RNPedia - PNLE NP3 Test 3 !| !| !| !| !| !|
questions & verified solutions !| !| !|
1. Marco who was diagnosed with brain tumor was scheduled for
!| !| !| !| !| !| !| !| !| !| !|
craniotomy. In preventing the development of cerebral edema after surgery,
!| !| !| !| !| !| !| !| !| !|
the nurse should expect the use of:
!| !| !| !| !| !|
A. Diuretics
!|
B. Antihypertensive
!|
C. Steroids
!|
D. Anticonvulsants - Correct answer ✔C.
!| !| !| !| !| !|
Glucocorticoids (steroids) are used for their anti-inflammatory action, which !| !| !| !| !| !| !| !| !|
decreases the development of edema. !| !| !| !|
2. Halfway through the administration of blood, the female client complains
!| !| !| !| !| !| !| !| !| !| !|
of lumbar pain. After stopping the infusion Nurse Hazel should:
!| !| !| !| !| !| !| !| !|
A. Increase the flow of normal saline
!| !| !| !| !| !|
B. Assess the pain further
!| !| !| !|
C. Notify the blood bank
!| !| !| !|
D. Obtain vital signs. - Correct answer ✔A.
!| !| !| !| !| !| !| !|
The blood must be stopped at once, and then normal saline should be infused
!| !| !| !| !| !| !| !| !| !| !| !| !|
to keep the line patent and maintain blood volume.
!| !| !| !| !| !| !| !| !|
,3. Nurse Maureen knows that the positive diagnosis for HIV infection is
!| !| !| !| !| !| !| !| !| !| !| !|
made based on which of the following:
!| !| !| !| !| !|
A. A history of high-risk sexual behaviors.
!| !| !| !| !| !|
B. Positive ELISA and western blot tests
!| !| !| !| !| !|
C. Identification of an associated opportunistic infection
!| !| !| !| !| !|
D. Evidence of extreme weight loss and high fever - Correct answer ✔B.
!| !| !| !| !| !| !| !| !| !| !| !| !|
These tests confirm the presence of HIV antibodies that occur in response to
!| !| !| !| !| !| !| !| !| !| !| !| !|
the presence of the human immunodeficiency virus (HIV).
!| !| !| !| !| !| !|
4. Nurse Maureen is aware that a client who has been diagnosed with chronic
!| !| !| !| !| !| !| !| !| !| !| !| !|
renal failure recognizes an adequate amount of high-biologic-value protein
!| !| !| !| !| !| !| !| !| !|
when the food the client selected from the menu was:
!| !| !| !| !| !| !| !| !|
A. Raw carrots
!| !|
B. Apple juice
!| !|
C. Whole wheat bread
!| !| !|
D. Cottage cheese - Correct answer ✔D.
!| !| !| !| !| !| !|
One cup of cottage cheese contains approximately 225 calories, 27 g of
!| !| !| !| !| !| !| !| !| !| !| !|
protein, 9 g of fat, 30 mg cholesterol, and 6 g of carbohydrate. Proteins of
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
high biologic value (HBV) contain optimal levels of amino acids essential for
!| !| !| !| !| !| !| !| !| !| !| !|
life.
, 5. Kenneth who has diagnosed with uremic syndrome has the potential to
!| !| !| !| !| !| !| !| !| !| !| !|
develop complications. Which among the following complications should the
!| !| !| !| !| !| !| !| !|
nurse anticipates:
!|
A. Flapping hand tremors
!| !| !|
B. An elevated hematocrit level
!| !| !| !|
C. Hypotension
!|
D. Hypokalemia - Correct answer ✔A.
!| !| !| !| !| !|
Elevation of uremic waste products causes irritation of the nerves, resulting
!| !| !| !| !| !| !| !| !| !| !|
in flapping hand tremors.
!| !| !|
6. A client is admitted to the hospital with benign prostatic hyperplasia, the
!| !| !| !| !| !| !| !| !| !| !| !| !|
nurse most relevant assessment would be:
!| !| !| !| !|
A. Flank pain radiating in the groin
!| !| !| !| !| !|
B. Distention of the lower abdomen
!| !| !| !| !|
C. Perineal edema
!| !|
D. Urethral discharge - Correct answer ✔B.
!| !| !| !| !| !| !|
This indicates that the bladder is distended with urine, therefore palpable.
