MS 1 & MS 2 ENDTERM EXAM

A. Have the patient sit down.

Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking? A. Have the patient sit down. B. Get the patient back to bed. C. Obtain an ECG. D. Administer sublingual nitroglycerin.

A. potential for bleeding

Which of the following is a concern for persons whose gallbladder dysfunction causes impaired metabolism of fats and fat-soluble vitamins? A. potential for bleeding B. increased risk for infection C. potential for delayed healing D. increased risk for thrombus

C. Oral medication administration

Which of the following is the medical treatment of Coronary Artery Disease (CAD) includes? A. Cardiac Catheterization B. Coronary Artery Bypass Graft C. Oral medication administration D. Percutaneous Transluminal Coronary Angioplasty

D. Low-grade fever and lethargy

Which of the following manifestations in a client who has mitral valve prolapse would lead the nurse to suspect subacute bacterial endocarditis? A. Throbbing headache and restlessness B. Dependent edema and petechiae C. Thready peripheral pulses and pallor D. Low-grade fever and lethargy

B. Small, easily digested food

Which of the following reflects the principle on which a client's diet will most likely be based during acute phase of MI? A. High carbohydrates B. Small, easily digested food C. Three regular meals per day D. Nothing by mouth

D. Nervousness, diaphoresis, and confusion

Which of the following signs and symptoms would be seen in a client experiencing hypoglycemia? A. Polyuria, headache, and fatigue B. Polyphagia and flushed, dry skin C. Polydipsia, pallor, and irritability D. Nervousness, diaphoresis, and confusion

B. Hemorrhage

Which of the following conditions is a common cause of prerenal acute renal failure? A. Urinary calculi B. Hemorrhage C. Prostatic hypertrophy D. Antibiotics

C. Turkey breast

The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats? A. Macaroni and cheese B. Shrimp with rice C. Turkey breast D. Spaghetti

B. Tomato juice

Which of the following foods should the nurse teach a client with a heart failure to avoid or limit when following a 2-gram sodium diet? A. Apples B. Tomato juice C. Whole wheat bread D. Turkey

A. Tetany

The nurse is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth care. The nurse should suspect which complication? A. Tetany B. Hemorrhage C. Thyroid storm D. Laryngeal nerve damage

B. To decrease intestinal peristalsis.

The client with ulcerative colitis is following orders for bed rest with bathroom privileges. What would be the primary rationale for this ac ivity restriction? A. To conserve energy. B. To decrease intestinal peristalsis. C. To promote rest and comfort. D. To prevent injury.

A. Coma, anxiety, confusion, headache, and cool, moist skin

A client's blood glucose level is 45 mg/di. The nurse should be alert for which signs and symptoms? A. Coma, anxiety, confusion, headache, and cool, moist skin B. Kussmaul's respirations, dry skin, hypotension, and bradycardia. C. Polyuria, polydipsia, hypotension, and hypernatremia. D. Polyuria, polydipsia, polyphagia, and weight loss.

B. fine crackles

The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are: A. tracheal B. fine crackles C. coarse crackles D. friction rub

A. Weight gain, constipation, and lethargy

The nurse is assessing a client with hypothyroidism. What findings should the nurse expect? A. Weight gain, constipation, and lethargy B. Weight loss, nervousness, and tachycardia C. Exophthalmos, diarrhea, and cold intolerance D. Diaphoresis, fever, and decreased sweating

B. ST segment

Which of the following appear abnormal on an EKG when ischemia and injury occur in the myocardium? A. QRS interval B. ST segment C. P wave D. PR interval

A. Hemorrhoids

A client with cirrhosis is admitted to the hospital. Which of the following assessments made by the nurse would indicate the development of portal hypertension? A. Hemorrhoids B. Asterixis C. Elevated blood pressure D. Fetor hepaticus

D. Exercise and a weight reduction diet

A client with newly diagnosed type 2 diabetes mellitus is admitted to the metabolic unit. The primary goal for this admission is education. Which of the following goals should the nurse incorporate into her teaching plan? A. Maintenance of blood glucose levels between 180 and 200 mg/dl B. Smoking reduction but not complete cessation C. An eye examination every 2 years until age 50 D. Exercise and a weight reduction diet

