PrepU practice tests!!!
The nurse is caring for an older adult who reports xerostomia. The nurse evaluates for use of which medication?
Diuretics
The physician schedules an elective surgical procedure for a patient who smokes cigarettes. When should the nurse recommend that the patient cease smoking before the surgical procedure to minimize risks associate with cigarette smoking?
1 to 2 months
The nurse administers a tube feeding to a client via the intermittent gravity drip method. The nurse should administer the feeding over at least which period of time?
30 minutes
A patient is receiving continuous tube feedings via a small bore feeding tube. The nurse irrigates the tube after administering medication to maintain patency. Which size syringe would the nurse use?
30-mL
The health care provider ordered an IV solution for a dehydrated patient with a head injury. Select the IV solution that the nurse knows would be contraindicated.
5% DW
A nurse cares for a client with sepsis who had bariatric surgery two weeks ago. What is the most likely source of the sepsis?
Disruption at the site of anastomosis
A client with emphysema informs the nurse, "The surgeon will be removing about 30% of my lung so that I will not be so short of breath and will have an improved quality of life." What surgery does the nurse understand the surgeon will perform?
A lung volume reduction
At its most fundamental level, what does obesity result from?
A metabolic imbalance
A client with thoracic trauma is admitted to the ICU. The nurse notes the client's chest and neck are swollen and there is a crackling sensation when palpated. The nurse consequently identifies the presence of subcutaneous emphysema. If this condition becomes severe and threatens airway patency, what intervention is indicated?
A tracheostomy
A patient is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently used to diagnose?
Cancer
The nurse is conducting a community education session on the prevention of oral cancers. The nurse includes which cancer as being a type of premalignant squamous cell skin cancer?
Actinic cheilitis
A middle-aged obese female presents to the ED with severe radiating right-sided flank pain, nausea, vomiting, and fever. A likely cause of these symptoms is:
Acute cholecystitis
A nurse plans care for a client who is post op bariatric surgery. Which nursing diagnosis will be the priority?
Acute pain related to surgical procedure
A client presents to the ED after being in a boating accident about 3 hours ago. Now the client reports headache, fatigue, and the feeling that he "just can't breathe enough." The nurse notes that the client is restless and tachycardic with an elevated blood pressure. This client may be in the early stages of what respiratory problem?
Acute respiratory failure
What health promotion teaching should the nurse prioritize to prevent drug-induced hepatitis?
Adhere to dosing recommendations of over-the-counter analgesics
The nurse is caring for a client who has recurrent sinusitis. Which consideration could the nurse suggest to best decrease the frequency of infections?
Administer an over-the-counter decongestant
A client's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the client's signs and symptoms?
An absence of blood in stool
A patient is brought into the emergency department with carbon monoxide poisoning after escaping a house fire. What should the nurse monitor this patient for?
Anemic hypoxia
What is the most commonly prescribed treatment for the common cold?
Antihistamines
High doses of which medication can produce bilateral tinnitus?
Aspirin
A client in the emergency department reports that a piece of meat became stuck in the throat while eating. The nurse notes the client is anxious with respirations at 30 breaths/min, frequent swallowing, and little saliva in the mouth. An esophagogastroscopy with removal of foreign body is scheduled for today. What would be the first activity performed by the nurse?
Assess lung sounds bilaterally
A thoracentesis is performed to obtain a sample of pleural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. What does serous fluid indicate?
Cancer
A client is postoperative following a graft reconstruction of the neck. What intervention is the most important for the nurse to complete with the client?
Assess the graft for color and temperature
A nurse is caring for a client who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this client's plan of care?
Assessment for variceal bleeding
A client had a central line inserted for parenteral nutrition and is awaiting transport to the radiology department for catheter placement verification. The client reports feeling anxious and has a respiratory rate of 28 breaths/minute. What is the next action of the nurse?
Auscultate lung sounds
The nurse teaches the client with gastroesophageal reflux disease (GERD) which measure to manage the disease?
