NUR220 Exam 1 Prep/ ATI exam prep Graded A+

NUR220 Exam 1 Prep/ ATI exam prep [Document subtitle]   1. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? A. Positive Western blot test C. Platelets 150,000/mm3 D. WBC 5,000/mm3 2. A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect? B. Intention tremors C. Hirsutism D. Purple striations 3. A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? B. Babinski's sign C. Brudzinski's sign D. Kernig's sign 4. B. Blood urea nitrogen (BUN) C. Serum sodium D. Urine-specific gravity 5. A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was A. dysphagia. C. dyspnea. D. weight loss. 6. A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? A. Halitosis B. Gingivitis C. Xerostomia 7. A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider? B. RBC 5 million/mm3 C. Hemoglobin 12 g/dL D. Platelets 155,000/mm3 8. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first? A. Notify the provider. C. Adjust the rate of the bladder irrigant. D. Irrigate the catheter. 9. A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take? A. Tell the client to expect dark stools following chemotherapy. B. Have the client floss 4 times daily. C. Have the client swish with commercial mouthwash before therapy. 10. A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include? B. Do not wash the area of irradiation. C. Use an antibiotic ointment to treat skin breakdown. D. Lubricate the skin lubricated with hypoallergenic lotion. 11.A A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand? A. Buttoning her blouse B. Eating her breakfast D. Brushing her teeth 12.A A nurse is caring for a client who is being treated with a cesium implant. The client tells the nurse, "I feel so isolated and alone in this room." After acknowledging the client's feelings of loneliness, which of the following responses should the nurse provide? A. "I will come and sit with you for 10 minutes each hour." C. "I'll ask the charge nurse to admit someone to your room for company." D. "You're scheduled for discharge in 2 days so this isolation will be over soon." 13.A A nurse is caring for a client who has chemotherapy- induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? A. Extremities that turned blue when exposed to cold C. Jerking movements of the extremities D. Spasms of the extremities 14. A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis? B. Administer aspirin as prescribed for any sign of hyperthermia. C. Keep the client NPO. D. Observe the client carefully for signs of hypocalcemia. 15. A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? B. Free T4 C. Serum T4 D. Serum T3 A. Provide a low-carbohydrate diet. C. Administer oral corticosteroids. D. Restrict fluid intake. 17.A A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first? A. Pain severity B. Wound drainage C. Tissue integrity 18. A A. Immunoglobulin G (IgG) B. Immunoglobulin A (IgA) D. Immunoglobulin M (IgM) 19. A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take? B. Assess the client for a hypersensitivity reaction. C. Evaluate the client for hypercalcemia. D. Examine the client for hepatomegaly. 20. During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer? A. Squamous cell carcinoma C. Malignant melanoma D. Actinic keratosis 21.A A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations? A. Sensitivity to cold B. Constipation D. Weight gain of 4.5 kg (10 lb) in 3 weeks 22.A A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can A. Sunlight B. Pregnancy C. Infection 23.A A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make? A. Provide the client with articles from the Internet that explain colon cancer stages. B. Assure the client that the provider will explain what has been planned. C. Explain the various options available for treatment based on the cancer stage. 24.A A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching? A. A Papanicolaou (Pap) test should be performed every 6 months. C. Increased vaginal drainage typically occurs 5 days following surgery. D. Resume sexual intercourse in 2 to 3 weeks. 25. A nurse is caring for a client who is going to have a bone marrow biopsy under conscious sedation. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make? B. "Relax, you'll be asleep for most of the procedure and you won't remember a thing." C. "I will call your doctor and tell him you still have questions about the procedure." D. "I can understand because you must be very worried about what the biopsy will show." 26.A A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client? A. Unilateral swelling on the posterior of the vulva B. Extreme abdominal pain with intercourse C. Green, malodorous vaginal discharge D. 27.A A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock? A. Decrease in the respiratory rate from 20 to 16/min. B. Decrease in the urinary output from 50 mL to 30 mL per hour. C. Increase in the temperature from 37.5° C (99.5° F) to 38.6° C (101.5° F). 