A. penicillin G aqueous

A client with pneumonia caused by group A streptococci is admitted to an acute care facility or IV penicillin G therapy. Because the client can receive penicillin G only by the IV route, the nurse expects to administer: A. penicillin G aqueous B. penicillin G benzathine C. penicillin G potassium D. penicillin G procaine

D. troponin

A client with severe angina and electrocardiogram changes is seen by a nurse practitioner in the emergency department. In terms of serum testing, it's most important for the nurse to order: A. creatinine kinase B. lactate dehydrogenase C. myoglobin D. troponin

B. has type 2 diabetes

A client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medications are only effective if the client: A. prefers to take insulin orally B. has type 2 diabetes C. has type 1 diabetes D.is pregnant and has type 2 diabetes

A. 140mg/dl

A 30-year-old client had cholesterol blood test before admission to the hospital. The nurse in charge would teach the family and significant others that client and exercise can help to keep the total cholesterol to desired level of: A. 140mg/dl B. 200 mg/dl C. 250 mg/dl D. 300mg/dl

C. Increasing mucous production and bicarbonate levels

A 62-year-old has been diagnosed with peptic ulcer disease. Her medication regimen includes misoprostol. The nurse understands that misoprostol exerts its therapeutic effect by: A. Neutralizing excess gastric acid B. Inhibiting gastric acid production C. Increasing mucous production and bicarbonate levels D. Increasing gastric emptying time

B. The gallbladder stores and concentrates bile

A client asks the nurse how she can she live without her gallbladder. In order to respond to this client, the nurse must have which understanding of the hepatobiliary system? A. The gallbladder produces about 1000 mL of bile per day B. The gallbladder stores and concentrates bile C. The liver concentrates bile more than 10 times D. the gallbladder dilutes and release bile

D. Drink 2,500 to 3,000 ml of water per day

A client complains of severe burning on urination. Which of the following instructions is best to give to client? A. Wear only nylon panties B. Drink coffee to increase urination C. Soak with warm water with bubble bath D. Drink 2,500 to 3,000 ml of water per day

D. 345

A client is admitted to the emergency department after complaining of acute chest pain radiating to the left arm. Which laboratory studies would be indicated? Select all that apply. 1. Hemoglobin and hematocrit 2. Serum glucose 3. Creatinine phosphokinase (CPK) 4. Troponin I and Toponin T 5. Myoglobin 6. Blood urea nitrogen A. 134 В. 346 C. 234 D. 345

D. Tachycardia

A client is admitted to the hospital with a diagnosis of pneumonia. The nurse learns that the client lives alone and hasn't been eating or drinking. When assessing her for dehydration, the nurse would expect to find: A. Distended neck veins B. Hypothermia C. Hypertension D. Tachycardia

D. Provide nasotracheal suctioning as needed to remove secretions.

A client is admitted with a medical diagnosis of pneumonia. The nurse has identified a nursing diagnosis of ineffective airway clearance related to retained secretions. Which of the following is an appropriate intervention? A. Initiate and maintain supplemental oxygen as prescribed. B. Monitor oxygenation (02 saturation) initially. C. Plan activities with rest periods to conserve energy needs D. Provide nasotracheal suctioning as needed to remove secretions.

A. Cerebral edema

A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the client that the physician will prescribe diuretic therapy and restrict fluid and sodium intake to treat the disorder. If the client does not comply with the recommended treatment, which complication may arise? A. Cerebral edema B. Hypovolemic shock C. Severe hyperkalemia D. Tetany

D. sodium and potassium abnormalities

A client with Addison's disease comes to the clinic for a follow-up visit. When assessing this client, the nurse should stay alert for signs and symptoms of: A. calcium and phosphorus abnormalities B. chloride and magnesium abnormalities C. sodium and chloride abnormalities D. sodium and potassium abnormalities

