Exam 3 Practice Test AH1

A client receiving long term treatment with high dose corticosteriods. Which would the nurse expect the client to exhibit?

Moon face

An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as being suggestive of diabetes?

"Lately, I drink and drink and can't seem to quench my thirst."

The nurse is caring for a client with a diagnosis of colon cancer with metastasis to the liver. What statement made by the client indicates an understanding of the diagnosis?

"My cancer has spread to my liver."

A client with hodgkin lymphoma is receiving information from the oncology nurse. The client asks the nurse why it is necessary to stop drinking and smoking and staying out of the sun. What would be the nurses best response?

"It's important to reduce the other factors that increase the risk of second cancers.

A client sustained second and third degree burns to the chest and neck 4 days ago and is now refusing analgesics, stating "I don't want to become addicted." What is the nurses best response?

"Although misusing the medication can cause addiction, there is little evidence that those who require narcotics for legitimate pain become addicted."

A client receiving chemo has a nursing diagnosis of deficient diversional activity related to decreased energy. What client statement indicates an accurate understanding of appropriate ways to deal with this deficit?

"I'll play card games with my friends."

The nurse is caring for four clients on the medical-surgical unit of the hospital. What client is most likely to be receiving treatment for sickle cell crisis?

A 19-year-old African american male

A client with advanced cancer makes the statement "why are you bathing me? I am going to die no matter what." What is the most appropriate response from the nurse?

"Would you like to talk about what you are feeling?"

A client is experiencing severe anaphylactic shock. What actions should the nurse take first?

Administer diphenhydramine ask the client if they are light headed give intravenous fluids prepare for insertion of an endotracheal tube

Which would be included in the teaching plan for a client diagnosed with diabetes mellitus?

An elevated blood glucose concentration contributes to complications of diabetes, such as diminished vision.

A client is admitted to the heath care center with abdominal pain, nausea, and vomiting. The medical reports indicate a history of type 1 diabetes. The nurse suspects the client's symptoms to be those of diabetic ketoacidosis. Which action will help the nurse confirm this diagnosis?

Assess the client's breath odor

A nurse is planning care for a client in acute addisonian crisis. Which nursing diagnosis should receive the highest priority?

Decreased cardiac output

The nurse caring for a client who has just been given a 6 month prognosis following a diagnosis of extensive stage small cell lung cancer. The client states that they would like to die at home but the health care team believes the patient still needs care. what might the nurse suggest as an alternative?

Discuss a referral for hospice care

A 30-year-old female client has been diagnosed with cushing syndrome. What psychosocial nursing diagnosis should the nurse most likely prioritize when planning the clients care?

Disturbed body image related to changes in physical appearance

Following an Addisonian crisis, a patient's adrenal function has been gradually regained. The nurse should ensure that the patient knows about the need for supplementary glucocorticoid therapy in which of the following circumstances? A) Episodes of high psychosocial stress B) Periods of dehydration C) Episodes of physical exertion D) Administration of a vaccine

Episodes of high psychosocial stress.

The health care provider recommends that parents have their daughter vaccinated with HPV vaccination. What is this vaccine for?

Help prevent cervical cancer.

A nurse is preparing to discharge a client with coronary artery disease and hypertension who is at risk for type 2 diabetes. Which information is important to include in the discharge teaching?

How to control blood glucose through lifestyle modification with diet and exercise.

A client comes to the emergency department complaining of difficulty breathing. He states, "It feels like my throat is closing up. We were out to dinner and then I started feeling strange after we ate our shrimp cocktail." The client is leaning forward with a respiratory rate of 36 breaths per minute. His skin is pale. The nurse suspects anaphylaxis. which nursing diagnosis would be the priority?

Ineffective airway clearance related to bronchospasm and laryngeal edema

The nurse cares for several clients with hematological conditions. which assessment needs will the nurse prioritize for the client with aplastic anemia?

Infection Bleeding

Which of the following would a nurse expect the physician to order for a client with hypothyroidism?

Levothyroxine sodium

A nurse who is apart of the palliative care team is assessing a client. The client indicates that he has been saving is PRN analgesics until the pain is really intense. What teaching should the nurse do with this client?

Medications should be taken when pain levels are low so the pain is easier to reduce.

