MS Real exam 1 & 4
Teach the patient with fibromyalgia the importance of limiting intake of which foods? (Select all that apply) A- Caffeine B- Root vegetables C- Sugar D- Red meat E- Alcohol
A, C, E
The nurse is evaluating the diagnostic studies data on a patient with suspected cystic fibrosis. Which of the following tests is associated with a diagnosis of cystic fibrosis? A- An elevated sweat chloride concentration test B- Presence of ketones in the urine C- Positive phenylketonuria D- Lung biopsy
A
The nurse obtains a history from a 46 year old woman with rheumatoid arthritis. The nurse should follow up on which patient statement? A- "I restrict fluids to prevent edema when taking methotrexate (Rhjeumatrex)" B- "I perform range of motion exercises at least twice a day." C- "I use a heating pad for 20 minutes to reduce morning stiffness." D- "I take a 20 minute nap in the afternoon even if I sleep 9 hours at night."
A
A nurse assesses a patient with joint pain and stiffness who was diagnosed with stage III rheumatoid arthritis (RA). Which additional characteristics should the nurse expect? Select all that apply. A- Localized disease symptoms. B- Presence of nodules C- Subluxation of joints without fibrous ankylosis. D- Consistent muscle strength. E- No destructive changes in wrist
B, C
A patient presents to the ED after tripping on a curb and spraining the right ankle. Which initial care measures are appropriate? (Select all that apply.) A- Apply heat to the ankle every 2 hours B- Administer anti-inflammatory medication C- Apply ice directly to the skin Perform passive and active range of motion D- Rest and elevate the ankle above the heart E- Compress ankle using an elastic bandage
B, D, E
As a clinic nurse, you are caring for a patient who has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. When you do a follow-up call with this patient, you are informed that the patient is feeling better and is stopping the medication because he has taken it for 4 days. What information should you provide to this patient? A- Keep the remaining tablets for an infection at a later time B- Discontinue the medications if the fever is gone C- Dispose of the remainder of the medication in a biohazard receptacle D- Antibiotics must be completed to eliminate the organism
D
Question 13 The nurse provides discharge instructions after a rhinoplasty. Which statement by the patient indicates that the teaching was successful? A- "My nose will look normal after 24 to 48 hours." B- "I can take 800 mg ibuprofen every 6 hours for pain." C- "I will remove and reapply the nasal packing every day. D- "I will elevate my head for 48 hours to minimize swelling."
D
The nurse admits a patient who has a diagnosis of acute asthma. Which statement indicates that the patient may need teaching regarding medication use? A- "I have not had any acute asthma attacks during the past year." B- "I became short of breath an hour before coming to the hospital." C- "I've been taking acetaminophen every 6 hours for chest wall pain." D- "I've been using my albuterol inhaler frequently over the last 4 days."
D
The nurse palpates the posterior chest and notes absent fremitus while the patient says "99". Which action should the nurse take next? A- Palpate the anterior chest and observe for barrel chest. B- Encourage the patient to turn, cough, and deep breathe. C- Review the chest x-ray report for evidence of pneumonia. D- Auscultate anterior and posterior breath sounds bilaterally.
D
The nurse prepares a patient who has a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient? A- High-Fowler's position with the left arm extended B- Supine with the head of the bed elevated 30 degrees C- On the right side with the left arm extended above the head D- Sitting upright with the arms supported on an over bed table
D
A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125 mg/5 mL oral suspension. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
20mL per dose
A patient with osteomyelitis is to receive Vancomycin (Vancocin) 500 mg IV every 6 hours. The vancomycin is diluted i 100 mL of normal saline and needs to be administered over 1 hour. The nurse should set the IV pump to deliver how many milliliters per minute? (Round to the nearest hundredth.)
1.67 mL/min
A 24 year old female patient with systemic lupus erythematosus (SLE) tell the nurse she want to have a baby and is considering getting pregnant. Which response from the nurse is most appropriate? A- "Infertility can result from some medication used to control your disease." B- "The baby is at high risk for neonatal lupus erythematosus being diagnosed at birth." C- "Temporary remission of your signs and symptoms is common during pregnancy." D- "Autoantibodies transferred to the baby during pregnancy will cause heart defects."