B. Hydrocortisone

A client with a history of Addison's disease and hydrocortisone flulike symptoms accompanied by nausea and vomiting over the past week is brought to the facility. When he awoke this morning, his wife noticed that he acted confused and was extremely weak. The client's blood pressure is 90/58 mm Hg, his pulse is 116 beats/minute, and his temperature is 1010 F (38.30C). A diagnosis of acute adrenal insufficiency is made. Which of the following would the nurse expect to administer by I.V. infusion? A. Insulin B. Hydrocortisone C. Potassium D. Hypotonic saline

C. Reduce the vascularity of the thyroid gland.

A client with a large goiter is scheduled for a sub total thyroidectomy to treat thyrotoxicosis. Saturated solution of Iodide solution is prescribed preoperatively for the client. The primary reason for using this drug is that it helps: A. Slow progression of exophthalmos B. Body's ability to store thyroxine C. Reduce the vascularity of the thyroid gland. D. Increase the body's ability to excrete thyroxine

A. High fever

A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal? A. High fever B. Nonproductive cough C. Rhinitis D. Vomiting and diarrhea

D. Morphine sulfate.

A client with cholecystitis is complaining of severe right upper quadrant pain. Which of the following medications should the nurse anticipate administering to relieve the client's pain? A. Meperidine (Demerol). B. Acetaminophen (Tylenol) with codeine. C. Promethazine (Phenergan). D. Morphine sulfate.

A. Myocardial infarction

A nurse in the medical unit is reviewing the laboratory test results for a client who has been transferred from the intensive care unit. The nurse notes that a cardiac troponin I level assay was performed while the client was in the Intensive care unit. The nurse determines that this test was performed to assist in diagnosing which of the following conditions? A. Myocardial infarction B. Congestive heart failure C. Ventricular tachycardia D. Atrial fibrillation

D. Bradycardia

A nurse is assessing a hospitalized client with acute pericarditis. The nurse monitors the client for cardiac tamponade, knowing that which of the following is unassociated with this complication of pericarditis? A. Pulsusparadoxus B. Distant heart sounds C. Distended jugular veins D. Bradycardia

A. The patient requesting medications for chest pain

A nurse is assigned to all of the following patients. Which of the following should the nurse assess first? A. The patient requesting medications for chest pain B. The patient who has an IV medication due in 30 minutes C. The patient who has a temperature of 101F D. The patient who is scheduled to go to surgery within: the hour

C. Supine with the head of bed elevated to 45-60 degree angle

A nurse is assisting in positioning the client for pericardiocentesis to treat cardiac tamponade. The best position for this client is: A. Lying on the left side with a pillow under the chest wall B. Lying on the right side with a pillow under the head C. Supine with the head of bed elevated to 45-60 degree angle D. Supine with slight trendelenburg position

C. Peptic Ulcer Disease

A nurse is conducting a health history of a client with a primary diagnosis of heart failure. Which of the following disorders reported by the client is unlikely to play a role in exacerbating the heart failure? A. Atrial Fibrillation B. Nutritional Anemia C. Peptic Ulcer Disease D. Recent Upper Respiratory Infection

B. Projectile vomiting

A nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely Indicate pyloric stenosis? A. Bradycardia B. Projectile vomiting C. Rigid board-like abdomen D. Severe sharp abdominal pain

D. Severe sharp abdominal pain

A nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer? A. Bradycardia B. Numbness in the legs C. Nausea and vomiting D. Severe sharp abdominal pain

C. Climbing a flight of stairs

A nurse should expect a patient diagnosed with angina pectoris to report chest pain during which of the following activities? A. Taking a deep breath B. Moving the extremities C. Climbing a flight of stairs D. Sleeping in a supine position

C. The pain has not been relieved by rest and 3 nitroglycerin tablets

A nurse working in a long-term care facility is assessing Marlon experiencing chest pain. The nurse would interpret that the pain is most likely due to myocardial infarction (MI) on the basis of which of the following assessment findings? A. The client is not experiencing nausea and vomiting B. The client says the pain began while he was trying to open a stuck dresser drawer C. The pain has not been relieved by rest and 3 nitroglycerin tablets D. The client is not experiencing dyspnea

