Care of Clients with Physiologic and Psychosocial Alterations
1. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?
A. Sudden weight loss
B. Polyuria
C. Hypertension
D. Shock
2. The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and
hematuria is to decrease:
A. Pain
B. Weight
C. Hematuria
D. Hypertension
3. Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed.
The nurse is aware that this medication is given to:
A. Decrease the total basal metabolic rate.
B. Maintain the function of the parathyroid glands.
C. Block the formation of thyroxine by the thyroid gland.
D. Decrease the size and vascularity of the thyroid gland.
4. Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the
client who is diagnosed with:
A. Liver disease
B. Hypertension
C. Type 2 diabetes
D. Hyperthyroidism
5. Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor
the client for the systemic side effect of:
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia
6. Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver
should suggest that the client plan to:
A. Eliminate foods high in cellulose.
B. Decrease fluid intake at meal times.
C. Avoid foods that in the past caused flatus.
D. Adhere to a bland diet prior to social events.
7. Nurse Ron begins to teach a male client how to perform colostomy irrigations. The nurse would evaluate that the
instructions were understood when the client states, “I should:
A. Lie on my left side while instilling the irrigating solution.”
B. Keep the irrigating container less than 18 inches above the stoma.”
C. Instill a minimum of 1200 ml of irrigating solution to stimulate evacuation of the bowel.”
D. Insert the irrigating catheter deeper into the stoma if cramping occurs during the procedure.”
8. Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The
client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to
correct this electrolyte imbalance, the nurse would expect to:
A. Administer Kayexalate
B. Restrict foods high in protein
C. Increase oral intake of cheese and milk.
D. Administer large amounts of normal saline via I.V.
9. Mario has burn injury. After Forty48 hours, the physician orders for Mario 2 liters of IV fluid to be administered
q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
A. 18 gtt/min
B. 28 gtt/min
C. 32 gtt/min
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, D. 36 gtt/min
10.Terence suffered form burn injury. Using the rule of nines, which has the largest percent of burns?
A. Face and neck
B. Right upper arm and penis
C. Right thigh and penis
D. Upper trunk
11. Herbert, a 45 year old construction engineer is brought to the hospital unconscious after falling from a 2-story
building. When assessing the client, the nurse would be most concerned if the assessment revealed:
A. Reactive pupils
B. A depressed fontanel
C. Bleeding from ears
D. An elevated temperature
12. Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by
the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
A. take the pulse rate once a day, in the morning upon awakening
B. May be allowed to use electrical appliances
C. Have regular follow up care
D. May engage in contact sports
13.The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is
A. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.
B. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath.
C. Oxygen is administered best using a non-rebreathing mask
D. Blood gases are monitored using a pulse oximeter.
14.Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle
water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler’s
position on either his right side or on his back. The nurse is aware that this position:
A. Reduce incisional pain.
B. Facilitate ventilation of the left lung.
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, C. Equalize pressure in the pleural space.
D. Increase venous return
15.Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse’s highest
priority of information would be:
A. Food and fluids will be withheld for at least 2 hours.
B. Warm saline gargles will be done q 2h.
C. Coughing and deep-breathing exercises will be done q2h.
D. Only ice chips and cold liquids will be allowed initially.
16.Nurse Tristan is caring for a male client in acute renal failure. The nurse should expect hypertonic glucose, insulin
infusions, and sodium bicarbonate to be used to treat:
A. hypernatremia.
B. hypokalemia.
C. hyperkalemia.
D. hypercalcemia.
17.Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell
this client?
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou
(Pap) smear annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to
10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time
they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during
oral sex.
18.Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department.
When palpating the her kidneys, the nurse should keep which anatomical fact in mind?
A. The left kidney usually is slightly higher than the right one.
B. The kidneys are situated just above the adrenal glands.
C. The average kidney is approximately 5 cm (2″) long and 2 to 3 cm (¾” to 1-1/8″) wide.
D. The kidneys lie between the 10th and 12th thoracic vertebrae.
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
1. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?