A
A nurse is providing discharge teaching for a client who is postoperative following an inner maxillary fixation for facial fractures. Which of the following instructions should the nurse include in the teaching? A- Keep wire cutters with you. B- Floss teeth daily. C- Eat a mechanical soft diet. D- Swallow using the supraglottic method.
A
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching? A- "I need to increase my fluid intake while taking this medication." B- "I should take this medicine on an empty stomach." C- "If I get a rash from this medication, I will take my usual antihistamine." D- "If I get a fever while taking this medication, I will take some aspirin."
A
A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include which of the following types of medication therapy is a risk factor for osteoporosis? A- Thyroid hormones B- NSAIDs C- Cardiac glycosides D- Anticoagulants
A
A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure? A- Engage in weight-bearing exercise regularly. B- Have a bone-density scan each year. C- Drink a cup of coffee each morning. D- Increase sodium intake.
A
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should monitor for which of the following adverse effects of this medication? A- Bleeding B- Blurred vision C- Insomnia D- Constipation
A
A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient reports hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask? A- "How much alcohol do you drink in an average week?" B- "Do you have a family history of head or neck cancer?" C- "Have you had frequent streptococcal throat infections?" D- "Do you use antihistamines for upper airway congestion?"
A
A patient has been brought to the emergency department by the paramedics. The patient is suspected of having acute respiratory distress syndrome. What should the nurse anticipate? A- Preparing to assist with intubating the patient B- Setting up oxygen at 3 L/NP C- Consulting physiotherapy D- Setting up a nebulizer
A
An emergency-department (ED) nurse is assessing a 20-year-old gymnast who fell from a balance beam. The gymnast presents with a clear fluid leaking from the nose. What should the ED nurse suspect? A- Fracture of the cribiform plate B- Potential loss of consciousness C- Abrasion of the soft tissue D- Fracture of the nasal septum
A
In teaching a patient with systemic lupus erythematosus about the disorder the nurse know the pathophysiology includes A- The production of a variety of autoantibodies directed against components of the cell nucleus. B- Immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. C- An autoimmune T-cell reaction that results in destruction of the deep dermal skin layer D- Circulating immune complexes formed from IgG autoantibodies reacting with IgG.
A
On auscultation of a patient's lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third bilaterally. How should the nurse document this finding? A- Inspiratory crackles at the bases B- Expiratory wheezes in both lungs C- Abnormal lung sounds in the apices of both lungs D- Pleural friction rub in the right and left lower lobes
A
The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect? A- Increased tactile fremitus B- Dry, nonproductive cough C- Hyperresonance to percussion D- A grating sound on auscultation
A
The nurse is caring for a mechanically ventilated patient with a cuffed tracheostomy tube. Which action by the nurse would determine if the cuff has been properly inflated? A- Use a hand-held manometer to measure cuff pressure. B- Review the health record for the prescribed cuff pressure. C- Suction the patient through a fenestrated inner cannula to clear secretions. D- Insert the decannulation plug before removing the non-fenestrated inner cannula.
A
A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect? A- Peptic ulcer fracture B- Renal stones C- Pancreatitis D- Hepatitis
B
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the client's oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what? A- Diminished or absent breath sounds on the affected side B- Paradoxical chest wall movement with respirations C- Tracheal deviation to the unaffected side D- Muffled or distant heart sounds
A
Which finding by the nurse most specifically indicates that a patient is not able to effectively clear the airway? A- Weak cough effort B- Profuse green sputum C- Respiratory rate of 28 breaths/min D- Resting pulse oximetry (SpO2) of 85%
A
Which statement by the patient indicates that teaching has been effective for a patient scheduled for radiation therapy of the larynx? A- "I will need to buy a water bottle to carry with me." B- "I should not use any lotions on my neck and throat." C- "Until the radiation is complete, I may have diarrhea." D- "Alcohol-based mouthwashes will help clean my mouth."
