adult two final exam practice questions
A client is explaining to the health care provider (HCP) that she is having difficulty sleeping at night. The client indicates her legs are so uncomfortable they constantly ache, and are moving uncontrollably. What is this client likely suffering from? Restless leg syndrome Lateral scoliosis Migraine headache Peripheral neuropathy
ANS: A
A nurse is educating a client newly diagnosed with multiple sclerosis (MS). What is one important concept the nurse should include in the client's education? MS has remissions and exacerbations MS takes its toll on a client all at once MS symptoms are dominant and noticeable MS clients do not utilize physical therapy
ANS: A
A nurse is providing education to a student nurse about urinalysis. The student nurse provides understanding when he makes which of the following statements? "Collect the first urinated a.m. specimen, if possible." "Send the specimen to the lab after it dilutes for 1 hour." "Contaminating the specimen with additive dye helps detect bacteria." "Ask the patient not to drink any water a few days prior."
ANS: A
A nurse observes a client in the hallway slightly slumped over who appears to be shaking and very stiff in his movements. What health issue is the nurse witnessing while observing this client? Parkinsons Myasthenia Gravis Muscular dystrophy Neurological Headaches
ANS: A
A nurse should expect a client with hypothyroidism to report which of the following health concerns? A. Increased appetite and weight loss B. Puffiness of the face and hands C. Nervousness and tremors D. Thyroid gland swelling
ANS: A
If a patient is on Warfarin which lab would you expect the HCP to monitor closely? INR PTT D Dimer WBC
ANS: A
The nurse assigns the nursing diagnosis risk for injury to a patient admitted with a history of osteomyelitis. What interventions would you expect the nurse to perform? Be gentle when moving extremities Perform ROM exercises every 6 hours Use cautious and appropriate technique when disposing soiled dressings Measure circumference of extremities daily
ANS: A
The nurse has explained to the client who is to receive an organ transplant that immunotherapy requires life long therapy. What would the nurse include in this explanation to this client? A. The immune system must be suppressed to prevent rejection B. An inadequate immune response is maintained to promote infection. C. Many of the drugs used in immunosuppression do not have any side effects
ANS: A
The nurse is assessing a client and notices pink, raised, edematous areas on the clients arms bilaterally. From the nurse's assessment what is the client likely experiencing? A. Urticaria B. Contact Dermatitis C. Transfusion Reaction D. Goodpasture Syndrome
ANS: A
The nurse is caring for a client with HIV. The client is to begin taking Antiretroviral Therapy (ART therapy). What could the nurse do to assist in increasing this client's compliance to ART therapy? A. Determine the client's readiness for ART. B. Tell the client it is time and he must start ART. C. Tell the client the nurse and the only responsible for him with ART. D. Include only the client in ART teaching.
ANS: A
The nurse is caring for a client with a type I hypersensitivity reaction. Which of the following would the nurse suspect the client to have been exposed to? A. Pollen B. Transfusion reaction C. Acute glomerularnephritis
ANS: A
The nurse is educating a client on chemotherapy. Which of the following would indicate a need for further teaching if the nurse indicated the following information? A. Chemotherapy will eradicate all of your cancer cells B. Chemotherapy can help in reducing tumor spread C. Chemotherapy can assist in killing some cancer cells D. Chemotherapy can be given when the WBC is adequate.
ANS: A
The nurse is educating her peers in a group huddle about chicken pox. The nurse must explain what type of immunity chicken pox is associated with. Which of the following is the most correct explanation? A. Chicken pox is an example of active immunity because children generally receive a vaccine so the body recognizes chicken pox upon exposure. B. Chicken pox is an example of passive immunity because it is passed from the mother to the child at birth. C. Chicken pox is an example of innate immunity because the child is born with the immunity needed to combat exposure to chicken pox.
