Physiologic Basis

In which extracellular fluid compartment does edema occur? Interstitial Intercellular Intravascular Intracellular

Interstitial

Which pediatric client is most likely to experience otitis media? White Hispanic Native American African American

Native American

Which client population is at an increased risk for developing gallbladder disease? Select all that apply. Asian Americans Native Americans African Americans Hispanic Americans White Americans

Native Americans White Americans

The client who is hyperventilating is at risk for which complication? Respiratory acidosis Respiratory alkalosis Respiratory compensation Respiratory decompensation

Respiratory alkalosis

Which test helps assess the neurologic system in a client with impaired vestibular system? Select all that apply. Rinne test Weber test Romberg test Past-point test Audiometry test

Romberg test Past-point test

Which diagnostic test is performed to assess the functioning of the lacrimal gland? Weber test Snellen test Schirmer test Amsler grid test

Schirmer test

In which stage of non-rapid eye movement (NREM) sleep does relaxation progress? Stage 1 Stage 2 Stage 3 Stage 4

Stage 2

Which clinical manifestation describes astigmatism? Select all that apply. Eye discomfort Difficulty in focusing Inability to see distant objects Inability to see objects in close range Asymmetric positioning of the eyeballs

Eye discomfort Difficulty in focusing

Which would the nurse surgery surgeon anticipate the would have written "no coughing" in the postoperative instructions? Eye surgery Amputation Appendectomy Thrombectomy

Eye surgery

Which medication reaction is seen most frequently in older adults? Select all that apply. Fatigue Vertigo Insomnia Anorexia Weight gain

Fatigue Vertigo Anorexia

Which eye finding can be attributed to the age-related change in older adults? Regular shape of the iris Increased luster of bulbar conjunctiva Faster constriction response of the pupil Formation of gray ring around the cornea

Formation of gray ring around the cornea

Which action is the staff nurse's ethical obligation when the nurse manager comes to work obviously intoxicated? Call the security guard. Tell the nurse manager to go home. Have the supervisor validate the observation. Offer the nurse manager a large cup of coffee.

Have the supervisor validate the observation.

Which client is at the highest risk for diabetic retinopathy? White Hispanic Native American African American

Hispanic

Which desired outcome does the nurse expect when administering a nonsteroidal antiinflammatory drug (NSAID)? Select all that apply. Diuresis Pain relief Antipyresis Bronchodilation Anticoagulation Reduced inflammation

Pain relief Antipyresis Reduced inflammation

Which initial sign would the nurse find when assessing a client with hypocalcemia? Headache Pallor Paresthesia Blurred vision

Paresthesia

When monitoring a client's fluids and electrolytes, which does the nurse recall is the major cation that regulates intracellular osmolarity? Sodium Potassium Calcium Calcitonin

Potassium

Which electrolyte in intracellular fluid would the nurse consider most important? Sodium Calcium Chloride Potassium

Potassium

Which electrolyte in intracellular fluid would the nurse recognize as the most important? Sodium Calcium Chloride Potassium

Potassium

Which statement about rapid eye movement (REM) sleep requires correction? REM sleep is the deepest stage of sleep. REM sleep is responsible for mental restoration. REM sleep is the stage of vivid, full-color dreaming. REM sleep first occurs approximately 90 minutes after sleep.

REM sleep is the deepest stage of sleep.

A health care provider prescribes morphine for a client who had a myocardial infarction. Which clinical will be reduced if response the client experiences the intended therapeutic effect of morphine? Respiratory rate Workload of the heart Size of the clot blocking the coronary artery Metabolites within the ischemic heart muscle

Workload of the heart

At which client is an age electrocardiogram performed preoperatively? 30 years 35 years 40 years 45 years

40 years

Which clinical finding indicates to the nurse that a client have may hypokalemia? Edema Muscle spasms Kussmaul breathing Abdominal distention

Abdominal distention

The nurse would monitor the client for which potential effect of ceftriaxone? Dehydration Heart failure Constipation Allergic response

Allergic response

Which diagnostic test may be used to assess the symptoms of macular degeneration in a client? Snellen test Slit-lamp test Schirmer test Amsler grid test

Amsler grid test

Which ophthalmic solution does the nurse recognize as a contraindication for the client diagnosed with glaucoma? Timolol Atropine Pilocarpine Epinephrine

Atropine

Which substance listed as a cause of an adverse reaction by a client booked for indicates a surgery possible latex allergy? Cheese Oranges Avocados Pineapples

Avocados

The nurse instructs a client that, in addition to building bones and teeth, calcium is also important for what? Bile production Blood production Blood clotting Digestion of fats

Blood clotting

Which addictive drug may cause stuffy nose, bronchitis and asthma, lung cancer, decreased testosterone and sperm count, and diminished immune function in chronic users? Cocaine Cannabis Ketamine Methamphetamine

Cannabis

Which discharge instruction would the nurse include for a client being sent home with an indwelling urinary catheter? Once a day, clean the tubing with a mild soap and water, starting at the drainage bag and moving toward the insertion site. After cleaning the catheter site, it is important to keep the foreskin pushed back for 30 minutes to ensure adequate drying. Clean the insertion site daily using a solution of one part vinegar to two parts water. Change the drainage bag at least once a week as needed.

