Prophecy General ICU RN A v1 m m m m m
Which information is a priority for the RN to reinforce to an older client after intr
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avenous pylegraphy? m
A) Eat a light diet for the rest of the day
m m m m m m m m m m
B) Rest for the next 24 hours since the preparation and the test is tiring.
m m m m m m m m m m m m m m
C) During waking hours drink at least 1 8-
m m m m m m m m
ounce glass of fluid every hour for the next 2 days
m m m m m m m m m m
D) Measure the urine output for the next day and immediately notify the health ca
m m m m m m m m m m m m m m
re provider if it should decrease. Correct Answer: D) Measure the urine output fo
m m m m m m m mm m m m m m
r the next day and immediately notify the health care provider if it should decreas
m m m m m m m m m m m m m m
e.
A client has altered renal function and is being treated at home. The nurse recogni
m m m m m m m m m m m m m m
zes that the most accurate indicator of fluid balance during the weekly visits is
m m m m m m m m m m m m m
A) difference in the intake and output
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B) changes in the mucous membranes
m m m m m
C) skin turgor
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D) weekly weight Correct Answer: D) weekly weight
m m m m mm m m
A client has been diagnosed with Zollinger-
m m m m m m
Ellison syndrome.Which information is most important for the nurse to reinforce
m m m m m m m m m m m
with the client?
m m
A) It is a condition in which one or more tumors called gastrinomas form in the p
m m m m m m m m m m m m m m m m
ancreas or in the upper part of the small intestine (duodenum)
m m m m m m m m m m
B) It is critical to report promptly to your health care provider any findings of pep
m m m m m m m m m m m m m m m
tic ulcers
m
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and
m m m m m m m m m m m m m
, if possible, surgery to remove any tumors
m m m m m m m
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at un
m m m m m m m m m m m m m m m m
usual areas of the stomach or intestine Correct Answer: B) It is critical to report p
m m m m m m m m mm m m m m m m
romptly to your health care provider any findings of peptic ulcers
m m m m m m m m m m
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse d
m m m m m m m m m m m m
etermines that the client's blood pressure is increasing. Which action should the nu
m m m m m m m m m m m m
rse take first?
m m
A) Check the protein level in urine
m m m m m m
,B) Have the client turn to the left side
m m m m m m m m
C) Take the temperature
m m m
D) Monitor the urine output Correct Answer: B) Have the client turn to the left si
m m m m m m mm m m m m m m m m
de
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and
m m m m m m m m m m m m m m m m
mthe ventricular rate is controlled at 75. Which of the following findings is cause f
m m m m m m m m m m m m m m
or the most
m m
concern?
A) Diminished bowel sounds
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B) Loss of appetite
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C) A cold, pale lower leg
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D) Tachypnea Correct Answer: C) A cold, pale lower leg
m m m mm m m m m m
The client with infective endocarditis must be assessed frequently by the home he
m m m m m m m m m m m m
alth nurse. Which finding suggests that antibiotic therapy is not effective, and mus
m m m m m m m m m m m m
t be reported by the nurse immediately to the healthcare provider?
m m m m m m m m m m
A) Nausea and vomiting
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B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
m m m m m m m m
C) Diffuse macular rash
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D) Muscle tenderness Correct Answer: B) Fever of 103 degrees Fahrenheit (39.5
m m m m mm m m m m m m m
degrees Celsius) m
A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
m m m m m m m m m m m m m m m m
Which of these points is most important to be reinforced by the nurse?
m m m m m m m m m m m m
A) Until the health care provider has determined that your ejaculate doesn't contai
m m m m m m m m m m m m
n sperm, continue to use another form of contraception.
m m m m m m m m
B) This procedure doesn't impede the production of male hormones or the product
m m m m m m m m m m m m
ion of sperm in the testicles. The sperm can no longer enter your semen and no sp
m m m m m m m m m m m m m m m m
erm are in m m
your ejaculate. m
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 ho
m m m m m m m m m m m m m m
urs. If your work doesn't involve hard physical labor, you can return to your job as
m m m m m m m m m m m m m m m
msoon as you m m
feel up to it. The stitches generally dissolve in seven to ten days.
