Remar Practice Questions Review
The nurse develops a plan of care for a client who is about to have an AKA. To promote
psychological support, which of the following should be included in the plan of care? -
CORRECT ANSWER-📌 Allow the client to express feelings of bodily transition.
The nurse is assessing a client with suspected peptic ulcer disease. Stool test and
breath test were ordered. The client was hesitant and ask the nurse the rationale for
work up. The nurse's best response would be: - CORRECT ANSWER-📌These tests
will check for the presence of bacteria which can cause the ulcers.
💞 Helicobacter pylori infection is one of the common cause of peptic ulcer disease.
💞 The most common test that are used: breath test & stool test.
One of the possible complications of peptic ulcer disease is GI ulcer perforation. To
monitor this, the nurse should assess: - CORRECT ANSWER-📌 Sudden severe
epigastric pain.
💞 Perforation results in a chemical peritonitis that causes sudden, severe generalized
abdominal pain that prompts most clients to seek medical attention.
A client with peptic ulcer disease is taking antacids for symptom management. The
nurse knows that if the client takes excessive antacids can lead to: - CORRECT
ANSWER-📌 Metabolic Alkalosis
💞 Antacids are an alkaline substance that will suppress the acid so excessive
administration can exceed the kidneys ability to clear the excess HCO3 (bicarbonate)an
increased pH, and metabolic alkalosis.
A client diagnosed with a bleeding duodenal ulcer was vomiting blood several hours
prior to hospital admission. The client suddenly developed epigastric pain, with a rigid
board like abdomen. With these findings, what is the nurse's 1st priority action? -
CORRECT ANSWER-📌 Notify the physician
*** this is an emergency situation it's an ABNORMAL assessment finding.
Mel is ordered to undergo lab tests after she is admitted to the hospital for angina. The
isoenzyme test that is most reliable early indicator of myocardial infarction is? -
CORRECT ANSWER-📌 Creatine kinase-MB (CK-MB)
💞 the cardiac marker, Creatinine-phosphonkinase (CPK) isoenzyme levels, especially
the MB sub unit which is cardio-specific, begin to rise in 3-6 hours, peak in 12-18 hours
and are elevated 48 hours after the occurrence of the infarct.
, Alanine transaminase (ALT) test is: - CORRECT ANSWER-📌 Organ associated with
the liver.
💞 normal enzyme in the bloodstream; increased levels indicate liver disease
Lactate dehydrogenase (LDH) is - CORRECT ANSWER-📌 Associated with
cholesterol. Also an enzyme found in body tissues. Let's you know if there is damage in
certain body tissues.
Aspartate aminotransferase (AST) - CORRECT ANSWER-📌 Associated with the liver
organ.
A newborn has been diagnosed with hypothyroidism. In discussing the condition and
treatment with the family, the nurse should emphasize: - CORRECT ANSWER-📌
Administration of thyroid hormone will prevent problems.
💞 Early identification & continued treatment with hormone replacement will correct this
condition.
Following a diagnosis of acute glumerulonephritis in their 6-year old child, the parents
remark: "We just don't know how he caught the disease!" The nurse's response is
based on an understanding that - CORRECT ANSWER-📌 It is not "caught" but it is a
response to a previous B-hemolytic streptococcal infection.
💞 AGN is generally accepted as an immune-complex disease in relation to an
antecedent streptococcal infection 4-6 weeks prior, & is considered as a non- infectious
renal disease.
In caring for a client with a new amputated part, which of the following findings is
Priority? - CORRECT ANSWER-Infection
📌Will see an infection in about 48 hours
💞Infection is one of the common complications of amputation. It should be addressed
1st to promote healing and prevent sepsis.
Filling a BKA surgery of the right leg, the nurse prevents edema and position the client
in: - CORRECT ANSWER-📌Supine with right leg supported with pillows.
💞During the 1st 24 hours support the stump with pillows but not elevated to prevent
flexion contractures and edema.
