Which of these symptoms should a nurse expect to assess in a client who
develops hypoglycemia?
a. Fruity breath odor.
b. Polyuria.
c. Diaphoresis.
d. Flushed skin. - answer>>c. Diaphoresis.
A nurse should assess a child who has diabetes mellitus (type 1) for symptoms of
hyperglycemia, which include:
a. flushed skin and thirst.
b. irritability and hunger.
c. sweating and jitteriness.
d. lethargy and tremors. - answer>>a. flushed skin and thirst.
A client has shortness of breath when lying down and usually assumes an upright
or sitting position in order to breathe more comfortably. A nurse should
document this observation as:
a. dyspnea.
b. bradypnea.
c. orthopnea.
,d. apnea. - answer>>c. orthopnea.
Which of these menus, if chosen by a parent of a child who has celiac disease,
would indicate to a nurse that the parent understands the teaching about a
gluten-free diet?
a. Broiled steak, baked potato, and spinach.
b. Pork chop, egg noodles, and green peas.
c. Fried chicken, white roll, and mixed vegetables.
d. Baked macaroni with cheddar cheese and corn. - answer>>a. Broiled steak,
baked potato, and spinach.
Which of these nursing measures is the priority for a child who has hemophilia
and who sustains a leg injury?
a. Ensuring adequate hydration for the child.
b. Soaking the child's injured leg in warm water.
c. Administering the missing factor VIII to the child.
d. Transfusing one unit of whole blood to the child. - answer>>c. Administering
the missing factor VIII to the child.
Which of these laboratory test results is more important for a nurse to assess for
a client who reports chest pain?
a. WBC count.
b. PTT level.
c. Troponin level.
,d. Hemoglobin. - answer>>c. Troponin level.
A nurse should explain to a primigravida that urine tests will be done at each
prenatal visit throughout the pregnancy to measure:
a. specific gravity and pregnancy hormones.
b. culture and white blood cell count.
c. glucose and protein.
d. bacteria and red blood cell count. - answer>>c. glucose and protein.
Which of these manifestations should a nurse expect to observe in a client who is
diagnosed with paranoid schizophrenia?
a. Regression.
b. Suspiciousness.
c. Catatonia.
d. Hyperactivity. - answer>>b. Suspiciousness.
Which of these assessments is the priority for a client who is admitted with
recurrent depression?
a. Previous episodes of depression.
b. Compliance with prescribed medications.
c. Presence of a suicide plan.
d. Problems with communication. - answer>>c. Presence of a suicide plan.
, Which of these changes in the assessment data of a child who has congestive
heart failure should a nurse recognize as indicative of a therapeutic response to
prescribed medication therapy?
a. Increased weight.
b. Increased urine output.
c. Increased respiratory rate.
d. Increased heart size. - answer>>b. Increased urine output.
A client who has a history of asthma develops an acute asthma attack. Which of
these questions should a nurse ask when assessing the etiology of this attack?
a. "Have you eaten any new foods recently?"
b. "How many hours did you sleep last night?"
c. "Are you exercising every day?"
d. "Have you reduced your fluid intake recently?" - answer>>a. "Have you eaten
any new foods recently?"
Which of these foods should a nurse suggest that a client who is diagnosed with
iron-deficiency anemia choose for dinner?
a. Cooked dry beans, green leafy vegetables, and dried fruits.