A
You are caring for a patient who has returned to the unit following a bronchoscopy. The patient is asking for something to drink. Which criterion will determine when you will allow the patient to drink fluids? A- Presence of a cough and gag reflex B- Absence of nausea C- Ability to demonstrate deep inspiration D- Ability to speak
A
You are the emergency-department nurse caring for a patient complaining of dyspnea. You assess the patient's chest and hear wheezing throughout the lung fields. What might this indicate A- The patient is in bronchospasm. B- The patient has pneumonia C- The patient needs physiotherapy. D- The patient has a hemothorax.
A
You suspect your patient has a pleural effusion. Which of the following respiratory findings would you expect to find upon assessment of your patient? A- Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B- Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion of the chest wall C- Lung fields dull to percussion, absent breath sounds, and a pleural friction rub D- Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
A
Your patient is concerned about his inability to speak clearly due to an infection in the upper respiratory system. Which structure serves as the patient's resonating chamber in speech? A- Trachea B- Pharynx C- Paranasal sinuses D- Larynx
A
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) A- Smoking B- Diuretics C- Obesity D- Aging E- Bacteria
A, C, D
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (Select all that apply.) A- Dysphagia B- Drowsiness C- Jaw pain D- Tinnitus E- Blurred vision
A, C, E
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? A- Scoliosis B- Ankylosis C- Kyphosis D- Lordosis
C
A critical-care nurse is caring for a postoperative patient following lung surgery. The patient has a shallow, monotonous respiratory pattern and is reluctant to cough. What may the patient may be at an increased risk for? A- Increased oxygen saturation B- Atelectasis C- Aspiration D- Malnutrition
B
A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain? A- Dropped a 4.5 kg (10 lb) weight on his lower leg at a health club B- Twisted his foot while running bases during a baseball game C- Was hit by another soccer player on the field D- Has ankle pain after running a 16 km (10 mile) race
B
A nurse is assessing a client who is in skeletal traction. The nurse should correct which of the following findings? A- The weights are equal on each side. B- The weights rest against the foot of the bed. C- The ropes are in the center of the wheel grooves. D- The ropes are securely attached to the pins.
B
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer? A- Alprazolam B- Allopurinol C- Zolpidem D- Spironolactone
B
A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium? A- 1 plain baked potato B- 3 oz canned salmon C- 1 cup carrot strips D- 1 cup chopped chicken breast
B
A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is to reduce blood levels of which of the following substances? A- Potassium B- Uric acid C- Chloride D- Interleukin 1
B
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include? A- Take the medication with an NSAID. B- Drink 2 to 3 L of water per day. C- Take an antiemetic 1 hr following administration. D- Rinse mouth 2 times per day with an alcohol based mouthwash.
B
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications? A- Fat embolism syndrome B- Acute compartment syndrome C- Pulmonary embolism D- Malignant hypothermia
B
A patient seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. Which action will the nurse plan to take next? A- Teach the patient about the use of oral corticosteroids. B- Administer a bronchodilator and recheck the spirometry. C- Recommend increasing the dose of the leukotriene inhibitor. D- Instruct the patient to keep the scheduled follow-up appointment.
B
A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching? A- Have the patient repeat the instructions immediately after teaching. B- Accomplish the patient teaching just before the scheduled discharge. C- Arrange for the patient's caregiver to be present during the teaching. D- Start giving the patient discharge teaching during the admission process.
B
A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective? A- "I will keep my back straight when I left above than my waist." B- "I will begin doing exercises to strengthen and support my back." C- "I will tell my boss I need a job where I can stay seated a desk." D- "I can sleep with my hip and knees extended to prevent back strain."
B
A patient with diabetes has arterial blood gas (ABG) results pH 7.28; PaCO2 34 mm Hg; PaO2 85 mm Hg; HCO3?2- 18 mEq/L. The nurse would expect which finding? A- Intercostal retractions B- Kussmaul respirations C-Low oxygen saturation (SpO2) D- Decreased venous O2 pressure
B
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed? A- "I will drink lots of juices and other fluids to stay well hydrated." B- "I can use nasal decongestant spray until the congestion is gone." C- "I can take acetaminophen (Tylenol) to treat my sinus discomfort." D- "I will watch for changes in nasal secretions or the sputum that I cough up."