28.A A nurse is caring for a client who is 1-day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client's three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take? A. Continue to monitor the client as this is an expected finding. B. Add more water to the suction control chamber of the drainage system. D. Milk the chest tube and dislodge any clots in the tubing that are occluding it. 29. A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?WBC /LHgb 12.1 g/dLHct RBC 4.3 x 10¹² 36.5%Platelets 170,000/mm3Albumin 4.5 g/dL A. The client has an increased risk for bleeding. B. The client should receive a diet with increased protein. D. The client should receive an erythropoiesis stimulating agent. 30.A A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make? A. "It is caused by the lack of production of insulin by the pancreas.." C. "It is caused by the overproduction of growth hormone by the pituitary gland." D. "It is caused by the overproduction of parathormone by the parathyroid gland." A. Ripe bananas B. Poached eggs D. Baked chicken 32.A A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. A grey colored, non-purpuric papular rash. C. Pitting edema of the hands and fingers. D. Subcutaneous nodules on the ulnar side of the arm. 33.A A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects? A. Anorexia and malnutrition C. Diarrhea and dehydration D. Full body alopecia 34.A A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching? A. Eat plenty of fresh fruits and vegetables. C. Perform mild exercise, such as gardening. D. Take temperature weekly. 35.A A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the treatment? A. Alopecia B. Diarrhea D. Anorexia 36.A A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values? A. Absolute neutrophil count (ANC) C. Platelets D. WBCs 37. After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions? B. Apply moist heat. C. Sit in the sun for 10 min per day. D. Wash with plain soap and water. 38.A A charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching? A. Keep artificial nails trimmed. B. Use alcohol-based hand rubs before administering eye drops for a client. C. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile. A. Good B. Guarded D. Very good 40.A A female middle adult client tells a 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 Down syndrome B. Developing Alzheimer's disease D. Developing thyroid cancer 41.A A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? A. Insert an indwelling catheter to monitor sediment in the urine. B. Take the client's temperature once per shift. C. Provide the client with fresh fruit to avoid constipation. 42.A A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care? A. All visitors from entering the client’s room C. Oral fluid intake to between meals only D. Activities that could result in bleeding A. Patency of the intravenous line. B. Level of pain. C. Integrity of the dressing. 44.A A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be A. infertility. B. diarrhea. C. dyspnea. 45.A A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions? A. Talking to the client at the bedside B. Administering an intermittent IV bolus medication D. Administering an IM injection 46. A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions? B. "Disinfect equipment contaminated with blood or body fluids for twenty-four hours." C. "Food preparation is not your responsibility." D. "Burn soiled dressings." 47.A A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include? A. It is primarily transmitted through casual contact. B. It is primarily transmitted through accidental puncture wounds. C. D. It is primarily transmitted through mosquitoes. A. B. Basal cell carcinoma has a high mortality rate. C. Basal cell carcinoma is aggressive and rapid growing. D. Basal cell carcinoma develops from a nevi or mole. 49. A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching? B. "I should check my skin monthly for any changes." C. "I should avoid the use of tanning booths." D. "I should use sunscreen even on cloudy days." B. Insomnia C. Increased appetite D. Constipation 51. A. Weight gain B. Stomatitis C. Cough 52.A A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms? A. Pneumocystis lung infection C. Fungal and bacterial infections D. Kaposi's sarcoma 53.A A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take? A. Encourage fluid intake of 1500 mL/day. B. Position head of bed at 10 degrees. C. Cough and deep breathe every 8 hr. 54. A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast? B. Asking for pain medication every 3 hr C. Asking questions about the information on her postoperative care pamphlet D. Performing arm exercises once or twice a day 55. A. The client will verbalize an understanding of the mode of disease transmission. B. The client will experience a weight gain of one to two pounds per week. C. The client will increase attendance at community social activities. 56. A. Client report of feelings of depression. B. Dry, raised rash on the face. D. Joint pain in hands and knees. 57.A A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis? A. CD4+ T-cell count C. Quantitative RNA assay D. Viral load test 58.A A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test? A. "This test measures the amount of thyroid hormone that attaches to a protein in your blood." B. "This test detects antithyroid antibodies in your blood." C. "This test measures the absorption of iodine and how it relates to the thyroid gland." 