A. Streptokinase

A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered? A. Streptokinase B. Atropine C. Acetaminophen D. Coumadin

a. Family history of heart disease

A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis? a. Family history of heart disease b. Overweight c. Smoking d. Age

A. "You can have dairy products as long as you don't exceed 50 grams of fat per day."

A patient who is on a low fat-diet asks a nurse if dairy products can be included in the meal plan. Which of these responses should the nurse make? A. "You can have dairy products as long as you don't exceed 50 grams of fat per day." B. "You will need to take calcium supplements of 1500 milligrams daily in place of dairy products." C. "You don't have to limit the amount of dairy products that you eat." D. "You can substitute goat's milk for the cow's milk in dairy products"

D. Check blood pressure.

A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform? A. Ask the patient to lie down on the exam table. B. Draw blood for chemistry panel and arterial blood gas (ABG). C. Send the patient for a chest x-ray. D. Check blood pressure.

D. Orange colored urine

A patient, who is having spasms and burning wilie unnating due to a UTI, is prescribed "Pyridium" • (Phenazopyridine). Which option below is a normal side effect of this drug? A. Hematuria B. Crystalluria C. Urethra mucous D. Orange colored urine

A. strict enforcement of fluid restriction

The nurse explains to the patient admitted for the evaluation of STADH (syndrome of inappropriate antidiuretic hormone) that the medical treatment plan would incide: A. strict enforcement of fluid restriction B. administration vasopressin C. hypertonic IV solutions D. large doses of water-soluble vitamins

D. Decreased secretion of aldosterone and cortisol

Addison's Disease is: A. Increased secretion of cortisol B. Increased secretion of aldosterone and cortisol C. Decreased secretion of cortisol D. Decreased secretion of aldosterone and cortisol

A. Altered mental status and dehydration

An elderly client with pneumonia may appear with which of the following symptoms first? A. Altered mental status and dehydration B. Fever and chills C. Hemoptysis and dyspnea D. Pleuritic chest pain and cough

C. Weigh patient weekly

Appropriate nursing intervention for patient with Addison's disease include the following except: A. Measure intake and output B. Watch out for hypotension C. Weigh patient weekly D. Help patient accept body image

C. Pulmonary Edema

Assessment of a client diagnosed with heart failure reveals moderate dyspnea, clammy and very pale skin, and cough producing pink-tinged sputum. Based on these findings, the nurse suspects that the client is experiencing which complication? A. Angina B. Myocardial Infarction C. Pulmonary Edema D. Endocarditis

B. rising slowly from a lying position

The nurse includes in the discharge plan for a patient with Addison's disease, "Risk for Injury". Measures to deal with this includes: A. arranging for uncluttered floor space B. rising slowly from a lying position C. keeping the room well lit D. instructions in the use of walker

D. "Splint your chest wall with a pillow for comfort."

Margarette is being treated for pneumonia. She has a persistent cough and complains of severe pain on coughing. What could you tell her to help her reduce her discomfort? A. "Hold your cough as much as possible." B. "place the head of your bed flat to help with coughing." C. Restrict fluids to help decrease the amount of sputum." D. "Splint your chest wall with a pillow for comfort."

D. onset to be at 4 p.m. and its peak to be at 8 p.m.

Capilliarygluscose monitoring is being performed every 4 hours for a client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of NPH insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for insulin. The nurse should expect the dose's: A. onset to'be at 2 p.m. and its peak to be at 3 p.m. B. onset to be at 4 p.m. and its peak to be at 6 p.m. C. onset to be at 2:30 p.m. and its peak to be at 4 p.m. D. onset to be at 4 p.m. and its peak to be at 8 p.m.