Avoid eating or drinking 2 hours before bedtime
Which action by the nurse indicates understanding of one basic principle of providing effective pain management?
Awakening a new postoperative client to take pain medication
While assessing an acutely ill client's respiratory rate, the nurse assesses four normal breaths followed by an episode of apnea lasting 20 seconds. How should the nurse document this finding?
Biot's respiration
A client arrives in the emergency department reporting shortness of breath. She has 3+ pitting edema below the knees, a respiratory rate of 36 breaths per minute, and heaving respirations. The nurse auscultates the client's lungs to reveal coarse, moist, high-pitched, and non-continuous sounds that do not clear with coughing. The nurse will document these sounds as which type?
Crackles
A physician determines that a client has been exposed to someone with tuberculosis. The nurse expects the physician to order which treatment?
Daily doses of isoniazid, 300 mg for 6 months to 1 year
A nurse is assessing a client for GI dysfunction. What is the most common symptom in a client with GI dysfunction?
Dyspepsia
An elderly client seeks medical attention for a vague complaint of difficulty swallowing. Which of the following assessment findings is most significant as related to this symptom?
Esophageal tumor
Which portion of the middle ear equalizes pressure?
Eustachian tube
The nurse is caring for a client with a suspected megacolon. The nurse anticipates that one of the findings of assessment will be
Fecal incontinence
A nurse is obtaining a health history from a client who reports hemoptysis for the past 2 months. The client reports occasional dyspnea. Which imaging study, ordered by the physician, will view the thoracic cavity while in motion?
Fluoroscopy
The nurse is to discontinue a nasogastric tube that had been used for decompression. What is the first action the nurse should take?
Flush with 10 mL of water
A nurse evaluates the effectiveness of discharge teaching for a client who is postoperative from bariatric surgery. Which statement made by the client indicates to the nurse that additional teaching is necessary?"
For minor pain, I should take prescribed ibuprofen
A nurse is assessing the abdomen of a client just admitted to the unit with a suspected GI disease. Inspection reveals several diverse lesions on the client's abdomen. How should the nurse best interpret this assessment finding?
GI disease often produce skin changes
Which factor increases blood urea nitrogen (BUN)?
Gastrointestinal bleeding
The nurse should monitor a client receiving mechanical ventilation for which of the following complications?
Gastrointestinal hemorrhage
After undergoing a total cystectomy and urinary diversion, a client has a Kock pouch (continent internal reservoir) in place. Which statement by the client indicates a need for further teaching?
I'll have to wear an external collection pouch for the rest of my life
The nurse is managing a gastric (Salem) sump tube for a patient who has an intestinal obstruction and will be going to surgery. What interventions should the nurse perform to make sure the tube is functioning properly?
Keep the vent lumen above the patient's waist to prevent gastric content reflux
A client who is post op from bariatric surgery experiences dumping syndrome. What is the nurse's understanding of the cause of this condition?
Hypertonic food releases metabolic peptides
After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?
I need to drink 8oz of water before eating
A client is recovering from abdominal surgery. The statement by the client that most indicates the nurse needs to educate the client about pain and pain control is
I should expect to have pain
A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe?
IV penicillin G; single dose
The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal?
Increase the amount of fluids
What pathophysiological concept is related to the increase in the hormone leptin, as it relates to satiety and hunger?
Increased adipose stores
Which measure may increase complications for a client with COPD?
Increased oxygen supply
A client who is post op from bariatric surgery reports constipation. What is the most likely cause of the client's symptoms?
Insufficient water intake
The health care provider orders the insertion of a single lumen nasogastric tube. When gathering the equipment for the insertion, what will the nurse select?
Levin tube
It is important for the nurse to provide required information and appropriate explanations of diagnostic procedures to clients with respiratory disorders in order to
Manage decreased energy levels
A client with obesity is diagnosed with type 2 diabetes. In order to promote weight loss in the client and aid in glucose management, which medication will the nurse anticipate the health care provider ordering?