59. A nurse is caring for a client who is scheduled for a bone marrow aspiration. The client asks the nurse about the sites the provider might use for the procedure. Which of the following locations should the nurse identify as one of the sites used for this procedure? B. Humerus C. Sternum D. Ribs 60.A A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client? A. High Fowler's with neck extended B. High Fowler's with neck in a neutral position. C. Semi-Fowler's with neck extended 61. A nurse is caring for a client 1 hr following a subtotal thyroidectomy. In which of the following positions should the nurse place the client? B. Dorsal recumbent C. Supine D. Sims’ 62.A A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care? A. Check the IV site for bleeding every 8 hr. C. Obtain a rectal temperature every 8 hr. D. Check the client for proteinuria. 63. A nurse is reviewing the provider's history and physical form for a client who has advanced multiple myeloma. Which of the following findings should the nurse expect? B. Hypocalcemia C. Hypotension D. Polycythemia 64.A A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma? A. Painless, raised purple nodules on the hard palate C. A small macule with a yellow-brown scale D. Yellow-white patches of growth on the tongue 65.A A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use? A. A serum prolactin level C. A vaginal ultrasound D. An endometrial biopsy 66.A A nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse? A. Dangle the operative limb for 5 min every hour. B. Place the head of the client’s bed at a 15° angle. C. Keep the wound drain evacuator fully expanded at all times. 67.A A nurse suspects anaphylaxis when caring for a client following the initial administration of an oral antibiotic. Which of the following should be the nurse's priority intervention? A. Insert an IV line. C. Administer oxygen. D. Prepare equipment for intubation. 68. A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take? B. Apply an eye patch to the client's right eye. C. Avoid the use of warm water to wash the client's face. D. Provide range-of-motion exercises to the client's neck and shoulders. 69.A A nurse is caring for a client following surgical treatment for a supratentorial brain tumor. Which of the following interventions should the nurse take? A. Elevate the head of the bed to 30&deg. B. C. Place the client in a flat, lateral position. D. Provide passive range-of-motion exercises to the neck. 70. A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks? B. Use a twisting motion when removing the tick. C. Apply a pediculicide lotion to the area surrounding the tick. D. Use the hot ember from the tip of a match to remove the tick. 71.A A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take? A. Review laboratory test results for low hemoglobin. C. Monitor the mouth for signs of xerostomia. D. Examine the skin for generalized urticaria. 72. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for? B. Infection C. Urinary retention D. Pain 73. A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine? B. Bright yellow C. Bright red D. Dark amber 74.A A nurse is preparing educational material for a client who has a thrombocytopenic disorder. Which of the following information should the nurse include? A. "Use a rectal suppository if constipated." B. "Swish with a commercial mouthwash after brushing the teeth." D. "Take aspirin for headaches." 75.A A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching? A. "I will limit the use of emollient skin cream to once a week." B. "I will expect to have a mild, occasional fever." D. "I might experience harmless white patches in my mouth." 76.A A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene first? A. Urticaria C. Vomiting D. Hypotension 77.A A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test? A. Elevated creatinine level B. Flank pain C. ?Urinary retention 78. A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor? B. Temperature C. Urination D. Pain control 79.A A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion? A. Pain B. Pruritus D. Purulent drainage 80.A A nurse is providing teaching to a client who has a superficial lesion and has had a biopsy indicates malignant melanoma. The nurse should include which of the following options as the treatment of choice? A. Cryosurgery B. Chemotherapy C. Radiation therapy 81.A A nurse is assessing a lesion on a client who has basal cell carcinoma. The nurse should expect which of the following findings? A. A pearly, shiny nodule B. A pigmented papule C. A rough, scaly tumor D. A weeping vesicle 82.A A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect? A. Diarrhea C. Tachycardia D. Heat intolerance 83.A A nurse is planning care for a client who is 2 hr postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include? A. Restrict the client's oral fluid intake. C. Monitor the client's urine output every 6 hr. D. Weigh the client every evening. 84.A A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching? A. "Because I'm dark-complected, I won't have to worry about skin cancer." C. "I used to lie in the sun all the time, but now I know the tanning bed is a better option." D. "My father was treated for melanoma, but skin cancer isn't related to genetics." 