CSD 210 TEST QUESTIONS AND ANSWERS
LATEST UPDATE
The nurse is educating a client with alcoholism that has been in rehabilitation for
two weeks to prepare for discharge. Which statement made by the client indicates
that education was effective and the client is best prepared for discharge?
1. "In order to give myself the best chance for sobriety, I will abstain from
alcohol."
2. "Now that I have completed rehab, I can safely return to life as it was before."
3. "I will be able to maintain sobriety by looking at the long-term outcomes."
4. "This is a good time to make a lot of serious changes in my life such as a new
job."
#1
The nurse in an outpatient rehabilitation program is speaking with a group of
clients who have recently recovered from alcohol abuse. Which issue should the
nurse raise before the clients leave for the day?
1. Remind them that substance dependency is a disease, not a mental disorder.
2. Suggest that they try to confront other issues in their lives, such as estranged
relationships or financial issues.
3. Help them to identify appropriate diversional activities.
4. Ask them to make a list of all the people they harmed during their addictions.
#3
The public health nurse is planning community education on substance use.
Which will the nurse prioritize?
1. collaboration
2. prevention
3. intervention
4. treatment
prevention
which of the following lab values should the nurse report to the physician a being
consistent with the diagnosis HELLP syndrome?
a. hematocrit 48%
b. 5.5 mEq/L
c. platelets 75,000
d. sodium 130 mEq/L
c
low platelets are consistent with the dx of HELLP syndrome.
normal platelets- 150,000-450,000
,a client who has been diagnosed with severe preeclampsia is being administered
magnesium sulfate via IV pump. which of the following medications must the
nurse have immediately available in the client's room?
a. calcium gluconate.
b. morphine sulfate.
c. naloxone (Narcan)
d. meperidine (Demerol)
A
the nurse must have calcium gluconate in the client's room.
calcium gluconate is the antidote for magnesium sulfate toxicity.
if needed must be pushed very slowly- if pushed too fast the client may experience
sudden convulsions
which of the following physical findings would lead the nurse to suspect that a
client with severe pre-eclampsia has developed HELLP syndrome? Select all that
apply
a. +3 pitting edema
b. petechiae
c. jaundice
d +4 deep tendon reflexes
e. elevated specific gravity
B- petechiae may develop when a client is thrombocytopenic, one of the signs of
HELLP syndrome
C-hyperbilirubinemia develops when RBC hemolyze, one of the changes that may
develop as a result of liver necrosis. Jaundice is a symptom of hyperbilirubinemia. also
elevated liver function tests (EL) are a manifestation of HELLP syndrome
a client is in labor and delivery with a diagnosis of HELLP syndrome. the nurse
notes the following blood values: Prothrombin time (PT)- 99sec (normal 60-85
sec) Partial thromboplastin time (PTT) 30 sec (11-15 sec) for which of the
following signs/symptoms would the nurse monitor for the client?
a. pink-tinged urine
b. early decelerations
c. patellar reflexes +1
d. blood pressure 140/90
A
this client has likely developed disseminated intravascular coagulation (DIC). the nurse
should watch for pink-tinged urine
a 26-week gestation woman is diagnosed with severe pre-eclampsia with HELLP
syndrome. the nurse will assess for which of the following signs/symptoms?
a. low serum creatinine
b. high serum protein
c. bloody stools
d. epigastric pain
D
epigastric pain is associated with the liver involvement of HELLP syndrome
the friend of an 18-year-old male client brings the client to the ED. the client is
unconscious, and his breathing is slow and shallow. which action should the
, nurse implement first?
a. asks the friend what drugs the client has been taking.
b. initiates an IV infusion at a keep-open rate.
c. call for a ventilator to be brought to the ED.
d. apply oxygen at 100% via nasal cannula.
D
applying oxygen would be the priority action for this client. the client's breathing is slow
and shallow. the greater amount of inhaled oxygen, the better the client's prognosis
the chief executive office (CEO) of a large manufacturing plant presents to the
occupational health clinic with chronic rhinitis and requesting medication. on
inspection, the nurse notices holes in the septum that separates the nasal
passages. the nurse also notes dilated pupils and tachycardia. the facility has a
"no drug" policy. which intervention should the nurse implement?
a. prepares to complete a drug screen urine test.
b. discusses the client's use of illegal drugs.
c. notifies the client's supervisor about the situation.
d give the client an antihistamine and say nothing
A
no employee of a facility is above certain rules. in a company with a "no drugs" policy,
this includes the CEO. this client is exhibiting symptoms of cocaine abuse
which client would be most at risk for developing disseminated intravascular
coagulation (DIC)?
a. a 35 year old pregnant client with placenta previa
b. a 42 year old client with a pulmonary embolus
c. a 60 year old client receiving hemodialysis three days a week
d. a 78 year old client diagnosed with septicemia
D
DIC is a clinical syndrome that develops as a complication of a wide variety of other
disorders, with sepsis being the most common cause of DIC
the client admitted with full-thickness burns may be developing DIC. which signs
and symptoms would support the diagnosis of DIC?
a. oozing blood from the IV catheter site
b. sudden onset of chest pain and frothy sputum
c. foul-smelling, concentrated urine
d. a reddened, inflamed central line catheter site
A
signs and symptoms of DIC result from clotting and bleeding, ranging from oozing blood
to bleeding from every body orifice and into the tissues
which laboratory result would the nurse expect in the client diagnosed with DIC?
a. a decreased prothrombin time
b. a low fibrinogen level
c. an increased platelet count
d. an increased white blood cell count
B
the fibrinogen level helps predict bleeding in DIC. as it becomes lower, the risk of
bleeding increases
LATEST UPDATE
The nurse is educating a client with alcoholism that has been in rehabilitation for
two weeks to prepare for discharge. Which statement made by the client indicates
that education was effective and the client is best prepared for discharge?
