EXAM #1
1) A client is admitted with acute cholecystitis. Surgery is scheduled in 7 days. The client asks the nurse why the surgery is being put off for
a week. What rationale would underlie the nurse’s response?
- Surgery is delayed until the acute symptoms subside
2) A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse
prioritize in this patient’s plan of care?
- Assessment for variceal bleeding
3) A nurse is participating in the emergency care of a client who has just developed variceal bleeding. What intervention should the nurse
anticipate?
- IV administration of octreotide
4) A nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The client’s current medication
regime includes lactulose. What desired outcome should the nurse relate to this pharmacological intervention?
- Two to three soft bowel movements daily
5) The nurse administers lactulose to a client with cirrhosis for which purpose?
- Promotes gastrointestinal excretion of ammonia
6) The nurse is assessing a client who had a cholecystectomy and has just returned to the post surgical unit. Which of the following
assessment findings should the nurse report immediately to the surgeon?
- Rigidity of the abdomen
7) The nurse is planning an educational activity about risk behaviors related to Hepatitis A. The nurse includes which individual in the
teaching plan as having the greatest risk for developing Hepatitis A?
- Person who consumes raw oysters
8) A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder
inflammation, the nurse will question which of the following foods on the tray?
- Fried chicken
9) The nurse is teaching a client who was admitted to the hospital with acute hepatic encephalopathy and ascites about an appropriate
diet. The nurse determines that the teaching has been effective when the client chooses which food choice from the menu?
- Pancakes with butter and honey, and orange juice
10) The nurse is caring for a patient who has just returned from the ERCP removal of gallstones. The nurse should monitor the patient for
signs of what complications?
- Bleeding and perforation
11) What do you with severe pancreatitis?
- Manage pain
12) Food question
- Lemon (answer has lemon as one of the choices)
13) What do you check when you give calcium carbonate?
- Phosphate
14) The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago.
Which complaint by the client indicates the need to notify the health-care provider?
- The client reports an elevation in his blood pressure
15) The nurse is preparing to administer epoetin alfa to a client with end stage kidney disease. Which abnormalities should the nurse report
to the HCP before giving the medication?
- Hemoglobin 13
16) Bladder irrigation catheter
- Obstruction
17) A patient diagnosed AKI has a serum potassium level of 6.5 mEq/L. The nurse anticipates administering which of the following?
- Kayexalate
18) The client is admittefd to a nursing unit from a long-term care facility with a hematocrit of 56% snf a serum sodium levrl of 152 mEq/L.
Which condition is a cause for these findings?
- Dehydration
19) The nurse in the dialysis clinic is reviewing the home medications of a patient with CKD. Which medication reported by the patient
indicates that patient teaching is required?
- Magnesium hydroxide
20) Which foods should be avoided following acute gallbladder inflammation?
- Cheese
21) The nurse is informed that the client with BPH has a prescription for an alpha adrenergic blocker. The nurse recognizes that the
medication prescribed is
- Tamusulosin
22) A patient with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) has a serum potassium level of
3.2. Which action should the nurse take?
- Administer the spironolactone
23) The patient’s potassium level is within normal range, possibly 5
- Administer both, furosemide and spironolactone
24) Nurse assessing a client following paracentesis
- Patient’s HR is 132
25) The client receiving dialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
- Place the client in Trendelenburg position
26) The client is diagnosed with acute pancreatitis. Which HCP’s admitting order should the nurse question?
- Low fat, low carb diet
27) The nurse is teaching a client with BPH who has a new prescription for finasteride. Which of the following should the nurse include in
the teaching plan?
- Your interest in sexual activity may decrease
, 28) The nurse is caring for a client with hepatic cirrhosis. The client asks the nurse what findings led to this diagnosis. Which of the following
clinical manifestations would the nurse correctly identify?
- Enlarged liver
- Ascites
- Hemorrhoids
29) A client with ascites arrives at the outpatient center for a paracentesis. Which interventions should the nurse complete?
- Instruct the patient to void prior to the procedure
- Place the client in an upright position
- Instruct client to sign consent
- Assess vital signs throughout procedure
30) A client with HTN and renal insufficency has been prescribed hydrochlorothiazide. What nursing action will best reduce the client’s risk
for electrolyte disturbance?
- Ensure the client has sufficient potassium intake
31) The nurse is preparing to administer the drug neomycin orally to a client with hepatic encephalopathy. What is the expected outcome of
this drug?
- Reduce the number of bacteria in the colon
32) The nurse is caring for a client with AKI and FVO. Which action shouldthe nurse delegate to a UAP? Select all that apply.
- Measuring and recording vital signs every 4 hours
- Weighing client every morning using a standing scale
- Remind the patient to save all urine
- Ensuring patients urinal is within reach
33) A nurse is caring for a patient with renal disease and fluid overload. Which of the following prescriptions should the nurse anticipate to
administer?
- Furosemide
34) The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant when diagnosing ARF?
- BUN and creatinine
35) The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?
