A nurse is caring for an older adult client who has RA and is taking aspirin 650 mg q 4hrs.
Which of the following diagnostic tests should the nurse monitor to evaluate the
effectiveness of this medication?
A. WBC count
B. Rheumatoid factor
C. Antinuclear antibody
D. Erythrocyte sedimentation rate
D. Erythrocyte sedimentation rate
A nurse is caring for a client who is 1 day postop following a transurethral resection of the
prostate (TURP) and has a continuous bladder irrigation in place. Which of the following
,actions should the nurse take? (Select all that apply)
A. Add the amount of bladder irrigation to the total output
B. Use sterile technique when preparing the irrigation system
C. Ensure the drainage tubing is patent and without obstruction
D. Contact the surgeon if the client reports a continual need to void
E. Notify the surgeon if the urine is bright red in appearance or has large clots
B, C, E (use sterile technique when preparing the irrigation system, Ensure the
drainage tubing is patent and without obstruction, and notify the surgeon if
the urine is bright red in appearance or has large clots)
A female middle adult client tells the nurse that she tested positive for a mutant BRCA1
gene. The nurse should recognize that the client is at an increased risk for which of the
following situations?
A. Delivering a child who has downs syndrome
B. Developing alzheimers disease
C. Developing breast cancer
D. Developing thyroid cancer
C. Developing breast cancer
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the
following actions should the nurse take?
,A. Have the client lie flat in bed
B. Keep the affected leg slightly flexed
C. Elevate the HOB 45 degrees
D. Keep the client NPO for 4 hr
A. Have the client lie flat in bed
A nurse is speaking w/ a 35-year-old client who has fibrocystic disease of the breasts. At
which of the following times should the nurse inform the client that manifestations are
most evident?
A. Before menstruation begins
B. After menstruation ends
C. During cold weather
D. During hot weather
A. Before menstruation begins
A nurse is the clinic is reviewing lab values for a client who has primary hypothyroidism.
The nurse should anticipate an elevation of which of the following lab values?
A. TSH
B. Free T4
C. Serum T4
D. Serum T3
, A. TSH
A nurse is caring for a client whose pap test cytology results are abnormal. Which of the
following procedures should the nurse anticipate?
A. Rectovaginal palpation by the provider
B. Dilation and curettage
C. Human chorionic gonadotropin (hCG) test
D. Colposcopy
D. Colposcopy
While auscultating a client's heart sounds, the nurse hears turbulence between the S1 and
S2 heart sounds. The nurse should document this finding as which of the following?
A. A systolic murmur
B. A third heart sound (S3)
C. An expected heart sound
D. A fourth heart sound (S4)
Give this one a try later!
A. A systolic murmur
Which of the following diagnostic tests should the nurse monitor to evaluate the
effectiveness of this medication?
A. WBC count
B. Rheumatoid factor
C. Antinuclear antibody
D. Erythrocyte sedimentation rate
D. Erythrocyte sedimentation rate
A nurse is caring for a client who is 1 day postop following a transurethral resection of the
prostate (TURP) and has a continuous bladder irrigation in place. Which of the following
,actions should the nurse take? (Select all that apply)
A. Add the amount of bladder irrigation to the total output
B. Use sterile technique when preparing the irrigation system
C. Ensure the drainage tubing is patent and without obstruction
D. Contact the surgeon if the client reports a continual need to void
E. Notify the surgeon if the urine is bright red in appearance or has large clots
B, C, E (use sterile technique when preparing the irrigation system, Ensure the
drainage tubing is patent and without obstruction, and notify the surgeon if
the urine is bright red in appearance or has large clots)
A female middle adult client tells the nurse that she tested positive for a mutant BRCA1
gene. The nurse should recognize that the client is at an increased risk for which of the
following situations?
A. Delivering a child who has downs syndrome
B. Developing alzheimers disease
C. Developing breast cancer
D. Developing thyroid cancer
C. Developing breast cancer
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the
following actions should the nurse take?
,A. Have the client lie flat in bed
B. Keep the affected leg slightly flexed
C. Elevate the HOB 45 degrees
D. Keep the client NPO for 4 hr
A. Have the client lie flat in bed
A nurse is speaking w/ a 35-year-old client who has fibrocystic disease of the breasts. At
which of the following times should the nurse inform the client that manifestations are
most evident?
A. Before menstruation begins
B. After menstruation ends
C. During cold weather
D. During hot weather
A. Before menstruation begins
A nurse is the clinic is reviewing lab values for a client who has primary hypothyroidism.
The nurse should anticipate an elevation of which of the following lab values?
A. TSH
B. Free T4
C. Serum T4
D. Serum T3
, A. TSH
A nurse is caring for a client whose pap test cytology results are abnormal. Which of the
following procedures should the nurse anticipate?
A. Rectovaginal palpation by the provider
B. Dilation and curettage
C. Human chorionic gonadotropin (hCG) test
D. Colposcopy
D. Colposcopy
While auscultating a client's heart sounds, the nurse hears turbulence between the S1 and
S2 heart sounds. The nurse should document this finding as which of the following?
A. A systolic murmur
B. A third heart sound (S3)
C. An expected heart sound
D. A fourth heart sound (S4)
Give this one a try later!
A. A systolic murmur