"An incoherent client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, the nurse prepares to take emergency action to prevent the potential complication of:

Myxedema coma

A hospitalized, insulin dependent patient with diabetes has been experiencing morning hyperglycemia. The patient will be awakened once or twice during the night to test blood glucose levels. The health care provider suspects that the cause is related to the somogyl effect. what indicators support this diagnosis?

Normal bedtime glucose increase in blood glucose from 3am until breakfast decrease in blood sugar to a hypoglycemic level between 2-3am

A high school football player hurts his foot. Client complains of intense pain and muscle spasms and swelling of the toe. What pain assessment tool will the nurse likely use to assess the clients pain?

Numeric Rating Scale

What is the best pain scale to use on adults

Numeric Scale

A nurse is caring for a client with a thyroidectomy and is at risk for hypocalcemia. What should the nurse do?

Observe for muscle twitching and numbness or tingling in the lips, fingers and toes.

A client with a diagnosis of gastric cancer has been unable to tolerate oral food or fluid. Her tumor location rules out the use of enteral feeding. What intervention is best to meet the clients nutritional needs?

Parenteral nutrition through a peripherally inserted central line (PICC)

Palliation refers to

Relief of symptoms of disease and promotion of comfort and quality of life.

After being seen in the oncology clinic, a client with severe bone marrow suppression is admitted to the hospital. The client's cancer therapy consisted of radiation and chemotherapy. When developing the care plan for this client, which nursing diagnosis takes priority?

Risk for infection

A nurse developing a teaching plan for a client with diabetes mellitus . A client with DM should:

Wash and inspect the feet daily

During pre op teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement?

You must avoid hyperextending your neck after surgery

To combat the most common adverse effect of chemo, a nurse should administer what?

antiemetic

"During the first 24 hours after a client is diagnosed with addisonian crisis, which task should the nurse perform frequently?

assess vital signs

Accidental removal of one or both parathyroid glands can occur during a thyroidectomy. Which of the following is used to treat tetany?

calcium gluconate

Which nursing intervention contributes to achieving a patients goal for pain relief?

collaborate with the client about his or her goal and level of pain relief.

A client presents to the clinic with complaints that he began to itch and break out in hives after taking an aspirin this morning. What medications does the nurse anticipate administering that blocks histamine receptors?

diphenhydramine

The nurse providing care for a client with cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

establish fall prevention measures

The nurse is assessing a client who appears restless, excitable and agitated. The nurse observes that the client with exophthalmos and neck swelling. What diagnosis do these clinical manifestations correlate with?

hyperthyroidism

A client has returned to the floor after having a thyroidectomy for thyroid cancer. What lab finding may be an early indication of parathyroid gland injury or removal?

hypocalcemia

What can the nurse do to meet the challenges in caring for a patient with cancer?

identify own perception of cancer and set realistic goals.

A patient is complaining of a headache during epidural administration of an anesthetic agent. Which of the following nursing interventions should be completed?

keep the head of the bed flat

A client newly diagnosed with cancer is scheduled to begin chemo and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?

nausea and vomiting

What type of surgery is used in an attempt to relieve complication of cancer?

palliative

The nurse explains to the patient that the doctor is removing a mole that could cause skin cancer. The nurse informs the patient that this is what type of procedure?

prophylactic

Exophthalmos is characterized by:

protruding eyes and a fixed stare

An older adult has been medicated with an oral opioid for post op pain. What can the nurse do to make the medication more effective?

provide the client with a fresh gown and change the bed linens

A client with Crohn's disease, an autoimmune disorder, informs the nurse that he has not had any symptoms of the disease in 8 months. What does the nurse understand this asymptomatic period is referred to?

remission

A 16 year old female experiences alopecia resulting from chemotherapy, promoting the nursing diagnoses of disturbed body image and situational low self-esteem. The nurse should determine that the client is meeting the goal of improved body image and self-esteem when the client:

requests that her family bring her makeup and wig

A nurse practitioner who assess a patient with hyperthyroidism would expect the patient to report which of the following conditions?

weight loss

A nurse is addressing a client with hyperthyroidism. What findings should the nurse expect?

weight loss, nervousness, and tachycardia