). Which instruction should be given to the patient?
• Avoid rapid movements after taking the medication
• The nurse is making initial rounds on a patient with a C5 fracture
and Crutchfield tongs. Which equipment should be kept at the bedside?
• torque wrench
• The nurse is caring for a patient with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side
effect of this drug?
• WBC 2,000 per cubic millimeter
• The nurse is assisting a patient with diverticulosis to select
appropriate foods. Which food should be avoided? Cucumber salad
• A patient has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
• Facilitating perineal wound drainage
• The nurse is performing discharge teaching on a patient with
diverticulitis who has been placed on a low-roughage diet. Which food would
have to be eliminated from this patient’s diet?
• Cooked broccoli
• The nurse is caring for a new mother. The mother asks why her baby
has lost weight since she was born. The best explanation for the weight loss is:
The baby is allergic to the formula the mother is giving her.
extracellular fluid, and initiation of breastfeeding.
• Removal of the left lower lobe of the lung is performed on a patient
with lung cancer. Which post-operative measure would usually be included in
the plan?
• Closed chest drainage
• Six hours after birth, the infant is found to have an area of swelling over
the right parietal area that does not cross the suture line. The nurse should
chart this finding as:
• A cephalohematoma
, • A patient in the cardiac step-down unit requires suctioning for excess
mucous secretions. The nurse should be most careful to monitor the patient
for which dysrhythmia during this procedure.
Bradycardia
• The nurse is assessing a patient with possible
pernicious anemia. Which data would support this
diagnosis? A red, beefy tongue
• A patient arrives in the emergency room with a possible fractured
femur. The nurse should anticipate an order for:
• Buck’s traction
• A patient with cancer is to undergo an intravenous pyelogram. The
nurse should:
• Ask the patient to void immediately before the study
• A patient is 2 days post-operative colon resection. After a coughing
episode, the patient’s wound eviscerates. Which nursing action is most
appropriate?
• Cover the wound with a sterile saline-soaked
dressing
• The nurse is preparing a patient for surgery. Which item is most
important to remove before sending the patient to surgery?
• Contact lenses
• When assessing a patient for the risk of hyperphosphatemia, which
piece of information is most important for the nurse to obtain?
• A history of radiation treatment in the neck region
• A patient is admitted to the acute care unit. Initial laboratory values reveal
serum sodium of 170meq/L. What behavior changes would be most common
for this patient? Mania
• A patient with pancreatitis has been transferred to the intensive care
unit. Which order would the nurse anticipate?
• Insertion of a Levine tube
• The patient is admitted to the unit after a cholecystectomy.
Montgomery straps are utilized with this patience. The nurse is aware that
Montgomery straps are utilized on this patient because:
• The patient will require frequent dressing changes.
• The physician has ordered that the patient’s medication be administered
intrathecally. The nurse is aware that medications will be contacted by which
method?
• Into the cerebrospinal fluid
• The nurse notes the patient care assistant looking through the personal
items of the patient with cancer. Which action should be taken by the
registered nurse?
• Report this behavior to the charge
nurse
