1. A nurse is teaching a client with a history of hyperthyroidism about
the signs of thyroid storm. Which of the following signs should the
client report immediately to their healthcare provider? a) Weight loss
b) Tachycardia c) Cold intolerance d) Constipation
Answer: b) Tachycardia
Rationale: Tachycardia is a key symptom of thyroid storm, which is a
life-threatening complication of hyperthyroidism. Immediate medical
attention is necessary if the client exhibits this sign.
2. A nurse is caring for a client with a history of peptic ulcer disease.
Which of the following medications should the nurse question before
administration? a) Antacids b) Nonsteroidal anti-inflammatory drugs
(NSAIDs) c) Proton pump inhibitors (PPIs) d) Antibiotics
Answer: b) Nonsteroidal anti-inflammatory drugs (NSAIDs)
Rationale: NSAIDs can irritate the gastric mucosa and increase the risk
of bleeding or ulcer formation. They should be avoided in clients with
peptic ulcer disease.
3. A nurse is caring for a client with a history of alcohol use disorder.
Which of the following signs should the nurse monitor for when
detoxifying the client? a) Hypertension and tremors b) Bradycardia and
hypothermia c) Hypotension and bradypnea d) Tachycardia and
lethargy
Answer: a) Hypertension and tremors
,Rationale: Hypertension and tremors are common symptoms of alcohol
withdrawal. These symptoms can indicate that the client is going
through withdrawal and should be managed promptly to avoid
complications.
4. A nurse is preparing to discharge a client with a new diagnosis of
hypertension. Which of the following statements by the client indicates
understanding? a) "I will stop taking my medication when my blood
pressure is normal." b) "I will avoid exercise to prevent raising my
blood pressure." c) "I will monitor my blood pressure regularly at
home." d) "I can eat salty foods occasionally as long as my blood
pressure is normal."
Answer: c) "I will monitor my blood pressure regularly at home."
Rationale: Regular monitoring of blood pressure is essential for
managing hypertension. The client should be encouraged to track their
blood pressure and follow the prescribed treatment plan.
5. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
, 6. A nurse is caring for a client who is receiving intravenous (IV)
antibiotics. Which of the following actions is most important to prevent
the risk of thrombophlebitis? a) Administer the antibiotic slowly over
the recommended time b) Flush the IV line with normal saline after
each dose c) Keep the IV site covered with a sterile dressing at all times
d) Rotate the IV site every 48 hours
Answer: a) Administer the antibiotic slowly over the recommended
time
Rationale: Administering the antibiotic slowly reduces the risk of
irritation to the vein, which can lead to thrombophlebitis. The nurse
should also monitor the IV site regularly.
7. A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following actions should the nurse take? a) Position the
client in the supine position b) Have the client cough and deep breathe
before the procedure c) Monitor the client's vital signs every 4 hours
post-procedure d) Ensure the client remains still and does not move
during the procedure
Answer: d) Ensure the client remains still and does not move during
the procedure
Rationale: The client must remain still during the thoracentesis to
prevent injury to the lungs and ensure the procedure is done
accurately.
8. A nurse is caring for a client with a wound infection. Which of the
following interventions should the nurse prioritize? a) Apply a warm
compress to the wound b) Administer prescribed antibiotics c)
the signs of thyroid storm. Which of the following signs should the
client report immediately to their healthcare provider? a) Weight loss
b) Tachycardia c) Cold intolerance d) Constipation
Answer: b) Tachycardia
Rationale: Tachycardia is a key symptom of thyroid storm, which is a
life-threatening complication of hyperthyroidism. Immediate medical
attention is necessary if the client exhibits this sign.
2. A nurse is caring for a client with a history of peptic ulcer disease.
Which of the following medications should the nurse question before
administration? a) Antacids b) Nonsteroidal anti-inflammatory drugs
(NSAIDs) c) Proton pump inhibitors (PPIs) d) Antibiotics
Answer: b) Nonsteroidal anti-inflammatory drugs (NSAIDs)
Rationale: NSAIDs can irritate the gastric mucosa and increase the risk
of bleeding or ulcer formation. They should be avoided in clients with
peptic ulcer disease.
3. A nurse is caring for a client with a history of alcohol use disorder.
Which of the following signs should the nurse monitor for when
detoxifying the client? a) Hypertension and tremors b) Bradycardia and
hypothermia c) Hypotension and bradypnea d) Tachycardia and
lethargy
Answer: a) Hypertension and tremors
,Rationale: Hypertension and tremors are common symptoms of alcohol
withdrawal. These symptoms can indicate that the client is going
through withdrawal and should be managed promptly to avoid
complications.
4. A nurse is preparing to discharge a client with a new diagnosis of
hypertension. Which of the following statements by the client indicates
understanding? a) "I will stop taking my medication when my blood
pressure is normal." b) "I will avoid exercise to prevent raising my
blood pressure." c) "I will monitor my blood pressure regularly at
home." d) "I can eat salty foods occasionally as long as my blood
pressure is normal."
Answer: c) "I will monitor my blood pressure regularly at home."
Rationale: Regular monitoring of blood pressure is essential for
managing hypertension. The client should be encouraged to track their
blood pressure and follow the prescribed treatment plan.
5. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
, 6. A nurse is caring for a client who is receiving intravenous (IV)
antibiotics. Which of the following actions is most important to prevent
the risk of thrombophlebitis? a) Administer the antibiotic slowly over
the recommended time b) Flush the IV line with normal saline after
each dose c) Keep the IV site covered with a sterile dressing at all times
d) Rotate the IV site every 48 hours
Answer: a) Administer the antibiotic slowly over the recommended
time
Rationale: Administering the antibiotic slowly reduces the risk of
irritation to the vein, which can lead to thrombophlebitis. The nurse
should also monitor the IV site regularly.
7. A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following actions should the nurse take? a) Position the
client in the supine position b) Have the client cough and deep breathe
before the procedure c) Monitor the client's vital signs every 4 hours
post-procedure d) Ensure the client remains still and does not move
during the procedure
Answer: d) Ensure the client remains still and does not move during
the procedure
Rationale: The client must remain still during the thoracentesis to
prevent injury to the lungs and ensure the procedure is done
accurately.
8. A nurse is caring for a client with a wound infection. Which of the
following interventions should the nurse prioritize? a) Apply a warm
compress to the wound b) Administer prescribed antibiotics c)