m m m m m m m m m m m m
D)The health care provider at this clinic recommends rest, ice, an athletic supporte
m m m m m m m m m m m m
r or over-the-
m m
counter pain medication to relieve any discomfort. Correct Answer: A) Until the
m m m m m m m m mm m m m
health care provider has determined that your ejaculate doesn't contain sperm, cont
m m m m m m m m m m m
inue to use another form of contraception.
m m m m m m
,A client who is to have antineoplastic chemotherapy tells the nurses of a fear of b
m m m m m m m m m m m m m m m
eing sick all the time and wishes to try acupuncture. Which of these beliefs stated
m m m m m m m m m m m m m m m
by the client
m m
would be incorrect about acupuncture?
m m m m
A) Some needles go as deep as 3 inches, depending on where they're placed in the
m m m m m m m m m m m m m m m
mbody and what the treatment is for. The needles usually are left in for 15 to 30 mi
m m m m m m m m m m m m m m m m m
nutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
m m m m m m m m m m m m m
— known as qi or chi — are thought to cause illness.
m m m m m m m m m m m
C) The flow of life is believed to flow through major pathways or nerve clusters i
m m m m m m m m m m m m m m m
n your body.
m m
D) By inserting extremely fine needles into some of the over 400 acupuncture poi
m m m m m m m m m m m m m
nts in various combinations it is believed that energy flow will rebalance to allow
m m m m m m m m m m m m m m
the body's natural healing mechanisms to take over. Correct Answer: C) The flow
m m m m m m m m m mm m m
mof life is believed to flow through major pathways or nerve clusters in your body.
m m m m m m m m m m m m m m
The nurse is discussing with a group of students the disease Kawasaki. What state
m m m m m m m m m m m m m
ment made by a student about Kawasaki disease is incorrect?
m m m m m m m m m
A) It also called mucocutaneous lymph node syndrome because it affects the muc
m m m m m m m m m m m m
ous membranes (inside the mouth, throat and nose), skin and lymph nodes.
m m m m m m m m m m m
B) In the second phase of the disease, findings include peeling of the skin on the h
m m m m m m m m m m m m m m m m
ands and feet with joint and abdominal pain
m m m m m m m
C) Kawasaki disease occurs most often in boys, children younger than age 5 and c
m m m m m m m m m m m m m m
hildren of Hispanic descent m m m
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenhei
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t, which lasts 1 to2 weeks Correct Answer: C) Kawasaki disease occurs most ofte
m m m m m m m mm m m m m m
n in boys, children younger than age 5 and children of Hispanic descent
m m m m m m m m m m m m
A client has viral pneumonia affecting 2/3 of the right lung. What would be the be
m m m m m m m m m m m m m m m
st position to teach the client to lie in every other hour during first 12 hours after a
m m m m m m m m m m m m m m m m m
dmission?
A) Side-lying on the left with the head elevated 10 degrees
m m m m m m m m m m
B) Side-lying on the left with the head elevated 35 degrees
m m m m m m m m m m
C) Side-lying on the right wil the head elevated 10 degrees
m m m m m m m m m m
D) Side-m
lying on the right with the head elevated 35 degrees Correct Answer: A) Side-
m m m m m m m m m m m mm m
lying on the left with the head elevated 10 degrees
m m m m m m m m m
, A client has an indwelling catheter with continuous bladder irrigation after underg
m m m m m m m m m m m
oing a transurethral resection of the prostate (TURP) 12 hours ago. Which finding
m m m m m m m m m m m m m
at this time should be reported to the health care provider?
