4 days following an abdominal aortic C
aneurysm repair, the pt is exhibiting
edema of both lower extremities and
pedal pulses are not palpable. What
action should the nurse implement first?
A. Elevate extremities on pillows
B. Evaluate edema for pitting
C. Assess pulses with a vascular Doppler
D. Wrap the feet with warmed blankets
An adult pt is admitted with flank pain C
and is diagnosed with acute
pyelonephritis. What is the priority
nursing action?
A. Monitor H&H
B. Encourage turning and deep breathing
C. Administer IV antibiotics as prescribed
D. Auscultate for presence of bowel
sounds
,An adult pt is diagnosed with restless leg C
syndrome and is referred to the sleep
clinic. The HCP prescribes ferrous sulfate
325mg PO daily. Which lab values should
the nurse monitor?
A. Platelet count and hematocrit
B. Serum electrolytes
C. Serum iron and ferritin
D. Neutrophils and eosinophils
An adult who was recently diagnosed A
with glaucoma tells the nurse, "it feels like
I am driving through a tunnel." The pt
expresses great concern about going
blind. Which nursing instruction is most
important for the nurse to provide this pt?
A. Maintain prescribed eye drop regimen
B. Avoid frequent eye pressure
measurements
C. Wear prescription glasses
D. Eat a diet high in carotene
,After 3 days of persistent epigastric pain, C
a female client presents to the clinic. She
has been taking oral antacids without
relief. Her VS are HR- 122 bpm, RR- 16
breaths/min, O2- 96%, BP- 116/70. The
nurse obtains a 12-lead ECG. Which
assessment finding is most critical?
A. Irregular pulse rate
B. Bile colored emesis
C. ST elevation in 3 leads
D. Complaint of radiating jaw pain
A client with AKI weighs 50kg and has a B
potassium level of 6.7 mEq/L is admitted
to the hospital. Which prescribed
medication should the nurse administer
first?
A. Calcium acetate one tablet by mouth
B. Sodium polystyrene sulfonate 15g by
mouth
C. Epoetin alfa, recombinant 2,500u subQ
D. Sevelamer one tablet by mouth
, During spring break, a young adult A
presents to the urgent care clinic and
reports a stiff neck, a fever for the past 6
hours and a headache. Which intervention
is the most important for the nurse to
implement first?
A. Initiate isolation precautions
B. Administer an antipyretic
C. Draw blood cultures
D. Prepare for a lumbar puncture
The family suspects that AIDS dementia is B
occurring in their son who is HIV positive.
Which symptom confirms their
suspicions?
A. He has begun to sleep 18 out of 24 hrs
B. A change has recently occurred in his
hand writing
C. He refuses to see any of his friends or
return their phone calls
D. He exhibits angry outbursts when the
subject of dying is approached
aneurysm repair, the pt is exhibiting
edema of both lower extremities and
pedal pulses are not palpable. What
action should the nurse implement first?
A. Elevate extremities on pillows
B. Evaluate edema for pitting
C. Assess pulses with a vascular Doppler
D. Wrap the feet with warmed blankets
An adult pt is admitted with flank pain C
and is diagnosed with acute
pyelonephritis. What is the priority
nursing action?
A. Monitor H&H
B. Encourage turning and deep breathing
C. Administer IV antibiotics as prescribed
D. Auscultate for presence of bowel
sounds
,An adult pt is diagnosed with restless leg C
syndrome and is referred to the sleep
clinic. The HCP prescribes ferrous sulfate
325mg PO daily. Which lab values should
the nurse monitor?
A. Platelet count and hematocrit
B. Serum electrolytes
C. Serum iron and ferritin
D. Neutrophils and eosinophils
An adult who was recently diagnosed A
with glaucoma tells the nurse, "it feels like
I am driving through a tunnel." The pt
expresses great concern about going
blind. Which nursing instruction is most
important for the nurse to provide this pt?
A. Maintain prescribed eye drop regimen
B. Avoid frequent eye pressure
measurements
C. Wear prescription glasses
D. Eat a diet high in carotene
,After 3 days of persistent epigastric pain, C
a female client presents to the clinic. She
has been taking oral antacids without
relief. Her VS are HR- 122 bpm, RR- 16
breaths/min, O2- 96%, BP- 116/70. The
nurse obtains a 12-lead ECG. Which
assessment finding is most critical?
A. Irregular pulse rate
B. Bile colored emesis
C. ST elevation in 3 leads
D. Complaint of radiating jaw pain
A client with AKI weighs 50kg and has a B
potassium level of 6.7 mEq/L is admitted
to the hospital. Which prescribed
medication should the nurse administer
first?
A. Calcium acetate one tablet by mouth
B. Sodium polystyrene sulfonate 15g by
mouth
C. Epoetin alfa, recombinant 2,500u subQ
D. Sevelamer one tablet by mouth
, During spring break, a young adult A
presents to the urgent care clinic and
reports a stiff neck, a fever for the past 6
hours and a headache. Which intervention
is the most important for the nurse to
implement first?
A. Initiate isolation precautions
B. Administer an antipyretic
C. Draw blood cultures
D. Prepare for a lumbar puncture
The family suspects that AIDS dementia is B
occurring in their son who is HIV positive.
Which symptom confirms their
suspicions?
A. He has begun to sleep 18 out of 24 hrs
B. A change has recently occurred in his
hand writing
C. He refuses to see any of his friends or
return their phone calls
D. He exhibits angry outbursts when the
subject of dying is approached
