Questions & Correct Answers | 100% Top Score | Verified
Q1. A nurse is caring for a client with pneumonia. Which finding indicates hypoxemia?
A. Bradycardia
B. Confusion
C. Hypotension
D. Polyuria
Answer: B. Confusion (Rationale: Early sign of low oxygen is confusion or restlessness.)
Q2. A nurse is preparing to administer packed RBCs to a client. Which action should the
nurse take first?
A. Prime IV tubing with 0.9% sodium chloride
B. Verify the client’s identity
C. Obtain vital signs
D. Warm the blood before transfusion
Answer: B. Verify the client’s identity
Q3. A client with heart failure reports shortness of breath at night. Which condition is
this?
A. Paroxysmal nocturnal dyspnea
B. Orthopnea
C. Apnea
D. Tachypnea
Answer: A. Paroxysmal nocturnal dyspnea
Q4. A nurse is assessing a client with Addison’s disease. Which manifestation should
the nurse expect?
A. Hypertension
,B. Hyperpigmentation of skin
C. Weight gain
D. Bradycardia
Answer: B. Hyperpigmentation of skin
Q5. A client with COPD is receiving oxygen at 6 L/min by nasal cannula. The nurse
should recognize this as inappropriate because
A. It can decrease the client’s drive to breathe
B. It may cause oxygen toxicity immediately
C. It is not enough oxygen for COPD patients
D. It causes hypokalemia
Answer: A. It can decrease the client’s drive to breathe
Q6. A nurse is monitoring a client receiving total parenteral nutrition (TPN). Which
complication is most critical to monitor?
A. Hypoglycemia
B. Hyperglycemia
C. Constipation
D. Hypertension
Answer: B. Hyperglycemia
Q7. A client with cirrhosis is at risk for bleeding due to deficiency of
A. Albumin
B. Vitamin K
C. Ammonia
D. Bilirubin
Answer: B. Vitamin K
,Q8. A nurse is assessing a client with peritonitis. Which finding should the nurse
expect?
A. Board-like abdomen
B. Polyuria
C. Hypertension
D. Bradycardia
Answer: A. Board-like abdomen
Q9. Which lab result should the nurse monitor closely in a client taking furosemide?
A. Sodium
B. Potassium
C. Calcium
D. Glucose
Answer: B. Potassium
Q10. A nurse is caring for a client with hyperthyroidism. Which manifestation is
expected?
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Hypotension
Answer: C. Heat intolerance
Q11. A nurse prepares to give digoxin. Which finding requires holding the dose?
A. Heart rate 52/min
B. Heart rate 88/min
C. Respiratory rate 20/min
D. Blood pressure 110/70
, Answer: A. Heart rate 52/min
Q12. A client with chest pain has ST elevation on the ECG. The nurse suspects
A. Angina
B. Myocardial infarction
C. Heart failure
D. Pulmonary embolism
Answer: B. Myocardial infarction
Q13. A client with chronic renal failure is on hemodialysis. Which food should be
limited?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B. Bananas (Rationale: High in potassium, must be restricted.)
Q14. A nurse is assessing a client with Cushing’s syndrome. Which finding is expected?
A. Hypotension
B. Moon face
C. Weight loss
D. Bronze skin
Answer: B. Moon face
Q15. A nurse is caring for a client who has a chest tube. Which finding indicates the
system is functioning properly?
A. Continuous bubbling in water seal chamber
B. Fluctuation of fluid with respirations