85.A A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses? A. Malignant melanoma B. Basal cell carcinoma D. Kaposi's sarcoma 86. A nurse is assessing a client who presents to the provider's office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy? B. Purulent drainage C. Uniform pigmentation D. Intense pruritus 87.A A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take? A. Humidify the client's room. C. Clean dentures in a denture cup. D. Replace the water in flower vases with fresh water daily. 88. A nurse is assessing a client's immune function by reviewing the laboratory value of the cellular response of the T-cells. The nurse should recognize that which of the following conditions is affected by the T-cells? B. Hay fever allergy C. Transplant rejection D. Anaphylaxis 89. A. "Avoid using moisturizing lotions on your skin." B. "Wash your hair with a mild protein shampoo." C. "Apply powder liberally to sensitive skin areas." 90.A A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. Wrinkles in the skin B. Constipation C. Iritis 91.A A nurse is assessing a client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should identify which of the following as a cutaneous manifestation of SLE? A. Facial pallor B. Muscle atrophy C. Foot ulcers 92.A A nurse is completing a physical examination of a client and notes that laboratory values indicate leukocytosis. The nurse should recognize that which of the following manifestations is associated with leukocytosis? A. Anemia B. Coagulation disorders D. Renal disorder 93. A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make? B. "These organs are used in digestion." C. "These organs regulate electrolyte balance." D. "These organs assist vitamin absorption." 94.A A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor this client for which of the following conditions? A. Dehydration C. Compartment syndrome D. Pleural effusion 95. A nurse is assessing a client who has an acoustic neuroma. Which of the following client manifestations should the nurse expect? B. Dysphagia C. Diplopia D. Apraxia 96.A A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching? A. Limit intake of potassium-rich foods. C. Increase carbohydrate intake. D. Decrease protein intake. 97. A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results? B. Decreased triiodothyronine (T3) level C. Decreased thyroxine (T4) level D. Decreased thyroid-stimulating immunoglobulins (TSI) percentage 98.A A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings? A. Exophthalmos B. Palpitations D. Diaphoresis 99.A A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations? A. Bronchospasm C. Tissue damage at the site D. Excessive mucus secretion B. Platelet count C. Enzyme immunoassay (EIA) test D. Western blot 101.A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body? A. Muscle tissue C. Lymphatic system D. Peripheral vascular system 102.A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH? A. Osteoarthritis C. Liver cirrhosis D. Dyspepsia 103.A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses? A. Breast cancer B. Colon cancer C. Liver cancer 104.A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals? B. Ten years C. One year D. Two years 105.A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure? A. A sternal incision C. Moderate pain D. Pulmonary function studies 106.A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate? B. Oliguria C. Weight loss D. Increased thirst 107.A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1,000/mm3. Which of the following interventions should the nurse include in the plan? A. Take the client's rectal temperature each day. B. Increase raw produce in the client's diet. D. Instruct the client to floss his teeth daily. 108.A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV? A. An occupational therapist who works with a client who has HIV B. A personal trainer who works with a client who has HIV D. A nurse who works for an insurance company and collects urine samples from clients who have HIV 109.A nurse finds radioactive pellets on the floor of the surgical. Which of the following actions should the nurse take first? B. Place pellets in the biohazard area. C. Contact environmental services. D. Notify the surgical department director. 110.A nurse in a provider’s office is assessing a client who has AIDS. The nurse notes that the client has multiple and widespread raised, purplish-brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions? A. Actinic keratosis C. Toxic epidermal necrosis D. Basal cell carcinoma 111.A nurse is planning care for a client who is to undergone a stem cell transplant. Which of the following actions should the nurse plan to take? A. Place the client in a negative airflow room. C. Monitor the client's vital signs once every 8 hr. D. Provide the client with 1,000 mL of water to drink every 12 hr. 112.A nurse is teaching a client who is about to undergo the insertion of a nontunneled central venous access device. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will have to stay in bed for several hours after the procedure." C. "I will need to hold my breath when they first put the needle in." D. "I will call the clinic if I have persistent hiccups." 