!| !| !| !| !| !| !| !| !| !|
7. A client has undergone with penile implant. After 24 hrs of surgery, the
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
client's scrotum was edematous and painful. The nurse should:
!| !| !| !| !| !| !| !|
A. Assist the client with sitz bath
!| !| !| !| !| !|
questions & verified solutions !| !| !|
1. Marco who was diagnosed with brain tumor was scheduled for
!| !| !| !| !| !| !| !| !| !| !|
craniotomy. In preventing the development of cerebral edema after surgery,
!| !| !| !| !| !| !| !| !| !|
the nurse should expect the use of:
!| !| !| !| !| !|
A. Diuretics
!|
B. Antihypertensive
!|
C. Steroids
!|
D. Anticonvulsants - Correct answer ✔C.
!| !| !| !| !| !|
Glucocorticoids (steroids) are used for their anti-inflammatory action, which !| !| !| !| !| !| !| !| !|
decreases the development of edema. !| !| !| !|
2. Halfway through the administration of blood, the female client complains
!| !| !| !| !| !| !| !| !| !| !|
of lumbar pain. After stopping the infusion Nurse Hazel should:
!| !| !| !| !| !| !| !| !|
A. Increase the flow of normal saline
!| !| !| !| !| !|
B. Assess the pain further
!| !| !| !|
C. Notify the blood bank
!| !| !| !|
D. Obtain vital signs. - Correct answer ✔A.
!| !| !| !| !| !| !| !|
The blood must be stopped at once, and then normal saline should be infused
!| !| !| !| !| !| !| !| !| !| !| !| !|
to keep the line patent and maintain blood volume.
!| !| !| !| !| !| !| !| !|
,3. Nurse Maureen knows that the positive diagnosis for HIV infection is
!| !| !| !| !| !| !| !| !| !| !| !|
made based on which of the following:
!| !| !| !| !| !|
A. A history of high-risk sexual behaviors.
!| !| !| !| !| !|
B. Positive ELISA and western blot tests
!| !| !| !| !| !|
C. Identification of an associated opportunistic infection
!| !| !| !| !| !|
D. Evidence of extreme weight loss and high fever - Correct answer ✔B.
!| !| !| !| !| !| !| !| !| !| !| !| !|
These tests confirm the presence of HIV antibodies that occur in response to
!| !| !| !| !| !| !| !| !| !| !| !| !|
the presence of the human immunodeficiency virus (HIV).
!| !| !| !| !| !| !|
4. Nurse Maureen is aware that a client who has been diagnosed with chronic
!| !| !| !| !| !| !| !| !| !| !| !| !|
renal failure recognizes an adequate amount of high-biologic-value protein
!| !| !| !| !| !| !| !| !| !|
when the food the client selected from the menu was:
!| !| !| !| !| !| !| !| !|
A. Raw carrots
!| !|
B. Apple juice
!| !|
C. Whole wheat bread
!| !| !|
D. Cottage cheese - Correct answer ✔D.
!| !| !| !| !| !| !|
One cup of cottage cheese contains approximately 225 calories, 27 g of
!| !| !| !| !| !| !| !| !| !| !| !|
protein, 9 g of fat, 30 mg cholesterol, and 6 g of carbohydrate. Proteins of
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
high biologic value (HBV) contain optimal levels of amino acids essential for
!| !| !| !| !| !| !| !| !| !| !| !|
life.
, 5. Kenneth who has diagnosed with uremic syndrome has the potential to
!| !| !| !| !| !| !| !| !| !| !| !|
develop complications. Which among the following complications should the
!| !| !| !| !| !| !| !| !|
nurse anticipates:
!|
A. Flapping hand tremors
!| !| !|
B. An elevated hematocrit level
!| !| !| !|
C. Hypotension
!|
D. Hypokalemia - Correct answer ✔A.
!| !| !| !| !| !|
Elevation of uremic waste products causes irritation of the nerves, resulting
!| !| !| !| !| !| !| !| !| !| !|
in flapping hand tremors.
!| !| !|
6. A client is admitted to the hospital with benign prostatic hyperplasia, the
!| !| !| !| !| !| !| !| !| !| !| !| !|
nurse most relevant assessment would be:
!| !| !| !| !|
A. Flank pain radiating in the groin
!| !| !| !| !| !|
B. Distention of the lower abdomen
!| !| !| !| !|
C. Perineal edema
!| !|
D. Urethral discharge - Correct answer ✔B.
!| !| !| !| !| !| !|
This indicates that the bladder is distended with urine, therefore palpable.
!| !| !| !| !| !| !| !| !| !|
7. A client has undergone with penile implant. After 24 hrs of surgery, the
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
client's scrotum was edematous and painful. The nurse should:
!| !| !| !| !| !| !| !|
A. Assist the client with sitz bath
!| !| !| !| !| !|
