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1. A 40-year-old female presents to the emergency room with upper abdominal
pain radiating to her right shoulder and nausea. Upon assessment the patient's
temperature is 101.2 degrees Fahrenheit, heart rate 110 BPM and a blood pressure
is 140/82 MM HG. Based on the patients presentation, which of the following do
you anticipate being the patients diagnosis?
a. Pancreatitis
b. Cholecystitis
c. Appendicitis
d. Diverticular disease - ANSWER ✔ b.
2. The laboratory values of a client who has diabetes mellitus include a fasting
blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse9s
interpretation of these findings?
a. The client's glucose control for the past 24 hours has been good, but the overall
control is poor.
b. The client's glucose control for the past 24 hours has been poor, but the overall
control is good.
c. The values indicate the client has poorly managed his or her disease.
d. The values indicate that the client has managed his or her disease well -
ANSWER ✔ b.
,3. Which of these laboratory results would be most important for a nurse to
monitor for a client with a lower gastrointestinal bleed?
a. Hemoglobin and hematocrit
b. Bleeding time
c. Platelet count
d. Potassium level - ANSWER ✔ a.
4. A nurse is caring for a patient who was prescribed high dose corticosteroid
therapy for one month to treat severe inflammatory condition. the patient
symptoms have now resolved, and the patient asks when can I stop taking these
medications how would the nurse respond?
a. it is possible for the inflammation to recur if you stop the medication
b. once you start corticosteroids you have to be weaned off them
c. you must decrease the dose slowly so your hormones will work again
d. the drug suppresses your immune system which must be built back up -
ANSWER ✔ c.
5. Continuous muscle spasms in a patient with hypoparathyroidism are related to
which condition?
a. Nerve damage
b. Seizures
c. Tetany
d. Decreased potassium - ANSWER ✔ c.
6. A nurse is performing discharge teaching for a patient who was recently
diagnosed with gastritis. Which of the following should be included in the
teaching?
a. Exercise
b. Eat three large meals each day
c. Stress reduction
d. Take NSAIDS as prescribed - ANSWER ✔ c.
7. The nurse instructs the patient who was on prolonged cortisol therapy to report
which signs and symptoms?
a. Anuria and hypoglycemia
b. weight gain and moon face
c. anorexia and muscle twitches
d. hypotension and fluid loss drain - ANSWER ✔ b.
,8. A nurse is caring for a pa;ent recently diagnosed with Addison's disease. Which
of the following signs and symptoms are consistent with this diagnosis?
a. increase appetite
b. muscle weakness
c. weight gain
d. hypertension - ANSWER ✔ b.
9. The nurse knows that which of the following is a therapeutic response to
hydrocortisone for Addisonian crisis?
a. Weight gain
b. No signs of pitting edema
c. Increased urine output
d. Client is alert and oriented with improved lethargy - ANSWER ✔ b.
10. A nurse is caring for a patient recently diagnosed with a hiatal hernia. Which of
the following is the least invasive surgical treatment for a patient with a hiatal
hernia?
a. Nissen fundoplication
b. Endoluminal fundoplication
c. Pyloroplasty
d. Vagotomy - ANSWER ✔ b.
11. A nurse is caring for a 26-year-old female that presented to the emergency
Department with abdominal pain, bloating, Constipation and bouts of diarrhea.
Which of the following is the patient most likely exhibiting?
a. Intestinal obstruction
b. Hernia
c. Malabsorption Syndrome
d. Irritable bowel syndrome - ANSWER ✔ d.
12. Which of the following is a life-threatening emergency and serious
complication of untreated or poorly treated hypothyroidism?
a. Endemic goiter
b. Thyroiditis
c. Myxedema coma
d. Multinodular toxic goiter - ANSWER ✔ c.
13. Kim is a 28-year-old female who presented to the emergency room with
complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is
, afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the
pain assessment, Kim rates her pain on a scale 0-10. You note her pain to be in the
periumbilical region. Based on the assessment findings, which of the following
would you anticipate being Kim's diagnosis.
a. Peritonitis
b. Appendacitis
c. Crohn's disease
d. Ulcerative colitis - ANSWER ✔ b.
14. A nurse assesses a patient who has a 15-year history of diabetes and notes
decreased tactile sensation in both feet. What action would the nurse take first?
a. Document the finding in the patients chart
b. Compare extremities for deficiencies
c. Examine the patient's feet for signs of injury
d. Notify the health care provider - ANSWER ✔ c.
15. Which of the following is a main assessment finding in a client with
hypothyroidism?
a. irritability
b. cold intolerance
c. Constipation
d. fatigue - ANSWER ✔ b.
16. What Instructions does the nurse include in when teaching the diabetic client
about proper foot care?
a. use rubbing alcohol to help make the skin on the soles of the feet thicker
b. wear open toed shoes or sandals when it's warm outside to prevent perspiration
c. use moisturizing cream on feet after bathing but not in between toes
d. use cold water for bathing the feet to prevent a thermal injury - ANSWER ✔ c.
17. A nurse is caring for a patient who has been diagnosed with diabetes type 2.
Which of the following should not be included in the discharge instructions?
a. Monitor blood glucose
b. Adhere to dietary modifications
c. Increase physical activity
d. Restrict fluid intake - ANSWER ✔ d.