Prophecy General ICU RN A v1 k k k k k
Which information is a priority for the RN to reinforce to an older client after intrave
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nous pylegraphy? k
A) Eat a light diet for the rest of the day
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B) Rest for the next 24 hours since the preparation and the test is tiring.
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C) During waking hours drink at least 1 8-
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ounce glass of fluid every hour for the next 2 days
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D) Measure the urine output for the next day and immediately notify the health care p
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rovider if it should decrease. Correct Answer: D) Measure the urine output for the ne
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xt day and immediately notify the health care provider if it should decrease.
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A client has altered renal function and is being treated at home. The nurse recognizes
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that the most accurate indicator of fluid balance during the weekly visits is
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A) difference in the intake and output
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B) changes in the mucous membranes
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C) skin turgor
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D) weekly weight Correct Answer: D) weekly weight
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A client has been diagnosed with Zollinger-
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Ellison syndrome.Which information is most important for the nurse to reinforce wit
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h the client?
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A) It is a condition in which one or more tumors called gastrinomas form in the pancr
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eas or in the upper part of the small intestine (duodenum)
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B) It is critical to report promptly to your health care provider any findings of peptic u
k k k k k k k k k k k k k k k k
lcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if
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possible, surgery to remove any tumors k k k k k
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusu
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al areas of the stomach or intestine Correct Answer: B) It is critical to report promptl
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y to your health care provider any findings of peptic ulcers
k k k k k k k k k k
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse deter
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mines that the client's blood pressure is increasing. Which action should the nurse tak
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e first?
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A) Check the protein level in urine
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B) Have the client turn to the left side
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,C) Take the temperature
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D) Monitor the urine output Correct Answer: B) Have the client turn to the left side
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The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
k k k k k k k k k k k k k k k k k k
ventricular rate is controlled at 75. Which of the following findings is cause for the m
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ost
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
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The client with infective endocarditis must be assessed frequently by the home health
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knurse. Which finding suggests that antibiotic therapy is not effective, and must be re
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ported by the nurse immediately to the healthcare provider?
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A) Nausea and vomiting
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B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
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C) Diffuse macular rash
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D) Muscle tenderness Correct Answer: B) Fever of 103 degrees Fahrenheit (39.5 deg
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rees Celsius) k
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Whic
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h of these points is most important to be reinforced by the nurse?
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A) Until the health care provider has determined that your ejaculate doesn't contain s
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perm, continue to use another form of contraception.
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B) This procedure doesn't impede the production of male hormones or the production
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kof sperm in the testicles. The sperm can no longer enter your semen and no sperm are
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in
your ejaculate. k
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours.
k k k k k k k k k k k k k k k
If your work doesn't involve hard physical labor, you can return to your job as soon as
k k k k k k k k k k k k k k k k
kyou
feel up to it. The stitches generally dissolve in seven to ten days.
k k k k k k k k k k k k
D)The health care provider at this clinic recommends rest, ice, an athletic supporter o
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r over-the-
k
counter pain medication to relieve any discomfort. Correct Answer: A) Until the heal
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th care provider has determined that your ejaculate doesn't contain sperm, continue to
k k k k k k k k k k k k
kuse another form of contraception.
k k k k
,A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
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sick all the time and wishes to try acupuncture. Which of these beliefs stated by the cl
k k k k k k k k k k k k k k k k
ient
would be incorrect about acupuncture?
k k k k
A) Some needles go as deep as 3 inches, depending on where they're placed in the bo
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dy and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
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B) In traditional Chinese medicine, imbalances in the basic energetic flow of life —
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kknown as qi or chi — are thought to cause illness.
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C) The flow of life is believed to flow through major pathways or nerve clusters in yo
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ur body.k
D) By inserting extremely fine needles into some of the over 400 acupuncture points i
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n various combinations it is believed that energy flow will rebalance to allow the bod
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y's natural healing mechanisms to take over. Correct Answer: C) The flow of life is b
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elieved to flow through major pathways or nerve clusters in your body.
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The nurse is discussing with a group of students the disease Kawasaki. What stateme
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nt made by a student about Kawasaki disease is incorrect?
