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1. A client with ascites is scheduled for a paracentesis. b. "You need to empty
Which instruction should be given to the client before your bladder before the
the procedure?
a "You will need to lay flat during the procedure." procedure."
b. "You need to empty your bladder before the proce-
dure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the pro-
cedure."
2. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
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4. The nurse is caring for the client who has been in a a Tell the wife that the hos-
coma for two months. He has signed a donor card, pital will honor her wish-
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but the wife is opposed to the idea of organ donation. es regarding organ dona-
How should the nurse handle the topic of organ do- tion, but contact the or-
nation with the wife? gan-retrieval statt.
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a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-re-
trieval staff.
b Tell her that because her husband signed a donor
card, the hospital has the right to take the organs
upon the death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.
5. Due to a high census, it has been necessary for a num- b A 40-year-old female
ber of clients to be transferred to other units within with a hysterectomy
the hospital. Which client should be transferred to the
postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
6. Before administering Theo-Dur (theophylline), the c Pulse
nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
7. Which information should be given to the patient un- a Avoid exposing radiation
dergoing radiation therapy for breast cancer? areas to sunlight during
a Avoid exposing radiation areas to sunlight during treatment time and for a
treatment time and for a year after completion of year after completion of
therapy therapy
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b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician
8. The charge nurse is making assignments for the day. d Ask the nurse if she has
After accepting the assignment to care for a client with ever had the chickenpox.
leukemia, the nurse tells the charge nurse that her
child has chickenpox. Which initial action should the
charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the
client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
9. Which statement is true regarding therapy with Lev- d The duration is 24 hours.
emir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
10. Which client should be assigned to the nursing assis- c The elderly client with
tant? a thyroidectomy four days
a The 18-year-old with a fracture to two cervical verte- ago
brae
b The infant with meningitis with a temperature of
101°F
c The elderly client with a thyroidectomy four days
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