ANS: A
The nurse is providing patient and care giver teaching to a client regarding genetic testing. Which of the following is an example of what will be used in this teaching? A. The results of genetic testing can be depressing. B. The knowledge of genetic testing does not assist in decision making C. When genetic disorders occur only one family member can develop it.
ANS: A
The nurse is providing patient education regarding pericarditis. Which of the following statements by the patient is incorrect and would require additional teaching? I do not need to worry about pain that radiates to my head and neck, since this is just a symptom of angina. Pericarditis can result from bacteria, viral, or fungal infections. My RA may cause pericarditis. Pericarditis can cause my heart to be unable to beat effectively
ANS: A
The nurse is taking care of a client that is experiencing what is thought to be an anaphylactic reaction. What would be one of the initial actions the nurse would take given the client's current presentation of possible anaphylactic shock? A. Ensure a patent airway B. Lie the client flat in bed C. Give 1000 ml of potassium chloride D. Give extensive doses of lasix
ANS: A
The nurse recognizes that the difference between Myasthenia Gravis and Cholinergic crisis is which of the following? MG is due to not having enough cholinesterase and Cholinergic crisis is due to an OD of cholinesterase MG is due to too much cholinesterase and cholinergic crisis is due to not enough cholinesterase MG is due to an overproduction of corticosteroids and cholinergic crisis is due to an OD in cholinesterase MG is due to a deficiency in corticosteroids and cholinergic crisis is due to a deficiency in cholinesterase
ANS: A
The student nurse is learning about the risk factors to the development of cancer. Which of the following is perhaps one of the largest risk factors for developing cancer? A. Smoking cigarettes B. Fatty food consumption C. Sugar consumption D. Caffeine consumption
ANS: A
What are normal glucose levels? A. 74-106 B. 50-80 C. 90-120 D. 30-40
ANS: A
What is one of the most common medications used in the treatment of Multiple sclerosis? Select the best response Corticosteroids Beta-blockers Ace-inhibitors Nsaids
ANS: A
The nurse learns that the client she observed may have MG and notifies the health care provider (HCP). What type of testing or diagnostics may the HCP order? (SATA) Blood work Tensilon test Heart cath Snellen eye test
ANS: A, B
With a BP of >180\110, which clinical manifestation indicates HTN crisis? (SATA) Sudden increase in BP Nausea and vomiting Headache Weight loss Confusion or coma
ANS: A, B ,C, E
Patient has been diagnosed with osteomyelitis. What is considered objective data for osteomyelitis? Diaphoresis High, Spiking temperature Edema Alcohol use
ANS: A, B, C
The nurse is caring for a client who has a foley catheter inserted. The reason that catheter care is order per shift is to prevent which of the following? (SATA) A. To promote hygiene B. To prevent CAUTI C. To promote comfort D. To ensure the catheter moves
ANS: A, B, C
The nurse is getting ready to administer Doxazosin to her assigned patient due to the patient's elevated blood pressure. What does the nurse need to consider before giving this medication? SATA It is best to give the first dose at bedtime to reduce the first dose BP drop Syncope can occur 30-90 minutes after the first dose, a too-rapid increase in dose, or addition of another antihypertensive agent to therapy Drug interactions can occur with patients taking phosphodiesterase inhibitors (EX: Viagra or Cialis) The first dose should be given in the morning
ANS: A, B, C
The nurse is reviewing the problems that can be caused by chemotherapy and radiation. Which of the following are problems caused by chemotherapy and radiation? (SATA) A. increased uric acid B. fatigue C. Anorexia D. regular stools
ANS: A, B, C
The nurse is using the six-second method to calculate a patient's heart rate. The nurse notes 11 QRS complexes on the EKG strip. What interventions would you expect for this patient? (SATA) Beta blockers Daily weight I&O Fluid restriction
ANS: A, B, C
What are absolute contraindications to thromboembolic treatment? SATA Active internal bleeding Suspected aortic dissection Prior thromboembolic treatment in the past 6 months STEMI Controlled HTN
ANS: A, B, C
While collecting vital signs, the nurse notes that the patient's blood pressure is 92\44. What objective data might the nurse notice during assessment. (SATA) Confusion Increased heart rate Dizziness Warm, reddened skin
ANS: A, B, C
