1. Marco who was diagnosed with brain tumor was scheduled for craniotomy. In A. Flapping hand tremors
preventing the development of cerebral edema after surgery, the nurse should B. An elevated hematocrit level
expect the use of: C. Hypotension
A. Diuretics D. Hypokalemia
B. Antihypertensive
C. Steroids 6. A client is admitted to the hospital with benign prostatic hyp
D. Anticonvulsants nurse most relevant assessment would be:
A. Flank pain radiating in the groin
2. Halfway through the administration of blood, the female client complains of B. Distention of the lower abdomen
lumbar pain. After stopping the infusion Nurse Hazel should: C. Perineal edema
A. Increase the flow of normal saline D. Urethral discharge
B. Assess the pain further
C. Notify the blood bank 7. A client has undergone with penile implant. After 24 hrs of s
D. Obtain vital signs. client’s scrotum was edematous and painful. The nurse should:
A. Assist the client with sitz bath
3. Nurse Maureen knows that the positive diagnosis of HIV infection is made B. Apply war soaks in the scrotum
based on which of the following: C. Elevate the scrotum using a soft support
A. A history of high-risk sexual behaviors. D. Prepare for a possible incision and drainage
B. Positive ELISA and western blot tests
C. Identification of an associated opportunistic infection 8. Nurse Hazel receives emergency laboratory results for a clien
D. Evidence of extreme weight loss and high fever pain and immediately informs the physician. An increased myo
suggests which of the following?
4. Nurse Maureen is aware that a client who has been diagnosed with chronic A. Liver disease
renal failure recognizes an adequate amount of high-biologic-value protein when B. Myocardial damage
the food the client selected from the menu was: C. Hypertension
A. Raw carrots D. Cancer
B. Apple juice
C. Whole wheat bread 9. Nurse Maureen would expect a client with mitral stenosis wo
D. Cottage cheese symptoms associated with congestion in the:
A. Right atrium
5. Kenneth who was diagnosed with uremic syndrome has the potential to B. Superior vena cava
develop complications. Which among the following complications should the C. Aorta
nurse anticipates: D. Pulmonary
,10. A client has been diagnosed with hypertension. The nurse priority nursing C. Grains
diagnosis would be: D. Broccoli
A. Ineffective health maintenance
B. Impaired skin integrity 15. Karen has been diagnosed with aplastic anemia. The nurse
C. Deficient fluid volume changes in which of the following physiologic functions?
D. Pain A. Bowel function
B. Peripheral sensation
11. Nurse Hazel teaches the client with angina about common expected side C. Bleeding tendencies
effects of nitroglycerin including: D. Intake and output
A. high blood pressure
B. stomach cramps 16. Lydia is scheduled for elective splenectomy. Before the clien
C. headache the nurse in charge final assessment would be:
D. shortness of breath A. signed consent
B. vital signs
12. The following are lipid abnormalities. Which of the following is a risk factor C. name band
for the development of atherosclerosis and PVD? D. empty bladder
A. High levels of low-density lipid (LDL) cholesterol
B. High levels of high-density lipid (HDL) cholesterol 17. What is the peak age range for acquiring acute lymphocytic
C. Low concentration triglycerides A. 4 to 12 years.
D. Low levels of LDL cholesterol. B. 20 to 30 years
C. 40 to 50 years
13. Which of the following represents a significant risk immediately after D. 60 60 70 years
surgery for repair of aortic aneurysm?
A. Potential wound infection 18. Marie with acute lymphocytic leukemia suffers from nausea
B. Potential ineffective coping These clinical manifestations may indicate all of the following e
C. Potential electrolyte balance A. effects of radiation
D. Potential alteration in renal perfusion B. chemotherapy side effects
C. meningeal irritation
14. Nurse Josie should instruct the client to eat which of the following foods to D. gastric distension
obtain the best supply of Vitamin B12?
