BMS midterm study guide

A client is being discharged home with a prescription that states for the client to take 75 mL of a liquid medication. How many teaspoons will it be?

15 tsp

You are caring for a client who has been prescribed furosemide 40 mg PO BID (twice per day) for CHF. The client received the first dose at 0900. When will they receive the second dose?

1600

The order is to give a liquid medication PO, 275 MG. The available does ease 500 MG per 5 ML. How many ML will you be administering to the client? Round off to the nearest whole number

3 mL

How many mg in 0.35 grams?

350

A client has an ordered to receive 4 mg/kg daily of a medication. The client is 6'1" And weighs 225 pounds. How many mg of the medication with a client receive? Round off to a whole number

409 mg

How many mg in 62 grams?

62000

A client weight 48 kg on Monday and today they now weigh 51 kg. How many pounds did they gain in that time frame? Round off to a whole number

7 pounds

A client is being discharged home with a script for suspension. The client used to take 5 tablespoons PO TID (three times per day) for 10 days. How many mL will the client take in a single dose?

75

You have a new admission and he weighs 175.5 pounds. How many kg's does he weigh? Round off to the nearest 10th.

79.8

There is a order to administer 125 mg of suspension to a client PO BID (twice per day). The available dose is 150 mg per 5 mL. How many mL will a client received in 24 hours? Round off to a whole number

8 mL

A nurse is prioritizing client care after receiving change of shift report. Which of the following clients should the nurse plan to see first?

A client who told an assistive personnel he is short of breath

Which of the following manifestations indicate the likely hood of malignant melanoma?

A lesion that has irregular borders and dark in color

A nurse in a long-term care facility is caring for a older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?

A reddened area over the sacrum

A nurse is planning care for older adult client who has herpes zoster. Which of the following interventions should the nurse include in the plan?

Administer analgesics for pain

You are careing for a client who has pneumonia. The assessment findings T 100 F, P 110, B/P 130/76, R 30, O2 sat is 91% on room air and pain level is 6/10. Which of the following is a priority nursing intervention?

Administer oxygen therapy

Which of the following is a risk factor for the development of asthma?

All the above (Family history) (Environmental allergies) (Smoking)

A client has a history of myocardial infraction and is prescribe aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Antiplatelet aggregate

When conducting a cardiac history on a client, which of the following is important to ask? Select all that apply

Any history of any cardiac surgery? What medications are you currently on? Do you drink alcohol? Any family history of heart disease? What do you do for work?

When a client is in the supine position and we are assessing the mitral valve area for the PMI (Point of Maximal Impulse) this is also known as the:

Apical pulse

You are caring for a client who asked why the provider prescribes a daily aspirin (ASA). Which of the following responses should you make?

Aspirin reduces the formation of blood clots that could cause a heart attack

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?

Assess the client's respiratory status

Sam is a 52 year old male who was recently diagnosed with emphysema. He is currently still smoking 2 packs per day and has smoked since the age of 15 years old. Which of the following intervention would you use with Sam?

Assist Sam in methods to cut down on his smoking

Sally is a 76 year old female being admitted with Exacerbation of COPD (increased episode). She was diagnosed with COPD 12 years ago. Which of the following with you expect to see? Select all that apply

Barrel chested. Crackles and wheezing. Productive cough, especially in the a.m. when you getting out of bed. SOB with exertion.

A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following?

Cabbage

Which of the following is true regarding dysrhythmias? Select all that apply

Can be benign or life-threatening. Commonly related to decreased cardiac output and ineffective circulation to the tissues. Are the primary cause of death and clients suffering acute heart attacks or other sudden death disorders.

Which of the following is true regarding Rhinitis? Select all that apply

Can because by viruses, bacteria, or allergies. Commonly coexist with other conditions. Expect to see you runny nasal drainage.

John is a 78 year old male who has a stage 3 on his right hip. Which of the following should be increased in his diet? Select all that apply

Carbs Fluids Vitamin A

With regards to the ABCDE rule about malignant melanomas the letter C stands for:

Color

A nurse is caring for a client who who is 2 days postoperative following abdominal surgery and observes that the client's wound has eviscerated. After calling for help, which of the following actions should the nurse take first?

Cover the area with a sterile dressing, moistened with 0.9% sodium chloride irrigation.

A nurse is assessing a client 1 day postoperative following abdominal surgery. Suddenly the client reports a pulling sensation and pain in his surgical incision . Which of the following action should the nurse take?

Cover the area with saline soaked sterile dressings

Which of the following is considered disrespectful in a classroom? Select all that apply

Cussing or swearing Talking with another student while the instructor is speaking Being on your phone during class or lab time Packing up your personal items before class has been dismissed by the instructor Not following the dress code guidelines

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? Select all that apply

Dyspnea Barrel chest Clubbing of the fingers

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.

You are providing education to a client recently diagnosed with COPD. Which of the following would you not include in your teaching?

