780
NURSING PRACTICE 3
1.Which individual is at greatest risk for developing hypertension?
A.45 year-old African American attorney
B.60 year-old Asian American shop owner
C.40 year-old Caucasian nurse
D.55 year-old Hispanic teacher
2.A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department.
Which of these orders should the nurse do first?
A.Gastric lavage PRN
B.Acetylcysteine (mucomyst) for age per pharmacy
C.Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
D.Activated charcoal per pharmacy
3.Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
A.angina at rest
B.thrombus formation
C.dizziness
D.falling blood pressure
4.A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea.The
client's temperature is 100.8 degrees Fahrenheit.The priority nursing goal for this client is
A.Maintain fluid and electrolyte balance
B.Control nausea
C.Manage pain
D.Prevent urinary tract infection
5.What would the nurse expect to see while assessing the growth of children during their school age years?
A.Decreasing amounts of body fat and muscle mass
B.Little change in body appearance from year to year
C.Progressive height increase of 4 inches each year
D.Yearly weight gain of about 5.5 pounds per year
6.At a community health fair the blood pressure of a 62 year-old client is 160/96. The client states "My blood pressure is usually much
lower." The nurse should tell the client to
A.go get a blood pressure check within the next 48 to 72 hours
B.check blood pressure again in 2 months
C.see the health care provider immediately
D.visit the health care provider within 1 week for a BP check
7.The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be
discharged in order to make a room available for a new admission?
A.A middle aged client with a history of being ventilator dependent for over 7 years and admitted with bacterial pneumonia five
days ago
B.A young adult with diabetes mellitus Type 2 for over 10 years and admitted with antibiotic induced diarrhea 24 hours ago
C.An elderly client with a history of hypertension,hypercholesterolemia and lupus, and was admitted with Stevens-Johnson syndrome
that morning
D.An adolescent with a positive HIV/test and admitted for acute cellulitus of the lower leg 48 hours ago
8.A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth.As part of the
teaching plan, the nurse emphasizes that this medication:
780
, 781
A.Should be taken in the morning
B.May decrease the client's energy level
C.Must be stored in a dark container
D.Will decrease the client's heart rate
9.A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice,croaking on
inspiration,hot to touch,sit leaning forward,tongue protruding,drooling and suprasternal retractions.What should the nurse do first?
A.Prepare the child for x-ray of upper airways
B.Examine the child's throat
C.Collect a sputum specimen
D.Notify the healthcare provider of the child's status
10.In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take
their school age child for evaluation?
A.Polyphagia
B.Dehydration
C.Bed wetting
D.Weight loss
11.A client comes to the clinic for treatment of recurrent pelvic inflammatory disease.The nurse recognizes that this condition most
frequently follows which type of infection?
A.Trichomoniasis
B.Chlamydia
C.Staphylococcus
D.Streptococcus
12.An RN who usually works in a spinal rehabilitation unit is floated to the emergency department.Which of these clients should the charge
nurse assign to this RN?
A.A middle-aged client who says "I took too many diet pills" and "my heart feels like it is racing out of my chest."B.A young adult who says "I
hear songs from heaven.I need money for beer.I quit drinking 2 days ago for my family.Why are my arms and legs jerking?"
C.An adolescent who has been on pain medications terminal cancer wwith an initial assessment finding pupils and a relaxed respiratory
rate of 10
D.An elderly client who reports having taken a "large crack hit" 10 minutes prior to walking into the emergency room
13.When teaching a client with coronary artery disease about nutrition, the nurse should emphasize
A.Eating 3 balanced meals a day
B.Adding complex carbohydrates
C.Avoiding very heavy meals
D.Limiting sodium to 7 gms per day
14.Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain break through for morphine
drip is not working?
A.The client complains of discomfort at the IV insertion site
B.The client states "I just can't get relief from my pain."
C.The level of drug is 100 ml at 8 AM and is 80 ml at noon
D.The level of the drug is 100 ml at 8 AM and is 50 ml at noon
15.The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic
treatment for illnesses. What should be the focus of the nurse's response?