A. Hypocalcemia

For the first 72 hours after thyroidectomy surgery, the nurse would assess the client for Chostek's sign and Trousseau's signs because they indicate which of the following? A. Hypocalcemia B. Hypercalcemia C. Hypokalemia D. Hyperkalemia

C. 5 stages

How many stages are there in Chronic renal failure? A. 4 stages B. 3 stages C. 5 stages D. 7 stages

A. Oliguria

If the patient who was admitted for MI develops cardiogenic shock, which characteristic sign should the nurse expect to observe? A. Oliguria B. Bradycardia C. Elevated Blood Pressure D. Fever

A. serum glucose level

In a 28-year-old female client who is being successfully treated for Cushing's syndrome, the nurse would expect a decline in: A. serum glucose level B. Potassium level C. bone mineralization D. menstrual flow

C. Eat several small meals throughout the day

In order to reduce the development of dumping syndrome in a post-gastric resection client, the nurse encourages the client to: A. Increase fluid intake with meals to decrease nausea B. Provide a diet that is high in complex carbohydrates and high in fat and protein C. Eat several small meals throughout the day D. Have milk with every meal to coat the stomach lining

A. Chicken breast

In planning a low-sodium diet for the client who recently been diagnosed with congestive heart failure, the nurse should ask the client if she would like to have which food item? A. Chicken breast B. Cottage cheese C. Grilled cheese D. Beef bouillon

B. Variant angina

John, another client complains that the angina pain is prolonged and severe and occurs at the same time esch day, most often at rest in the absence of precipitating factors. How would the nurse best describe this type of angina pain? A. Stable angina B. Variant angina C. Unstable angina D. Nonanginal pain

B. Measuring the extremity

The best method of evaluating the amount of peripheral edema is: A. Weighing the client daily B. Measuring the extremity C. Measuring the intake and output D. Checking for pitting

D. check the client's ECG electrodes.

Marlon is admitted with a diagnosis of acute myocardial infarct (MI). He is attached to a cardiac monitor and has an IV catheter in place. His cardiac rhythm has been normal sinus rhythm with occasional PVCs. The nurse notes a sudden change on the cardiac monitor screen to a very irregular, chaotic-looking pattern. The client appears to be sleeping. The most appropriate action on the part of the nurse is to A. administer a percordial thump. B. obtain the defibrillator. C. begin cardiopulmonary resuscitation D. check the client's ECG electrodes.

B. lowers resistance, reduces cardiac workload, and decreases myocardial oxygen demand

Marlon is experiencing an acute myocardial infarction (MI) and IV morphine is prescribed. Morphine is given because it: A. eliminates pain, reduces cardiac workload, and increases cardiac contractility B. lowers resistance, reduces cardiac workload, and decreases myocardial oxygen demand C. raises the blood pressure, lowers myocardial oxygen demand and eliminates pain D. increases venous return, lowers resistance, and reduces cardiac workload

C. Occurring two to three hours after a meal, often awakening him between 1:00 and 2:00 A.M.

Mr. J., a 35-year old stockbroker, has recently been diagnosed with peptic ulcer disease. Diagnostic studies confirm the presence of the gram-negative bacteria Helicobacter pylori in his gastrointestinal tract. If Mr J. has a duodenal ulceration, the nurse would expect Mr. J to describe the "ulcer pain" as: A. Located in the upper right epigastric area radiating to his right shoulder or back B. Relieved by vomiting C. Occurring two to three hours after a meal, often awakening him between 1:00 and 2:00 A.M. D. Worsening with the ingestion of food

D. right upper quadrant pain that often radiates to his right shoulder

Mr. N., a 45-year-old, has choledocholithiasis. During the nursing admission, the nurse notes that Mr.N's., sclera and skin are jaundiced. He also complains of abdominal distention, and pain which is most likely to describe as A. an intermittent, colicky pain in his left flank B. pain which awakens him during the night, and is relieved by eating C. a vise-like pressure over his sternum D. right upper quadrant pain that often radiates to his right shoulder

C. Increased respirations

Mr. Palmos has been treated for a peptic ulcer. He enters the hospital reporting that he has vomited a very large amount of blood. The nurse should expect which sign to be present? Mr. Palmos has been treated for a peptic ulcer. He enters the hospital reporting that he has vomited a very large amount of blood. The nurse should expect which sign to be present? A. Increase blood pressure B. Decreased pulse C. Increased respirations D. Increased urinary output

