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1. Pharmacology
A nurse is caring for a client who is receiving warfarin (Coumadin) therapy. The nurse should
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monitor which of the following laboratory tests to assess the therapeutic effect of warfarin?
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A) Prothrombin time (PT) v v
B) White blood cell (WBC) count v v v v
C) Hemoglobin and hematocrit v v
D) Platelet count v
Answer: A) Prothrombin time (PT) v v v v
Rationale: Warfarin therapy is monitored by the PT and the International Normalized Ratio (INR),
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which help evaluate blood clotting time. PT/INR levels should be kept within a therapeutic range
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to avoid bleeding or clotting complications.
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2. Infection Control v
A nurse is caring for a client with suspected tuberculosis (TB). Which of the following isolation
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v precautions should the nurse implement? v v v v
A) Contact precautions v
B) Droplet precautions v
C) Airborne precautions v
D) Standard precautions v
Answer: C) Airborne precautions
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Rationale: Tuberculosis is an airborne infectious disease, and the nurse should use airborne
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precautions, including placing the patient in a negative pressure room and using an N95 respirator
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when providing care.
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3. Cardiovascular System v
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A nurse is reviewing the electrocardiogram (ECG) of a client with bradycardia. Which of the
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following heart rates should the nurse identify as bradycardia?
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A) 60 bpm v
B) 80 bpm v
C) 50 bpm v
D) 90 bpm v
Answer: C) 50 bpm v v v
Rationale: Bradycardia is defined as a heart rate of less than 60 beats per minute. A heart rate of 50
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bpm is below the normal range and may require intervention, depending on the client's
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symptoms.
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4. Psychosocial Integrity v
A nurse is caring for a client diagnosed with anxiety disorder. Which of the following
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interventions is most appropriate to reduce the client’s anxiety? v v v v v v v v
A) Encourage the client to talk about their fears v v v v v v v
B) Ignore the client's worries and focus on other interventions
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C) Offer a sedative immediately to calm the client
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D) Tell the client to stop worrying and relax
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Answer: A) Encourage the client to talk about their fears
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Rationale: Encouraging the client to verbalize their fears and concerns is a therapeutic technique
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that can help reduce anxiety by allowing the client to process their emotions.
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5. Neurocognitive Disorders v
A nurse is caring for a client with Alzheimer's disease. The nurse should plan to implement which of
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the following strategies to help manage the client's memory loss?
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A) Encourage the client to repeat information multiple times v v v v v v v
B) Introduce new tasks to stimulate memory v v v v v
C) Provide a structured environment with a consistent routine
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D) Disrupt the client’s routine to promote cognitive flexibility
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Answer: C) Provide a structured environment with a consistent routine
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Rationale: A structured environment and consistent routine help reduce confusion and anxiety in
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clients with Alzheimer's disease by providing predictability and stability.
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6. Respiratory System v
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has a low
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oxygen saturation level. The nurse should prioritize which of the following actions?
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A) Administer high-flow oxygen to improve oxygen saturation v v v v v v
B) Increase the client's fluid intake to thin secretions v v v v v v v
C) Apply oxygen via nasal cannula and monitor for improvement
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D) Encourage deep breathing exercises to increase oxygenation v v v v v v
Answer: C) Apply oxygen via nasal cannula and monitor for improvement
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Rationale: In COPD, high-flow oxygen should be administered cautiously, as it may decrease the
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respiratory drive. Low-flow oxygen via nasal cannula is preferred, and the nurse should monitor
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oxygen saturation.
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7. Electrolyte Imbalance v
A nurse is caring for a client with hypokalemia. Which of the following findings should the nurse expect
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to observe?
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A) Bradycardia
B) Hyperreflexia
C) Hypotension
D) Tachypnea
Answer: A) Bradycardia v v
Rationale: Hypokalemia can cause muscle weakness, fatigue, and bradycardia. It is important to
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monitor the client’s cardiac rhythm as potassium is essential for proper muscle and heart function.
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8. Fluid and Electrolytes v v
A nurse is caring for a client with hypercalcemia. Which of the following interventions is most
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appropriate?
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A) Administer diuretics to promote calcium excretion v v v v v
B) Restrict fluid intake to prevent fluid overload
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