B
The nurse observes a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills? A- The student compares breath sounds from side to side at each level. B- The student listens during the inspiratory phase, then moves the stethoscope. C- The student starts at the apices of the lungs, moving down toward the lung bases. D- The student instructs the patient to breathe slowly and deeply through the mouth.
B
The nurse observes that a patient with respiratory disease experiences a decrease in SpO2 from 93% to 88% while ambulating. What is the priority action of the nurse? A- Notify the health care provider. B- Administer PRN supplemental O2. C- Document the response to exercise. D- Encourage the patient to pace activity.
B
The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement by the patient indicates a good understanding of the instructions? A- "I will call my health care provider if I still feel tired after a week." B- "I will continue to do deep breathing and coughing exercises at home." C- "I will schedule two appointments for the pneumonia and influenza vaccines." D- "I will cancel my follow-up chest x-ray appointment if I feel better next week."
B
The nurse teaches a patient about pursed-lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed? A- The patient inhales slowly through the nose. B- The patient puffs up the cheeks while exhaling. C- The patient practices by blowing through a straw. D- The patient's ratio of inhalation to exhalation is 1:3.
B
The nurse teaches a patient who has chronic bronchitis about a new prescription for combined fluticasone and salmeterol (Advair Diskus). Which patient action indicates to the nurse that teaching about medication administration has been successful? A- The patient shakes the device before use. B- The patient rapidly inhales the medication. C- The patient attaches a spacer to the device. D- The patient performs huff coughing after inhalation.
B
The patient is positioned in a recumbent position. Which approach should the nurse take to assess the patient's lung fields for a patient in this position? A- Inform that physician that the patient is in a recumbent position and anticipate an order for a portable chest x-ray B- Turn the patient to assess all lung fields so that dependent areas can be assessed for breath sounds C- Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall D- Obtain a pulse oximetry reading, and, if the reading is low, reposition the patient and auscultate breath sounds
B
Which action should the nurse plan to prevent aspiration in a high-risk patient? A- Turn and reposition an immobile patient at least every 2 hours. B- Place a patient with altered consciousness in a side-lying position. C- Insert a nasogastric tube for feeding a patient with high-calorie needs. D- Monitor respiratory symptoms in a patient who is immunosuppressed.
B
Which action should the nurse take first when a patient develops epistaxis? A- Pack the affected nare tightly with an epistaxis balloon. B- Apply squeezing pressure to the nostrils for 10 minutes. C- Obtain silver nitrate that may be needed for cauterization. D- Instill a vasoconstrictor medication into the affected nare.
B
A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects? A- Dry mouth B- Polyuria C- Black, tarry stools D- Bone pain
C
A nurse in a provider's office is assessing a client who reports shoulder pain. Which of the following findings by the nurse indicates rotator cuff injury? A- Alteration in the contour of the joint B- A positive Tinel's sign C- Inability to abduct the arm at the shoulder D- Negative drop arm test
C
A nurse is caring for a client who has a fractured tibia as a result of a fall. The client x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures? A- Impacted B- Transverse C- Comminuted D- Oblique
C
A nurse is caring for a patient who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery what is the priority nursing action? A- Monitor the incision for bleeding. B- Maintain adequate IV fluid intake. C- Keep the patient in semi-Fowler's position. D- Teach the patient to suction the tracheostomy.
C
A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen? A- "I will take one aspirin every day." B- "I will limit my fluid intake to 1 liter per day." C- "I will limit my alcohol intake." D- "I will closely follow a high-purine diet."
C
A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis? A- Calcitonin B- Levothyroxine C- Raloxifene D- Allopurinol
C
A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching? A- Use Echinacea to manage joint pain. B- Apply ice to the joint before exercising. C- Maintain a recommended body weight. D- Reduce the amount of purine in the diet.