A. Sudden weight loss
B. Polyuria
C. Hypertension
D. Shock
2. The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and
hematuria is to decrease:
A. Pain
B. Weight
C. Hematuria
D. Hypertension
3. Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed.
The nurse is aware that this medication is given to:
A. Decrease the total basal metabolic rate.
B. Maintain the function of the parathyroid glands.
C. Block the formation of thyroxine by the thyroid gland.
D. Decrease the size and vascularity of the thyroid gland.
4. Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the
client who is diagnosed with:
A. Liver disease
B. Hypertension
C. Type 2 diabetes
D. Hyperthyroidism
5. Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor
the client for the systemic side effect of:
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia
6. Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver
should suggest that the client plan to:
A. Eliminate foods high in cellulose.
B. Decrease fluid intake at meal times.
C. Avoid foods that in the past caused flatus.
D. Adhere to a bland diet prior to social events.
7. Nurse Ron begins to teach a male client how to perform colostomy irrigations. The nurse would evaluate that the
instructions were understood when the client states, “I should:
A. Lie on my left side while instilling the irrigating solution.”
B. Keep the irrigating container less than 18 inches above the stoma.”
C. Instill a minimum of 1200 ml of irrigating solution to stimulate evacuation of the bowel.”
D. Insert the irrigating catheter deeper into the stoma if cramping occurs during the procedure.”
8. Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The
client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to
correct this electrolyte imbalance, the nurse would expect to:
A. Administer Kayexalate
B. Restrict foods high in protein
C. Increase oral intake of cheese and milk.
D. Administer large amounts of normal saline via I.V.
9. Mario has burn injury. After Forty48 hours, the physician orders for Mario 2 liters of IV fluid to be administered
q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
A. 18 gtt/min
B. 28 gtt/min
C. 32 gtt/min
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, D. 36 gtt/min
10.Terence suffered form burn injury. Using the rule of nines, which has the largest percent of burns?
A. Face and neck
B. Right upper arm and penis
C. Right thigh and penis
D. Upper trunk
11. Herbert, a 45 year old construction engineer is brought to the hospital unconscious after falling from a 2-story
building. When assessing the client, the nurse would be most concerned if the assessment revealed:
A. Reactive pupils
B. A depressed fontanel
C. Bleeding from ears
D. An elevated temperature
12. Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by
the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
A. take the pulse rate once a day, in the morning upon awakening
B. May be allowed to use electrical appliances
C. Have regular follow up care
D. May engage in contact sports
13.The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is
A. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.
B. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath.
C. Oxygen is administered best using a non-rebreathing mask
D. Blood gases are monitored using a pulse oximeter.
14.Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle
water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler’s
position on either his right side or on his back. The nurse is aware that this position:
A. Reduce incisional pain.
B. Facilitate ventilation of the left lung.
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
, C. Equalize pressure in the pleural space.
D. Increase venous return
15.Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse’s highest
priority of information would be:
A. Food and fluids will be withheld for at least 2 hours.
B. Warm saline gargles will be done q 2h.
C. Coughing and deep-breathing exercises will be done q2h.
D. Only ice chips and cold liquids will be allowed initially.
16.Nurse Tristan is caring for a male client in acute renal failure. The nurse should expect hypertonic glucose, insulin
infusions, and sodium bicarbonate to be used to treat:
A. hypernatremia.
B. hypokalemia.
C. hyperkalemia.
D. hypercalcemia.
17.Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell
this client?
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou
(Pap) smear annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to
10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time
they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during
oral sex.
18.Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department.
When palpating the her kidneys, the nurse should keep which anatomical fact in mind?
A. The left kidney usually is slightly higher than the right one.
B. The kidneys are situated just above the adrenal glands.
C. The average kidney is approximately 5 cm (2″) long and 2 to 3 cm (¾” to 1-1/8″) wide.
D. The kidneys lie between the 10th and 12th thoracic vertebrae.
Reviewers are not ours! Credits to the owners of tests banks!
Compiled by SN Notes