Metformin
The wife of a client is concerned because her husband is requiring increasingly high doses of analgesia. She states, "He was in pain long before he got cancer because he broke his back about 20 years ago. For that problem, though, his pain medicine wasn't just raised and raised." What would be the nurse's best response?
Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings the client relief
A client comes to the clinic reporting pain in the epigastric region. What statement by the client suggests the presence of a duodenal ulcer?
My pain resolves when I have something to eat
A patient has serous otitis media with significant hearing loss in the right ear. The patient states, "I have not been able to hear for 2 months." What procedure does the nurse anticipate preparing the patient for?
Myringotomy
A client has been taking a 10-day course of antibiotics for pneumonia. The client has been having white patches that look like milk curds in the mouth. What treatment will the nurse educate the client about?
Nystatin
A client is receiving moderate sedation while undergoing bronchoscopy. Which assessment finding should the nurse attend to immediately?
Oxygen saturation of 90%
A nurse is preparing to discharge a client newly diagnosed with peptic ulcer disease. The client's diagnostic test results were positive for H. pylori bacteria. The health care provider has ordered the "triple therapy" regimen. Which medications will the nurse educate the client on?
PPI and two antibiotics
The nurse is reviewing the blood gas results for a patient with pneumonia. What arterial blood gas measurement best reflects the adequacy of alveolar ventilation?
PaCO2
An elderly client comes into the emergency department reporting an earache. The client and has an oral temperature of 37.9° (100.2ºF) and otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next?
Palpate the client's parotid glands to detect swelling and tenderness
A patient reports an inflamed salivary gland below the right ear. The nurse documents probable inflammation of which gland?
Parotid
A nurse cares for a client with obesity who reports taking "a medication of weight loss" but cannot remember the name of it. The client also reports nervousness and feeling "jittery". Which medication is the client most likely taking?
Phentermine
A nurse implements aseptic technique as a means to break the chain of infection at which element?
Portal of entry
A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?
Potassium-rich foods
The nurse screens a middle-aged client's vision and notes that the client has difficulty reading print when it is placed at arm's length. The client tells the nurse that the same problem happened to his father. The nurse is aware that the health care practitioner will refer this client to an ophthalmologist for correction of what vision problem?
Presbyopia
A nurse works in a bariatric clinic and cares for client with obesity who will or have undergone bariatric surgery. What is the nurse's understanding of how the procedure works?
Restricts the client's ability to eat
A client who is postoperative from bariatric surgery reports foul-smelling, fatty stools. What is the nurse's understanding of the primary reason for this finding?
Rapid gastric dumping
When assessing a client with infectious diarrhea, which of the following would lead the nurse to suspect that the client is experiencing severe dehydration?
Rapid, thready pulse
Which route of medication administration should the nurse consider first after IV removal in a postoperative client with an NPO (nothing by mouth) order?
Rectal
The nurse inspects a client's tongue. Which finding would the nurse evaluate as an indication of potential oral cancer?
Red plaque on undersurface of tongue
A client is treated for gastrointestinal problems related to chronic cholecystitis. What pathophysiological process related to cholecystitis does the nurse understand is the reason behind the client's GI problems?
Reduced or absent bile as a result of obstruction impacts digestion
The nurse advises the patient who has just been diagnosed with acute gastritis to:
Refrain from food until the GI symptoms subside
The client is postoperative for a right total-knee arthroplasty, and medications include lidocaine 5% (Lidoderm). Past history includes a left mastectomy and herpes zoster following treatment with chemotherapy. The best nursing action is to:
Remove the patch after 12 hours
A client has a nursing diagnosis of ineffective airway clearance related to excessive mucus production. The best short-term goal is for the client to
Report decreased congestion
The nurse, caring for a patient with emphysema, understands that airflow limitations are not reversible. The end result of deterioration is:
Respiratory acidosis
The nurse should assess for an important early indicator of acute pancreatitis. What prolonged and elevated level would the nurse determine is an early indicator?