Nitrofurantoin is an antibiotic typically prescribed to treat urinary tract infections. What might the nurse assess before administering this medication to their client? (SATA) Assess the client's creatinine clearance before administration (do not give if it is <30) Assess vital signs, specifically temperature Assess for cough, chest pain, dyspnea, and rash Assess the client's fingers and toes for numbness or tingling
ANS: A, B, C, D
Which of the following fluids and food would have an influence on the kidneys? (SATA) Overhydration and underhydration Caffeine Sodium Foods high in carotene Candy
ANS: A, B, C, D
Which of the following would be important nursing interventions for the client with AKI? (SATA) A. Careful monitoring of intake and output. B. Daily patient weights. C. Meticulous aseptic technique. D. Increase intake of vitamin A and D. E. Frequent mouth care
ANS: A, B, C, D
A nurse is providing teaching on primary HTN to a client and tells them that there is no known cause of primary hypertension, but there are risk factors. Which of the following are considered risk factors of primary HTN? (SATA). Smoking cigarettes Family history of HTN Consuming a diet high in sodium Active lifestyle Stress BMI of 23
ANS: A, B, C, E
A patient has just been diagnosed with Right-sided heart failure. What are some clinical manifestations of Right-sided heart failure? (SATA) Jugular venous distention Weight gain Left ventricular heaves Ascites Frothy, pink tinged sputum
ANS: A, B, D
A patient's lab results come back with LDL >100. The nurse teaches that these agents can lower lipid levels (SATA): Soy Garlic High fat diet Niacin
ANS: A, B, D
Metformin is the most effective first-line treatment for type 2 diabetes. Which of the following are listed as drug alerts for Metformin? (SATA). A. Do not use in clients with heart failure, liver disease, or kidney disease. B. Discontinue metformin 2 days before surgery or radiologic procedures. C. Do not take metformin with food. D. Do not use in clients who drink excess amounts of alcohol. E. Acute pancreatitis has been associated with the use of metformin
ANS: A, B, D
The nurse is discharging a patient who recently had hip surgery. What patient safety teaching will the nurse teach to the patient going home? (SATA) Add grab bars in the shower Install better lighting It's okay to keep clutter around your bed Keep floors dry to prevent slipping
ANS: A, B, D
What are common causes of pericarditis? (SATA) Bacterial Renal failure Hypothyroidism SLE ST segment depression
ANS: A, B, D
Which of the following are associated with a normal sinus rhythm? (SATA) 60-100 beats per minute P wave appears before each QRS complex PR interval of 0.5 seconds QRS intervals are similar
ANS: A, B, D
Which of the following would be found during a NORMAL physical assessment of the urinary system? (SATA) Nonpalpable kidney and bladder No palpable masses Bladder distention No costovertebral angle tenderness Discharge or inflammation of the urinary meatus
ANS: A, B, D
A nurse caring for a client with status epilepticus (SE) knows that which of the following is true regarding this diagnosis? (SATA) SE is defined as any seizure lasting longer than 5 minutes. SE is considered a neurologic emergency and can occur with any type of seizure. The longer a seizure lasts, the more likely it is to stop without drug therapy. The goal of therapy with SE is to rapidly end clinical and electrical seizure activity. The most common form of SE is convulsive status epilepticus (CSE)
ANS: A, B, D, E
A nurse is educating a prediabetic patient on ways that he can reverse his diabetes and prevent it from developing into Type II DM. Which of the following might the nurse educate to the client? (SATA) A. How insulin is made and what impacts its production B. Teach signs of hyper and hypo glycemia C. Educate on the benefits of Dr pepper rather than Coca Cola D. Discuss impact of exercise on glucose and insulin E. Educate on potential dietary changes
ANS: A, B, D, E
A nurse is explaining the Genetic Information Nondiscrimination Act (GINA). What information is likely to be included in the nurse's explanation? (SATA) A. GINA protection does not extend to life insurance, disability insurance, and or long-term care insurance. B. GINA prevents employers from asking their clients to have genetic testing C. GINA does not address concerns of genetic discrimination D. GINA prohibits employers from hiring, firing, or promoting employees based on genetics E. GINA prohibits genetic research from being used against employees who participate in genetic research.