C
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make? A- Riding a bicycle B- High-impact aerobics C- Walking briskly D- Stretching exercises
C
A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which response by the nurse reflects accurate knowledge about the medication and the patient's illness? A- Ask the patient about any visual changes in red-green color discrimination. B- Question the patient about experiencing shortness of breath, hives, or itching. C- Explain that orange discolored urine and tears are normal while taking this medication. D- Advise the patient to stop the drug and report the symptoms to the health care provider.
C
A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure? A- Encourage the patient to drink clear liquids. B- Place the patient on bed rest for at least 4 hours. C- Keep the patient NPO until the gag reflex returns. D- Maintain the head of the bed elevated 90 degrees.
C
A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist? A- Leave the tracheostomy inner cannula inserted at all times. B- Place the decannulation cap in the tube before cuff deflation. C- Assess the ability to swallow before using the fenestrated tube. D- Inflate the tracheostomy cuff during use of the fenestrated tube.
C
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance? A- Restrict oral fluids during the day. B- Encourage pursed-lip breathing technique. C- Help the patient to splint the chest when coughing. D- Encourage the patient to wear the nasal O2 cannula.
C
A patient with chronic obstructive pulmonary disease (COPD) has been eating very little and has lost weight. Which intervention would be most appropriate for the nurse to include in the plan of care? A- Encourage increased intake of whole grains. B- Increase the patient's menu order of fruits and fruit juices. C- Offer high-calorie protein snacks between meals and at bedtime. D- Assist the patient in choosing foods with high vegetable content.
C
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective? A- Bronchial breath sounds are heard at the right base. B- The patient coughs up small amounts of green mucus. C- The patient's white blood cell (WBC) count is 6000/µL. D- Increased tactile fremitus is palpable over the right chest.
C
The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take? A- Teach about the reason for the blood tests. B- Schedule an appointment for a chest x-ray. C- Teach the patient about providing specimens for 3 consecutive days. D- Instruct the patient to collect several separate sputum specimens today.
C
The nurse completes a shift assessment on a patient admitted in the early phase of heart failure. Which sounds would the nurse most likely hear on auscultation? A- Continuous rumbling, snoring, or rattling sounds mainly on expiration B- Continuous high-pitched musical sounds on inspiration and expiration C- Discontinuous high-pitched sounds of short duration during inspiration D- A series of long-duration, discontinuous, low-pitched sounds during inspiration
C
The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take? A- Encourage increased incentive spirometer use. B- Encourage the patient to increase oral fluid intake. C- Put on sterile gloves and use a sterile catheter to suction. D- Preoxygenate the patient for 3 minutes before suctioning.
C
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which information would prompt the nurse to consult with the health care provider before administering the prescribed theophylline? A- The patient reports a recent 15 pound weight gain. B- The patient denies shortness of breath at present. C- The patient takes cimetidine (Tagamet HB) daily. D- The patient reports coughing up some green mucus.
C
The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding? A- Chest pain B- Finger clubbing C- Peripheral edema D- Elevated temperature
C
The nurse teaches a patient who has asthma about peak flowmeter use. Which action by the patient indicates that teaching was successful? A- The patient inhales rapidly through the peak flowmeter mouthpiece. B- The patient takes montelukast (Singulair) for peak flows in the red zone. C- The patient uses albuterol (Ventolin HFA) for peak flows in the yellow zone. D- The patient calls the health care provider when the peak flow is in the green zone.
C
The public health nurse is providing community education to increase the number of people who seek care after a tick bite. What priority information should the nurse provide to people at risk for tick bites? A- The best therapy for the cute illness is IV antibiotics. B- Antibiotics will prevent Lyme disease if taken for 10 days. C- Check for an enlarging reddened area with a clear center. D- Surveillance is necessary during summer months only.