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A) It also called mucocutaneous lymph node syndrome because it affects the mucous
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membranes (inside the mouth, throat and nose), skin and lymph nodes.
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B) In the second phase of the disease, findings include peeling of the skin on the hand
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s and feet with joint and abdominal pain
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C) Kawasaki disease occurs most often in boys, children younger than age 5 and chil
k k k k k k k k k k k k k k
dren of Hispanic descent
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D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit,
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which lasts 1 to2 weeks Correct Answer: C) Kawasaki disease occurs most often in b
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oys, children younger than age 5 and children of Hispanic descent
k k k k k k k k k k
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best p
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osition to teach the client to lie in every other hour during first 12 hours after admissio
k k k k k k k k k k k k k k k k
n?
A) Side-lying on the left with the head elevated 10 degrees
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B) Side-lying on the left with the head elevated 35 degrees
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C) Side-lying on the right wil the head elevated 10 degrees
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D) Side- k
lying on the right with the head elevated 35 degrees Correct Answer: A) Side-
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lying on the left with the head elevated 10 degrees
k k k k k k k k k
A client has an indwelling catheter with continuous bladder irrigation after undergoin
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g a transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this
k k k k k k k k k k k k k k k
time should be reported to the health care provider?
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, A) Light, pink urine
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B) occasional suprapubic cramping
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C) minimal drainage into the urinary collection bag
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D) complaints of the feeling of pulling on the urinary catheter Correct Answer: C) mi
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nimal drainage into the urinary collection bag
k k k k k k
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Anoth
k k k k k k k k k k k k k
er nurse enters the room in response to the call. After checking the client's pulse
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and respirations, what should be the function of the second nurse?
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A) Relieve the nurse performing CPR
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B) Go get the code cart
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C) Participate with the compressions or breathing
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D) Validate the client's advanced directive Correct Answer: C) Participate with the c
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ompressions or breathing k k
The nurse assesses a 72 year-
k k k k k
old client who was admitted for right sided congestive heart failure. Which of the foll
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owing would the nurse anticipate finding?
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A) Decreased urinary output
k k k
B) Jugular vein distention
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C) Pleural effusion
k k
D) Bibasilar crackles Correct Answer: B) Jugular vein distention
k k k k kk k k k
A client with heart failure has a prescription for digoxin. The nurse is aware that suffi
k k k k k k k k k k k k k k k
cient potassium should be included in the diet because hypokalemia in combination
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with this medication
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A) Can predispose to dysrhythmias
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B) May lead to oliguria
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C) May cause irritability and anxiety
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D) Sometimes alters consciousness Correct Answer: A) Can predispose to dysrhyth
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mias
A nurse assesses a young adult in the emergency room following a motor vehicle acci
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dent. Which of the following neurological signs is of most concern?
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A) Flaccid paralysis
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B) Pupils fixed and dilated
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C) Diminished spinal reflexes
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D) Reduced sensory responses Correct Answer: B) Pupils fixed and dilated
k k k k k kk k k k k
Which information is a priority for the RN to reinforce to an older client after intrave
k k k k k k k k k k k k k k k
nous pylegraphy? k
A) Eat a light diet for the rest of the day
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B) Rest for the next 24 hours since the preparation and the test is tiring.
k k k k k k k k k k k k k k
C) During waking hours drink at least 1 8-
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ounce glass of fluid every hour for the next 2 days
k k k k k k k k k k
D) Measure the urine output for the next day and immediately notify the health care p
k k k k k k k k k k k k k k k
rovider if it should decrease. Correct Answer: D) Measure the urine output for the ne
k k k k k k kk k k k k k k k
xt day and immediately notify the health care provider if it should decrease.
k k k k k k k k k k k k
A client has altered renal function and is being treated at home. The nurse recognizes
k k k k k k k k k k k k k k k
that the most accurate indicator of fluid balance during the weekly visits is
k k k k k k k k k k k k
A) difference in the intake and output
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B) changes in the mucous membranes
k k k k k
C) skin turgor
k k
D) weekly weight Correct Answer: D) weekly weight
k k k k kk k k
A client has been diagnosed with Zollinger-
k k k k k k
Ellison syndrome.Which information is most important for the nurse to reinforce wit
k k k k k k k k k k k
h the client?
