N240 practice exam

a nurse is caring for a client who is 9 days postoperative following a total laryngectomy. the nurse removes the clients NG tube an initiates oral feedings. which of the following statements should the nurse make?

it is no longer possible for you to choke or aspirate on food

a nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to assess the effectiveness of therapy?

quantitative RNA assay

a nurse on an oncology unit is assessing a child who has a brain tumor. which of the findings should the nurse expect?

hyporeflexia

a nurse is caring for a client who has prostate cancer. the nurse should expect the provider to prescribe which of the following medications for this client

leuprolide

a nurse is planning care for an educational program about basal cell carcinoma. which of the following information should the nurse plan to include?

low incidence of metastasis

a nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. these findings are consistent with which of the following medical diagnosis?

malignant melanoma

a nurse is planning a diet for a client who has an iron deficient. which of the following foods high in iron should the nurse include in the plan?

red meat

a nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. which of the following foods should the nurse recommend to the client?

1 cup canned black beans

a hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. which of the following prescriptions should the nurse expect?

Provide skin care with a moisture barrier cream. administer artificial tears PRN perform mouth care every hour administer oxygen 2 L/min via nasal cannula

a nurse is admitting a child who has leukemia. which of the following clients should the nurse place in the same room with this child?

a child who has nephrotic syndrome

a nurse is assessing a group of clients for hospice services. the nurse should recommend hospice care for which of the following clients?

a client who has terminal cancer and needs assistance with pain management

a nurse is assessing a lesion on a client who has basal cell carcinoma. the nurse should expect which of the following findings?

a pearly, shiny nodule

a group of nurses are discussing risk factors for transmission of HIV from clients. which of the following individuals should the nurse notify as being at the greatest risk for contracting HIV

a phlebotomist who collects blood from clients who have HIV

a nurse in a providers clinic is assessing a client who has cancer and a prescription for methotrexate PO. which of the following actions should the nurse take when the client reports bleeding gums?

check the value of the clients current platelet count

a nurse is teaching a client who is at risk for iron-deficiency anemia about optimizing her dietary intake of iron. the nurse should explain that which of the following sources of iron is easiest to absorb?

chicken

a nurse is presenting a community-based program about HIV and AIDS. a client asks the nurse to describe the inital symptoms experienced with HIV infection. which of the following manifestations should the nurse include in the explanation of initial symptoms.

flu-like symptoms and night sweats

a nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. the nurse should include which of the following restrictions in the clients plan of care?

fresh flowers and potted plants in the room

a nurse is removing ppe after giving direct care to a client who requires isolation. which should she remove first?

gloves

a nurse is planning care for a client who has an absolute neutrophil count less than 1,000/mm3. which of the following interventions should the nurse include in the plan?

limit visitors to healthy adults

a nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab with. the nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

nosebleeds

a nurse in a providers office is reviewing the laboratory findings for a client who is scheduled for surgery. which of the following findings requires follow up by the nurse?

platelet count 60,000/mm3

a client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. the client plans to have aggressive surgical, radiation and chemotherapy treatments. which of the following prognoses should the nurse discuss with the client?

poor

A nurse is evaluating a clients laboratory results. the nurse should recognize that an increase in the clients prostate specific antigen laboratory value is indicative of which of the following diagnosis?

prostate cancer

a nurse is caring for a client who is 1 day postoperative following a mastectomy. which of the following exercises should the nurse assist the client to perform on the affected side.

squeezing a rolled washcloth flexing and extending her hand flexing and extending her elbow

a nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. which of the following actions should the nurse take?

take blood pressures on clients non affected arm

a nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. the nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

urticaria

a charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. which of the following information should the charge nurse include in the teaching?

use chlorhexidine to wash hands if the client is immunosuppressed

a nurse is talking with a client who has come to the clinic for HIV testing. the nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay results, it will use which of the following tests to confirm diagnosis?

western blot analysis

a nurse is caring for a client who has an anaphylactic reaction afte a blood tranfusion. the nurse reviews the literature for further understanding of AMI. which of the following information should the nurse confirm about AMI

AMI is mediated by antibodies produced by b lymphocytes

a nurse is caring for a client who has HIV. which of the following laboratory values is the nurses priority?