A. dairy products 19. A client has been diagnosed with Disseminated Intravascula
B. vegetables Coagulation(DIC). Which of the following is contraindicated w
,A. Administering Heparin 24. Patricia a 20-year-old college student with diabetes mellitus
B. Administering Coumadin additional information about the advantages of using a pen-
C. Treating the underlying cause like insulin delivery devices. The nurse explains that the advant
D. Replacing depleted blood products devices over syringes include:
A. Accurate dose delivery
20. Which of the following findings is the best indication that fluid replacement B. Shorter injection time
for the client with hypovolemic shock is adequate? C. Lower cost with reusable insulin cartridges
A. Urine output greater than 30ml/hr D. Use of smaller gauge needle.
B. Respiratory rate of 21 breaths/minute
C. Diastolic blood pressure greater than 90 mmHg 25. A male client’s left tibia was fractured in an automobile acc
D. Systolic blood pressure greater than 110 mmHg is applied. To assess for damage to major blood vessels from th
the nurse in charge should monitor the client for:
21. Which of the following signs and symptoms would Nurse Maureen include in A. Swelling of the left thigh
teaching plan as an early manifestation of laryngeal cancer? B. Increased
A. Stomatitis skin temperature of the foot
B. Airway obstruction C. Prolonged reperfusion of the toes after blanching
C. Hoarseness D. Increased blood pressure
D. Dysphagia
26. After a long leg cast is removed, the male client should:
22. Karina a client with myasthenia gravis is to receive immunosuppressive A. Cleanse the leg by scrubbing with a brisk motion
therapy. The nurse understands that this therapy is effective because it: B. Put leg through full range of motion twice daily
A. Promotes the removal of antibodies that impair the transmission of impulses C. Report any discomfort or stiffness to the physician
B. Stimulates the production of acetylcholine at the neuromuscular junction. D. Elevate the leg when sitting for long periods of time.
C. Decreases the production of autoantibodies that attack the acetylcholine receptors.
D. Inhibits the breakdown of acetylcholine at the neuromuscular junction. 27. While performing a physical assessment of a male client wit
great toe, Nurse Vivian should assess for additional tophi (urat
23. A female client is receiving IV Mannitol. An assessment specific to safe A. Buttocks
administration of the said drug is: B. Ears
A. Vital signs q4h C. Face
B. Weighing daily D. Abdomen
C. Urine output hourly
D. Level of consciousness q4h 28. Nurse Katrina would recognize that the demonstration of cr
with tripod gait was understood when the client places weight o
, A. Palms of the hands and axillary regions 33. A 22-year-old client suffered from his first tonic-clonic seizu
B. Palms of the hand awakening, the client asks the nurse, “What caused me to have
C. Axillary regions of the following would the nurse include in the primary cause o
D. Feet, which are set apart seizures in adults more the 20 years?
A. Electrolyte imbalance
29. Mang Jose with rheumatoid arthritis states, “the only time I am without pain B. Head trauma
is when I lie in bed perfectly still”. During the convalescent stage, the nurse in C. Epilepsy
charge with Mang Jose should encourage: D. Congenital defect
A. Active joint flexion and extension
B. Continued immobility until pain subsides 34. What is the priority nursing assessment in the first 24 hours
C. Range of motion exercises twice daily of the client with thrombotic CVA?
D. Flexion exercises three times daily A. Pupil size and pupillary response
B. cholesterol level
30. A male client has undergone spinal surgery, the nurse should: C. Echocardiogram
A. Observe the client’s bowel movement and voiding patterns D. Bowel sounds
B. Log-roll the client to prone position
C. Assess the client’s feet for sensation and circulation 35. Nurse Linda is preparing a client with multiple sclerosis for
D. Encourage client to drink plenty of fluids the hospital to home. Which of the following instruction is most
A. “Practice using the mechanical aids that you will need when futu
31. Marina with acute renal failure moves into the diuretic phase after one week arise”.
of therapy. During this phase the client must be assessed for signs of developing: B. “Follow good health habits to change the course of the disease”.