ANS: A, B, D, E
Which of the following are endocrine glands? (SATA) A. Glands, hormones B. Hypothalamus, pituitary, thyroid C. Brain stem D. Parathyroid, adrenals, pancreas E. Testes, ovaries, pineal gland
ANS: A, B, D, E
Which of the following are functions performed by the kidneys? SATA Regulates volume & composition of extracellular fluid Controls BP Activates vitamin A Excretes waste products Regulates acid-base balance
ANS: A, B, D, E
The nurse is performing patient teaching on management of diabetes. Which of the following should she include in her teaching related to risk reduction? (SATA) A. Ensure they have a clear understanding of hyperglycemia and hypoglycemia B. Effects of stress can have on blood glucose C. Teach that it is better to remain barefoot. D. Importance of proper foot care E. The need for regular eye appointments F. Importance of consistent glucose monitoring
ANS: A, B, D, E, F
What are some of the differences between TYPE 1 and TYPE 2 Diabetes? (SATA) A. Type 1 generally impacts those 40 or younger but can impact any age B. Type 2 is contributed to having a family history and being overweight C. Type 2 is results in not enough insulin production D. Type 2 develops antibodies against insulin and pancreatic B cells E. Type 1 is an autoimmune disorder
ANS: A, B, E
The nurse is explaining to a client with benign prostatic hyperplasia (BPH) the diagnostic tests that are used. Which of the following would the nurse include in the explanation? (SATA) A. Digital Rectal Examination B. Pelvic Ultrasound C. PSA Levels D. Blood Chemistry
ANS: A, C
What are the effects of aging on the musculoskeletal system? SATA Loss of bone density leading to osteoporosis. Ability to complete self-care routines increases Risk for falls increases Risk for scoliosis increases
ANS: A, C
A client has just been diagnosed with gout. The nurse knows which of the following are possible causes of gout? Increased production of uric acid Not enough alcohol intake Decreased excretion of uric acid Increased intake of purine foods Interaction of single disease
ANS: A, C, D
The nurse has a patient who has recently been diagnosed with Myasthenia Gravis. What are the nursing managements for this disease? (SATA) Eating Semi solid food Morning runs for 30 minutes Avoiding fatigue Plan activities that need little physical effort
ANS: A, C, D
The nurse is preparing her cardiac patient to undergo a PET SCAN. What kind of preparations would you expect the nurse to make? (SATA) Hold all caffeine 12 hours before the test Give the client theophylline PRN Hold the clients metoprolol 24 hours before the test Obtain IV access Give the client metoprolol 1 hour before scan
ANS: A, C, D
Which of the following interventions best prevents stone recurrences? (SATA) Taking prescribed pain medication Living a sedentary lifestyle Adequate fluid intake Dietary changes Drinking multiple cans of soda a day
ANS: A, C, D
A patient has just been diagnosed with Type 1 diabetes. Which of the following are some patient and caregiver teaching when preparing an insulin injection? (SATA) A. Inspecting the insulin bottle before using it. Making sure it's the proper type and concentration, expiration date not passed. B. Ensure area is moist and clean C. Top of the insulin bottle is in perfect condition. D. Choose proper injection site E. Push plunder all the way down, leave the needle in place for 5 seconds. F. Reuse the same needle as many times as possible
ANS: A, C, D, E
inability to close eye Inability to puff cheeks Drooping mouth
ANS: A, C, D, E
A patient has recently been diagnosed with Systemic Lupus Erythematosus (SLE). What are musculoskeletal problems this patient may experience? (SATA) Arthritis Mild proteinuria Polyarthralgia Skin lesions Ulnar deviation
ANS: A, C, E
Which of the following are considered objective data when assessing a patient's endocrine system? (SATA) A. Body temperature B. Excessive hunger C. Height and weight D. Heat or cold intolerance E. Thyroid size and shape
ANS: A, C, E
Which of the following are changes that occur with aging and the musculoskeletal system? (SATA) Decreased bone density Increased bone density Decreased risk for cartilage erosion Decreased strength and muscle mass
ANS: A, D
