400 QUESTIONS AND ANSWERS GRADED A+
TESTBANK
A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of the following
findings should the nurse identify as a manifestation of chronic glomerulonephritis?
Hyperkalemia
A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine
headaches. To help reduce the risk of migraine headaches, which of the following foods should the
nurse recommend?
Aged cheese
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take?
Check that one finger fits between the cast and the leg
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30. Which of the following oxygen delivery systems should
the nurse initiate to provide the highest concentration of oxygen?
Non-rebreather mask
,A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the
priority assessment finding that the nurse should report to the provider?
Blood pressure 170/80 mm Hg
A nurse is teaching a young adult client how to perform a testicular self-examination. Which of the
following instructions should the nurse include?
Roll each testicle between the thumb and fingers
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment
findings should the nurse expect?
Hypoactive bowel sounds
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following
laboratory values should the nurse expect?
Elevated bilirubin level
A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a
potassium-sparing diuretic. Which of the following information should the nurse include in the teaching?
Try to walk at least three times per week for exercise
,A nurse is elevating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following
client statements indicates the client is successfully coping with the change?
"I used to never worry about my feet. Now, I inspect my feet every day with a mirror."
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The
nurse should instruct the client that which of the following supplements can interfere with the
effectiveness of the medication?
Calcium
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy.
Which of the following statements should the nurse identify as an indication that the client understands
the teaching?
"I will use my hands rather than a washcloth to clean the radiation area."
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago.
Which of the following actions should the nurse take first after hearing the following sound?
Listen with the client on their left side
A nurse is teaching a client who has venous insufficiency about self-care. Which of the following
statements should the nurse identify as an indication that the client understands the teaching?
"I will wear clean graduated compression stockings every day."
, A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions
should the nurse take?
Loosen restrictive clothing
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for
heart failure. Based on the information in the client's chart, which of the following findings should the
nurse report to the provider?
Heart rate 55/min
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for
metformin. Which of the following statements by the client indicates an understanding of the teaching?
"I should take this medication with a meal."
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings
should the nurse identify as a component of cushing's triad?
Bradycardia
A nurse is providing dietary teaching to a client who is postoperative following a thyroidectomy with
removal of the parathyroid glands. The nurse should instruct the client to include which of the following
foods that has the greatest amount of calcium in her diet?
12 almonds