C. Chocolate pudding

Ms. Norfolk is discharged from the hospital. She must follow a low-fat diet until her readmission for surgery. The Aurse Knows that the patient is demonstrating her dietary knowledge when she eliminates: A. Fruit juices B. Broiled chicken C. Chocolate pudding D. Carrots and spinach

C. 2-4 hours after injection

NPH insulin's onset of action action: A. 8 hours after injection B. 6-12 hours after injection C. 2-4 hours after injection D. 12 - 16 hours after injection

D. early in the morning

Nurses must be aware that pain in MI may occur without cause primarily during what time of the day? A. anytime of the day B. usually after a day's work C. early at night before eating D. early in the morning

D. 3458

The nurse is awaiting the arrival of a client from the emergency department. The client has left myocardial infarction and is being admitted. In caring for this client, the nurse should be alert for which signs and symptoms of left-sided heart failure? 1. Jugular vein distention 2. Hepatomegaly 3. Dyspnea 4. Fine Crackles 5. Tachycardia 6. Right upper quadrant pain 7. Coarse Crackles 8. Air hunger A. 2347 B. 3578 C. 3568 D. 3458

A. Hyperkalemia

The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find? A. Hyperkalemia B. Reduced blood urea nitrogen (BUN) C. Hypernatremia D. Hyperglycemia

D. Positive test result for Helicobacter pylori

The nurse is caring for a client who complains of pain in the epigastric region. The client has a history of peptic ulcer disease. Which finding should the nurse immediately report to the health care provider? A. White blood cell count of 8,000/uL B. Platelet count of 220,000 mm3 C. Hemoglobin level of 7.4 g/aL D. Positive test result for Helicobacter pylori

D. Observe for muscle twitching and numbness or tingling of lips, fingers and toes.

The nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do? A. Monitor laboratory values daily for an elevated thyroid-stimulating hormone. B. Observe for swelling of the neck, tracheal deviation, and severe pain. C. Evaluate the quality of the client's voice postoperatively, noting any drastic changes. D. Observe for muscle twitching and numbness or tingling of lips, fingers and toes.

A. Notify the health care provider of the findings.

The nurse is caring for a client who has a history of peptic ulcer disease. The nurse notes the abdomen is rigid and the client complains of severe pain with palpation. What is the priority action by the nurse? A. Notify the health care provider of the findings. B. Record the findings in the client's record. C. Review the client's record for NSAID use. D. Ask the client about dietary habits.

A. below 70 mg/dl

The nurse is caring for a client who's hypoglycemic. This client will have a blood glucose level: A. below 70 mg/dl B. between 70 and 120 mg/dl C. between 120 and 180 mg/dl D. over 180 mg/dl

A. Phlebostatic axis

The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the: A. Phlebostatic axis B. PMI C. Erb's point D. Tail of Spence

C. wash and inspect the feet daily

The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should: A. use commercial preparations to remove calluses B. cut the toenails by rounding edges C. wash and inspect the feet daily D. walk barefoot at least once each day.

C. potato chips

The nurse is doing discharge teaching for a client who has cirrhosis and ascites. Which of the following foods used by the client as snacks should the nurse instruct the client to avoid? A. whole wheat bread B. cookies C. potato chips D. hard candy

B. beta cells of the pancreas

The nurse is explaining the action of insulin to a newly diagnosed diabetic client. During the teaching, the nurse reviews the process of insulin secretion in the body. The nurse is correct when stating that insulin is secreted from the: A. adenohypophysis B. beta cells of the pancreas C. alpha cells of the pancreas D. parafollicular cells of the thyroid

C. Stop smoking

The patient must learn how to reduce risk factors and manage the acute pain of angina. When developing the plan of care, the nurse should include the expected outcome: The patient should verbalize the need to: A. Call the doctor if acute pain lasts more then 2 hours B. Avoid exercise C. Stop smoking D. Restrict dietary fat, fiber, and cholesterol

D. Decrease gastric acid secretion

The physician orders Cimetidine (Tagamet) for a client with peptic ulcer disease. The nurse should teach the client that Zantac is a drug whose main action is to: A. Increase gastric motility B. Neutralize gastric acidity C. Increase histamine release D. Decrease gastric acid secretion

