The nurse is caring for the client who has been in a coma a Tell the wife that the hospital will honor her wishes regarding organ donation,
for two months. He has signed a donor card, but the wife but contact the organ-retrieval staff.
is opposed to the idea of organ donation. How should
the nurse handle the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-
retrieval staff.
b Tell her that because her husband signed a donor card,
the hospital has the right to take the organs upon the
death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.
Due to a high census, it has been necessary for a number b A 40-year-old female with a hysterectomy
of clients to be transferred to other units within the
hospital. Which client should be transferred to the
postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Before administering Theo-Dur (theophylline), the nurse c Pulse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
Which information should be given to the patient a Avoid exposing radiation areas to sunlight during treatment time and for a year
undergoing radiation therapy for breast cancer? after completion of therapy
a Avoid exposing radiation areas to sunlight during
treatment time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician
The charge nurse is making assignments for the day. After d Ask the nurse if she has ever had the chickenpox.
accepting the assignment to care for a client with
leukemia, the nurse tells the charge nurse that her child
has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
,Which statement is true regarding therapy with Levemir d The duration is 24 hours.
(insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant? c The elderly client with a thyroidectomy four days ago
a The 18-year-old with a fracture to two cervical
vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
The physician has ordered the Schilling test for a patient a Folic acid
with suspected pernicious anemia. What other vitamin
level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate Quinidine can cause widened Q-T intervals and heart block.
of 130 beats per minute. The doctor orders quinidine
sulfate. While he is receiving quinidine, the nurse should
monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the emergency room with a c Buck's traction
possible fracture of the right femur. The nurse should
anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the teaching b "You may experience a feeling of pressure or discomfort during aspiration of the
session of a client scheduled for a renal biopsy? biopsy."
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or
discomfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours
following the study."
,The client is admitted with chronic obstructive pulmonary c Compensated metabolic acidosis
disease. Blood gases reveal pH 7.36, CO2 45, O2 84,
bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous chemotherapy to the c Administer an antiemetic.
patient being treated, the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
Which one of the following statements is correct when b The nurse should measure three inches between the top of the crutch and the
measuring the client for crutches? axilla.
a A distance of five fingerbreadths should exist between
the top of the crutch and the axilla.
b The nurse should measure three inches between the
top of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from
the side of the foot.
A patient of Greek descent has been prescribed Bactrim a G6PD deficiency
(sulfamethoxazole-trimethoprim) for treatment of a
urinary tract infection. Before beginning the medication,
the patient should be assessed for which of the following
disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
The physician has ordered Coumadin (sodium warfarin) c 1700
for a client with thrombophlebitis. The order should be
entered to administer the medication at:
a 0900
b 1200
c 1700
d 2100
Which medication is often used to treat the client with b Vibramycin (doxycycline)
N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
, The nurse is caring for a client with cerebral palsy. The a Grimacing and writhing movements decrease with relaxation and rest.
nurse should provide frequent rest periods because:
a Grimacing and writhing movements decrease with
relaxation and rest.
b Hypoactive deep tendon reflexes become more active
with rest.
c Stretch reflexes are increased with rest.
d Fine motor movements are improved by rest.
The nurse is assisting in the care of a patient who is two d Use a sitz bath after each bowel movement
days post-operative from a hemorrhoidectomy. The nurse
would be correct in instructing the patient to:
a Avoid a high-fiber diet
b Continue to apply ice packs
c Take a laxative daily to p revent constipation
d Use a sitz bath after each bowel movement
A client with an abdominal aortic aneurysm is admitted in a A WBC of 14,000 cu.mm.
preparation for surgery. Which finding should be
reported to the doctor?
a A WBC of 14,000 cu.mm.
b Auscultation of abdominal bruit
c Complaints of lower back pain
d A platelet count of 175,000 cu.mm.
The nurse is performing an assessment on a client with c Glossitis
possible pernicious anemia. Which finding is specific to
pernicious anemia?
a A weight loss of 10 pounds in six months
b Fatigue
c Glossitis
d Pallor
The nurse is making assignments for the day. The staff a A client with Alzheimer's disease
consists of an RN, an LPN, and a nursing assistant. Which
client could the nursing assistant care for?
a A client with Alzheimer's disease
b A client with pneumonia
c A client with cirrhosis
d A client with thrombophlebitis
The client is diagnosed with multiple myeloma. The d "Drink at least eight large glasses of water a day."
doctor has ordered cyclophosphamide (Cytoxan). Which
instruction should be given to the client?
a "Walk about a mile a day to prevent calcium loss."
b "Increase the fiber in your diet."
c "Report nausea to the doctor immediately."
d "Drink at least eight large glasses of water a day."
for two months. He has signed a donor card, but the wife but contact the organ-retrieval staff.
is opposed to the idea of organ donation. How should
the nurse handle the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-
retrieval staff.
b Tell her that because her husband signed a donor card,
the hospital has the right to take the organs upon the
death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.
