Newest Actual Exam Review Q&A
with Definitive Answers / A+ Score
_____________Quiz____________?
After receiving report at the start of the evening shift, which of the following clients should
the nurse attend to first?
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium
level of 7.5 mEq/L.
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on a scale of 1-10.
(c) A 55-year-old woman with ovarian cancer waiting to be discharged.
(d) A 72-year-old man with chronic obstructive pulmonary disease (COPD) and a pulse
oximetry of 96% on room air. -
Answer✓✓
Correct answer: (a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma
with a potassium level of 7.5 mEq/L.
Rationale: Hyperkalemia is a potentially serious condition that, in a client undergoing
treatment for non-Hodgkin lymphoma, could indicate tumour lysis syndrome. Patient (b)
should be attended to, but her condition is not as urgent. Patients (c) and (d) do not require
immediate attention.
_____________Quiz____________?
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing
treatment with carbamazepine (Tegretol) is being transferred in stable condition from the
1
, intensive care unit to the medical unit. There are 4 beds available. The nurse knows the best
choice of roommates for this client is which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.
(c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrillation . -
Answer✓✓
Correct answer: (d) A 68-year-old woman with atrial fibrillation.
Rationale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity
issues, including blistering and skin shedding, which can place the client at high risk for
infection. Atrial fibrillation is not an infectious process. All other patients may be an
infection risk for an individual with altered skin integrity.
_____________Quiz____________?
A 72-year-old man who had a stroke is being transferred from a medical unit to a
rehabilitation centre. The nurse case manager is assisting in the process. The nurse knows
that the goals of case management include which of the following? Select all that apply.
(a) Improving the coordination of care
(b) Increasing referrals to local organizations
(c) Reducing the fragmentation of care
(d) Discharging clients quickly -
Answer✓✓
Correct answer: (a) Improving the coordination of care; and (c) Reducing the fragmentation
of care
Rationale: Some of the primary goals of case management are to improve the coordination
of care and to reduce fragmentation of care. The other options are not goals of case
management.
2
with Definitive Answers / A+ Score
_____________Quiz____________?
After receiving report at the start of the evening shift, which of the following clients should
the nurse attend to first?
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium
level of 7.5 mEq/L.
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on a scale of 1-10.
(c) A 55-year-old woman with ovarian cancer waiting to be discharged.
(d) A 72-year-old man with chronic obstructive pulmonary disease (COPD) and a pulse
oximetry of 96% on room air. -
Answer✓✓
Correct answer: (a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma
with a potassium level of 7.5 mEq/L.
Rationale: Hyperkalemia is a potentially serious condition that, in a client undergoing
treatment for non-Hodgkin lymphoma, could indicate tumour lysis syndrome. Patient (b)
should be attended to, but her condition is not as urgent. Patients (c) and (d) do not require
immediate attention.
_____________Quiz____________?
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing
treatment with carbamazepine (Tegretol) is being transferred in stable condition from the
1
, intensive care unit to the medical unit. There are 4 beds available. The nurse knows the best
choice of roommates for this client is which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.
(c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrillation . -
Answer✓✓
Correct answer: (d) A 68-year-old woman with atrial fibrillation.
Rationale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity
issues, including blistering and skin shedding, which can place the client at high risk for
infection. Atrial fibrillation is not an infectious process. All other patients may be an
infection risk for an individual with altered skin integrity.
_____________Quiz____________?
A 72-year-old man who had a stroke is being transferred from a medical unit to a
rehabilitation centre. The nurse case manager is assisting in the process. The nurse knows
that the goals of case management include which of the following? Select all that apply.
(a) Improving the coordination of care
(b) Increasing referrals to local organizations
(c) Reducing the fragmentation of care
(d) Discharging clients quickly -
Answer✓✓
Correct answer: (a) Improving the coordination of care; and (c) Reducing the fragmentation
of care
Rationale: Some of the primary goals of case management are to improve the coordination
of care and to reduce fragmentation of care. The other options are not goals of case
management.
2
