Compredictor practice questions

A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client

chlordiazepoxide for anxiety

A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and should be reported to the physician immediately? 1. Hemoglobin 11 g/dl 2. Platelet of 150,000 3. INR of 2.5 4. Potassium of 2.7 mEq/L

potassium of 2.7

The nurse is doing an intake screening for a patient with hypertension. They have been taking ramapril for 4 weeks. Which statement made by the patient would be most important for the nurse to pass on to the physician? 1. "I get dizzy when I get out of bed." 2. "I'm urinating much more than I used to." 3. "I've been running on the treadmill 10 minutes each day." 4. "I can't get rid of this cough."

"I can't get rid of this cough."

A 42-year-old client comes to the clinic and is diagnosed with shingles. Which findings confirm this diagnosis? Select all that apply: 1. Severe, deep pain around the thorax 2. Red, nodular skin lesions around the thorax 3. Fever 4. Malaise 5. Diarrhea

1,2,3,4

A patient had been prescribed diltiazem and asks the nurse why he needs the drug. The nurse explains that the drug is used in the treatment of: A. Deep Vein Thrombosis B. Congestive Heart Failure C. Hyperlipidemia D. Arrhythmias

Arrhythmias

A pt has developed SIADH after suffering a TBI. After treatment has been initiated, the nurse assesses the pt for signs of improvement including: select all that apply. A. Rise in blood pressure. B. Increased urine output. C. Increased urine osmolality. D. Decrease in body weight. E. Decreased edema. F. Decreased urine output.

B,D,E

The nurse is caring for a patient who has the following labs: Creatinine 2.5mg/dL, WBC 11,000 cells/mL, and Hemoglobin of 12 g/dL. Based on this information, which of these orders would the nurse question? 1. Administer 30 Units of Lantus Daily 2. CT of the spine with contrast 3. X-ray of the abdomen and chest 4. Administer heparin subcutaneous 5,000 unites over 12 hours

CT of the spine with contrast

The nurse is assessing a child with coarchtation of the aorta. The nurse would expect to find which of the following.? A. Cyanosis. B. Diminished or delayed femoral pulses. C. Exercise intolerance. D. Poor feeding pattern.

Diminished or delayed femoral pulses.

The nurse is assessing a 5 year old diagnosed with hemolytic uremic syndrome. Which of the following signs and symptoms are associated with this disease.? A. Hematuria, Fever, generalized rash. B. Extreme fatigue, decrease urinary output, bloody stools. C. Fever, dyspnea, decreased urine output. D. Extreme fatigue, tachypnea, generalized rash.

Extreme fatigue, decrease urinary output, bloody stools.

Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients: A. Visual losses B. Kaposi's sarcoma C. Wilms' sarcoma D. Tuberculosis E. Peripheral neuropathy F. Toxoplasma gondii

Kaposi sarcoma, tuberculosis, toxoplasma gondii

A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment for the nurse to make? 1. Assess the patient for nuchal rigidity 2. Determine the patient's past exposure to infectious organisms 3. Check the patient's WBC lab values 4. Monitor for increased lethargy and drowsiness

Monitor for increased lethargy and drowsiness

A nurse is caring for a client who has an AMS and has become aggressive. Which of the following prescriptions should the nurse clarify with the provider prior to administration

Zolpidem (sedative)

A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse would expect which of the following outcomes after administration of this medication? 1. A decrease in muscle spasticity and involuntary movements 2. A slowed progression of Multiple Sclerosis related plaques 3. A decrease in the length of the exacerbation 4. A stabilization of mood and sleep

a decrease in the length of exacerbation

A nurse is assisting with an in service about hep A for a group of staff nurses. the nurse should include that hep A is transmitted through which of the following methods

consumption of contaminated food

A client with end-stage acquired immunodeficiency syndrome (AIDS) has profound manifestations of Cryptosporidium infectioncaused by the protozoa. In planning the client's care, the nurse should focus on his need for: 1. pain management. 2. fluid replacement. 3. antiretroviral therapy. 4. high-calorie nutrition.