Encourage the client to eat a diet high in protein and fruit

A nurse is developing a plan of care for a client who is postoperative. Which of the following interventions should the nurse include in a plan to prevent pulmonary complications?

Encourage the use of an incentive spirometer.

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, I can feel the congestion in my lungs, and I certainly cough a lot , but I can't seem to bring up anything. Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

Encouraging the client to drink 2-3 L of water daily

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Exercise at least three times per week

Which of the following is not a type of Angina?

Hemorrhagic

A nurse on a medical surgical unit is caring for four clients who are 24 to 36 hour postoperative. Which of the following surgical procedures places the client at risk for a deep vein thrombosis?

Hip arthroplasty

According to STC nursing handbook, Which of the following is not acceptable in a dress code? Select all that apply

Hoop earrings Hoodies False eyelashes Facial piercings

A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?

How do you handle stress?

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

I should apply sunscreen prior to going outside, even in winter months.

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

I will take my bronchodilators after meals

Euroka dudding a community and service regarding influenza. Which of the following statements made by one of the members in the group indicates good understanding?

I will wash my hands at the blowing my nose to prevent the spread of the virus

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? Select all that apply

Increased heart rate Increased blood pressure Increased respiratory rate

A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect?

Increasing dyspnea

A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explained to the client that a murmur is :

Indicates turbulent blood flow through a valve

You are caring for John, a 27-year-old male who is admitted with Exacerbation of asthma (severe asthma attack). Which of the following nursing diagnosis is a priority?

Ineffective airway clearance r/t Asthma aeb (as evidenced by) wheezing, SOB

A nurse at a provider's office receives a phone call for a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 minutes ago. Which of the following is an appropriate response by the nurse?

Instruct the client to call 911

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Instruct the client to use pursed-lip breathing

The sounds that we listen for when assessing blood pressure are:

Korotkoff

Which of the following is a risk factor for cardiac disease? Select all that apply

Male gender Smokers Ineffective coping with stress

Charles is a 56 year old male being seen in the ER for complaints of severe chest pains. After starting an IV and placing an EKG electrodes on his chest, which of the following lab tests would you anticipate to be ordered? Select all that apply

Myoglobin CK- MB Troponin 1 Electrolytes

Which of the following finding is consider subjective data when assessing the cardiac status of a client? Select all that apply

Pain started after a fight with the spouse. The pain is located in my chest.

A nurse is caring for a client who has herpes zoster. Which of the following findings should the nurse expect?

Painful lesions following a nerve pathway

A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

Perform neurovascular checks with vital signs

Jill is a STC nursing student attending her first clinical at the hospital. Which of the following would she be sent home for? Select all that apply

Pink T-shirt under her uniform top Being more than 5 minutes late Facial piercings Talking on her phone in the hallway Multiple ear piercings

A nurse is teaching a new license nurse about the risk factors for dehiscence for clients who have surgical incisions. Which of the following factors should the nurse include in the teaching? Select all that apply

Poor nutritional state Obesity Wound infection

A nurse is caring for a client who is vomiting. Which of the following actions should the nurse take first?

Prevent the client from aspirating

A nurse is caring for a client who has pruritus following treatment for scabies. Which other following actions should the nurse take?

Provide mittens for the client to wear at night

You are changing the dressing on a client's abdomen. You note thick, dark, yellow discharge with no odor. Which of the following discharges is what you have observed?

Purulent

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Reposition the client every 2 hr

When assessing a client's respiratory status, which of the following is considered objective data? Select all that apply

Respiratory rate 24 and labored. Diminished breath sounds in both lower lobes. Extreme SOB with exertion.

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

Serosanguineous

You are caring for a client just diagnosed with influenza. Which of the following symptoms would you expect to see? Select all that apply

Severe headaches. Chills. Fever.

A nurse in the outpatient clinic is assessing a client who has Psoriasis. The nurse expect which of the following findings?

Silvery, white scales

You are assassing the skin of a new admission. You note a reddened area on the client's left buttock. Skin is intact and it does not blanch, which stage is it?

Stage 1

The Braden scale is used to determine which of the following?

The level of risk a client is at to develop a pressure ulcer

You are observing a new nurse administer digoxin to a client. Which of the following actions by a new nurse indication would need intervention by you?

The new nurse checked the apical pulse for 30 minutes

A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infraction. Which of the following laboratory test should the nurse suspects provided to prescribe?

Troponin

You are caring for a client in the ER who is experiencing an acute asthma attack. Which of the following indicates that the respiratory status is declining? Select all that apply

Wheezing. Retraction of sternal muscles. Tachycardia.

You are caring for a client with COPD. Which of the following would you not expect to see with a client with this diagnosis?

Yellowing of the skin

A nurse is caring for a client who has valvular heart disease and is at risk for developing left sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

breathlessness

A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?

history of chronic skin irritation

A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

oral mucosa