ANSWERS
Emergency care of the client in Addisonian crisis includes which of the
following?
A) Hydrocortisone sodium IV bolus
Following a traumatic brain injury, a client is diagnosed with the syndrome of
inappropriate antidiuretic hormone (SIADH). The finding for this client would
include which of the following? (SATA)
A) Oliguria B) Fluid volume excess C) Hypernatremia
A client is diagnosed with cardiac tamponade from pericarditis. Which of the
following is the client at high risk for developing?
D) Obstructive shock
A client is admitted with newly diagnosed pheochromocytoma. The nurse
monitors for which signs/symptoms associated with this tumor?
A) Hypertension
A nurse is caring for several clients at risk for shock. Which laboratory value
requires the nurse to notify the health care provider?
A) Lactic acid (lactate) 54 mmol/L
A nurse is caring for a client diagnosed with ST- elevation myocardial infarction
(STEMI). The nurse anticipates which of the following interventions would the
nurse give first?
A) Aspirin
A patient with Cushing's syndrome as a result of a pituitary tumor has been
admitted for a transsphenoidal hypophysectomy. What would be most important
for the nurse to monitor before, during, and after surgery?
D) Blood glucose
The nurse caring for a client in the hospital on chemotherapy. The nurse
identifies which of the following risk factors that place the client at higher risk for
septic shock. (SATA)
A) Immunosuppression
B) Impaired skin integrity
C) Malnutrition with Dehydration
With progressive renal failure, when the synthesis of vitamin D becomes
impaired, the impairment contributes to which of the following abnormalities?
D) Hypocalcemia and bone loss
In triage, a client presents with chest pressure, moist skin, and mild shortness of
breath. A 12- lead electrocardiogram (ECG) is done and shows elevation in the ST
segment in two leads. The nurse suspects this client is experiencing which
cardiac dysrhythmia?
A) ST-elevation myocardial infarction (STEMI)