fluid replacement

A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse anticipates that the physician will order which medication for this type of pain? 1. alprazolam (Xanax) 2. Corticosteroid injection 3. gabapentin (Neurontin) 4. hydrocodone/acetaminophen (Norco)

gabapentin

Select all of the signs and symptoms of hyperthyroidism. A. Cool skin B. Thickened bodily hair C. Heat intolerance D. Constipation E. Insomnia F. Increased appetite G. Palpitations

heat intolerance, insomnia, increased appetite, and palpitations

A nurse is reviewing the lab results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider

platelet count of 95,000mm3

A nurse is collecting data from a client who has chronic pancreatitis and is receiving pancrelipase. Which of the following. Which of the following client findings indicates a therapeutic effect of this medication

reports a decrease in the number of stools

The nurse is preparing to teach a client about the effects of isoniazid (INH). Which information is important for the client to understand? A. Isoniazid should be taken on an empty stomach. B. Prolonged use of isoniazid produces poorly concentrated urine. C. Taking aluminum hydroxide (Maalox)® with isoniazid minimizes gastrointestinal upset. D. Drinking alcohol daily can increase the incidence of drug-induced hepatitis.

Drinking alcohol daily can increase the incidence of drug-induced hepatitis.

A nurse is treating a patient suspected to have Hepatitis. The nurse notes on assessment that the patient's eyes are yellow-tinged. Which of these diagnostic results would further assist in confirming this diagnosis? 1. Decreased serum Bilirubin 2. Elevated serum ALT levels 3. Low RBC and Hemoglobin with increased WBCs 4. Increased Blood Urea Nitrogen level

Elevated serum ALT levels

A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate? 1. Increased intracranial pressure (ICP) 2. Cerebral edema 3. Low cerebrospinal fluid (CSF) pressure 4. Meningeal irritation

Meningeal irritation

The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the nurse expects to note which assessment finding? 1. Melena 2. Nausea 3. Hernia 4. Hyperthermia

melena

A nurse is reinforcing teaching with a client who has hypercholesterolemia and a new prescription for atorvastatin, the nurse should instruct the client that which of the following findings is an adverse effect of this medications and should be reported to the provider

muscle pain

Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is: 1. erythema. 2. leukocytosis. 3. pressure like pain. 4. swelling.

pressure like pain

A client with pregnancy-induced hypertension (PIH) receives magnesium sulfate, 4 g in 50% solution I.V. over 20 minutes. What is the purpose of administering magnesium sulfate to this client? 1. To lower blood pressure 2. To prevent seizures 3. To inhibit labor 4. To block dopamine receptors

to prevent seizures

The nurse is creating a care plan for a pt with idiopathic thrombocytopenia purpura (ITP), an autoimmune condition. Which of the following nursing interventions should be included? Select all that apply. A. Administer stool softeners to prevent straining. B. Administer aspirin to reduce inflammation and pain. C. Encourage coughing and deep breathing. D. Monitor blood glucose during treatment. E. Administer a platelet transfusion.

A,D

A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at: 1. 7:30 a.m. 2. 6:30 a.m. 3. 9 a.m. 4. 9:30 a.m.

7:30 a.m.

Which patient is at greatest risk for cholelithiasis and choledocholithiasis? A.A 70 year old male patient who has liver disease B.A 70 year old female patient who has liver disease C.A 50 year old male patient who is Asian D.A 50 year old female patient who is Asian

A 70 year old female patient who has liver disease

The nurse is assessing a pt with SLE ( systemic Lupus). Which of the following would the nurse expect to note? A. Alopecia. B. Butterfly rash on face. C. Muscle pain and weakness. D. Hyperthyroidism E. Excessive hair growth. F. Recurrent DVT.

