NU 578 Exam 5 Practice Questions and
Answers
A nurse is caring for a client receiving digoxin. Which finding indicates toxicity?
A. Bradycardia
B. Hypertension
C. Polyuria
D. Weight gain
ANSWER: A
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The nurse
should:
A. Maintain oxygen at 4 L/min
B. Reduce oxygen to 2 L/min
C. Switch to non-rebreather mask
D. Encourage hyperventilation
ANSWER: B
A nurse prepares to administer furosemide. Which lab value requires immediate
attention?
A. Sodium 140 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.5 mg/dL
D. Magnesium 1.8 mg/dL
ANSWER: B
A client with type 1 diabetes reports shakiness and sweating. The nurse should
first:
A. Administer insulin
B. Give orange juice
C. Call the provider
D. Check urine ketones
ANSWER: B
A nurse is teaching a client about warfarin. Which statement indicates
understanding?
A. “I will eat more spinach.”
B. “I will avoid aspirin.”
C. “I can stop the drug when I feel better.”
D. “I will double the dose if I miss one.”
ANSWER: B
A client with heart failure is prescribed spironolactone. Which food should be
avoided?
,A. Bananas
B. Apples
C. Rice
D. Chicken
ANSWER: A
A nurse is caring for a client with a chest tube. Bubbling in the water seal chamber
indicates:
A. Normal function
B. Air leak
C. Tube obstruction
D. Need for removal
ANSWER: B
A client with schizophrenia reports hearing voices. The nurse’s best response is:
A. “Ignore them.”
B. “What are the voices saying?”
C. “You’re imagining things.”
D. “Don’t worry about it.”
ANSWER: B
A nurse is caring for a client post-thyroidectomy. Which finding requires immediate
intervention?
A. Hoarseness
B. Hypocalcemia
C. Tachycardia
D. Fatigue
ANSWER: B
A client with asthma is prescribed albuterol. The nurse should teach the client to
expect:
A. Bradycardia
B. Tremors
C. Constipation
D. Sedation
ANSWER: B
A nurse is caring for a client with a urinary catheter. To prevent infection, the nurse
should:
A. Keep the drainage bag above bladder level
B. Maintain a closed system
C. Flush the catheter daily
D. Change catheter every 24 hours
ANSWER: B
A client with a spinal cord injury develops sudden hypertension and headache. The
nurse suspects:
A. Autonomic dysreflexia
, B. Neurogenic shock
C. Hypoglycemia
D. Pulmonary embolism
ANSWER: A
A nurse is teaching about iron supplements. Which instruction is correct?
A. Take with milk
B. Take with orange juice
C. Take on an empty stomach only
D. Avoid vitamin C
ANSWER: B
A client with cirrhosis is at risk for hepatic encephalopathy. Which lab should be
monitored?
A. Ammonia
B. Hemoglobin
C. Sodium
D. Potassium
ANSWER: A
A nurse is caring for a client with a tracheostomy. The priority is:
A. Suctioning secretions
B. Providing oral care
C. Changing ties daily
D. Humidifying oxygen
ANSWER: A
A client with tuberculosis is prescribed isoniazid. The nurse should teach about:
A. Avoiding alcohol
B. Increasing vitamin K
C. Taking with antacids
D. Avoiding vitamin B6
ANSWER: A
A nurse is caring for a client with a blood transfusion reaction. The first action is:
A. Stop the transfusion
B. Notify the provider
C. Administer diphenhydramine
D. Check vital signs
ANSWER: A
A client with Addison’s disease is at risk for:
A. Hyperkalemia
B. Hypokalemia
C. Hypertension
D. Fluid overload
ANSWER: A
Answers
A nurse is caring for a client receiving digoxin. Which finding indicates toxicity?
A. Bradycardia
B. Hypertension
C. Polyuria
D. Weight gain
ANSWER: A
A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The nurse
should:
A. Maintain oxygen at 4 L/min
B. Reduce oxygen to 2 L/min
C. Switch to non-rebreather mask
D. Encourage hyperventilation
ANSWER: B
A nurse prepares to administer furosemide. Which lab value requires immediate
attention?
A. Sodium 140 mEq/L
B. Potassium 2.9 mEq/L
C. Calcium 9.5 mg/dL
D. Magnesium 1.8 mg/dL
ANSWER: B
A client with type 1 diabetes reports shakiness and sweating. The nurse should
first:
A. Administer insulin
B. Give orange juice
C. Call the provider
D. Check urine ketones
ANSWER: B
A nurse is teaching a client about warfarin. Which statement indicates
understanding?
A. “I will eat more spinach.”
B. “I will avoid aspirin.”
C. “I can stop the drug when I feel better.”
D. “I will double the dose if I miss one.”
ANSWER: B
A client with heart failure is prescribed spironolactone. Which food should be
avoided?
,A. Bananas
B. Apples
C. Rice
D. Chicken
ANSWER: A
A nurse is caring for a client with a chest tube. Bubbling in the water seal chamber
indicates:
A. Normal function
B. Air leak
C. Tube obstruction
D. Need for removal
ANSWER: B
A client with schizophrenia reports hearing voices. The nurse’s best response is:
A. “Ignore them.”
B. “What are the voices saying?”
C. “You’re imagining things.”
D. “Don’t worry about it.”
ANSWER: B
A nurse is caring for a client post-thyroidectomy. Which finding requires immediate
intervention?
A. Hoarseness
B. Hypocalcemia
C. Tachycardia
D. Fatigue
ANSWER: B
A client with asthma is prescribed albuterol. The nurse should teach the client to
expect:
A. Bradycardia
B. Tremors
C. Constipation
D. Sedation
ANSWER: B
A nurse is caring for a client with a urinary catheter. To prevent infection, the nurse
should:
A. Keep the drainage bag above bladder level
B. Maintain a closed system
C. Flush the catheter daily
D. Change catheter every 24 hours
ANSWER: B
A client with a spinal cord injury develops sudden hypertension and headache. The
nurse suspects:
A. Autonomic dysreflexia
, B. Neurogenic shock
C. Hypoglycemia
D. Pulmonary embolism
ANSWER: A
A nurse is teaching about iron supplements. Which instruction is correct?
A. Take with milk
B. Take with orange juice
C. Take on an empty stomach only
D. Avoid vitamin C
ANSWER: B
A client with cirrhosis is at risk for hepatic encephalopathy. Which lab should be
monitored?
A. Ammonia
B. Hemoglobin
C. Sodium
D. Potassium
ANSWER: A
A nurse is caring for a client with a tracheostomy. The priority is:
A. Suctioning secretions
B. Providing oral care
C. Changing ties daily
D. Humidifying oxygen
ANSWER: A
A client with tuberculosis is prescribed isoniazid. The nurse should teach about:
A. Avoiding alcohol
B. Increasing vitamin K
C. Taking with antacids
D. Avoiding vitamin B6
ANSWER: A
A nurse is caring for a client with a blood transfusion reaction. The first action is:
A. Stop the transfusion
B. Notify the provider
C. Administer diphenhydramine
D. Check vital signs
ANSWER: A
A client with Addison’s disease is at risk for:
A. Hyperkalemia
B. Hypokalemia
C. Hypertension
D. Fluid overload
ANSWER: A