A nurse is teaching a young healthy patient with a family hx of heart disease ways they can decrease their risk of developing CAD later in life. Which of the following modifiable risk factors would the nurse include in the patient teachings? (SATA) Maintain an ideal body weight. Get adequate physical exercise. Increase saturated fat intake. Avoid tobacco and illicit drug use. Plan time for adequate rest and sleep
ANS: All except C
A 25 year old female has a history of migraine headaches. What are possible headache triggers that you could educate her on avoiding? (SATA) Caffeine Oranges Nicotine Alcohol Emotional stress
ANS: All of the above
A patient has recently been diagnosed with systemic lupus erythematosus, which of the following are considered signs and symptoms of SLE? (SATA) Butterfly rash Seizures Stroke Raynaud's phenomenon
ANS: All of the above
Which of the following is a risk factor for restless leg syndrome? Peripheral neuropathy Iron deficiency Kidney failure Spinal cord conditions
ANS: All of the above
A 50-yr-old male patient has been diagnosed with amyotrophic lateral sclerosis (ALS). What strategy should the nurse use to prevent a common cause of death for patients with ALS? Reduce fat intake Reduce the risk of aspiration Decrease injury related to falls Decrease pain secondary to muscle weakness
ANS: B
A client has recently developed issues with urinary incontinence. As the nurse, which of the following interventions would you recommend for the client to perform to help strengthen their pelvic floor muscles? Heavy weightlifting. Kegel exercises. Continuation of cigarette smoking. Encourage caffeine and alcohol intake
ANS: B
A client has stated she is experiencing "severe, intense pain that lasts up to 3 hours. It is a sharp, stabbing pain around the eye." You also notice upon observation swelling around the eyes, miosis, and lacrimation. What is this client experiencing? Tension-type headache Cluster headache Migraine headache Heart attack
ANS: B
A father states that his son has been diagnosed with seizures. He characterizes the seizures as saying that it looks like his son is "daydreaming" and usually only lasts about 10 seconds. Which type of seizures is son most likely experiencing? Tonic Clonic Seizures Absence Seizures Partial Seizures Status Epilepticus
ANS: B
A female patient reports a throbbing headache. The nurse learns the patient has had photophobia and headaches previously. Which diagnosis should the nurse suspect? Cluster headache Migraine headache Polycythemia vera Hemorrhagic stroke
ANS: B
A patient at a local clinic states that she's been experiencing daytime fatigue due to the "pins and needles" sensation in her calves while trying to sleep. What disorder matches the patient's description? Parkinson's Disease Restless Legs Syndrome Multiple Sclerosis Migraine Headache
ANS: B
A patient is admitted to the emergency department with a spinal cord injury. Which finding is of most concern to the nurse? SpO2 of 92% Heart rate of 42 bpm Blood pressure of 90\60 mm Hg Setting up normal saline to infuse at a rate of 500 mL
ANS: B
A patient with a diagnosis of hemophilia had a fall down an escalator earlier in the day and now has bleeding in the left knee joint. What should be the emergency nurse's immediate action? Immediate transfusion of platelets Resting the patient's knee to prevent hemarthrosis Assistance with an intracapsular injection of corticosteroids Range-of-motion exercises to prevent thrombus formation
ANS: B
The charge nurse is educating staff on the effects of aging and the immune system. Which of the following is an example the charge nurse would include in this education? A. Thymic growth occurs B . Thymic shrinkage occurs C. Increase hypersensitivity reaction D. Decrease in autoantibodies
ANS: B
The client is diagnosed with allergic rhinitis by the health care provider (HCP). Which of the following is a type of medication that may relieve the client's rhinitis? A. Antipruritic drugs B. Corticosteroids C. Beta Blockers D. Calcium Channel Blockers
ANS: B