A.Electrical energy fields
B.Spinal column manipulation
C.Mind-body balance
781
NURSING PRACTICE 3
1.Which individual is at greatest risk for developing hypertension?
A.45 year-old African American attorney
B.60 year-old Asian American shop owner
C.40 year-old Caucasian nurse
D.55 year-old Hispanic teacher
2.A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department.
Which of these orders should the nurse do first?
A.Gastric lavage PRN
B.Acetylcysteine (mucomyst) for age per pharmacy
C.Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
D.Activated charcoal per pharmacy
3.Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
A.angina at rest
B.thrombus formation
C.dizziness
D.falling blood pressure
4.A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea.The
client's temperature is 100.8 degrees Fahrenheit.The priority nursing goal for this client is
A.Maintain fluid and electrolyte balance
B.Control nausea
C.Manage pain
D.Prevent urinary tract infection
5.What would the nurse expect to see while assessing the growth of children during their school age years?
A.Decreasing amounts of body fat and muscle mass
B.Little change in body appearance from year to year
C.Progressive height increase of 4 inches each year
D.Yearly weight gain of about 5.5 pounds per year
6.At a community health fair the blood pressure of a 62 year-old client is 160/96. The client states "My blood pressure is usually much
lower." The nurse should tell the client to
A.go get a blood pressure check within the next 48 to 72 hours
B.check blood pressure again in 2 months
C.see the health care provider immediately
D.visit the health care provider within 1 week for a BP check
7.The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be
discharged in order to make a room available for a new admission?
A.A middle aged client with a history of being ventilator dependent for over 7 years and admitted with bacterial pneumonia five
days ago
B.A young adult with diabetes mellitus Type 2 for over 10 years and admitted with antibiotic induced diarrhea 24 hours ago
C.An elderly client with a history of hypertension,hypercholesterolemia and lupus, and was admitted with Stevens-Johnson syndrome
that morning
D.An adolescent with a positive HIV/test and admitted for acute cellulitus of the lower leg 48 hours ago
8.A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth.As part of the
teaching plan, the nurse emphasizes that this medication:
780
, 781
A.Should be taken in the morning
B.May decrease the client's energy level
C.Must be stored in a dark container
D.Will decrease the client's heart rate
9.A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice,croaking on
inspiration,hot to touch,sit leaning forward,tongue protruding,drooling and suprasternal retractions.What should the nurse do first?
A.Prepare the child for x-ray of upper airways
B.Examine the child's throat
C.Collect a sputum specimen
D.Notify the healthcare provider of the child's status
10.In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take
their school age child for evaluation?
A.Polyphagia
B.Dehydration
C.Bed wetting
D.Weight loss
11.A client comes to the clinic for treatment of recurrent pelvic inflammatory disease.The nurse recognizes that this condition most
frequently follows which type of infection?
A.Trichomoniasis
B.Chlamydia
C.Staphylococcus
D.Streptococcus
12.An RN who usually works in a spinal rehabilitation unit is floated to the emergency department.Which of these clients should the charge
nurse assign to this RN?
A.A middle-aged client who says "I took too many diet pills" and "my heart feels like it is racing out of my chest."B.A young adult who says "I
hear songs from heaven.I need money for beer.I quit drinking 2 days ago for my family.Why are my arms and legs jerking?"
C.An adolescent who has been on pain medications terminal cancer wwith an initial assessment finding pupils and a relaxed respiratory
rate of 10
D.An elderly client who reports having taken a "large crack hit" 10 minutes prior to walking into the emergency room
13.When teaching a client with coronary artery disease about nutrition, the nurse should emphasize
A.Eating 3 balanced meals a day
B.Adding complex carbohydrates
C.Avoiding very heavy meals
D.Limiting sodium to 7 gms per day
14.Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain break through for morphine
drip is not working?
A.The client complains of discomfort at the IV insertion site
B.The client states "I just can't get relief from my pain."
C.The level of drug is 100 ml at 8 AM and is 80 ml at noon
D.The level of the drug is 100 ml at 8 AM and is 50 ml at noon
15.The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic
treatment for illnesses. What should be the focus of the nurse's response?
A.Electrical energy fields
B.Spinal column manipulation
C.Mind-body balance
781