A,B,C

A surgical floor nurse is caring for a post op client who has undergone a total thyroidectomy. Which of the following are important nursing measures during post op care? Select all that apply. A. Administer o2 as ordered. B. Assess the surgical site & area under the clients neck and shoulders for drainage. C. Place the client in semi fowlers or flowers position with arms supported by pillows. D. Monitor the client for Chvostek's sign E. Check for trousseau's sign. F. administer meperidine & morphine as ordered.

A,B,D,E

A nurse is caring for a female patient 24 hours after a hip fracture. The patient is on bedrest. The nurse knows that which regular assessment or intervention is essential for detecting or preventing the complication of Fat Embolism Syndrome? 1. Performing passive, light, range of motion exercises on the hip as tolerated. 2. Assess the patient's mental status for drowsiness or sleepiness. 3. Assess the pedal pulse and capillary refill in the toes. 4. Administer a stool softener as ordered

Assess the patient's mental status for drowsiness or sleepiness.

While undergoing hemodialysis, the client becomes restless and tells the nurse he has a headache and feels nauseous. Which of the following complications does the nurse suspect? A. Infection. B. Disequilibrium syndrome. C. Air embolus. D. Acute hemolysis.

Disequilibrium syndrome.

A nurse is caring for a patient after a coronary angiogram. Which of these actions taken by the nursing assistant would most require the nurse's immediate intervention? 1. The nursing assistant fills the patient's pitcher with ice cold drinking water 2. The nursing assistant elevates the head of the bed to 60 degrees for a meal 3. The nursing assistant refills the ice pack laying on the insertion site 4. The nursing assistant places an extra pillow under the patient's head on request

The nursing assistant elevates the head of the bed to 60 degrees for a meal

A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about lithium toxicity when he notices which of these assessment findings? 1. The patient states he had a manic episode a week ago 2. The patient states he has been having diarrhea every day 3. The patient has a rashy pruritis on his arms and legs 4. The patient presents as severely depressed 5. The patient's lithium level is 1.3 mcg/L

The patient states he has been having diarrhea every day

A patient has been taking a mood stabilizing medication, but is afraid of needles. They ask the nurse what medication would NOT require regular lab testing. What is the nurse's best response? 1. Valproic Acid (Depakote) 2. Clozapine (Clozaril) 3. Lithium 4. Risperidone (Risperdal)

Risperidone (Risperdal)

A nurse on a pediatric unit is collecting data from four newly admitted clients. which of the following clients should the nurse identify as being at risk for urinary retention

a school age child who has allergic rhinitis and is taking diphenhydramine

The nurse is caring for a 44-year-old client diagnosed with hypoparathyroidism. Which electrolyte imbalance is closely associated with hypoparathyroidism? A. Hypocalcemia. B. Hyponatremia. C. Hyperkalemia. D. Hypophosphatemia.

hypocalcemia

A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned about which side effect of Flomax? 1. Hypotension 2. Tachycardia 3. Back Pain 4. Difficulty Urinating

hypotension

A man is has been taking lisinopril for CHF. The patient is seen in the emergency room for persistent diarrhea. The nurse is concerned about which side effect of lisinopril? 1. Vertigo 2. Hypotension 3. Palpitations 4. Nagging, dry cough

hypotension

In a client who's predisposed to bipolar disorder, a bipolar episode might be triggered by: 1. hypothyroidism. 2. hyperglycemia. 3. hypertension. 4. antiseizure medication.

hypothyroidism

A nurse on an acute care unit is collecting data from a school age child who has CF. which of the following findings is the priority for the nurse to report to the provider

lack of appetite

Damage to which area of the brain results in receptive aphasia? 1. Parietal lobe 2. Occipital lobe 3. Temporal lobe 4. Frontal lobe

temporal lobe

The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to: 1. apply maximum bandages to allow for absorption of drainage. 2. wrap elastic bandages distally to proximally on dependent areas. 3. wrap elastic bandages on the arms and legs, proximally to distally, to promote venous return. 4. put on sterile gloves only when removing bandages.

wrap elastic bandages distally to proximally on dependent areas.