The nurse is caring for a client with a sprain and knows that there are some specific interventions that will assist the client in reducing inflammation associated with the sprain. Which of the following with the nurse recommend the client do to reduce pain and inflammation? Apply direct heat to the area for 30 min then wrap with bandage Rest the sprain, apply ice, compression bandage, elevate the sprained extremity Wrap with bandage, apply ice, elevate extremity Elevate extremity, apply compression bandage, apply heat, and rest
ANS: B
The nurse is educating a client on the leading cause of death in cancer clients. What would the nurse focus on with this education? A. Foods consumed B. Infections C. Pain D. Metabolism
ANS: B
The nurse is educating the client on the lab work for pancreatitis. What labs may the nurse explain are elevated in the client with pancreatitis? A. ALT & AST B. Amylase/ lipase C. serum sodium D. serum chloride
ANS: B
The nurse is explaining the gerontological considerations of the effects of aging on the immune system. Which of the following is an example of what occurs with the immune system and aging? A. Older clients are less at risk for pneumonia and influenza. B. Older clients are more at risk for pneumonia and influenza. C. Older clients have more of a response to vaccines than in their youth.
ANS: B
The nurse is in the hospital cafeteria and notices that her friend she works with has a skin rash, that is itchy. The nurse tells her friend it looks like she is having a latex allergy. What could the friend do to identify herself as a person who has allergies to latex? A. Wear a red ribbon in her hair B. Wear a medic alert bracelet C. Post a note of her allergy in nurse's station D. Keep using products that contain lasix
ANS: B
The nurse is taking care of a TB client. What type of precautions should the nurse implement for this client when entering the room? A. Contact B. Airborne C. Droplet D. Standard
ANS: B
The student nurse is learning about cancer and what it actually is. If the student has learned and recalls the correct information, what answer choice would the student select based on their new found knowledge? A. Cancer is a single group of illnesses that do not spread to other parts of the body B. Cancer is a group of illnesses/ diseases that lack contact inhibition or boundaries. C. Cancer is a group of illnesses that promote controlled growth and cell regulation.
ANS: B
When obtaining the health history of the endocrine system, which of the following would the nurse ask the patient when assessing their "health management"? A. Ask if they have changes in their skin, especially on the face, neck, hands, or body creases. B. Ask about first degree relatives with diabetes, thyroid disease, or endocrine gland cancer. C. Ask them how many hours they typically sleep. D. Ask them about their stress level and usual coping patterns
ANS: B
A 67 year old male presents to the clinic with complaints of a severe headache, nausea and vomiting. The nurse checks his blood pressure, and it reads 192\120 mmHg. You ask the patient if he has a history of HTN and he says yes but he recently ran out of his clonidine. What does the nurse believe the pt is experiencing and what is the next intervention? (SATA) Hypertensive Urgency Hypertensive emergency Pt is sent to the ER for possible admission, stabilization of his blood pressure and further evaluation of his symptoms. Pt is sent home with refills of his medication and recommended to follow up if he has any worsening symptoms
ANS: B, C
Which of the following are differences between a NSTEMI and STEMI? (SATA) STEMI is a heart attack and NSTEMI is not STEMI is a medical emergency STEMI is a complete block NSTEMI has zero blockage
ANS: B, C
A nurse is providing discharge education for a patient newly diagnosed with parkinson's disease. What is some important nutritional information? (SATA) Eating a large breakfast Eating 6 small meals a day Avoiding fortified cereals, and vit b6 supplements Cutting food into bite size pieces
ANS: B, C, D
Which of the following would the nurse provide in the health promotion for urinary tract infections when educating the female client? (SATA) Wipe back to front Empty bladder before and after sex Avoid vaginal douches, powders and sprays Maintain adequate fluid intake Urinate regularly every 6-8 hours
ANS: B, C, D