Due to a high census, it has been necessary for a number b A 40-year-old female with a hysterectomy
of clients to be transferred to other units within the
hospital. Which client should be transferred to the
postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Before administering Theo-Dur (theophylline), the nurse c Pulse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
Which information should be given to the patient a Avoid exposing radiation areas to sunlight during treatment time and for a year
undergoing radiation therapy for breast cancer? after completion of therapy
a Avoid exposing radiation areas to sunlight during
treatment time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician
The charge nurse is making assignments for the day. After d Ask the nurse if she has ever had the chickenpox.
accepting the assignment to care for a client with
leukemia, the nurse tells the charge nurse that her child
has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
,Which statement is true regarding therapy with Levemir d The duration is 24 hours.
(insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant? c The elderly client with a thyroidectomy four days ago
a The 18-year-old with a fracture to two cervical
vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
The physician has ordered the Schilling test for a patient a Folic acid
with suspected pernicious anemia. What other vitamin
level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate Quinidine can cause widened Q-T intervals and heart block.
of 130 beats per minute. The doctor orders quinidine
sulfate. While he is receiving quinidine, the nurse should
monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the emergency room with a c Buck's traction
possible fracture of the right femur. The nurse should
anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the teaching b "You may experience a feeling of pressure or discomfort during aspiration of the
session of a client scheduled for a renal biopsy? biopsy."
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or
discomfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours
following the study."
,The client is admitted with chronic obstructive pulmonary c Compensated metabolic acidosis
disease. Blood gases reveal pH 7.36, CO2 45, O2 84,
bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous chemotherapy to the c Administer an antiemetic.
patient being treated, the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
Which one of the following statements is correct when b The nurse should measure three inches between the top of the crutch and the
measuring the client for crutches? axilla.
a A distance of five fingerbreadths should exist between
the top of the crutch and the axilla.
b The nurse should measure three inches between the
top of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from
the side of the foot.
A patient of Greek descent has been prescribed Bactrim a G6PD deficiency
(sulfamethoxazole-trimethoprim) for treatment of a
urinary tract infection. Before beginning the medication,
the patient should be assessed for which of the following
disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
The physician has ordered Coumadin (sodium warfarin) c 1700
for a client with thrombophlebitis. The order should be
entered to administer the medication at:
a 0900
b 1200
c 1700
d 2100
Which medication is often used to treat the client with b Vibramycin (doxycycline)
N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
, The nurse is caring for a client with cerebral palsy. The a Grimacing and writhing movements decrease with relaxation and rest.
nurse should provide frequent rest periods because:
a Grimacing and writhing movements decrease with
relaxation and rest.
b Hypoactive deep tendon reflexes become more active
with rest.
c Stretch reflexes are increased with rest.
d Fine motor movements are improved by rest.
The nurse is assisting in the care of a patient who is two d Use a sitz bath after each bowel movement
days post-operative from a hemorrhoidectomy. The nurse
would be correct in instructing the patient to:
a Avoid a high-fiber diet
b Continue to apply ice packs
c Take a laxative daily to p revent constipation
d Use a sitz bath after each bowel movement
A client with an abdominal aortic aneurysm is admitted in a A WBC of 14,000 cu.mm.
preparation for surgery. Which finding should be
reported to the doctor?
a A WBC of 14,000 cu.mm.
b Auscultation of abdominal bruit
c Complaints of lower back pain
d A platelet count of 175,000 cu.mm.
The nurse is performing an assessment on a client with c Glossitis
possible pernicious anemia. Which finding is specific to
pernicious anemia?
a A weight loss of 10 pounds in six months
b Fatigue
c Glossitis
d Pallor
The nurse is making assignments for the day. The staff a A client with Alzheimer's disease
consists of an RN, an LPN, and a nursing assistant. Which
client could the nursing assistant care for?
a A client with Alzheimer's disease
b A client with pneumonia
c A client with cirrhosis
d A client with thrombophlebitis
The client is diagnosed with multiple myeloma. The d "Drink at least eight large glasses of water a day."
doctor has ordered cyclophosphamide (Cytoxan). Which
instruction should be given to the client?
a "Walk about a mile a day to prevent calcium loss."
b "Increase the fiber in your diet."
c "Report nausea to the doctor immediately."
d "Drink at least eight large glasses of water a day."