m m m m m m m m m m
A) Light, pink urine
m m m
B) occasional suprapubic cramping
m m m
C) minimal drainage into the urinary collection bag
m m m m m m m
D) complaints of the feeling of pulling on the urinary catheter Correct Answer: C
m m m m m m m m m m m m mm
) minimal drainage into the urinary collection bag
m m m m m m m
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. An
m m m m m m m m m m m m m
other nurse enters the room in response to the call. After checking the client's puls
m m m m m m m m m m m m m m
e
and respirations, what should be the function of the second nurse?
m m m m m m m m m m
A) Relieve the nurse performing CPR
m m m m m
B) Go get the code cart
m m m m m
C) Participate with the compressions or breathing
m m m m m m
D) Validate the client's advanced directive Correct Answer: C) Participate with th
m m m m m m m mm m m m
e compressions or breathing
m m m
The nurse assesses a 72 year-
m m m m m
old client who was admitted for right sided congestive heart failure. Which of the
m m m m m m m m m m m m m m
following would the nurse anticipate finding?
m m m m m
A) Decreased urinary output
m m m
B) Jugular vein distention
m m m
C) Pleural effusion
m m
D) Bibasilar crackles Correct Answer: B) Jugular vein distention
m m m m mm m m m
A client with heart failure has a prescription for digoxin. The nurse is aware that s
m m m m m m m m m m m m m m m
ufficient potassium should be included in the diet because hypokalemia in combin
m m m m m m m m m m m
ation with this medication
m m m
A) Can predispose to dysrhythmias
m m m m
B) May lead to oliguria
m m m m
C) May cause irritability and anxiety
m m m m m
D) Sometimes alters consciousness Correct Answer: A) Can predispose to dysrhy
m m m m m mm m m m m
thmias
A nurse assesses a young adult in the emergency room following a motor vehicle
m m m m m m m m m m m m m m
accident. Which of the following neurological signs is of most concern?
m m m m m m m m m m
A) Flaccid paralysis
m m
B) Pupils fixed and dilated
m m m m
Which information is a priority for the RN to reinforce to an older client after intr
m m m m m m m m m m m m m m m
avenous pylegraphy? m
A) Eat a light diet for the rest of the day
m m m m m m m m m m
B) Rest for the next 24 hours since the preparation and the test is tiring.
m m m m m m m m m m m m m m
C) During waking hours drink at least 1 8-
m m m m m m m m
ounce glass of fluid every hour for the next 2 days
m m m m m m m m m m
D) Measure the urine output for the next day and immediately notify the health ca
m m m m m m m m m m m m m m
re provider if it should decrease. Correct Answer: D) Measure the urine output fo
m m m m m m m mm m m m m m
r the next day and immediately notify the health care provider if it should decreas
m m m m m m m m m m m m m m
e.
A client has altered renal function and is being treated at home. The nurse recogni
m m m m m m m m m m m m m m
zes that the most accurate indicator of fluid balance during the weekly visits is
m m m m m m m m m m m m m
A) difference in the intake and output
m m m m m m
B) changes in the mucous membranes
m m m m m
C) skin turgor
m m
D) weekly weight Correct Answer: D) weekly weight
m m m m mm m m
A client has been diagnosed with Zollinger-
m m m m m m
Ellison syndrome.Which information is most important for the nurse to reinforce
m m m m m m m m m m m
with the client?
m m
A) It is a condition in which one or more tumors called gastrinomas form in the p
m m m m m m m m m m m m m m m m
ancreas or in the upper part of the small intestine (duodenum)
m m m m m m m m m m
B) It is critical to report promptly to your health care provider any findings of pep
m m m m m m m m m m m m m m m
tic ulcers
m
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and
m m m m m m m m m m m m m
, if possible, surgery to remove any tumors
m m m m m m m
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at un
m m m m m m m m m m m m m m m m
usual areas of the stomach or intestine Correct Answer: B) It is critical to report p
m m m m m m m m mm m m m m m m
romptly to your health care provider any findings of peptic ulcers
m m m m m m m m m m
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse d
m m m m m m m m m m m m
etermines that the client's blood pressure is increasing. Which action should the nu
m m m m m m m m m m m m
rse take first?
