SIMPLE NURSING TEST 3 EXAM QUESTIONS
AND ACCURATE SOLUTIONS.
A client with myasthenia gravis has developed strep throat and a lower respiratory
tract infection. Which medication below would be the safest choice for the client?
amoxicillin
What statement concerning Guillain-Barre syndrome made by the student
requires further education?
This response causes reconstruction of the myelin sheath
The nurse is caring for an elderly client who has been very pleasant and
cooperative until this afternoon and the client has become confused, agitated,
and upset for no reason known. Which of these interventions should the nurse
implement as priority?
Call the HCP and get a urine culture and sensitivity
The nurse is caring for a client on long term hemodialysis. Which statement best
explains why an AV fistula is a more preferable type of access when compared to
an AV graft?
AV fistula is more resistant to clotting or infection than an AV graft
A client tells the nurse that she was just diagnosed with myasthenia gravis by her
primary care health care provider (HCP) and she is supposed to see a specialist.
Which type of specialist would this client need to consult?
Neurologist
A client calls the renal transplant clinic with symptoms that may be interpreted as
kidney transplant rejection. When the client is at the clinic, the nurse will assess
for which signs and symptoms of rejection?
Fever, weight gain, diminished urine output
Which of the following is the correct pathophysiology for multiple sclerosis?
, Autoimmune disease that attacks the myelin sheath of the axon inside the CNS,
causing inflammation and destruction
What is a significant clinical manifestation that distinguishes the presence of
myasthenia gravis?
Muscle fatigue with the slightest exertion
A 60-year-old female client comes to the clinic with complaints of fatigue, weight
loss of 10 pounds in the past month, morning joint stiffness, and severe pain in
the small joints of the hands. I feel better when I am doing any activity and have
more pain at rest. The client asks the nurse, "Do I have rheumatoid arthritis (RA)
or osteoarthritis (OA)?" What is the nurse's best response?
According to your s/s, you probably have RA (fatigue, anorexia, weight loss, morning
stiffness, pain goes away with activity)
What is the priority complication that occurs during a myasthenic crisis?
respiratory crisis
A client with a diagnosis of chronic renal failure who also receives hemodialysis is
in the renal clinic for follow-up. The clinic nurse will perform which action to
ensure patency of the arteriovenous (AV) fistula used for dialysis? Select all that
apply.
Palpation of thrill over the fistula (bruit should be heard w/stethoscope), check the
client's circulation distally to the fistula
A client in renal failure has lab studies which show the client to have a critical
high potassium level, due to the kidney's inability to remove serous potassium
within the body. Which intervention by the nurse takes precedence?
Begin continuous cardiac monitoring
A client comes to the clinic to get a urinalysis due to a possible urinary tract
infection. If found in the urinalysis, which of these would indicate that the
urinalysis was abnormal? Select all that apply.
Bacteria 3+, RBC 5+, dark tea-colored
AND ACCURATE SOLUTIONS.
A client with myasthenia gravis has developed strep throat and a lower respiratory
tract infection. Which medication below would be the safest choice for the client?
amoxicillin
What statement concerning Guillain-Barre syndrome made by the student
requires further education?
This response causes reconstruction of the myelin sheath
The nurse is caring for an elderly client who has been very pleasant and
cooperative until this afternoon and the client has become confused, agitated,
and upset for no reason known. Which of these interventions should the nurse
implement as priority?
Call the HCP and get a urine culture and sensitivity
The nurse is caring for a client on long term hemodialysis. Which statement best
explains why an AV fistula is a more preferable type of access when compared to
an AV graft?
AV fistula is more resistant to clotting or infection than an AV graft
A client tells the nurse that she was just diagnosed with myasthenia gravis by her
primary care health care provider (HCP) and she is supposed to see a specialist.
Which type of specialist would this client need to consult?
Neurologist
A client calls the renal transplant clinic with symptoms that may be interpreted as
kidney transplant rejection. When the client is at the clinic, the nurse will assess
for which signs and symptoms of rejection?
Fever, weight gain, diminished urine output
Which of the following is the correct pathophysiology for multiple sclerosis?
, Autoimmune disease that attacks the myelin sheath of the axon inside the CNS,
causing inflammation and destruction
What is a significant clinical manifestation that distinguishes the presence of
myasthenia gravis?
Muscle fatigue with the slightest exertion
A 60-year-old female client comes to the clinic with complaints of fatigue, weight
loss of 10 pounds in the past month, morning joint stiffness, and severe pain in
the small joints of the hands. I feel better when I am doing any activity and have
more pain at rest. The client asks the nurse, "Do I have rheumatoid arthritis (RA)
or osteoarthritis (OA)?" What is the nurse's best response?
According to your s/s, you probably have RA (fatigue, anorexia, weight loss, morning
stiffness, pain goes away with activity)
What is the priority complication that occurs during a myasthenic crisis?
respiratory crisis
A client with a diagnosis of chronic renal failure who also receives hemodialysis is
in the renal clinic for follow-up. The clinic nurse will perform which action to
ensure patency of the arteriovenous (AV) fistula used for dialysis? Select all that
apply.
Palpation of thrill over the fistula (bruit should be heard w/stethoscope), check the
client's circulation distally to the fistula
A client in renal failure has lab studies which show the client to have a critical
high potassium level, due to the kidney's inability to remove serous potassium
within the body. Which intervention by the nurse takes precedence?
Begin continuous cardiac monitoring
A client comes to the clinic to get a urinalysis due to a possible urinary tract
infection. If found in the urinalysis, which of these would indicate that the
urinalysis was abnormal? Select all that apply.
Bacteria 3+, RBC 5+, dark tea-colored
