Name: Score:
278 Multiple choice questions
Term 1 of 278
A nurse cares for a client who has pyelonephritis. The client states, I am embarrassed to talk about
my symptoms. How should the nurse respond?
I am a professional. Your symptoms will be kept in confidence.
I understand. Elimination is a private topic and shouldnt be discussed.
Take your time. It is okay to use words that are familiar to you.
You seem anxious. Would you like a nurse of the same gender to care for you?
,Term 2 of 278
A client is undergoing hemodialysis. The clients blood pressure at the beginning of the procedure
was 136/88 mm Hg, and now it is 110/54 mm Hg. What actions should the nurse perform to
maintain blood pressure? (Select all that apply.)
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
c. Stop the hemodialysis treatment.
d. Administer a 250-mL bolus of normal saline.
e. Contact the health care provider for orders.
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
d. Administer a 250-mL bolus of normal saline.
a. Lower sodium
c. Lower potassium
e. Higher calories
a. Assess for proper placement of the tube every 4 hours.
d. Disconnect suction when auscultating bowel peristalsis.
e. Monitor the clients skin around the tube site for irritation.
a. Ensure adequate fluid intake.
b. Leave the bathroom light on at night.
e. Provide thorough perineal care after each voiding.
f. Assess for urinary retention and urinary tract infection.
Term 3 of 278
A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to
drink. What
action by the nurse is best?
Allow the client cool liquids only.
Assess the clients gag reflex.
Remind the client to remain NPO.
Tell the client to wait 4 hours.
,Term 4 of 278
A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/L.
Which action should the nurse take?
Contact the provider and recommend a low-sodium diet.
Prepare to administer an intravenous diuretic.
Obtain a suction device and implement seizure precautions.
Encourage the client to drink more fluids.
Term 5 of 278
A nurse cares for a client who presents with tachycardia and prostration related to biliary colic.
Which actions should the nurse take? (Select all that apply.)
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Decrease intravenous fluids.
d. Ask the client to bear down.
e. Administer prescribed opioids.
c. I will help you identify a support system.
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Contact the provider and recommend computed tomography.
a. Bile salts accumulate in the skin and cause the itching.
, Term 6 of 278
A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be
most helpful?
Arrange a dietary consult.
Increase fluid intake.
Limit the clients foods.
Make the client NPO.
Term 7 of 278
A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client
states, I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten
better. I heard about a drug called Amitiza. Do you think it might help? How should the nurse
respond?
This drug is still in the research phase and is not available for public use yet.
Unfortunately, lubiprostone is approved only for use in women.
Lubiprostone works well. I will recommend this prescription to your provider.
This drug should not be used with bulk-forming laxatives.
Term 8 of 278
A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory
result should the nurse report to the surgeon immediately?
Albumin: 2.1 g/dL
Hematocrit: 28%
Hemoglobin: 8.1 mg/dL
International normalized ratio (INR): 4.2
278 Multiple choice questions
Term 1 of 278
A nurse cares for a client who has pyelonephritis. The client states, I am embarrassed to talk about
my symptoms. How should the nurse respond?
I am a professional. Your symptoms will be kept in confidence.
I understand. Elimination is a private topic and shouldnt be discussed.
Take your time. It is okay to use words that are familiar to you.
You seem anxious. Would you like a nurse of the same gender to care for you?
,Term 2 of 278
A client is undergoing hemodialysis. The clients blood pressure at the beginning of the procedure
was 136/88 mm Hg, and now it is 110/54 mm Hg. What actions should the nurse perform to
maintain blood pressure? (Select all that apply.)
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
c. Stop the hemodialysis treatment.
d. Administer a 250-mL bolus of normal saline.
e. Contact the health care provider for orders.
a. Adjust the rate of extracorporeal blood flow.
b. Place the client in the Trendelenburg position.
d. Administer a 250-mL bolus of normal saline.
a. Lower sodium
c. Lower potassium
e. Higher calories
a. Assess for proper placement of the tube every 4 hours.
d. Disconnect suction when auscultating bowel peristalsis.
e. Monitor the clients skin around the tube site for irritation.
a. Ensure adequate fluid intake.
b. Leave the bathroom light on at night.
e. Provide thorough perineal care after each voiding.
f. Assess for urinary retention and urinary tract infection.
Term 3 of 278
A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to
drink. What
action by the nurse is best?
Allow the client cool liquids only.
Assess the clients gag reflex.
Remind the client to remain NPO.
Tell the client to wait 4 hours.
,Term 4 of 278
A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/L.
Which action should the nurse take?
Contact the provider and recommend a low-sodium diet.
Prepare to administer an intravenous diuretic.
Obtain a suction device and implement seizure precautions.
Encourage the client to drink more fluids.
Term 5 of 278
A nurse cares for a client who presents with tachycardia and prostration related to biliary colic.
Which actions should the nurse take? (Select all that apply.)
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Decrease intravenous fluids.
d. Ask the client to bear down.
e. Administer prescribed opioids.
c. I will help you identify a support system.
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Contact the provider and recommend computed tomography.
a. Bile salts accumulate in the skin and cause the itching.
, Term 6 of 278
A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be
most helpful?
Arrange a dietary consult.
Increase fluid intake.
Limit the clients foods.
Make the client NPO.
Term 7 of 278
A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client
states, I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten
better. I heard about a drug called Amitiza. Do you think it might help? How should the nurse
respond?
This drug is still in the research phase and is not available for public use yet.
Unfortunately, lubiprostone is approved only for use in women.
Lubiprostone works well. I will recommend this prescription to your provider.
This drug should not be used with bulk-forming laxatives.
Term 8 of 278
A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory
result should the nurse report to the surgeon immediately?
Albumin: 2.1 g/dL
Hematocrit: 28%
Hemoglobin: 8.1 mg/dL
International normalized ratio (INR): 4.2