m m
A) Check the protein level in urine
m m m m m m
,B) Have the client turn to the left side
m m m m m m m m
C) Take the temperature
m m m
D) Monitor the urine output Correct Answer: B) Have the client turn to the left si
m m m m m m mm m m m m m m m m
de
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and
m m m m m m m m m m m m m m m m
mthe ventricular rate is controlled at 75. Which of the following findings is cause f
m m m m m m m m m m m m m m
or the most
m m
concern?
A) Diminished bowel sounds
m m m
B) Loss of appetite
m m m
C) A cold, pale lower leg
m m m m m
D) Tachypnea Correct Answer: C) A cold, pale lower leg
m m m mm m m m m m
The client with infective endocarditis must be assessed frequently by the home he
m m m m m m m m m m m m
alth nurse. Which finding suggests that antibiotic therapy is not effective, and mus
m m m m m m m m m m m m
t be reported by the nurse immediately to the healthcare provider?
m m m m m m m m m m
A) Nausea and vomiting
m m m
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
m m m m m m m m
C) Diffuse macular rash
m m m
D) Muscle tenderness Correct Answer: B) Fever of 103 degrees Fahrenheit (39.5
m m m m mm m m m m m m m
degrees Celsius) m
A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
m m m m m m m m m m m m m m m m
Which of these points is most important to be reinforced by the nurse?
m m m m m m m m m m m m
A) Until the health care provider has determined that your ejaculate doesn't contai
m m m m m m m m m m m m
n sperm, continue to use another form of contraception.
m m m m m m m m
B) This procedure doesn't impede the production of male hormones or the product
m m m m m m m m m m m m
ion of sperm in the testicles. The sperm can no longer enter your semen and no sp
m m m m m m m m m m m m m m m m
erm are in m m
your ejaculate. m
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 ho
m m m m m m m m m m m m m m
urs. If your work doesn't involve hard physical labor, you can return to your job as
m m m m m m m m m m m m m m m
msoon as you m m
feel up to it. The stitches generally dissolve in seven to ten days.
m m m m m m m m m m m m
D)The health care provider at this clinic recommends rest, ice, an athletic supporte
m m m m m m m m m m m m
r or over-the-
m m
counter pain medication to relieve any discomfort. Correct Answer: A) Until the
m m m m m m m m mm m m m
health care provider has determined that your ejaculate doesn't contain sperm, cont
m m m m m m m m m m m
inue to use another form of contraception.
m m m m m m
,A client who is to have antineoplastic chemotherapy tells the nurses of a fear of b
m m m m m m m m m m m m m m m
eing sick all the time and wishes to try acupuncture. Which of these beliefs stated
m m m m m m m m m m m m m m m
by the client
m m
would be incorrect about acupuncture?
m m m m
A) Some needles go as deep as 3 inches, depending on where they're placed in the
m m m m m m m m m m m m m m m
mbody and what the treatment is for. The needles usually are left in for 15 to 30 mi
m m m m m m m m m m m m m m m m m
nutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
m m m m m m m m m m m m m
— known as qi or chi — are thought to cause illness.
m m m m m m m m m m m
C) The flow of life is believed to flow through major pathways or nerve clusters i
m m m m m m m m m m m m m m m
n your body.
m m
D) By inserting extremely fine needles into some of the over 400 acupuncture poi
m m m m m m m m m m m m m
nts in various combinations it is believed that energy flow will rebalance to allow
m m m m m m m m m m m m m m
the body's natural healing mechanisms to take over. Correct Answer: C) The flow
m m m m m m m m m mm m m
mof life is believed to flow through major pathways or nerve clusters in your body.
m m m m m m m m m m m m m m
The nurse is discussing with a group of students the disease Kawasaki. What state
m m m m m m m m m m m m m
ment made by a student about Kawasaki disease is incorrect?