113.A nurse is teaching a client who is receiving radiation therapy about skin care. Which of the following instructions should the nurse include? B. Wash the irradiated area following treatment sessions to remove the markings. C. Vigorously rub the skin dry after bathing. D. Keep the temperature in the home at least 33&deg C (91.4&deg F). 114.A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? A. Positive Western blot test C. Platelets 150,000/mm3 D. WBC 5,000/mm3 115.A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.) A. Alopecia B. Tremors 116.A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.) B. Assess for neck vein distention C. Monitor for an irregular heart rate 117.A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.) B. Bloating 118.A nurse is caring for a client who is 1 day postoperative following a mastectomy. Which of the following exercises should the nurse assist the client to perform on the affected side? (Select all that apply.) C. Flexing and extending her elbow D. Rotation of her shoulder 119.A nurse is caring for a client 4 hr postoperative following a kidney biopsy. Which of the following interventions should the nurse take? (Select all that apply). B. Check for flank pain. E. Administer aspirin PRN for pain. 120.A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (Select all that apply). C. Administer diphenhydramine (Benadryl) prior to the procedure. 121.A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.) A. Lubricate lips with water-soluble ointment. D. Limit fruit consumption. E. Use a straight edge razor to shave. 122.A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer? (Select all that apply.) B. Under 40 years of age 123.A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should the nurse include in the discussion? (Select all that apply.) A. Cryosurgery D. Topical corticosteroids E. Micrographic surgery 124.A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply.) C. Limit the client from bathing daily. E. Dispose of all linen in the trash after use. 125.A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.) A. Decreased platelet count B. Increased hemoglobin count 126.A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Close male relatives are at an increased risk of developing testicular cancer. D. Sperm are no longer viable after diagnosis. 127.A nurse is caring for a client who is 1 day postoperative 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 solution. 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. 128.A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor? A. Elevated WBC B. Fever C. Ecchymosis D. Fatigue 129.A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan? A. Apply pressure to needlestick sites for 10 min. B. Assess core temperatures using a rectal thermometer. C. Measure abdominal girth twice weekly. D. Monitor for the presence of WBCs in the urine. 130.A nurse is reviewing the laboratory results of a client who has acute radiation syndrome and notes the client has leukopenia. Which of the following assessment findings should the nurse identify as being consistent with leukocytosis? A. Fever B. Bruising C. Pallor D. Petechiae 131.A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. Thickened skin B. Chronic back pain C. Iritis D. Facial rash 132.A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab with. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. Weight gain B. Mild hearing loss C. Temporary loss of smell D. Nosebleeds 133.A nurse is teaching for a client who is to begin taking tamoxifen to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication? A. Tinnitis B. Constipation C. Urinary retention D. Hot flashes 134.A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include? A. Increase animal fat in the diet. B. Increase fatty fish in the diet. C. Reduce dietary fiber intake. D. Increase complex carbohydrates in the diet. 135.A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include? A. Women should start yearly mammograms at age 30. B. Clients should have a colonoscopy at age 40 and every 10 years thereafter. C. Clients should have a yearly test for fecal occult blood. D. Women should have a yearly clinical breast examination starting at age 45. 136.A nurse is developing an education program about skin cancer for a community center. Which of the following instructions should the nurse plan to include? A. Keep a body map of skin lesions. B. Examine your body every 2 months for lesions. C. Avoid the sun after 3 p.m. D. Limit tanning bed use. 137.For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process. Answers cannot be displayed for this alternate item format. 138.A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements indicates an understanding of the teaching? A. "I will eat smaller meals if I feel nauseated." B. "I will eat foods that are served at room temperature." C. "I will drink more liquids with my meals." D. "I will increase the amount of unsaturated fats in my diet." 139.A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching? A. "Most clients do not experience nausea." B. "Hair loss is common and includes eyebrows and eyelashes." C. "Most clients start to gain weight during their treatment." D. "Clients lose their hair, but it usually grows back nice and thick." 