1. "In order to give myself the best chance for sobriety, I will abstain from
alcohol."
2. "Now that I have completed rehab, I can safely return to life as it was before."
3. "I will be able to maintain sobriety by looking at the long-term outcomes."
4. "This is a good time to make a lot of serious changes in my life such as a new
job."
#1
The nurse in an outpatient rehabilitation program is speaking with a group of
clients who have recently recovered from alcohol abuse. Which issue should the
nurse raise before the clients leave for the day?
1. Remind them that substance dependency is a disease, not a mental disorder.
2. Suggest that they try to confront other issues in their lives, such as estranged
relationships or financial issues.
3. Help them to identify appropriate diversional activities.
4. Ask them to make a list of all the people they harmed during their addictions.
#3
The public health nurse is planning community education on substance use.
Which will the nurse prioritize?
1. collaboration
2. prevention
3. intervention
4. treatment
prevention
which of the following lab values should the nurse report to the physician a being
consistent with the diagnosis HELLP syndrome?
a. hematocrit 48%
b. 5.5 mEq/L
c. platelets 75,000
d. sodium 130 mEq/L
c
low platelets are consistent with the dx of HELLP syndrome.
normal platelets- 150,000-450,000
,a client who has been diagnosed with severe preeclampsia is being administered
magnesium sulfate via IV pump. which of the following medications must the
nurse have immediately available in the client's room?
a. calcium gluconate.
b. morphine sulfate.
c. naloxone (Narcan)
d. meperidine (Demerol)
A
the nurse must have calcium gluconate in the client's room.
calcium gluconate is the antidote for magnesium sulfate toxicity.
if needed must be pushed very slowly- if pushed too fast the client may experience
sudden convulsions
which of the following physical findings would lead the nurse to suspect that a
client with severe pre-eclampsia has developed HELLP syndrome? Select all that
apply
a. +3 pitting edema
b. petechiae
c. jaundice
d +4 deep tendon reflexes
e. elevated specific gravity
B- petechiae may develop when a client is thrombocytopenic, one of the signs of
HELLP syndrome
C-hyperbilirubinemia develops when RBC hemolyze, one of the changes that may
develop as a result of liver necrosis. Jaundice is a symptom of hyperbilirubinemia. also
elevated liver function tests (EL) are a manifestation of HELLP syndrome
a client is in labor and delivery with a diagnosis of HELLP syndrome. the nurse
notes the following blood values: Prothrombin time (PT)- 99sec (normal 60-85
sec) Partial thromboplastin time (PTT) 30 sec (11-15 sec) for which of the
following signs/symptoms would the nurse monitor for the client?
a. pink-tinged urine
b. early decelerations
c. patellar reflexes +1
d. blood pressure 140/90
A
this client has likely developed disseminated intravascular coagulation (DIC). the nurse
should watch for pink-tinged urine
a 26-week gestation woman is diagnosed with severe pre-eclampsia with HELLP
syndrome. the nurse will assess for which of the following signs/symptoms?
a. low serum creatinine
b. high serum protein
c. bloody stools
d. epigastric pain
D
epigastric pain is associated with the liver involvement of HELLP syndrome
the friend of an 18-year-old male client brings the client to the ED. the client is
unconscious, and his breathing is slow and shallow. which action should the
, nurse implement first?
a. asks the friend what drugs the client has been taking.
b. initiates an IV infusion at a keep-open rate.
c. call for a ventilator to be brought to the ED.
d. apply oxygen at 100% via nasal cannula.
D
applying oxygen would be the priority action for this client. the client's breathing is slow
and shallow. the greater amount of inhaled oxygen, the better the client's prognosis
the chief executive office (CEO) of a large manufacturing plant presents to the
occupational health clinic with chronic rhinitis and requesting medication. on
inspection, the nurse notices holes in the septum that separates the nasal
passages. the nurse also notes dilated pupils and tachycardia. the facility has a
"no drug" policy. which intervention should the nurse implement?
a. prepares to complete a drug screen urine test.
b. discusses the client's use of illegal drugs.
c. notifies the client's supervisor about the situation.
d give the client an antihistamine and say nothing
A
no employee of a facility is above certain rules. in a company with a "no drugs" policy,
this includes the CEO. this client is exhibiting symptoms of cocaine abuse
which client would be most at risk for developing disseminated intravascular
coagulation (DIC)?
a. a 35 year old pregnant client with placenta previa
b. a 42 year old client with a pulmonary embolus
c. a 60 year old client receiving hemodialysis three days a week
d. a 78 year old client diagnosed with septicemia
D
DIC is a clinical syndrome that develops as a complication of a wide variety of other
disorders, with sepsis being the most common cause of DIC
the client admitted with full-thickness burns may be developing DIC. which signs
and symptoms would support the diagnosis of DIC?
a. oozing blood from the IV catheter site
b. sudden onset of chest pain and frothy sputum
c. foul-smelling, concentrated urine
d. a reddened, inflamed central line catheter site
A
signs and symptoms of DIC result from clotting and bleeding, ranging from oozing blood
to bleeding from every body orifice and into the tissues
which laboratory result would the nurse expect in the client diagnosed with DIC?
a. a decreased prothrombin time
b. a low fibrinogen level
c. an increased platelet count
d. an increased white blood cell count
B
the fibrinogen level helps predict bleeding in DIC. as it becomes lower, the risk of
bleeding increases
