1 A nurse is caring for an older adult client newly diagnosed with osteoarthritis. Which
of the following medications should the nurse anticipate giving as the primary
medication of choice?
Ketorolac (Toradol)
Celecoxib (Celebrex)
Propoxyphene (Darvon)
Acetaminophen (Tylenol)
2 A nurse is caring for a client who sustained a spinal cord injury. The client is
reporting a severe headache and has a blood pressure of 160/110 mm Hg. Which of
the following should the nurse do first?
Notify the primary care provider.
Monitor blood pressure every 15 min.
Check for urinary bladder distention.
Administer a prescribed analgesic.
3 An older adult client with a history of benign prostatic hypertrophy has been
admitted for a transurethral resection of the prostate (TURP). Four hours after
surgery, the client is brought to the surgical unit. The priority nursing intervention
for this client is to
encourage coughing and deep breathing.
ambulate the client to prevent postoperative complications.
check the incision for bright red bleeding.
maintain continuous bladder irrigation.
4 A nurse is caring for an older adult client. Which of the following assessment
findings should the nurse recognize as requiring interventions to prevent infection?
Nonproductive cough
, Decreased platelet count
Incontinence of bowel
Recent removal of IV catheter
5 A nurse is monitoring a client who is receiving multiple whole blood transfusions.
The nurse should stop the transfusion if which of the following occurs?
The client reports feeling cold.
The client develops low back pain.
The client's temperature increases by 0.2° C.
The client's pulse decreases from 80 to 70/min.
6 A nurse is providing teaching to a client with diabetes mellitus. Which of the
following should help delay the development of nephropathy?
Controlling hypertension
Limiting protein intake
Taking diuretics
Decreasing potassium intake
7 A nurse is caring for an adult client who is receiving high levels of oxygen. Which of
the following findings should the nurse recognize as a sign of oxygen toxicity?
Nonproductive cough
Hyperexcitability
Increased respiratory rate
High blood pressure
8 A client is receiving continuous bladder irrigation following a transurethral resection
of the prostate. The nurse assesses decreased irrigation outflow, and the client reports
increased suprapubic discomfort. Which of the following is the appropriate nursing
intervention?
, Apply traction on the catheter to control bleeding.
Flush the catheter with sterile NS solution.
Administer a prescribed urinary antispasmodic.
Decrease the flow rate of the irrigant.
9 A nurse is caring for a client with Cushing's disease. The nurse should monitor for
which of the following?
Weight loss
Hyponatremia
Hypercalcemia
Hyperglycemia
10 A nurse is caring for a client receiving mechanical ventilation who has ventilator-
acquired pneumonia with wheezing. The client is receiving normal saline at 125
mL/hr. In addition to antibiotic therapy, which of the following interventions should
the nurse recognize as an effective treatment?
Administering a bronchodilator
Decreasing the IV flow rate
Increasing the tidal volume
Emptying water from ventilator tubing
11 A client admitted to the emergency department with pulmonary edema requires
intubation. Which of the following is the most accurate way to verify the placement
of the endotracheal tube immediately after insertion?
Observe chest wall movement.
Auscultate breath sounds bilaterally.
Ask the client to vocalize.
Obtain a stat portable chest x-ray.
of the following medications should the nurse anticipate giving as the primary
medication of choice?
Ketorolac (Toradol)
Celecoxib (Celebrex)
Propoxyphene (Darvon)
Acetaminophen (Tylenol)
2 A nurse is caring for a client who sustained a spinal cord injury. The client is
reporting a severe headache and has a blood pressure of 160/110 mm Hg. Which of
the following should the nurse do first?
Notify the primary care provider.
Monitor blood pressure every 15 min.
Check for urinary bladder distention.
Administer a prescribed analgesic.
3 An older adult client with a history of benign prostatic hypertrophy has been
admitted for a transurethral resection of the prostate (TURP). Four hours after
surgery, the client is brought to the surgical unit. The priority nursing intervention
for this client is to
encourage coughing and deep breathing.
ambulate the client to prevent postoperative complications.
check the incision for bright red bleeding.
maintain continuous bladder irrigation.
4 A nurse is caring for an older adult client. Which of the following assessment
findings should the nurse recognize as requiring interventions to prevent infection?
Nonproductive cough
, Decreased platelet count
Incontinence of bowel
Recent removal of IV catheter
5 A nurse is monitoring a client who is receiving multiple whole blood transfusions.
The nurse should stop the transfusion if which of the following occurs?
The client reports feeling cold.
The client develops low back pain.
The client's temperature increases by 0.2° C.
The client's pulse decreases from 80 to 70/min.
6 A nurse is providing teaching to a client with diabetes mellitus. Which of the
following should help delay the development of nephropathy?
Controlling hypertension
Limiting protein intake
Taking diuretics
Decreasing potassium intake
7 A nurse is caring for an adult client who is receiving high levels of oxygen. Which of
the following findings should the nurse recognize as a sign of oxygen toxicity?
Nonproductive cough
Hyperexcitability
Increased respiratory rate
High blood pressure
8 A client is receiving continuous bladder irrigation following a transurethral resection
of the prostate. The nurse assesses decreased irrigation outflow, and the client reports
increased suprapubic discomfort. Which of the following is the appropriate nursing
intervention?
, Apply traction on the catheter to control bleeding.
Flush the catheter with sterile NS solution.
Administer a prescribed urinary antispasmodic.
Decrease the flow rate of the irrigant.
9 A nurse is caring for a client with Cushing's disease. The nurse should monitor for
which of the following?
Weight loss
Hyponatremia
Hypercalcemia
Hyperglycemia
10 A nurse is caring for a client receiving mechanical ventilation who has ventilator-
acquired pneumonia with wheezing. The client is receiving normal saline at 125
mL/hr. In addition to antibiotic therapy, which of the following interventions should
the nurse recognize as an effective treatment?
Administering a bronchodilator
Decreasing the IV flow rate
Increasing the tidal volume
Emptying water from ventilator tubing
11 A client admitted to the emergency department with pulmonary edema requires
intubation. Which of the following is the most accurate way to verify the placement
of the endotracheal tube immediately after insertion?
Observe chest wall movement.
Auscultate breath sounds bilaterally.
Ask the client to vocalize.
Obtain a stat portable chest x-ray.