CD4-T-cell count 180 cells/mm3

a nurse is teaching a client about the seven warning signs of cancer. which of the following signs should the nurse include as manifestations of cancer?

A nonhealing sore Change in bowel pattern Change in moles Nagging cough

a nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. which of the following actions should the nurse plan to take?

administer an antiemetic prior to surgery

a nurse is admitting a client who has tuberculosis and a productive cough which of the following types of isolation precautions should the nurse initiate for the client?

airborne

a nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. the nurse should monitor the client for which of the following adverse effects of this medication?

aplastic anemia

after radiation treatment a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. the nurse should instruct the client to take which of the following actions

apply hydrating lotions

a nurse monitoring a client who is receiving a unit of packed RBC following surgery. which of the following assessments is an indication the client might be experiencing a hemolytic reaction?

hypotension

a nurse is admitting a child who has leukemia and a critically low platelet count which of the following precautions should the nurse initiate?

bleeding

a nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. the nurse should expect to find an increase in which of the following laboratory values?

calcium

a nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. the nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

candidiasis

a nurse is assessing a client who is receiving a unit of packed red blood cells. which of the following findings is a manifestation of acute hemolytic reaction?

client report of low back pain

a nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. which of the following statements indicates an understanding of the teaching?

ill call my doctor if i noticed any unusual menstrual bleeding

a nurse is assessing a client who presents to the providers office for evaluation of multiple nevi. which of the following findings should the nurse report to the provider as soon as possible as sign of malignancy?

irregular borders

a nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. which of the following hematologic laboratory values should the nurse expect?

decreased platelet count decreased leukocyte count decreased erythrocyte count

a nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. during a pre-treatment exam, the nurse explains to the client that the most likely side effect would be

dysphagia

a nurse is providing teaching to a client about preventing skin cancer. which of the following client statements indicates a need for further teaching?

eating a high fiber diet will reduce my risk for developing skin cancer

a nurse is caring for a client following the surgical placement of a colostomy. which of the following statements indicates the understanding of dietary teaching?

eating yogurt can help decrease the amount of gas i have

a nurse is caring for a client who is two days postoperative following a creation of an ileal conduit. which of the following is an unexpected finding associated with this procedure?

feces in the drainage appliance

a nurse is monitoring a client who is receiving a blood transfusion. which of the following findings indicates an allergic reaction?

generalized urticaria

a nurse is teaching a client about the side effects of chemotherapy medication. which of the following nursing statements should the nurse include in teaching?

hair loss is common and includes eyebrows and eyelashes

a nurse is caring for a client who has active pulmonary tuberculosis. the client requires airborne precautions and is receiving multidrug therapy. which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?

have the client wear a mask

a nurse remains with a client to observe for any adverse reactions after initiating a transfusion of packed RBCs. the client becomes apprehensive and tachycardia, reporting headache and back pain. the nurse should recognize these findings indicate which of the following transfusion reactions?

hemolytic

a nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. the nurse should anticipate that the client will report her earliest manifestation was

hoarseness

a nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. the nurse should include that which of the following is an adverse effect of this medication?

hot flashes

a nurse is teaching a client who has been taking tamoxifen to treat breast cancer. the nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

hot flashes

a nurse is assessing a clients immune function by reviewing the laboratory value of the cellular response of the T-cells. the nurse should recognize that which of the following conditions is affected by the T-cells?

transplant rejection

a nurse is assessing a 1-year old toddler notices a large abdominal mass and pink-tinged urine on the diaper. which of the following disorders should the nurse expect?

wilms tumor