Support the foot with 90 degrees of flexion
A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators
should the nurse monitor the client? (Select all that apply.)
1
Tremors
2
Lethargy
3
Palpitations
4
Visual disturbances
5
Decreased pulse rate
Tremors
Palpitations
The nurse performs a respiratory assessment and auscultates breath sounds that are high-pitched,
creaking and accentuated on expiration. Which term best describes the findings?
1
Rhonchi
2
Wheezes
3
Pleural friction rub
4
Bronchovesicular
Wheezes
A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of
water. The initial blood work shows a sodium level of 122 mEq/L and a potassium level of 3.6
mEq/L. Based on the lab results and symptoms, what is the client experiencing?
1
Hypernatremia
2
Hyponatremia
3
Hyperkalemia
4
Hypokalemia
Hyponatremia
A nurse is teaching a community group about the basics of nutrition. A participant questions why
fluoride is added to drinking water. The nurse should respond that it is a necessary element added
to drinking water to promote:
1
Dental health.
2
Growth and development.
3
, Improved hearing.
4
Night vision.
Dental Health
The intake and output of a client over an eight-hour period is: 0800: Intravenous (IV) infusing;
900 mL left in bag; 0830: 150 mL voided; From 0900-1500 time period: 200 mL gastric tube
formula + 50 mL water; Repeated x 2.; 1300: 220 mL voided; 1515: 235 mL voided; 1600: IV
has 550 mL left in bag. What is the difference between the client's intake and output? Record the
answer using a whole number. _________ mL
495
Intake includes 350 mL of IV fluid, 600 mL of nasogastric intubation (NGT) feeding, and 150
mL of water via NGT, for a total intake of 1100 mL; output includes voidings of 150, 220, and
235 mL, for a total output of 605 mL. Subtract 605 mL from 1100 mL for a difference of 495
mL.
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement made
by the client most indicates the need for further preoperative teaching?
1
"My urine will be red after surgery."
2
"I will have a catheter after surgery."
3
"My incision will probably be painful."
4
"I will need to drink a lot after surgery."
"My incision will probably be painful.
A client is in a state of uncompensated acidosis. What approximate arterial blood pH does the
nurse expect the client to have?
1
7.20
2
7.35
3
7.45
4
7.48
7.20
The pH of blood is maintained within the narrow range of 7.35 to 7.45. When there is an increase
in hydrogen ions, the respiratory, buffer, and renal systems attempt to compensate to maintain the
pH. If compensation is not successful, acidosis results and is reflected in a lower pH
An adult client presents to the Emergency Department with a nosebleed. After applying pressure,
what is the next nursing action?
1
Obtain a medication history from the client
2
A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators
should the nurse monitor the client? (Select all that apply.)
1
Tremors
2
Lethargy
3
Palpitations
4
Visual disturbances
5
Decreased pulse rate
Tremors
Palpitations
The nurse performs a respiratory assessment and auscultates breath sounds that are high-pitched,
creaking and accentuated on expiration. Which term best describes the findings?
1
Rhonchi
2
Wheezes
3
Pleural friction rub
4
Bronchovesicular
Wheezes
A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of
water. The initial blood work shows a sodium level of 122 mEq/L and a potassium level of 3.6
mEq/L. Based on the lab results and symptoms, what is the client experiencing?
1
Hypernatremia
2
Hyponatremia
3
Hyperkalemia
4
Hypokalemia
Hyponatremia
A nurse is teaching a community group about the basics of nutrition. A participant questions why
fluoride is added to drinking water. The nurse should respond that it is a necessary element added
to drinking water to promote:
1
Dental health.
2
Growth and development.
3
, Improved hearing.
4
Night vision.
Dental Health
The intake and output of a client over an eight-hour period is: 0800: Intravenous (IV) infusing;
900 mL left in bag; 0830: 150 mL voided; From 0900-1500 time period: 200 mL gastric tube
formula + 50 mL water; Repeated x 2.; 1300: 220 mL voided; 1515: 235 mL voided; 1600: IV
has 550 mL left in bag. What is the difference between the client's intake and output? Record the
answer using a whole number. _________ mL
495
Intake includes 350 mL of IV fluid, 600 mL of nasogastric intubation (NGT) feeding, and 150
mL of water via NGT, for a total intake of 1100 mL; output includes voidings of 150, 220, and
235 mL, for a total output of 605 mL. Subtract 605 mL from 1100 mL for a difference of 495
mL.
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement made
by the client most indicates the need for further preoperative teaching?
1
"My urine will be red after surgery."
2
"I will have a catheter after surgery."
3
"My incision will probably be painful."
4
"I will need to drink a lot after surgery."
"My incision will probably be painful.
A client is in a state of uncompensated acidosis. What approximate arterial blood pH does the
nurse expect the client to have?
1
7.20
2
7.35
3
7.45
4
7.48
7.20
The pH of blood is maintained within the narrow range of 7.35 to 7.45. When there is an increase
in hydrogen ions, the respiratory, buffer, and renal systems attempt to compensate to maintain the
pH. If compensation is not successful, acidosis results and is reflected in a lower pH
An adult client presents to the Emergency Department with a nosebleed. After applying pressure,
what is the next nursing action?
1
Obtain a medication history from the client
2
