Professional Nursing Post Test

A nurse is caring for four clients. Which of the following is at greatest risk for a pulmonary embolism? A. A client who is 48 hours postop following a total hip arthroplasty B. A client who is 8 hours postop following an open surgical appendectomy C. A client who is 2 hours postop following an open reduction external fixation of the right radius D. A client is 4 hours postop following a laparoscopic cholecystectomy.

A. A client who is 48 hours postop following a total hip arthroplasty

A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take? A. Administer IV hydrocortisone sodium B. Give oral spironolactone C. Infuse one unit of platelets D. Restrict daily fluid intake

A. Administer IV hydrocortisone sodium

While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0 mg/dl. Which of the following actions should the nurse take? A. Implement seizure precautions B. Administer phosphate C. Initiate diuretic therapy D. Prepare to try hemodialysis

A. Implement seizure precautions

A nurse is caring for a two year old child not received any immunizations. During assessment the child is noted to have a maculopapular rash and fever. Which of the following assessment findings should the nurse expect: A. Koplik spots B. Vesicles and crusts C. Strawberry tongue D. Paroxysmal cough

A. Koplik spots

A nurse is providing discharge teaching for a client who has heart failure. The nurse should instruct the client to report which of the following findings immediately to the provider? A. Weight gain of 0.9 kg (2lb) in 24 hr B. Increase of 10 mmHg systolic BP C. Dyspnea with exertion D. Dizziness when rising quickly

A. Weight gain of 0.9 kg (2lb) in 24 hr

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A. Vitamin K B. Acetylcysteine C. Benztropine D. Physostigmine

B. Acetylcysteine

A client receives terbutaline for the management of preterm labor. Which of the following findings should the nurse report immediately? A. Heart rate 110 beats/minute B. Dyspnea and crackles C. Tremors and headache D. BP 100/60 mmHg

B. Dyspnea and crackles

A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose. The nurse should include which of the following instructions in the teaching? A. Notify the provider if bloating occurs B. Expect to have two to three soft stools per day. C. Restrict carbohydrates in the diet D. Limit oil fluid intake to 1000 ml per day of clear liquids.

B. Expect to have two to three soft stools per day.

A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which of the following laboratory values should the nurse expect? A. Hemoglobin 20 g/dL B. Hematocrit 34% C. Urine specific gravity 1.050 D. BUN 25 mg/dL

B. Hematocrit 34%

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? A. Paresthesia B. Increased BP C. Fever D. Respiratory depression

B. Increased BP

A nurse provides end-of-life care to a client of chinese heritage. Which of the following rituals may be practiced by the family following death? A. A priest will place place an amulet on the pillow B. The oldest child will bathe the body C. A window will be opened by the partner D. The bed will be placed facing east

B. The oldest child will bathe the body

A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? A. Completion of the incident report B. Time the medication was given C. Reason for the medication error D. Notification of the pharmacist

B. Time the medication was given

A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save his life. Which of the following actions should the nurse take first? A. Document the clients refusal in the medical record B. Honor the clients decision to refuse the blood transfusion C. Explore the client's reasons for refusing the treatment. D. Discuss the clients refusal with the provider.

C. Explore the client's reasons for refusing the treatment.

A nurse is caring for a client who has a retinal detachment. Which of the following client reports about the affected eye should the nurse expect? A. Photophobia B. Complete blindness C. Flashes of bright light or floating dark spots. D. Pain

C. Flashes of bright light or floating dark spots.

A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following client statements indicated an understanding of the teaching? A. I will drink two glasses of whole milk daily B. I will decrease the potassium in my diet C. I will eat four servings of unsalted nuts per week. D. I will limit alcohol two drinks per day

C. I will eat four servings of unsalted nuts per week.

A nurse is admitting a client who has a leg ulcer and a history of DM. the nurse should use which of the following focused assessments to help differentiate between arterial ulcer and a venous stasis ulcer? A. Explore the client family history of PVD B. Note the presence or absence of pain at the ulcer site C. Inquire about the presence or absence of claudification D. Ask if the client has had a recent infection

C. Inquire about the presence or absence of claudification

A nurse is providing teaching to a client who has celiac disease. Which of the following information should the nurse include in the teaching? A. You will need to take a glucocorticoid when you have an exacerbation B. You should avoid enteric-coated medication C. You will need to eat a gluten-free diet D. You will need to follow a low lactose diet

C. You will need to eat a gluten-free diet

The nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The should monitor the client for which of the following adverse effects? A. Weight loss B. Increased intraocular pressure C. Auditory hallucinations D. Bibasilar crackles

D. Bibasilar crackles

A nurse is caring for a client who has Non-hodgkin's and is receiving chemotherapy. Which of the following is the priority assessment finding? A. Loss of body hair B. Report of anorexia C. Mucositis of the oral cavity D. Erythema at the IV insertion site

D. Erythema at the IV insertion site

A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmospressin. Which of the following information should the nurse include in the teaching plan? A. Drink at least 3L of fluid day B. Weigh yourself weekly while wearing similar clothing at the same time of the day. C. Notify the provider of a weight loss of 0.45 kg (1lb) or more per week D. Report nocturia because it requires a doseage adjustment.

D. Report nocturia because it requires a doseage adjustment.