C
What is the phrase that defines the volume of air inspired and expired with a normal breath? A- Total lung capacity B- Forced vital capacity C- Tidal volume D- Residual volume
C
You are caring for a patient admitted with chronic obstructive pulmonary disease. During your shift assessment, you find that your patient is experiencing a change in his respiratory and mental status. You are aware that the most accurate measurement of the concentration of oxygen in the patient's blood is what? A- A capillary blood sample B- Pulse oximetry C- An arterial blood gas study D- Assessment of the patient's nail beds
C
You are caring for a patient who is scheduled for a laryngectomy. You are preparing the patient's care plan. Which nursing diagnoses should receive the highest priority for this surgery? A- Anxiety related to diagnosis of cancer B- Altered nutrition related to swallowing difficulties C- Ineffective airway clearance related to surgical alterations in the airway D- Impaired verbal communication related to removal of the larynx
C
You are the nurse obtaining a patient history during a pre-employment physical. During the history, the patient states that he has hereditary angioedema. Based on this condition, what should you inform the employee's supervisor about this condition? A- Results in increased loss of work days B- Will interfere with musculoskeletal function C- Causes life-threatening laryngeal edema D- Will not interfere with job performance
C
A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A- Large body stature B- Drinks one alcoholic beverage per day C- History of bone fracture during childhood D- Smokes 1 pack of cigarettes per day
D
A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? A- Ibuprofen B- Cyclobenzaprine C- Celecoxib D- Acetaminophen
D
A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching? A- "Ibuprofen is the first step in medication therapy for osteoarthritis." B- "I should limit physical activity to prevent further injury." C- "I will elevate my legs by placing two pillows under my knees when I go to bed." D- "I can use either heat or ice to help relieve the discomfort."
D
A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? A- Anorexia B- Low-grade fever C- Weight loss D- Knuckle deformity
D
A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA? A- Temporomandibular joint pain B- Morning stiffness C- Baker's cysts D- Fatigue
D
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis? A- Bradycardia B- Hypothermia C- Numbness of toes on the affected foot D- Localized erythema
D
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform? A- Hold the right arm straight. B- Extend the right arm upward. C- Flex the right arm at the elbow. D- Hold the wrist at a 90-degree flexion.
D
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority? A- Increase the client's protein intake. B- Smoking tobacco products C- Teach relaxation breathing to reduce the client's pain. D- Administer antibiotics to the client.
D
A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest? A- Rowing B- Tennis C- Canoeing D- Swimming
D
A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client? A- Dosage of the medication will be reduced during pregnancy. B- The client can breastfeed when taking this medication. C- Dietary modifications occur during pregnancy when taking this medication. D- The medication should be discontinued 3 months prior to a planned pregnancy.
D
A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions? A- "I'll re-wrap my ankle starting from the knee down." B- "I'll put a heating pad on my ankle at bedtime tonight." C- "I'll bear weight on my ankle for 10 minutes every hour." D- "I'll apply ice to my ankle today and tomorrow."
D
A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A- "Skeletal traction has less risk for infection than skin traction." B- "Clients with skin traction have more mobility than those with skeletal traction." C- "Clients with skin traction have more discomfort than those with skeletal traction." D- "Skeletal traction is more appropriate than skin traction for reducing a fracture."
D
A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which of the following interventions should the nurse include in the plan? A- Evaluate pressure points daily. B- Instruct the client to flex and extend the ankle twice daily. C- Remove the weights every four hours. D- Monitor the client's pedal pulses every hour.
D
A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. Which of the following statements indicates the client understands the teaching? A- "I will need to limit the number of fruit servings each day." B- "I should choose red meat instead of poultry." C- "I can drink only white wine." D- "I should avoid eating liver and other organ meats."
D
A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include? A- "Chew or suck on the tablet." B- "Take this medication with food." C- "Take this medication with orange juice." D- "Sit upright or stand for at least 30 minutes after taking this medication."
D
A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued? A- Chest x-ray shows no upper lobe infiltrates. B- TB medications have been taken for 6 months. C- Mantoux testing shows an induration of 10 mm. D- Sputum smears for acid-fast bacilli are negative.
D
A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms? A- Displacement B- Reaction formation C- Rationalization D- Denial
D
Which information should the nurse include when teaching a patient with acute low back pain? A- Keep the knees straight when leaning forward to ick something up. B- Expect symptoms of acute low back pain to improve in a few weeks. C- Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain. D- Sleep in a prone position with the legs extended E- Avoid activities that require twisting of the back or prolonged sitting.
E
