answers verified 100% correct
1. A nurse is assessing a client who is receiving magnesium sulfate IV
for the treatment of hypomagnesemia. Which of the following findings
indicates effectiveness of the medication? a. Lungs clear
b. Hyperactive bowel sounds
c. Blood pressure 90/50 mm Hg
d.Apical pulse 82/min
2. A nurse is preparing a client for a lumbar puncture. Which of the
following images indicates the position the nurse should assist the client
into for this procedure?
Answer is exhibit “C” – picture shows pt lying in side-lying left
position
3. A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm
Hg, and HCO3- 21 mEq/L. The nurse should recognize these findings as
an indication of which of the following conditions?
a.Compensated respiratory alkalosis
b. Uncompensated respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
4. A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of
the following routine medications to give at 0800 should the nurse
withhold?
a.Metoprolol
, b.Metformin
c. Fluticasone
d. Valproic acid
5. A nurse is planning care for a client who is experiencing seizures
secondary to meningitis. Which of the following interventions should
the nurse include in the plan of care? (Select all that apply.)
a. Assist the client to ambulate every 4 hr
b. Place a tongue blade at the bedside
c. Have suction equipment at the bedside d. Dim the overhead
lights
e.Apply a warming blanket
6. A nurse is caring for a client who has a pressure ulcer with necrotic
tissue and requires wetto-damp dressing changes daily. Which of the
following types of debridement should the nurse include in the plan of
care?
a. Enzymatic
b. Surgical
c. Autolytic
d.Mechanical
7. A nurse is caring for a female client who has toxic shock syndrome.
Which of the following findings should the nurse expect?
a. Elevated platelet count
b. Decreased total bilirubin
c.Generalized rash
d.Hypertension
8. A nurse is preparing to administer a medication for a client through a
non-tunneled percutaneous central catheter. Which of the following
actions should the nurse take?
, a. Close the inline clamp
b. Apply a local anesthetic to the skin
c. Don sterile gloves
d.Flush the catheter with 10 mL of 0.9% sodium chloride
9. A nurse is caring for a client who was admitted with nausea,
vomiting, and a possible bowel obstruction. An NG tube is placed and
set to low intermittent suction. Which of the following findings should
the nurse report to the provider?
a. The client reports being extremely thirsty with a sore throat
b. The drainage is bright green in color with brown fecal material
c. The amount of drainage is gradually decreasing
d.The client’s abdomen becomes distended and firm
10. A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c.Urine specific gravity 1.001
d.BUN 15 mg/dL
11. A nurse is caring for a client who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse give
to the client regarding management of thyroid storm?
a. You will need to begin taking an ACE inhibitor medication
b. You will need a pacemaker to increase your heart rate
c.You will need a cooling blanket to lower your body temperature
d.You will need additional thyroid supplementation
12. A nurse is reviewing the medical record of a client who has acute
gout. The nurse should expect an increase in which of the following
laboratory results?