m m m m m m m m m
A) It also called mucocutaneous lymph node syndrome because it affects the muc
m m m m m m m m m m m m
ous membranes (inside the mouth, throat and nose), skin and lymph nodes.
m m m m m m m m m m m
B) In the second phase of the disease, findings include peeling of the skin on the h
m m m m m m m m m m m m m m m m
ands and feet with joint and abdominal pain
m m m m m m m
C) Kawasaki disease occurs most often in boys, children younger than age 5 and c
m m m m m m m m m m m m m m
hildren of Hispanic descent m m m
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenhei
m m m m m m m m m m m m
t, which lasts 1 to2 weeks Correct Answer: C) Kawasaki disease occurs most ofte
m m m m m m m mm m m m m m
n in boys, children younger than age 5 and children of Hispanic descent
m m m m m m m m m m m m
A client has viral pneumonia affecting 2/3 of the right lung. What would be the be
m m m m m m m m m m m m m m m
st position to teach the client to lie in every other hour during first 12 hours after a
m m m m m m m m m m m m m m m m m
dmission?
A) Side-lying on the left with the head elevated 10 degrees
m m m m m m m m m m
B) Side-lying on the left with the head elevated 35 degrees
m m m m m m m m m m
C) Side-lying on the right wil the head elevated 10 degrees
m m m m m m m m m m
D) Side-m
lying on the right with the head elevated 35 degrees Correct Answer: A) Side-
m m m m m m m m m m m mm m
lying on the left with the head elevated 10 degrees
m m m m m m m m m
, A client has an indwelling catheter with continuous bladder irrigation after underg
m m m m m m m m m m m
oing a transurethral resection of the prostate (TURP) 12 hours ago. Which finding
m m m m m m m m m m m m m
at this time should be reported to the health care provider?
m m m m m m m m m m
A) Light, pink urine
m m m
B) occasional suprapubic cramping
m m m
C) minimal drainage into the urinary collection bag
m m m m m m m
D) complaints of the feeling of pulling on the urinary catheter Correct Answer: C
m m m m m m m m m m m m mm
) minimal drainage into the urinary collection bag
m m m m m m m
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. An
m m m m m m m m m m m m m
other nurse enters the room in response to the call. After checking the client's puls
m m m m m m m m m m m m m m
e
and respirations, what should be the function of the second nurse?
m m m m m m m m m m
A) Relieve the nurse performing CPR
m m m m m
B) Go get the code cart
m m m m m
C) Participate with the compressions or breathing
m m m m m m
D) Validate the client's advanced directive Correct Answer: C) Participate with th
m m m m m m m mm m m m
e compressions or breathing
m m m
The nurse assesses a 72 year-
m m m m m
old client who was admitted for right sided congestive heart failure. Which of the
m m m m m m m m m m m m m m
following would the nurse anticipate finding?
m m m m m
A) Decreased urinary output
m m m
B) Jugular vein distention
m m m
C) Pleural effusion
m m
D) Bibasilar crackles Correct Answer: B) Jugular vein distention
m m m m mm m m m
A client with heart failure has a prescription for digoxin. The nurse is aware that s
m m m m m m m m m m m m m m m
ufficient potassium should be included in the diet because hypokalemia in combin
m m m m m m m m m m m
ation with this medication
m m m
A) Can predispose to dysrhythmias
m m m m
B) May lead to oliguria
m m m m
C) May cause irritability and anxiety
m m m m m
D) Sometimes alters consciousness Correct Answer: A) Can predispose to dysrhy
m m m m m mm m m m m
thmias
A nurse assesses a young adult in the emergency room following a motor vehicle
m m m m m m m m m m m m m m
accident. Which of the following neurological signs is of most concern?
m m m m m m m m m m
A) Flaccid paralysis
m m
B) Pupils fixed and dilated
m m m m
