Prometric Practice Exam for Nurses Test 1

Prometric Practice Exam for Nurses Test 1 1.The nurse is teaching a mother whose daughter has iron deficiency anemia. The nurse determines the parent understood the dietary modifications, if she selects? a) Bread and coffee b) Fish and Pork meat c) Cookies and milk d) Oranges and green leafy vegetables - 1.) Answer: D Dark green leafy vegetables are good sources of iron. Oranges are good sources of vitamin C that enhances iron absorption in the small intestines. 2.Which of the following is the most common clinical manifestation of G6PD following ingestion of aspirin? a) Kidney failure b) Acute hemolytic anemia c) Hemophilia A d) Thalassemia - 2.) Answer: B Individuals with G6PD may exhibit hemolytic anemia when exposed to infection, certain medications or chemicals. Salicylates such as Aspirin damages plasma membranes of erythrocytes, leading to hemolytic anemia. 3.The nurse assesses a client with an ileostomy for possible development of which of the following acid-base imbalances? a) Respiratory acidosis b) Metabolic acidosis c) Metabolic alkalosis d) Respiratory alkalosis - 3.) Answer: B Lower GI fluids are alkaline in nature and can be lost via ileostomy. Thus, loss of HCO3, results to metabolic acidosis. 4.The nurse anticipates which of the following responses in a client who develops metabolic acidosis. a) Heart rate of 105 bpm b) Urinary output of 15 ml c) Respiratory rate of 30 cpm d) Temperature of 39 degree Celsius - 4.) Answer: C Initially, respiratory system will try to compensate metabolic acidosis. Patients with metabolic acidosis have high respiratory rate. 5. A client has a phosphorus level of 5.0mg/dL. The nurse closely monitors the client for? a) Signs of tetany b) Elevated blood glucose c) Cardiac dysrhythmias d) Hypoglycemia - 5.) Answer: A Normal phosphorus level is 2.5 - 4.5 mg/dL .The level reflects hyperphosphatemia which is inversely proportional to calcium. Client should be assessed for tetany which is a prominent symptom of hypocalcemia. 6. A nurse is caring for a child with pyloric stenosis. The nurse would watch out for symptoms of? a) Vomiting large amounts b) Watery stool c) Projectile vomiting d) Dark-colored stool - 6.) Answer: C Clinical manifestations of pyloric stenosis include projectile vomiting, irritability, constipation, and signs of dehydration, including a decrease in urine output. 7.The nurse responder finds a patient unresponsive in his house. Arrange steps for adult CPR. a) Assess consciousness b) Give 2 breaths