A pediatric patient is being discharged home after a recent diagnosis of type 1 diabetes. What patient and family education would be included when addressing hypoglycemic emergencies. (SATA) A. Administer quick-acting insulin. B. Check blood glucose. C. Eat or drink 15g of quick-acting carbs (orange juice, glucose tabs). D. Immediately call 911 if symptoms do not subside after several doses of carbs. E. If unconscious, administer an emergency glucagon kit
ANS: B, C, D, E (Table 48.19 on page 1134)
A nurse is taking care of a client with a foley catheter inserted. Which of the following actions should the nurse perform to prevent a CAUTI? (SATA) Routinely change the catheter to prevent infection Provide perineal care twice a day Use a sterile closed drainage system Keep urine collection bag below the bladder Apply lotion and powder near the catheter Empty the collecting bag regularly
ANS: B, C, D, F
The client asks you what foods he could eat that have an increase in iron, you respond with? Pancakes Eggs Broccoli Spinach Doritos Meats
ANS: B, C, D, F
A patient has just recently been diagnosed with coronary artery disease. What should the nurse teach them regarding a new diet? (SATA) >2g of sodium Whole grains Fresh fruit and veggies A T-bone steak Chicken breast
ANS: B, C, E
Which of the following would be the responsibility of the registered nurse when preparing a patient for a chest X-ray (specifically to visualize the cardiovascular system)? (SATA) Advise patients to hold beta-blockers for 24 hrs prior to the test Ask about frequency of recent X-rays Provide shielding with lead aprons to areas not being viewed Place patient in supine position Remove jewelry or metal objects Ask about possibility of pregnancy Tell pt no bathing or showering during monitoring
ANS: B, C, E, F
The client calls the clinic complaining of burning on urination, dysuria, and frequency. Which of the following is the best response to the client? "Drink less fluid so you don't have to void so often." "Take some acetaminophen to decrease the discomfort." "Come in so we can check a clean catch urine specimen." "Avoid caffeine and spicy food to decrease inflammation."
ANS: C
The nurse is caring for a client who has been diagnosed with a stage II tumor. What treatment options might the nurse hear the healthcare provider present to the client? (Select the best response) A. Chemotherapy is the only option B. Radiation is the only option C. A combo of surgery and chemotherapy D. No treatment will assist with this tumor
ANS: C
The nurse is caring for a group of older patients in a long-term care setting. Which of the following physical assessment findings would indicate a possible endocrine problem? A. Hypoglycemia, delirium, and incontinence B. Impaired reflexes, diarrhea, and hearing loss C. Fatigue, constipation, and mental impairment D. Hypotension, heat intolerance, and bradycardia
ANS: C
The nurse is providing teaching to a patient who is scheduled for an oral glucose tolerance test. Which of the following statements made by the patient indicates that further teaching is required? A. "I will fast for at least 8 hours before the test." B. "Ingesting caffeine and smoking may alter the test results." C. "The results of this test will show my blood sugar control over the last 3 months." D. "Blood samples will be taken at intervals after I drink a sample of glucose solution."
ANS: C
The nurse is reviewing their patient's EKG and notices that which heart rate is sinus tachycardia? 98 bpm 58 bpm 110 bpm 70 bpm
ANS: C
The nurse is viewing the TNM results of a client. If the client's TNM results reveal a T-x what does this indicate? A. no evidence of primary tumor B. Carcinoma in situ C. Tumor cannot be measured or found D. Ascending degrees of increase in tumor size
ANS: C
What is considered to be the first line treatment of choice for a STEMI? ASA CABG Percutaneous Coronary Intervention Nitro
ANS: C
When asking the client questions regarding the health history of their urinary system, which of the following questions would fall under the activity-exercise category? "How is your appetite?" "What strategies are you using to cope with your urinary problem?" "Do you need help moving or getting to the bathroom?" "Do you have problems controlling your bowels?"
