1-160 of 160
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which
intervention is an effective preventive measure?
A) Place pillows under the knees
B) Use elastic stockings continuously
C) Encourage range of motion and ambulation
D) Massage the legs twice daily
The correct answer is C: Encourage range of motion and ambulation
C) Encourage range of motion and ambulation
,The nurse is teaching a client with atrial fibrillation about the use of Coumadin (warfarin) at
home. Which of these should be emphasized to the client to avoid?
A) Large indoor gatherings
B) Exposure to sunlight
C) Active physical exercise
D) Foods rich in vitamin K
D) Foods rich in vitamin K
On initial examination of a 15 month-old child with suspected otitis media, which group of
findings would the RN anticipate finding?
A) Periorbital edema, absent light reflex and translucent tympanic membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
C) Diarrhea, retracted tympanic membrane and enlarged parotid gland
D) Vomiting, pulling at ears and pearly white tympanic membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
A client with chronic congestive heart failure should be instructed to contact the home health
nurse if which finding occurs?
A) Weight gain of 2 pounds or more in a 48 hour period
B) Urinating 4 to 5 times each day
C) A significant decrease in appetite
D) Appearance of non-pitting ankle edema
, A) Weight gain of 2 pounds or more in a 48 hour period
Which finding would be the most characteristic of an acute episode of reactive airway
disease?
A) Auditory gurgling
B) Inspiratory laryngeal stridor
C) Auditory expiratory wheezing
D) Frequent dry coughing
C: Wheezing on expiration
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a
thorough health history and physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
Give this one a go later!
B) Sense of impending doom
A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most
serious effect of chronic lead poisoning is
A) Central nervous system damage
B) Moderate anemia
C) Renal tubule damage
D) Growth impairment
, Give this one a go later!
A) Central nervous system damage
The nurse would expect which eating disorder to have the greatest fluctuations in potassium?
A) Binge eating disorder
B) Anorexia nervosa
C) Bulemia
D) Purge syndrome
Give this one a go later!
C) Bulemia
Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parents
remark: "We just don't know how he caught the disease!" The nurse's response is based on an
understanding that
A) AGN is a streptococcal infection that involves the kidney tubules
B) The disease is easily transmissible in schools and camps
C) The illness is usually associated with chronic respiratory infections
D) It is not "caught" but is a response to a previous B-hemolytic strep infection
Give this one a go later!
D) It is not "caught" but is a response to a previous B-hemolytic strep infection
Which response by the nurse would best assist the chemically impaired client to deal with
issues of guilt?
A) "Addiction usually causes people to feel guilty. Don't worry, it is a typical response
due to your drinking behavior."
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which
intervention is an effective preventive measure?
A) Place pillows under the knees
B) Use elastic stockings continuously
C) Encourage range of motion and ambulation
D) Massage the legs twice daily
The correct answer is C: Encourage range of motion and ambulation
C) Encourage range of motion and ambulation
,The nurse is teaching a client with atrial fibrillation about the use of Coumadin (warfarin) at
home. Which of these should be emphasized to the client to avoid?
A) Large indoor gatherings
B) Exposure to sunlight
C) Active physical exercise
D) Foods rich in vitamin K
D) Foods rich in vitamin K
On initial examination of a 15 month-old child with suspected otitis media, which group of
findings would the RN anticipate finding?
A) Periorbital edema, absent light reflex and translucent tympanic membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
C) Diarrhea, retracted tympanic membrane and enlarged parotid gland
D) Vomiting, pulling at ears and pearly white tympanic membrane
B) Irritability, rhinorrhea, and bulging tympanic membrane
A client with chronic congestive heart failure should be instructed to contact the home health
nurse if which finding occurs?
A) Weight gain of 2 pounds or more in a 48 hour period
B) Urinating 4 to 5 times each day
C) A significant decrease in appetite
D) Appearance of non-pitting ankle edema
, A) Weight gain of 2 pounds or more in a 48 hour period
Which finding would be the most characteristic of an acute episode of reactive airway
disease?
A) Auditory gurgling
B) Inspiratory laryngeal stridor
C) Auditory expiratory wheezing
D) Frequent dry coughing
C: Wheezing on expiration
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a
thorough health history and physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
Give this one a go later!
B) Sense of impending doom
A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most
serious effect of chronic lead poisoning is
A) Central nervous system damage
B) Moderate anemia
C) Renal tubule damage
D) Growth impairment
, Give this one a go later!
A) Central nervous system damage
The nurse would expect which eating disorder to have the greatest fluctuations in potassium?
A) Binge eating disorder
B) Anorexia nervosa
C) Bulemia
D) Purge syndrome
Give this one a go later!
C) Bulemia
Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parents
remark: "We just don't know how he caught the disease!" The nurse's response is based on an
understanding that
A) AGN is a streptococcal infection that involves the kidney tubules
B) The disease is easily transmissible in schools and camps
C) The illness is usually associated with chronic respiratory infections
D) It is not "caught" but is a response to a previous B-hemolytic strep infection
Give this one a go later!
D) It is not "caught" but is a response to a previous B-hemolytic strep infection
Which response by the nurse would best assist the chemically impaired client to deal with
issues of guilt?
A) "Addiction usually causes people to feel guilty. Don't worry, it is a typical response
due to your drinking behavior."