The nurse develops a plan of care for a client who is about to have an AKA. To promote
psychological support, which of the following should be included in the plan of care? -
CORRECT ANSWER-📌 Allow the client to express feelings of bodily transition.
The nurse is assessing a client with suspected peptic ulcer disease. Stool test and
breath test were ordered. The client was hesitant and ask the nurse the rationale for
work up. The nurse's best response would be: - CORRECT ANSWER-📌These tests
will check for the presence of bacteria which can cause the ulcers.
💞 Helicobacter pylori infection is one of the common cause of peptic ulcer disease.
💞 The most common test that are used: breath test & stool test.
One of the possible complications of peptic ulcer disease is GI ulcer perforation. To
monitor this, the nurse should assess: - CORRECT ANSWER-📌 Sudden severe
epigastric pain.
💞 Perforation results in a chemical peritonitis that causes sudden, severe generalized
abdominal pain that prompts most clients to seek medical attention.
A client with peptic ulcer disease is taking antacids for symptom management. The
nurse knows that if the client takes excessive antacids can lead to: - CORRECT
ANSWER-📌 Metabolic Alkalosis
💞 Antacids are an alkaline substance that will suppress the acid so excessive
administration can exceed the kidneys ability to clear the excess HCO3 (bicarbonate)an
increased pH, and metabolic alkalosis.
A client diagnosed with a bleeding duodenal ulcer was vomiting blood several hours
prior to hospital admission. The client suddenly developed epigastric pain, with a rigid
board like abdomen. With these findings, what is the nurse's 1st priority action? -
CORRECT ANSWER-📌 Notify the physician
*** this is an emergency situation it's an ABNORMAL assessment finding.
Mel is ordered to undergo lab tests after she is admitted to the hospital for angina. The
isoenzyme test that is most reliable early indicator of myocardial infarction is? -
CORRECT ANSWER-📌 Creatine kinase-MB (CK-MB)
💞 the cardiac marker, Creatinine-phosphonkinase (CPK) isoenzyme levels, especially
the MB sub unit which is cardio-specific, begin to rise in 3-6 hours, peak in 12-18 hours
and are elevated 48 hours after the occurrence of the infarct.
, Alanine transaminase (ALT) test is: - CORRECT ANSWER-📌 Organ associated with
the liver.
💞 normal enzyme in the bloodstream; increased levels indicate liver disease
Lactate dehydrogenase (LDH) is - CORRECT ANSWER-📌 Associated with
cholesterol. Also an enzyme found in body tissues. Let's you know if there is damage in
certain body tissues.
Aspartate aminotransferase (AST) - CORRECT ANSWER-📌 Associated with the liver
organ.
A newborn has been diagnosed with hypothyroidism. In discussing the condition and
treatment with the family, the nurse should emphasize: - CORRECT ANSWER-📌
Administration of thyroid hormone will prevent problems.
💞 Early identification & continued treatment with hormone replacement will correct this
condition.
Following a diagnosis of acute glumerulonephritis in their 6-year old child, the parents
remark: "We just don't know how he caught the disease!" The nurse's response is
based on an understanding that - CORRECT ANSWER-📌 It is not "caught" but it is a
response to a previous B-hemolytic streptococcal infection.
💞 AGN is generally accepted as an immune-complex disease in relation to an
antecedent streptococcal infection 4-6 weeks prior, & is considered as a non- infectious
renal disease.
In caring for a client with a new amputated part, which of the following findings is
Priority? - CORRECT ANSWER-Infection
📌Will see an infection in about 48 hours
💞Infection is one of the common complications of amputation. It should be addressed
1st to promote healing and prevent sepsis.
Filling a BKA surgery of the right leg, the nurse prevents edema and position the client
in: - CORRECT ANSWER-📌Supine with right leg supported with pillows.
💞During the 1st 24 hours support the stump with pillows but not elevated to prevent
flexion contractures and edema.