A. Hypovolemia C. “Keep active, use stress reduction strategies, and avoid fatigue”.
B. renal failure D. “You will need to accept the necessity for a quiet and inactive li
C. metabolic acidosis 36. The nurse is aware the early indicator of hypoxia in the unc
D. hyperkalemia A. Cyanosis
32. Nurse Judith obtains a specimen of clear nasal drainage from a client with a B. Increased respirations
head injury. Which of the following tests differentiates mucus C. Hypertension
from cerebrospinal fluid (CSF)? D. Restlessness
A. Protein
B. Specific gravity 37. A client is experiencing spinal shock. Nurse Myrna should e
C. Glucose function of the bladder to be which of the following?
D. Microorganism A. Normal
B. Atonic
preventing the development of cerebral edema after surgery, the nurse should B. An elevated hematocrit level
expect the use of: C. Hypotension
A. Diuretics D. Hypokalemia
B. Antihypertensive
C. Steroids 6. A client is admitted to the hospital with benign prostatic hyp
D. Anticonvulsants nurse most relevant assessment would be:
A. Flank pain radiating in the groin
2. Halfway through the administration of blood, the female client complains of B. Distention of the lower abdomen
lumbar pain. After stopping the infusion Nurse Hazel should: C. Perineal edema
A. Increase the flow of normal saline D. Urethral discharge
B. Assess the pain further
C. Notify the blood bank 7. A client has undergone with penile implant. After 24 hrs of s
D. Obtain vital signs. client’s scrotum was edematous and painful. The nurse should:
A. Assist the client with sitz bath
3. Nurse Maureen knows that the positive diagnosis of HIV infection is made B. Apply war soaks in the scrotum
based on which of the following: C. Elevate the scrotum using a soft support
A. A history of high-risk sexual behaviors. D. Prepare for a possible incision and drainage
B. Positive ELISA and western blot tests
C. Identification of an associated opportunistic infection 8. Nurse Hazel receives emergency laboratory results for a clien
D. Evidence of extreme weight loss and high fever pain and immediately informs the physician. An increased myo
suggests which of the following?
4. Nurse Maureen is aware that a client who has been diagnosed with chronic A. Liver disease
renal failure recognizes an adequate amount of high-biologic-value protein when B. Myocardial damage
the food the client selected from the menu was: C. Hypertension
A. Raw carrots D. Cancer
B. Apple juice
C. Whole wheat bread 9. Nurse Maureen would expect a client with mitral stenosis wo
D. Cottage cheese symptoms associated with congestion in the:
A. Right atrium
5. Kenneth who was diagnosed with uremic syndrome has the potential to B. Superior vena cava
develop complications. Which among the following complications should the C. Aorta
nurse anticipates: D. Pulmonary
,10. A client has been diagnosed with hypertension. The nurse priority nursing C. Grains
diagnosis would be: D. Broccoli
A. Ineffective health maintenance
B. Impaired skin integrity 15. Karen has been diagnosed with aplastic anemia. The nurse
C. Deficient fluid volume changes in which of the following physiologic functions?
D. Pain A. Bowel function
B. Peripheral sensation
11. Nurse Hazel teaches the client with angina about common expected side C. Bleeding tendencies
effects of nitroglycerin including: D. Intake and output
A. high blood pressure
B. stomach cramps 16. Lydia is scheduled for elective splenectomy. Before the clien
C. headache the nurse in charge final assessment would be:
D. shortness of breath A. signed consent
B. vital signs
12. The following are lipid abnormalities. Which of the following is a risk factor C. name band
for the development of atherosclerosis and PVD? D. empty bladder
A. High levels of low-density lipid (LDL) cholesterol
B. High levels of high-density lipid (HDL) cholesterol 17. What is the peak age range for acquiring acute lymphocytic
C. Low concentration triglycerides A. 4 to 12 years.
D. Low levels of LDL cholesterol. B. 20 to 30 years
C. 40 to 50 years
13. Which of the following represents a significant risk immediately after D. 60 60 70 years
surgery for repair of aortic aneurysm?
A. Potential wound infection 18. Marie with acute lymphocytic leukemia suffers from nausea
B. Potential ineffective coping These clinical manifestations may indicate all of the following e
C. Potential electrolyte balance A. effects of radiation
D. Potential alteration in renal perfusion B. chemotherapy side effects
C. meningeal irritation
14. Nurse Josie should instruct the client to eat which of the following foods to D. gastric distension
obtain the best supply of Vitamin B12?
