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A client with ascites is scheduled for a
paracentesis. Which instruction should
be given to the client before the proce-
dure?
a "You will need to lay flat during the
procedure." b. "You need to empty your bladder be-
b. "You need to empty your bladder be- fore the procedure."
fore the procedure."
c. "You will be asleep during the proce-
dure."
d. "The doctor will inject a medication
during the procedure."
A client's lab values reveal Hgb 12.6,
WBC 6500cu.mm, K+ 1.9, uric acid 7.0,
Na+ 136, and platelets 178,000cu.mm.
The nurse evaluates that the client is
experiencing which of the following? b Hypokalemia
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
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The nurse is caring for the client who
has been in a coma for two months. He
has signed a donor card, but the wife is
opposed to the idea of organ donation.
How should the nurse handle the topic of
organ donation with the wife?
a Tell the wife that the hospital will hon-
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or her wishes regarding organ donation,
but contact the organ-retrieval staff.
b Tell her that because her husband
signed a donor card, the hospital has the
right to take the organs upon the death a Tell the wife that the hospital will honor
of her husband. her wishes regarding organ donation, but
c Explain that it is necessary for her to contact the organ-retrieval staff.
donate her husband's organs because
he signed the permit.
d Refrain from talking about the subject
until after the death of her husband.
Due to a high census, it has been neces-
sary for a number of clients to be trans-
ferred to other units within the hospital.
Which client should be transferred to the
postpartum unit?
a A 66-year-old female with gastroenteri-
b A 40-year-old female with a hysterecto-
tis
my
b A 40-year-old female with a hysterec-
tomy
c A 27-year-old male with severe depres-
sion
d A 28-year-old male with ulcerative col-
itis
Before administering Theo-Dur (theo-
phylline), the nurse should check the pa-
tient's:
a output c Pulse
b Blood pressure
c Pulse
d Temperature
Which information should be given to the
patient undergoing radiation therapy for
breast cancer? a Avoid exposing radiation areas to sun-
a Avoid exposing radiation areas to sun- light during treatment time and for a year
light during treatment time and for a year after completion of therapy
after completion of therapy
b Moisturize the radiation site with
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oil-based lotion to prevent blistering
c Use bath oil when tub bathing to pre-
vent drying and peeling
d Report redness and soreness of the
area to the physician
The charge nurse is making assign-
ments for the day. After accepting the
assignment to care for a client with
leukemia, the nurse tells the charge
nurse that her child has chickenpox.
Which initial action should the charge
nurse take?
d Ask the nurse if she has ever had the
a Change the nurse's assignment to an-
chickenpox.
other client.
b Explain to the nurse that there is no risk
to the client.
c Ask the nurse if the chickenpox have
crusted.
d Ask the nurse if she has ever had the
chickenpox.
Which statement is true regarding thera-
py with Levemir (insulin detemir)?
a The onset is 1-2 hours.
d The duration is 24 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the
nursing assistant?
a The 18-year-old with a fracture to two
cervical vertebrae
b The infant with meningitis with a tem- c The elderly client with a thyroidectomy
perature of 101°F four days ago
c The elderly client with a thyroidectomy
four days ago
d The client with a thoracotomy two days
ago
The physician has ordered the Schilling
test for a patient with suspected perni-
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cious anemia. What other vitamin level is
often assessed at the same time as the
B12 level?
a Folic acid a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
The client is admitted to the emergency
room with shortness of breath, anxiety,
and tachycardia. His ECG reveals atri-
al fibrillation with a ventricular response
rate of 130 beats per minute. The doctor d Prolonged QT interval
orders quinidine sulfate. While he is re-
ceiving quinidine, the nurse should mon- Quinidine can cause widened Q-T inter-
itor his ECG for: vals and heart block.
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the emer-
gency room with a possible fracture of
the right femur. The nurse should antic-
ipate an order for:
c Buck's traction
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in
the teaching session of a client sched-
uled for a renal biopsy?
a "You will be placed in a sitting position
b "You may experience a feeling of pres-
for the biopsy."
sure or discomfort during aspiration of
b "You may experience a feeling of pres-
the biopsy."
sure or discomfort during aspiration of
the biopsy."
c "You will be asleep during the proce-
dure."