Post-Test
20. A male patient with chronic kidney disease (CKD) is refusing to take his medication and has missed two hemodialysis appointments. What is the best initial action for the nurse?
A. Discuss what the treatment regimen means to him
9. A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
A. Educating the patient on adherence to the treatment regimen
4. A nurse obtains health histories when admitting patients to a medical-surgical unit. With which patient would the nurse discuss predisposition genetic testing?
A. Middle-aged woman whose mother died at age 48 of breast cancer
13. The nurse gets the hand-off report on four patients. Which patient would the nurse assess first?
A. Patient with a blood pressure change of 128/74 to 110/88 mm Hg.
19. A patient has a serum potassium level of 6.5 mEq/L (6.5mmol/L), a serum creatinine level of 2mg/dL (176 mcmol/L), and a urine output of 350mL/day. What is the best action by the nurse?
A. Place the patient on a cardiac monitor immediately
8. A patient admitted for pneumonia has had tachypnea for several days. When the nurse starts an IV to give fluids, the patient questions this action, saying, "I have been drinking tons of water, "How am I dehydrated?" What response by the nurse is best?
A. "Breathing so quickly can be dehydrating."
2. A nurse works in an allergy clinic. What task performed by the nurse takes priority?
A. Checking emergency equipment each morning
11. The healthcare provider tells the nurse that a patient is to be started on a platelet inhibitor. About what drug does the nurse plan to teach the patient?
A. Clopidogrel (Plavix)
5. A nurse consults a genetic counselor for a patient whose mother has Huntington disease and is considering genetic testing. The patient states, "I know I want this test. Why do I need to see a counselor?" How would the nurse respond?
B. "Genetic testing can be a stressful experience. Counseling can provide support and education through the process."
14. A patient arrives at the emergency department after being in a car crash with fatalities. The patient has a nearly amputated leg that is bleeding profusely. What action by the nurse takes priority?
B. Ensure that the patient has a patent airway.
16. A nurse reviews the health history of a patient with an over secretion of renin. Which disorder should the nurse correlate with this assessment finding?
B. Hypertension
12. A nurse is caring for a patient who suffered massive blood loss after trauma. How does the nurse correlate the blood loss with the patient's mean arterial pressure (MAP)?
B. Lower blood volume lowers MAP.
18. The nurse is assessing a patient with a diagnosis of prerenal acute kidney injury (AKI). Which condition would the nurse expect to find in the patient's recent history?
B. Myocardial infarction
7. A patient is admitted with fever, myalgia, and a popular rash on the face, palms, and soles of the feet. What action will the nurse take first?
B. Place the patient on Airborne Precautions.
17. A transgender patient is taking transdermal estrogen (Climara). What assessment finding does the nurse report immediately to the provider?
C. Red, swollen calf
15. A student nurse is caring for a patient who will be receiving sodium nitrprusside (Nipride) via IV infusion. What action by the student causes the registered nurse to intervene?
C. Removing the IV bag from the brown plastic cover
3. A nurse suspects a patient has serum sickness. What laboratory result would the nurse correlate with this condition?
Creatine: 3.2mg/dL
10. A nursing student wants to know why patients with chronic obstructive pulmonary disease tend to be polycythemic. What response by the instructor is best?
D. It compensates for tissue hypoxia caused by lung disease
6. A patient is admitted with possible sepsis. Which action will the nurse perform first?
D. Obtain specific cultures.
1. Which reflex inhibits gastric motility when the ileum becomes overdistended?
Ileogastric