k k
A) It is a condition in which one or more tumors called gastrinomas form in the pancr
k k k k k k k k k k k k k k k k
eas or in the upper part of the small intestine (duodenum)
k k k k k k k k k k
B) It is critical to report promptly to your health care provider any findings of peptic u
k k k k k k k k k k k k k k k k
lcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if
k k k k k k k k k k k k k k k
possible, surgery to remove any tumors k k k k k
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at unusu
k k k k k k k k k k k k k k k k
al areas of the stomach or intestine Correct Answer: B) It is critical to report promptl
k k k k k k k k kk k k k k k k
y to your health care provider any findings of peptic ulcers
k k k k k k k k k k
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse deter
k k k k k k k k k k k k
mines that the client's blood pressure is increasing. Which action should the nurse tak
k k k k k k k k k k k k k
e first?
k
A) Check the protein level in urine
k k k k k k
B) Have the client turn to the left side
k k k k k k k k
,C) Take the temperature
k k k
D) Monitor the urine output Correct Answer: B) Have the client turn to the left side
k k k k k k kk k k k k k k k k
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
k k k k k k k k k k k k k k k k k k
ventricular rate is controlled at 75. Which of the following findings is cause for the m
k k k k k k k k k k k k k k k
ost
concern?
A) Diminished bowel sounds
k k k
B) Loss of appetite
k k k
C) A cold, pale lower leg
k k k k k
D) Tachypnea Correct Answer: C) A cold, pale lower leg
k k k kk k k k k k
The client with infective endocarditis must be assessed frequently by the home health
k k k k k k k k k k k k
knurse. Which finding suggests that antibiotic therapy is not effective, and must be re
k k k k k k k k k k k k k
ported by the nurse immediately to the healthcare provider?
k k k k k k k k
A) Nausea and vomiting
k k k
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
k k k k k k k k
C) Diffuse macular rash
k k k
D) Muscle tenderness Correct Answer: B) Fever of 103 degrees Fahrenheit (39.5 deg
k k k k kk k k k k k k k
rees Celsius) k
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Whic
k k k k k k k k k k k k k k k k
h of these points is most important to be reinforced by the nurse?
k k k k k k k k k k k k
A) Until the health care provider has determined that your ejaculate doesn't contain s
k k k k k k k k k k k k k
perm, continue to use another form of contraception.
k k k k k k k
B) This procedure doesn't impede the production of male hormones or the production
k k k k k k k k k k k k
kof sperm in the testicles. The sperm can no longer enter your semen and no sperm are
k k k k k k k k k k k k k k k k k
in
your ejaculate. k
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours.
k k k k k k k k k k k k k k k
If your work doesn't involve hard physical labor, you can return to your job as soon as
k k k k k k k k k k k k k k k k
kyou
feel up to it. The stitches generally dissolve in seven to ten days.
k k k k k k k k k k k k
D)The health care provider at this clinic recommends rest, ice, an athletic supporter o
k k k k k k k k k k k k k
r over-the-
k
counter pain medication to relieve any discomfort. Correct Answer: A) Until the heal
k k k k k k k k kk k k k
th care provider has determined that your ejaculate doesn't contain sperm, continue to
k k k k k k k k k k k k
kuse another form of contraception.
k k k k
,A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
k k k k k k k k k k k k k k k k
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the cl
k k k k k k k k k k k k k k k k
ient
would be incorrect about acupuncture?
k k k k
A) Some needles go as deep as 3 inches, depending on where they're placed in the bo
k k k k k k k k k k k k k k k k
dy and what the treatment is for. The needles usually are left in for 15 to 30 minutes.
k k k k k k k k k k k k k k k k k
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life —
k k k k k k k k k k k k k
kknown as qi or chi — are thought to cause illness.
k k k k k k k k k k
C) The flow of life is believed to flow through major pathways or nerve clusters in yo
k k k k k k k k k k k k k k k k
ur body.k
D) By inserting extremely fine needles into some of the over 400 acupuncture points i
k k k k k k k k k k k k k k
n various combinations it is believed that energy flow will rebalance to allow the bod
k k k k k k k k k k k k k k
y's natural healing mechanisms to take over. Correct Answer: C) The flow of life is b
k k k k k k k k kk k k k k k k
elieved to flow through major pathways or nerve clusters in your body.