Change the drainage bag at least once a week as needed.

Which lifestyle factor does the nurse recall that can affect sleep? Weight gain Unfamiliar noises Presence of a bed partner Changing evening mealtime

Changing evening mealtime

Which alternative and complementary therapy does the nurse recognize as not being typically used to promote sleep? Reflexology Acupuncture Aromatherapy Chiropractic therapy

Chiropractic therapy

The action of an antidiuretic hormone (ADH) is to do what? Reduce blood volume. Decrease water loss in urine. Increase urine output. Initiate the thirst mechanism.

Decrease water loss in urine.

Which condition does the nurse suspect the client is experiencing when the client has difficulty seeing objects that are far away? Мyopia Hyperopia Presbyopia Astigmatism

Мyopia

Which factor can cause early morning awakening and fatigue in older adults? Stress Anxiety Hypertension Decreased self-image

Hypertension

Which statement by the nurse indicates a need for better understanding of the difference between the two stages of non- rapid eye movement (NREM) and rapid eye movement (REM) sleep? "Dreams occur during NREM sleep but not during REM sleep." "During stage 2 of NREM sleep, the sleeper can be aroused easily, but during REM sleep, it is difficult to arouse the sleeper." "During NREM sleep, a sleeper's biological functions slow, while REM sleep is characterized by increased or fluctuating blood pressure." "NREM sleep is necessary for body tissue restoration and healthy cardiac function, while REM sleep is important for brain and cognitive restoration."

"Dreams occur during NREM sleep but not during REM sleep."

A client with type 1 diabetes complains of hunger, thirst, tiredness, and frequent urination. Based on these findings, which action would the nurse take? Notify the health care provider immediately about the client's symptoms. Determine the client's blood glucose level. Administer the client's prescribed insulin. Give the client a peanut butter and graham cracker snack.

Determine the client's blood glucose level.

Which instruction would the nurse give the client about isoniazid medication? Prolonged use can cause dark, concentrated urine. The medication is best absorbed when taken on an empty stomach. Take the medication with aluminum hydroxide to decrease gastrointestinal (GI) upset. Drinking alcohol daily can cause drug-induced hepatitis.

Drinking alcohol daily can cause drug-induced hepatitis.

Which client is most likely to receive a triple-negative breast cancer diagnosis? Hispanic White Pacific Islander Native American

Hispanic

Which client population has a lower risk of death from coronary artery disease (CAD) when compared to the white population? Asian Hispanic Native American African American

Hispanic

Which psychological symptom is an indication of sleep deprivation? Hyperexcitability Decreased reflexes Cardiac dysrhythmias Slowed time response

Hyperexcitability

Which condition is described by a client reporting the inability to see objects in close range? Esotropia Exotropia Hyperopia Astigmatism

Hyperopia

To which category of fluids does an intravenous solution of 0.45% sodium chloride belong? Isotonic Isomeric Hypotonic Hypertonic

Hypotonic

Which diet prescribed for the morning of an elective major would a nurse be surgery concerned about and contact the surgeon? Select all that apply. Regular diet Full liquid diet mouth Nothing per Light meal 6 hours before surgery Clear liquids up to 2 hours before surgery

Regular diet Full liquid diet

During which stage of non-rapid eye movement (NREM) sleep is sleepwalking and bedwetting likely to occur? Stage 1 Stage 2 Stage 3 Stage 4

Stage 4

At which stage of anesthesia would the nurse expect the anesthetist to require the operating room to be quiet? Stage I Stage II Stage III Stage IV

Stage II

Which condition does the nurse recognize when a client is unable to focus both the in the same eyes direction? Myopia Нуperopia Strabismus Astigmatism

Strabismus

The nurse is performing triage based on tier levels for a group of clients who were impacted by a tornado. Which client condition would receive higher priority? Select all that apply. Stroke Skin rash Active hemorrhage Respiratory distress Chest pain with diaphoresis Displaced or multiple fractures

Stroke Active hemorrhage Respiratory distress

Which withdrawal symptom may be observed in a client addicted to opioids? Select all that apply. Apathy Sweating Drowsiness Watery eyes Loss of appetite

Sweating Watery eyes Loss of appetite

Which rationale explains why a primary health care provider prescribes a Snellen test for a client? To assess for visual acuity To assess for macular degeneration To assess for lacrimal gland functioning To assess for elevated intraocular pressure

To assess for visual acuity

Which vitamin has antioxidant effects on the structure of cell walls? Vitamin K Vitamin B1 Vitamin C Vitamin E

Vitamin E