140.A nurse is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma? A. Female gender B. Age 19 to 30 years C. Dark hair D. History of chronic skin irritation 141.A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings? A. A multi-colored lesion with irregular borders B. A small, translucent papule with rolled borders C. A crusted lesion with indurated margins D. A small macule with dry yellow scale 142.A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following information should the nurse include? A. Perform testicular self-examination twice per year. B. Pinch the testicles to feel for abnormalities. C. Examine the testicles after a bath or shower. D. Expect a moderate amount of swelling. 143.A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication? A. Output of burgundy colored urine B. Pulse rate of 88/min C. Oral temperature of 38.2° C (100.76° F) D. An urge to void despite having an indwelling urinary catheter 144.A nurse is teaching a client who has a new prescription for cyclosporine oral solution to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching? A. Take the medication between meals. B. Use a plastic container to mix. C. Mix with chocolate milk D. Take with grapefruit juice. 145.A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make? A. "An MRI scan is not distorted by movement, so you do not have to lie still." B. "An MRI scan is a short procedure and should take no longer than 30 minutes." C. "The MRI contrast dye contains iodine and can cause your skin to itch." D. "An MRI scan is very noisy, and you will be allowed to wear earplugs while in the scanner." 146.A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect? A. Lethargy B. Exophthalmos C. Weight loss D. Photophobia 147.A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Weight loss B. Hypotension C. Diaphoresis D. Hyperpigmentation 148.A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications? A. Impaired skin integrity B. Fluid retention C. Pathologic fractures D. Dysphagia 149.A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include? A. Avoid using moisturizing lotions on the skin. B. Wash the hair with a mild protein shampoo. C. Apply powder liberally to sensitive skin areas. D. Use a sun-blocking agent with a sun protection factor of at least 15. 150. Which of the following assessments indicates an improvement in the client’s condition? Answers cannot be displayed for this alternate item format. 151. For each potential provider's prescription at 4 weeks, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client. Answers cannot be displayed for this alternate item format. 152. Drag words from the choices below to fill in each blank in the following sentence. Answers cannot be displayed for this alternate item format. 153. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. Answers cannot be displayed for this alternate item format. 154. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. Answers cannot be displayed for this alternate item format. 155. Drag words from the choices below to fill in each blank in the following sentence. Answers cannot be displayed for this alternate item format. 156.A nurse is teaching a client who is scheduled for a CT scan of the head with contrast. Which of the following statements by the client indicates a need for further teaching? A. “I can take my morning dose of metformin." B. "I will keep my head still during the procedure." C. "I will not eat or drink 4 hr prior to the procedure." D. "I will feel a warm sensation when the dye is injected." 157.A nurse is assessing a client who is postoperative following a craniotomy. Which of the following findings requires intervention by the nurse? A. PaC02 35 mm Hg B. Intracranial pressure (ICP) 18 mm Hg C. Pulse oximetry 96% D. Blood pressure 140/82 mm Hg 158.A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take? A. Check the pedal pulses. B. Verify the most recent calcium level. C. Request prescription for a relaxant. D. Administer an oral potassium supplement. 159.A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? A. "Take this medication until your symptoms are gone and then discontinue." B. "Tremors, nervousness, and insomnia may indicate your dose is too high." C. "Symptoms improve immediately after starting the medication." D. "The medication decreases the overproduction of the thyroid hormone thyroxine." 160.A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan? A. Instruct the client to deep breathe every 4 hr. B. Check the client’s voice every 2 hr. C. Place the head of the client’s bed in the flat position. D. Hyperextend the client’s neck. 161.A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? A. A client who has a vitamin D of 25 ng/mL B. A client who has a magnesium of 1.8 mEq/L C. A client who has a calcium of 9.8 mg/dL D. A client who has a phosphate of 5.7 mg/dL 162.A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? Answers cannot be displayed for this alternate item format. 163.A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? A. A child who has nephrotic syndrome B. A child recovering from a ruptured appendix C. A child who has rheumatic fever D. A child who has cystic fibrosis