Saunders Practice Questions
1. A client with a history of heart failure is due for a morning dose of
furosemide. Which serum potassium level, if noted in the client's
laboratory report, should be reported before administering the dose of
furosemide?
a. 3.2 mEq/L (3.2 mmol/L)
b. 3.8 mEq/L (3.8 mmol/L)
c. 4.2 mEq/L (4.2 mmol/L)
d. 4.8 mEq/L (4.8 mmol/L)
2. The clinic nurse is providing instructions to a parent of a child with
cystic fibrosis regarding the immunization schedule for the child. Which
statement should the nurse make to the parent?
a. The immunization schedule will need to be altered
b. The child should not receive any hepatitis vaccines
c. The child will receive all of the immunizations except for the polio series
d. The child will receive the recommended basic series of immunizations
along with a yearly influenza vaccination
3. The nurse is preparing a list of home care instructions for a client who
has been hospitalized and treated for tuberculosis. Which instructions
should the nurse include on the list? Select all that apply.
a. Activities should be resumed gradually.
b. Avoid contact with other individuals, except family members, for at least 6
months.
c. A sputum culture is needed every 2 to 4 weeks once medication therapy is
initiated.
d. Respiratory isolation is not necessary, because family members already
have been exposed.
e. Cover the mouth and nose when coughing or sneezing and put used
tissues in plastic bags.
f. When 1 sputum culture is negative, the client is no longer considered
infectious and usually can return to former employment.
4. The nurse has conducted discharge teaching with a client diagnosed
with tuberculosis who has been receiving medication for 2 weeks. The
nurse determines that the client has understood the information if the
client makes which statement?
a. "I need to continue medication therapy for 1 month."
b. "I can't shop at the mall for the next 6 months."
c. "I can return to work if a sputum culture comes back negative."
d. "I should not be contagious after 2 to 3 weeks of medication therapy."
5. A client who is human immunodeficiency virus (HIV)–positive has had a
tuberculin skin test (TST). The nurse notes a 7-mm area of induration at
, the site of the skin test and interprets the result as which finding?
a. Positive
b. Negative
c. Inconclusive
d. Need for repeat testing
6. The nurse performs an admission assessment on a client with a
diagnosis of tuberculosis. The nurse should check the results of which
diagnostic test that will confirm this diagnosis?
a. Chest x-ray
b. Bronchoscopy
c. Sputum culture
d. Tuberculin skin test
7. A client has been taking isoniazid for 2 months. The client complains to
the nurse about numbness, paresthesias, and tingling in the
extremities. The nurse interprets that the client is experiencing which
problem?
a. Hypercalcemia
b. Peripheral neuritis
c. Small blood vessel spasm
d. Impaired peripheral circulation
8. A client is to begin a 6-month course of therapy with isoniazid. The
nurse should plan to teach the client to take which action?
a. Use alcohol in small amounts only.
b. Report yellow eyes or skin immediately.
c. Increase intake of Swiss or aged cheeses.
d. Avoid vitamin supplements during therapy.
9. A client has been started on long-term therapy with rifampin. The nurse
should provide which information to the client about the medication?
a. Should always be taken with food or antacids
b. Should be double-dosed if 1 dose is forgotten
c. Causes orange discoloration of sweat, tears, urine, and feces
d. May be discontinued independently if symptoms are gone in 3 months
10. The nurse has given a client taking ethambutol information about
the medication. The nurse determines that the client understands the
instructions if the client states that they will immediately report which
finding?
a. Impaired sense of hearing
b. Gastrointestinal side effects
c. Orange-red discoloration of body secretions
d. Difficulty in discriminating the color red from green
1. A client with a history of heart failure is due for a morning dose of
furosemide. Which serum potassium level, if noted in the client's
laboratory report, should be reported before administering the dose of
furosemide?
a. 3.2 mEq/L (3.2 mmol/L)
b. 3.8 mEq/L (3.8 mmol/L)
c. 4.2 mEq/L (4.2 mmol/L)
d. 4.8 mEq/L (4.8 mmol/L)
2. The clinic nurse is providing instructions to a parent of a child with
cystic fibrosis regarding the immunization schedule for the child. Which
statement should the nurse make to the parent?
a. The immunization schedule will need to be altered
b. The child should not receive any hepatitis vaccines
c. The child will receive all of the immunizations except for the polio series
d. The child will receive the recommended basic series of immunizations
along with a yearly influenza vaccination
3. The nurse is preparing a list of home care instructions for a client who
has been hospitalized and treated for tuberculosis. Which instructions
should the nurse include on the list? Select all that apply.
a. Activities should be resumed gradually.
b. Avoid contact with other individuals, except family members, for at least 6
months.
c. A sputum culture is needed every 2 to 4 weeks once medication therapy is
initiated.
d. Respiratory isolation is not necessary, because family members already
have been exposed.
e. Cover the mouth and nose when coughing or sneezing and put used
tissues in plastic bags.
f. When 1 sputum culture is negative, the client is no longer considered
infectious and usually can return to former employment.
4. The nurse has conducted discharge teaching with a client diagnosed
with tuberculosis who has been receiving medication for 2 weeks. The
nurse determines that the client has understood the information if the
client makes which statement?
a. "I need to continue medication therapy for 1 month."
b. "I can't shop at the mall for the next 6 months."
c. "I can return to work if a sputum culture comes back negative."
d. "I should not be contagious after 2 to 3 weeks of medication therapy."
5. A client who is human immunodeficiency virus (HIV)–positive has had a
tuberculin skin test (TST). The nurse notes a 7-mm area of induration at
, the site of the skin test and interprets the result as which finding?
a. Positive
b. Negative
c. Inconclusive
d. Need for repeat testing
6. The nurse performs an admission assessment on a client with a
diagnosis of tuberculosis. The nurse should check the results of which
diagnostic test that will confirm this diagnosis?
a. Chest x-ray
b. Bronchoscopy
c. Sputum culture
d. Tuberculin skin test
7. A client has been taking isoniazid for 2 months. The client complains to
the nurse about numbness, paresthesias, and tingling in the
extremities. The nurse interprets that the client is experiencing which
problem?
a. Hypercalcemia
b. Peripheral neuritis
c. Small blood vessel spasm
d. Impaired peripheral circulation
8. A client is to begin a 6-month course of therapy with isoniazid. The
nurse should plan to teach the client to take which action?
a. Use alcohol in small amounts only.
b. Report yellow eyes or skin immediately.
c. Increase intake of Swiss or aged cheeses.
d. Avoid vitamin supplements during therapy.
9. A client has been started on long-term therapy with rifampin. The nurse
should provide which information to the client about the medication?
a. Should always be taken with food or antacids
b. Should be double-dosed if 1 dose is forgotten
c. Causes orange discoloration of sweat, tears, urine, and feces
d. May be discontinued independently if symptoms are gone in 3 months
10. The nurse has given a client taking ethambutol information about
the medication. The nurse determines that the client understands the
instructions if the client states that they will immediately report which
finding?
a. Impaired sense of hearing
b. Gastrointestinal side effects
c. Orange-red discoloration of body secretions
d. Difficulty in discriminating the color red from green