ANS: C
When replacement therapy is started for a patient with hypothyroidism, what is the most important thing for the nurse to monitor? A. Regular bowel movements B. Weight loss C. Dysrhythmias D. Suicidal Ideation
ANS: C
Which characteristics should the nurse associate with a focal seizure? The patient lost consciousness during the seizure. The seizure involved both sides of the patient's brain. The seizure involved lip smacking and repetitive movements. The patient fell to the ground and became stiff for 20 seconds
ANS: C
A client has a diagnosis of Stage 4 CKD, what would we expect their GFR to be? 60-89 90+ 30-44 15-29
ANS: D
A patient has been given nitroglycerin for chest pain. What teaching would the nurse include for this patient? Keep the bottle of pills near light If the symptoms are unchanged or worsen after 5 minutes, the patient should repeat taking it every 10 minutes for a maximum of 5 does You can NOT take this pill until chest pain has started If the pain does not resolve after 3 doses call 911
ANS: D
A patient presents with a history of substernal chest pain that radiates to his left jaw. Which of the following ECG changes would you expect to see in this patient if his troponin level came back positive at 0.89? PR widening ST depression QT prolongation ST elevation
ANS: D
Patient was just diagnosed with a sprain in her right ankle and strain in her right thigh. The doctor recommended using the RICE method. What is the correct answer to describe RICE? Run, Itch, Cry, Eat Rest, Ice, Complain, Elevate Rest, intermittent heat, Compression, Elevate. Rest, Ice, Compression, Elevation
ANS: D
The nurse is doing an assessment on a new patient. The patient reports weight loss, increase in appetite and thirst, and insomnia. The nurse notices the patient has infrequent blinking and exophthalmos. The nurse expects lab work to be checked on this patient for what disease? A. Hypothyroidism B. Gout C. Hyperaldosteronism D. Hyperthyroidism
ANS: D
The nurse is educating the client on the types of opportunistic infections related to HIV. Which of the following might be one of the opportunistic infections associated with HIV? A. Rhinitis B. Common cold C. Gastritis D. Kaposi Sarcoma
ANS: D
The nurse is teaching on the prevention of antibiotic resistant infection. What is a way to prevent antibiotic resistant infection? A. Prescribe antibiotics for the cold and flu. B. Stop taking antibiotic when you feel better. C. Wash your hands often to prevent infection D. Finish an antibiotic regimen despite feeling better
ANS: D
The nurse notices that the client has difficulty talking, facial paralysis, drooping eyelids, and recalls the client telling her, "There seems to be two of you." What might the nurse discover in this client's chart based on the assessment and observation of what she witnessed with this client? Parkinsons Multiple sclerosis Huntingtons Myasthenia Gravis
ANS: D
What are the causes of endometriosis? A. Pregnancy B. Menstrual cycle before 12 years old. C. Cervical cancer D. It is poorly understood, so the cause isn't very well known
ANS: D
A nurse is teaching a diabetic patient about the different types of insulin that can be used to treat diabetes. The nurse is correct when stating which of the following as a RAPID ACTING insulin: A. Regular (Novolin R) B. Glargine (Lantus) C. Afrezza D. Detemir (Levemir) E. Lispro (Humalog)
ANS: E
Which of the following are basic functions of the endocrine system? (SATA) A. Plays a role in reproductive & Central Nervous System development in the fetus. B. Stimulates growth and development in childhood and adolescence and sexual reproduction C. Maintain homeostasis D. Responds to emergency demands
ANS: all of the above