k k k k k k k k k k k
The nurse is discussing with a group of students the disease Kawasaki. What stateme
k k k k k k k k k k k k k
nt made by a student about Kawasaki disease is incorrect?
k k k k k k k k k
A) It also called mucocutaneous lymph node syndrome because it affects the mucous
k k k k k k k k k k k k k
membranes (inside the mouth, throat and nose), skin and lymph nodes.
k k k k k k k k k k
B) In the second phase of the disease, findings include peeling of the skin on the hand
k k k k k k k k k k k k k k k k
s and feet with joint and abdominal pain
k k k k k k k
C) Kawasaki disease occurs most often in boys, children younger than age 5 and chil
k k k k k k k k k k k k k k
dren of Hispanic descent
k k k
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit,
k k k k k k k k k k k k k
which lasts 1 to2 weeks Correct Answer: C) Kawasaki disease occurs most often in b
k k k k k k kk k k k k k k k
oys, children younger than age 5 and children of Hispanic descent
k k k k k k k k k k
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best p
k k k k k k k k k k k k k k k k
osition to teach the client to lie in every other hour during first 12 hours after admissio
k k k k k k k k k k k k k k k k
n?
A) Side-lying on the left with the head elevated 10 degrees
k k k k k k k k k k
B) Side-lying on the left with the head elevated 35 degrees
k k k k k k k k k k
C) Side-lying on the right wil the head elevated 10 degrees
k k k k k k k k k k
D) Side- k
lying on the right with the head elevated 35 degrees Correct Answer: A) Side-
k k k k k k k k k k k kk k
lying on the left with the head elevated 10 degrees
k k k k k k k k k
A client has an indwelling catheter with continuous bladder irrigation after undergoin
k k k k k k k k k k k
g a transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this
k k k k k k k k k k k k k k k
time should be reported to the health care provider?
k k k k k k k k
, A) Light, pink urine
k k k
B) occasional suprapubic cramping
k k k
C) minimal drainage into the urinary collection bag
k k k k k k k
D) complaints of the feeling of pulling on the urinary catheter Correct Answer: C) mi
k k k k k k k k k k k k kk k
nimal drainage into the urinary collection bag
k k k k k k
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Anoth
k k k k k k k k k k k k k
er nurse enters the room in response to the call. After checking the client's pulse
k k k k k k k k k k k k k k
and respirations, what should be the function of the second nurse?
k k k k k k k k k k
A) Relieve the nurse performing CPR
k k k k k
B) Go get the code cart
k k k k k
C) Participate with the compressions or breathing
k k k k k k
D) Validate the client's advanced directive Correct Answer: C) Participate with the c
k k k k k k k kk k k k k
ompressions or breathing k k
The nurse assesses a 72 year-
k k k k k
old client who was admitted for right sided congestive heart failure. Which of the foll
k k k k k k k k k k k k k k
owing would the nurse anticipate finding?
k k k k k
A) Decreased urinary output
k k k
B) Jugular vein distention
k k k
C) Pleural effusion
k k
D) Bibasilar crackles Correct Answer: B) Jugular vein distention
k k k k kk k k k
A client with heart failure has a prescription for digoxin. The nurse is aware that suffi
k k k k k k k k k k k k k k k
cient potassium should be included in the diet because hypokalemia in combination
k k k k k k k k k k k k
with this medication
k k
A) Can predispose to dysrhythmias
k k k k
B) May lead to oliguria
k k k k
C) May cause irritability and anxiety
k k k k k
D) Sometimes alters consciousness Correct Answer: A) Can predispose to dysrhyth
k k k k k kk k k k k
mias
A nurse assesses a young adult in the emergency room following a motor vehicle acci
k k k k k k k k k k k k k k
dent. Which of the following neurological signs is of most concern?
k k k k k k k k k k
A) Flaccid paralysis
k k
B) Pupils fixed and dilated
k k k k
C) Diminished spinal reflexes
k k k
D) Reduced sensory responses Correct Answer: B) Pupils fixed and dilated
k k k k k kk k k k k