- The client who does not have a palpable thrill or auscultated bruit
EXAM #2
1. A patient is admitted to an emergency room with a diagnosis of myxedema. What intervention should the nurse prepare to
implement? (Select all that apply)
Maintain the patient airway
Administer thyroid hormone
Administer fluid replacement
2. The client who had a transsphenoidal hypoysectomy 2 days ago now has nuchal rigidity. What is your best first action?
Take the client’s temperature
3. Client with a long history of hypothyroidism is at risk of developing
Coronary artery disease
4. A client diagnosed with leukemia is admitted to the hospital. Avoiding which potential problem takes priority? In the client’s nursing
care plan?
Infection
5. A client with leukemia has a platelet count of 7000/mm3. Which intervention does the nurse implement to prevent injury?
Obtain order for stool softeners
6. A bone marrow aspiration was performed from the left iliac crest of a patient suspected to have aplastic anemia. Immediately
following the procedure what should the nurse do?
Apply pressure to the site
7. A client admitted to the hospital for vaso occlusive crisis with sickle cell disease (SCD) reports moderate pain. The nurse notes that
the PCP has ordered routine administration of Intravenous hydromorphone rather than a PRN schedule. Which action by the nurse is
correct
Administer the medication and monitor the client's response.
8. A client diagnosed with hypoparathyroidism requires long term therapy for vitamin-D deficiency. Which medication should the nurse
Ergocalciferol
9. A client is admitted to the health care facility for evaluation for addison’s disease. Which laboratory test result best supports a
diagnosis of Addison’s disease?
Serum Potassium level of 5.8 mEq/L (5.8 mmol/L)
10. A client on medication after a bilateral adrenalectomy calls the clinic asking to be seen for “stomach flu” with nausea and vomiting.
Which response by the nurse is best?
You need to go to the nearest emergency department today
11. A client presents with elevations in triiodothyronine (T3) and thyroxine (T4) and with normal thyroid -stimulating hormone (TSH)
levels. Which is the nurse’s priority intervention?
Monitor apical pulse
12. A client recovering from a sickle cell crisis is discharged home. What medication does the nurse expect to be prescribed for him
before his discharge?
Hydroxyurea
13. A client with B negative requires a blood transfusion during surgery if no B negative blood is available. The client should be
transfused with
O negative blood
14. A client diagnosed with diabetes insipidus is receiving DDAVP ( desmopressin Acetate). Which of the following indicates that the
medication is having its intended effect?
Increased urine specific gravity
1) A client is admitted with acute cholecystitis. Surgery is scheduled in 7 days. The client asks the nurse why the surgery is being put off for
a week. What rationale would underlie the nurse’s response?
- Surgery is delayed until the acute symptoms subside
2) A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse
prioritize in this patient’s plan of care?
- Assessment for variceal bleeding
3) A nurse is participating in the emergency care of a client who has just developed variceal bleeding. What intervention should the nurse
anticipate?
- IV administration of octreotide
4) A nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The client’s current medication
regime includes lactulose. What desired outcome should the nurse relate to this pharmacological intervention?
- Two to three soft bowel movements daily
5) The nurse administers lactulose to a client with cirrhosis for which purpose?
- Promotes gastrointestinal excretion of ammonia
6) The nurse is assessing a client who had a cholecystectomy and has just returned to the post surgical unit. Which of the following
assessment findings should the nurse report immediately to the surgeon?
- Rigidity of the abdomen
7) The nurse is planning an educational activity about risk behaviors related to Hepatitis A. The nurse includes which individual in the
teaching plan as having the greatest risk for developing Hepatitis A?
- Person who consumes raw oysters
8) A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder
inflammation, the nurse will question which of the following foods on the tray?
- Fried chicken
9) The nurse is teaching a client who was admitted to the hospital with acute hepatic encephalopathy and ascites about an appropriate
diet. The nurse determines that the teaching has been effective when the client chooses which food choice from the menu?
- Pancakes with butter and honey, and orange juice
10) The nurse is caring for a patient who has just returned from the ERCP removal of gallstones. The nurse should monitor the patient for
signs of what complications?
- Bleeding and perforation
11) What do you with severe pancreatitis?
- Manage pain
12) Food question
- Lemon (answer has lemon as one of the choices)
13) What do you check when you give calcium carbonate?
- Phosphate
14) The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago.
Which complaint by the client indicates the need to notify the health-care provider?
- The client reports an elevation in his blood pressure
15) The nurse is preparing to administer epoetin alfa to a client with end stage kidney disease. Which abnormalities should the nurse report
to the HCP before giving the medication?
- Hemoglobin 13
16) Bladder irrigation catheter
- Obstruction
17) A patient diagnosed AKI has a serum potassium level of 6.5 mEq/L. The nurse anticipates administering which of the following?
- Kayexalate
18) The client is admittefd to a nursing unit from a long-term care facility with a hematocrit of 56% snf a serum sodium levrl of 152 mEq/L.