A. Orthopnea

Which of the following assessment findings would suggest to the home health nurse that Ken is developing CHF? A. Orthopnea B. Weight Loss C. Fever D. Calf Pain

D. Procedures with dye

Which of the following conditions is a common cause of intrarenal acute renal failure? A. Urinary calculi B. Decreased cardiac output C. Prostatic hypertrophy D. Procedures with dye

C. Urinary calculi

Which of the following conditions is a common cause of postrenal acute renal failure? A. Hemorrhage B. Iodine-based dye C. Urinary calculi D. Receiving antibiotics

A. Encouraging fluid intake

To which of the following measures would a nurse give priority when planning care for a patient who has undergone a cardiac catheterization via a femoral approach? A. Encouraging fluid intake B. Keeping the affected leg flexed C. Assessing the patient's apical pulse D. Monitoring the patient's serum glucose level

D. 6 hours after injection

Ultralente's onset of action action: A.16 hours after injection B. 10-12 hours after injection C. 2-4 hours after injection D. 6 hours after injection

B. Ischemia of heart muscle

What would the nurse identify as the primary cause of the pain experienced by a client with angina pectoris and coronary occlusion? A. Arterial Spasm B. Ischemia of heart muscle C. Blocking of coronary veins D. Irritation of nerve endings in the cardiac plexus

C. air hunger

When assessing Ken who has left-sided heart failure, the nurse expects to note: A. Ascites B. jugular vein distention C. air hunger D. pitting edema of the legs

A. Bronchial

When auscultating the chest of a client with pneumonia, the nurse would expect to hear which of the following sounds over areas of consolidation? A. Bronchial B. Bronchovesicular C. Tubular D. Vesicular

D. Check the pulse distal from the insertion site

When caring for a client after cardiac catheterization, which nursing action is most important? A. Provide for rest B. Administer 02 C. Check ECG every 5-15 minutes D. Check the pulse distal from the insertion site

A. vasopressin (Pitressin Synthetic).

When caring for a client with diabetes insipidus, the nurse expects to administer; A. vasopressin (Pitressin Synthetic). B. Furosemide (Lasix) C. Regular insulin D. 10% dextrose

A. "Report fever, anorexia, and night sweats to the physician."

When developing a teaching plan for Kenneth, a client with endocarditis, which of the following points is most essential for the nurse to include? A. "Report fever, anorexia, and night sweats to the physician." B. "Take prophylactic antibiotics after dental work and invasive procedures." C. "Include potassium rich foods in your diet." D. "Monitor your pulse regularly."

B. Grapes

When instructing a patient who needs to restrict potassium intake, which of the following foods would a nurse identify as being the lowest in potassium? A. Raisins B. Grapes C. Spinach D. Potato

C. Late afternoon (4-7 p.m.)

When is the patient receiving NPH insulin at 8 am most likely to have a hypoglycemic reaction? A. Before lunch (10-11 a.m.) B. Early afternoon (1-3 p.m.) C. Late afternoon (4-7 p.m.) D. After supper (8-10 p.m.)

C. Avoiding very heavy meals

When teaching a client with coronary artery disease about nutrition, the nurse should emphasize A. Eating 3 balanced meals a day B. Adding complex carbohydrates C. Avoiding very heavy meals D. Limiting sodium to 7 gms per day

A. Pericardial friction rub

Which assessment finding is most symptomatic of pericarditis? A. Pericardial friction rub B. Bilateral crackles auscultated at the lung bases C. Pain unrelieved by a change in position D. Third heart sound (S3)

B. Cardiac Dysrhythmias

Which is one of the more common complications of myocardial infarction identified by the nurse in the Coronary Care Unit (CCU)? A. Hypokalemia B. Cardiac Dysrhythmias C. Anaphylactic Shock D. Cardiac Enlargement

D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence.

You're assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection? A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago. B. A 55 year old female who is post-opt day 7 from hip surgery. C. A 68 year old male who is experiencing nausea and vomiting. D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence.