AMS Exam 5 Questions With Complete Solutions
1. A client is in the emergency department reporting a brief
episode during which he was dizzy, unable to speak, and felt
like his legs were very heavy. Currently the clients neurologic
examination is normal. About what drug should the nurse plan
to teach the client? Correct Answer Clopidogrel (Plavix)
1. A nurse assesses a client with asthma and notes bilateral
wheezing, decreased pulse oxygen saturation, and suprasternal
retraction on inhalation. Which actions should the nurse take?
(Select all that apply.) Correct Answer c. Administer oxygen to
keep saturations greater than 94%.
e. Administer prescribed albuterol (Proventil) inhaler.
1. A nurse assesses clients on a cardiac unit. Which client should
the nurse identify as being at greatest risk for the development
of left-sided heart failure? Correct Answer A 36-year-old
woman with aortic stenosis
1. A nurse assesses several clients who have a history of asthma.
Which client should the nurse assess first? Correct Answer A
27-year-old client with a heart rate of 120 beats/min
1. A nurse caring for a client with sickle cell disease (SCD)
reviews the clients laboratory work. Which finding should the
nurse report to the provider? Correct Answer Creatinine: 2.9
mg/dL
1. A nurse in the oncology clinic is providing preoperative
education to a client just diagnosed with cancer. The client has
,been scheduled for surgery in 3 days. What action by the nurse
is best? Correct Answer Call the client at home the next day to
review teaching.
1. A nurse is assessing a client with left-sided heart failure. For
which clinical manifestations should the nurse assess? (Select all
that apply.) Correct Answer a. Pulmonary crackles
b. Confusion, restlessness
e. Cough that worsens at night
1. A nurse obtains a clients health history at a community health
clinic. Which statement alerts the nurse to provide health
teaching to this client? Correct Answer I take a lot of Tylenol
for my arthritis pain
1. A nurse working with clients with sickle cell disease (SCD)
teaches about self-management to prevent exacerbations and
sickle cell crises. What factors should clients be taught to avoid?
(Select all that apply.) Correct Answer a. Dehydration
c. Extreme stress
d. High altitudes
e. Pregnancy
1. A nurse works in an allergy clinic. What task performed by
the nurse takes priority? Correct Answer Checking emergency
equipment each morning
1. A nursing student studying the neurologic system learns
which information? (Select all that apply.) Correct Answer a.
An aneurysm is a ballooning in a weakened part of an arterial
wall.
,c. Intracerebral hemorrhage is bleeding directly into the brain.
d. Reduced perfusion from vasospasm often makes stroke worse.
1. An infection control nurse develops a plan to decrease the
number of health care professionals who contract viral hepatitis
at work. Which ideas should the nurse include in this plan?
(Select all that apply.) Correct Answer a. Policies related to
consistent use of Standard Precautions
c. Implementation of a needleless system for intravenous
therapy
d. Number of sharps used in client care reduced where possible
e. Postexposure prophylaxis provided in a timely manner
1. For a person to be immunocompetent, which processes need
to be functional and interact appropriately with each other?
(Select all that apply.) Correct Answer a. Antibody-mediated
immunity
b. Cell-mediated immunity
c. Inflammation
1. The nursing student is studying hypersensitivity reactions.
Which reactions are correctly matched with their
hypersensitivity types? (Select all that apply.) Correct Answer
a. Type I Examples include hay fever and anaphylaxis
c. Type III Immune complex deposits in blood vessel walls
d. Type IV Examples are poison ivy and transplant rejection
1. The student nurse caring for clients who have cancer
understands that the general consequences of cancer include
which client problems? (Select all that apply.) Correct Answer
b. Increased risk of infection from white blood cell deficits
, c. Nutritional deficits such as early satiety and cachexia d.
Potential for reduced gas exchange
e. Various motor and sensory deficits
1. The student nurse learns that the most important function of
inflammation and immunity is which purpose? Correct Answer
Providing protection against invading organisms
10. A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate? Correct Answer Instruct the
client to call for help to get out of bed.
10. A client has received a bone marrow transplant and is
waiting for engraftment. What actions by the nurse are most
appropriate? (Select all that apply.) Correct Answer c. Placing
the client in protective precautions
d. Teaching visitors appropriate hand hygiene
e. Telling visitors not to bring live flowers or plants
10. A client is in the hospital and receiving IV antibiotics. When
the nurse answers the clients call light, the client presents an
appearance as shown below: Correct Answer Ensure a patent
airway while calling the Rapid Response Team.
10. A clients mean arterial pressure is 60 mm Hg and
intracranial pressure is 20 mm Hg. Based on the clients cerebral
perfusion pressure, what should the nurse anticipate for this
client? Correct Answer Poor prognosis and cognitive function
10. A nurse is assessing a client for acute rejection of a kidney
transplant. What assessment finding requires the most rapid
1. A client is in the emergency department reporting a brief
episode during which he was dizzy, unable to speak, and felt
like his legs were very heavy. Currently the clients neurologic
examination is normal. About what drug should the nurse plan
to teach the client? Correct Answer Clopidogrel (Plavix)
1. A nurse assesses a client with asthma and notes bilateral
wheezing, decreased pulse oxygen saturation, and suprasternal
retraction on inhalation. Which actions should the nurse take?
(Select all that apply.) Correct Answer c. Administer oxygen to
keep saturations greater than 94%.
e. Administer prescribed albuterol (Proventil) inhaler.
1. A nurse assesses clients on a cardiac unit. Which client should
the nurse identify as being at greatest risk for the development
of left-sided heart failure? Correct Answer A 36-year-old
woman with aortic stenosis
1. A nurse assesses several clients who have a history of asthma.
Which client should the nurse assess first? Correct Answer A
27-year-old client with a heart rate of 120 beats/min
1. A nurse caring for a client with sickle cell disease (SCD)
reviews the clients laboratory work. Which finding should the
nurse report to the provider? Correct Answer Creatinine: 2.9
mg/dL
1. A nurse in the oncology clinic is providing preoperative
education to a client just diagnosed with cancer. The client has
,been scheduled for surgery in 3 days. What action by the nurse
is best? Correct Answer Call the client at home the next day to
review teaching.
1. A nurse is assessing a client with left-sided heart failure. For
which clinical manifestations should the nurse assess? (Select all
that apply.) Correct Answer a. Pulmonary crackles
b. Confusion, restlessness
e. Cough that worsens at night
1. A nurse obtains a clients health history at a community health
clinic. Which statement alerts the nurse to provide health
teaching to this client? Correct Answer I take a lot of Tylenol
for my arthritis pain
1. A nurse working with clients with sickle cell disease (SCD)
teaches about self-management to prevent exacerbations and
sickle cell crises. What factors should clients be taught to avoid?
(Select all that apply.) Correct Answer a. Dehydration
c. Extreme stress
d. High altitudes
e. Pregnancy
1. A nurse works in an allergy clinic. What task performed by
the nurse takes priority? Correct Answer Checking emergency
equipment each morning
1. A nursing student studying the neurologic system learns
which information? (Select all that apply.) Correct Answer a.
An aneurysm is a ballooning in a weakened part of an arterial
wall.
,c. Intracerebral hemorrhage is bleeding directly into the brain.
d. Reduced perfusion from vasospasm often makes stroke worse.
1. An infection control nurse develops a plan to decrease the
number of health care professionals who contract viral hepatitis
at work. Which ideas should the nurse include in this plan?
(Select all that apply.) Correct Answer a. Policies related to
consistent use of Standard Precautions
c. Implementation of a needleless system for intravenous
therapy
d. Number of sharps used in client care reduced where possible
e. Postexposure prophylaxis provided in a timely manner
1. For a person to be immunocompetent, which processes need
to be functional and interact appropriately with each other?
(Select all that apply.) Correct Answer a. Antibody-mediated
immunity
b. Cell-mediated immunity
c. Inflammation
1. The nursing student is studying hypersensitivity reactions.
Which reactions are correctly matched with their
hypersensitivity types? (Select all that apply.) Correct Answer
a. Type I Examples include hay fever and anaphylaxis
c. Type III Immune complex deposits in blood vessel walls
d. Type IV Examples are poison ivy and transplant rejection
1. The student nurse caring for clients who have cancer
understands that the general consequences of cancer include
which client problems? (Select all that apply.) Correct Answer
b. Increased risk of infection from white blood cell deficits
, c. Nutritional deficits such as early satiety and cachexia d.
Potential for reduced gas exchange
e. Various motor and sensory deficits
1. The student nurse learns that the most important function of
inflammation and immunity is which purpose? Correct Answer
Providing protection against invading organisms
10. A client has a platelet count of 9800/mm3. What action by
the nurse is most appropriate? Correct Answer Instruct the
client to call for help to get out of bed.
10. A client has received a bone marrow transplant and is
waiting for engraftment. What actions by the nurse are most
appropriate? (Select all that apply.) Correct Answer c. Placing
the client in protective precautions
d. Teaching visitors appropriate hand hygiene
e. Telling visitors not to bring live flowers or plants
10. A client is in the hospital and receiving IV antibiotics. When
the nurse answers the clients call light, the client presents an
appearance as shown below: Correct Answer Ensure a patent
airway while calling the Rapid Response Team.
10. A clients mean arterial pressure is 60 mm Hg and
intracranial pressure is 20 mm Hg. Based on the clients cerebral
perfusion pressure, what should the nurse anticipate for this
client? Correct Answer Poor prognosis and cognitive function
10. A nurse is assessing a client for acute rejection of a kidney
transplant. What assessment finding requires the most rapid