Which condition is a cause for these findings?
- Dehydration
19) The nurse in the dialysis clinic is reviewing the home medications of a patient with CKD. Which medication reported by the patient
indicates that patient teaching is required?
- Magnesium hydroxide
20) Which foods should be avoided following acute gallbladder inflammation?
- Cheese
21) The nurse is informed that the client with BPH has a prescription for an alpha adrenergic blocker. The nurse recognizes that the
medication prescribed is
- Tamusulosin
22) A patient with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) has a serum potassium level of
3.2. Which action should the nurse take?
- Administer the spironolactone
23) The patient’s potassium level is within normal range, possibly 5
- Administer both, furosemide and spironolactone
24) Nurse assessing a client following paracentesis
- Patient’s HR is 132
25) The client receiving dialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
- Place the client in Trendelenburg position
26) The client is diagnosed with acute pancreatitis. Which HCP’s admitting order should the nurse question?
- Low fat, low carb diet
27) The nurse is teaching a client with BPH who has a new prescription for finasteride. Which of the following should the nurse include in
the teaching plan?
- Your interest in sexual activity may decrease
, 28) The nurse is caring for a client with hepatic cirrhosis. The client asks the nurse what findings led to this diagnosis. Which of the following
clinical manifestations would the nurse correctly identify?
- Enlarged liver
- Ascites
- Hemorrhoids
29) A client with ascites arrives at the outpatient center for a paracentesis. Which interventions should the nurse complete?
- Instruct the patient to void prior to the procedure
- Place the client in an upright position
- Instruct client to sign consent
- Assess vital signs throughout procedure
30) A client with HTN and renal insufficency has been prescribed hydrochlorothiazide. What nursing action will best reduce the client’s risk
for electrolyte disturbance?
- Ensure the client has sufficient potassium intake
31) The nurse is preparing to administer the drug neomycin orally to a client with hepatic encephalopathy. What is the expected outcome of
this drug?
- Reduce the number of bacteria in the colon
32) The nurse is caring for a client with AKI and FVO. Which action shouldthe nurse delegate to a UAP? Select all that apply.
- Measuring and recording vital signs every 4 hours
- Weighing client every morning using a standing scale
- Remind the patient to save all urine
- Ensuring patients urinal is within reach
33) A nurse is caring for a patient with renal disease and fluid overload. Which of the following prescriptions should the nurse anticipate to
administer?
- Furosemide
34) The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant when diagnosing ARF?
- BUN and creatinine
35) The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?
- The client who does not have a palpable thrill or auscultated bruit
EXAM #2
1. A patient is admitted to an emergency room with a diagnosis of myxedema. What intervention should the nurse prepare to
implement? (Select all that apply)
Maintain the patient airway
Administer thyroid hormone
Administer fluid replacement
2. The client who had a transsphenoidal hypoysectomy 2 days ago now has nuchal rigidity. What is your best first action?
Take the client’s temperature
3. Client with a long history of hypothyroidism is at risk of developing
Coronary artery disease
4. A client diagnosed with leukemia is admitted to the hospital. Avoiding which potential problem takes priority? In the client’s nursing
care plan?
Infection
5. A client with leukemia has a platelet count of 7000/mm3. Which intervention does the nurse implement to prevent injury?
Obtain order for stool softeners
6. A bone marrow aspiration was performed from the left iliac crest of a patient suspected to have aplastic anemia. Immediately
following the procedure what should the nurse do?
Apply pressure to the site
7. A client admitted to the hospital for vaso occlusive crisis with sickle cell disease (SCD) reports moderate pain. The nurse notes that
the PCP has ordered routine administration of Intravenous hydromorphone rather than a PRN schedule. Which action by the nurse is
correct
Administer the medication and monitor the client's response.
8. A client diagnosed with hypoparathyroidism requires long term therapy for vitamin-D deficiency. Which medication should the nurse
Ergocalciferol
9. A client is admitted to the health care facility for evaluation for addison’s disease. Which laboratory test result best supports a
diagnosis of Addison’s disease?
Serum Potassium level of 5.8 mEq/L (5.8 mmol/L)
10. A client on medication after a bilateral adrenalectomy calls the clinic asking to be seen for “stomach flu” with nausea and vomiting.
Which response by the nurse is best?
You need to go to the nearest emergency department today
11. A client presents with elevations in triiodothyronine (T3) and thyroxine (T4) and with normal thyroid -stimulating hormone (TSH)
levels. Which is the nurse’s priority intervention?
Monitor apical pulse
12. A client recovering from a sickle cell crisis is discharged home. What medication does the nurse expect to be prescribed for him
before his discharge?
Hydroxyurea
13. A client with B negative requires a blood transfusion during surgery if no B negative blood is available. The client should be
transfused with
O negative blood
14. A client diagnosed with diabetes insipidus is receiving DDAVP ( desmopressin Acetate). Which of the following indicates that the
medication is having its intended effect?
Increased urine specific gravity