A. dairy products 19. A client has been diagnosed with Disseminated Intravascula
B. vegetables Coagulation(DIC). Which of the following is contraindicated w
,A. Administering Heparin 24. Patricia a 20-year-old college student with diabetes mellitus
B. Administering Coumadin additional information about the advantages of using a pen-
C. Treating the underlying cause like insulin delivery devices. The nurse explains that the advant
D. Replacing depleted blood products devices over syringes include:
A. Accurate dose delivery
20. Which of the following findings is the best indication that fluid replacement B. Shorter injection time
for the client with hypovolemic shock is adequate? C. Lower cost with reusable insulin cartridges
A. Urine output greater than 30ml/hr D. Use of smaller gauge needle.
B. Respiratory rate of 21 breaths/minute
C. Diastolic blood pressure greater than 90 mmHg 25. A male client’s left tibia was fractured in an automobile acc
D. Systolic blood pressure greater than 110 mmHg is applied. To assess for damage to major blood vessels from th
the nurse in charge should monitor the client for:
21. Which of the following signs and symptoms would Nurse Maureen include in A. Swelling of the left thigh
teaching plan as an early manifestation of laryngeal cancer? B. Increased
A. Stomatitis skin temperature of the foot
B. Airway obstruction C. Prolonged reperfusion of the toes after blanching
C. Hoarseness D. Increased blood pressure
D. Dysphagia
26. After a long leg cast is removed, the male client should:
22. Karina a client with myasthenia gravis is to receive immunosuppressive A. Cleanse the leg by scrubbing with a brisk motion
therapy. The nurse understands that this therapy is effective because it: B. Put leg through full range of motion twice daily
A. Promotes the removal of antibodies that impair the transmission of impulses C. Report any discomfort or stiffness to the physician
B. Stimulates the production of acetylcholine at the neuromuscular junction. D. Elevate the leg when sitting for long periods of time.
C. Decreases the production of autoantibodies that attack the acetylcholine receptors.
D. Inhibits the breakdown of acetylcholine at the neuromuscular junction. 27. While performing a physical assessment of a male client wit
great toe, Nurse Vivian should assess for additional tophi (urat
23. A female client is receiving IV Mannitol. An assessment specific to safe A. Buttocks
administration of the said drug is: B. Ears
A. Vital signs q4h C. Face
B. Weighing daily D. Abdomen
C. Urine output hourly
D. Level of consciousness q4h 28. Nurse Katrina would recognize that the demonstration of cr
with tripod gait was understood when the client places weight o
, A. Palms of the hands and axillary regions 33. A 22-year-old client suffered from his first tonic-clonic seizu
B. Palms of the hand awakening, the client asks the nurse, “What caused me to have
C. Axillary regions of the following would the nurse include in the primary cause o
D. Feet, which are set apart seizures in adults more the 20 years?
A. Electrolyte imbalance
29. Mang Jose with rheumatoid arthritis states, “the only time I am without pain B. Head trauma
is when I lie in bed perfectly still”. During the convalescent stage, the nurse in C. Epilepsy
charge with Mang Jose should encourage: D. Congenital defect
A. Active joint flexion and extension
B. Continued immobility until pain subsides 34. What is the priority nursing assessment in the first 24 hours
C. Range of motion exercises twice daily of the client with thrombotic CVA?
D. Flexion exercises three times daily A. Pupil size and pupillary response
B. cholesterol level
30. A male client has undergone spinal surgery, the nurse should: C. Echocardiogram
A. Observe the client’s bowel movement and voiding patterns D. Bowel sounds
B. Log-roll the client to prone position
C. Assess the client’s feet for sensation and circulation 35. Nurse Linda is preparing a client with multiple sclerosis for
D. Encourage client to drink plenty of fluids the hospital to home. Which of the following instruction is most
A. “Practice using the mechanical aids that you will need when futu
31. Marina with acute renal failure moves into the diuretic phase after one week arise”.
of therapy. During this phase the client must be assessed for signs of developing: B. “Follow good health habits to change the course of the disease”.
A. Hypovolemia C. “Keep active, use stress reduction strategies, and avoid fatigue”.
B. renal failure D. “You will need to accept the necessity for a quiet and inactive li
C. metabolic acidosis 36. The nurse is aware the early indicator of hypoxia in the unc
D. hyperkalemia A. Cyanosis
32. Nurse Judith obtains a specimen of clear nasal drainage from a client with a B. Increased respirations
head injury. Which of the following tests differentiates mucus C. Hypertension
from cerebrospinal fluid (CSF)? D. Restlessness
A. Protein
B. Specific gravity 37. A client is experiencing spinal shock. Nurse Myrna should e
C. Glucose function of the bladder to be which of the following?
D. Microorganism A. Normal
B. Atonic