Serum lipase
The nurse is asking the client with acute pancreatitis to describe the pain. What pain symptoms does the client describe related to acute pancreatitis?
Severe mid-abdominal to upper abdominal pain radiating to both sides and to the back
An adult client has just been diagnosed with small cell lung cancer. The client asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurse's response?
Small cell cancer of the lung grows rapidly and metastasizes early and extensively
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a number of clinical signs, including asterixis and fetor hepaticus; the patient's electroencephalogram (EEG) is abnormal. The nurse documents that the patient is exhibiting signs of which stage of hepatic encephalopathy?
Stage 2
A nurse cares for a client who is post op from bariatric surgery. Once able, the nurse encourages oral intake for what primary purpose?
Stimulate GI peristalsis
An x-ray of a trauma client reveals rib fractures and the client is diagnosed with a small flail chest injury. Which intervention should the nurse include in the client's plan of care?
Suction the client's airway secretions
Which are accurate clinical manifestations of a retinal detachment?
Sudden onset of a greater number of floaters
A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client?
Take the medication 2 hours before or after other medications
A nurse is admitting a client diagnosed with late-stage gastric cancer. The client's family is distraught and angry that she was not diagnosed earlier in the course of her disease. What factor most likely contributed to the client's late diagnosis?
The early symptoms of gastric cancer are usually not alarming or highly unusual
Which homeostatic mechanism would the body of a critically ill client use to maintain normal pH?
The lungs eliminate carbonic acid by blowing off more CO2
A client with diabetes begins to have digestive problems and is told by the physician that they are a complication of the diabetes. Which of the following explanations from the nurse is most accurate?
The pancreas secretes digestive enzymes
When conducting an eye exam, the nurse practitioner is aware that a diagnostic clinical manifestation of glaucoma is:
The presence of halos around lights
An client is described as having pectus carinatum. What would be the physical manifestation of this condition?
The sternum protrudes and the ribs are sloped backward
Which statement describes benign paroxysmal positional vertigo (BPPV)?
The vertigo is usually accompanied by nausea and vomiting
The mother of a client with cancer comes to the nurse concerned with her daughter's safety. She states that the dose of morphine that her daughter requires to control her pain is getting "higher and higher." As a result, the mother is afraid that her daughter will overdose. The nurse should educate the mother about what aspect of her daughter's pain management?
There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug
The nurse is admitting a client whose medication regimen includes regular injections of vitamin B12. The nurse should question the client about a history of:
Total gastrectomy
A client with a decreased level of consciousness is in a recumbent position. How should the nurse best assess the lung fields for a client in this position?
Turn the client to enable assessment of all the patient's lung fields
The nurse is caring for a postsurgical client who speaks very little English. How should the nurse most accurately assess this client's pain?
Use a chart with English on one side of the page and the client's native language on the other so he can rate his pain
A nurse is creating a care plan for a client with a nasogastric tube. How should the nurse direct other members of the care team to check correct placement of the tube?
Use a combination of at least two accepted methods for confirming placement
For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?
Using a Venturi mask to deliver oxygen as ordered
The nurse is conducting a community education program on peptic ulcer disease prevention. The nurse includes that the most common cause of peptic ulcers is:
gram-negative bacteria
A mechanically ventilated client is receiving a combination of atracurium and the opioid analgesic morphine. The nurse monitors the client for which potential complication?
Venous thromboemboli
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention is most appropriate?
Wash the area around the tube with soap and water daily
The client is receiving 50% dextrose parenteral nutrition with fat emulsion therapy through a peripherally inserted central catheter (PICC). The nurse has developed a care plan for the nursing diagnosis "Risk for infection related to contamination of the central catheter site or infusion line." The nurse includes the intervention
Wear a face mask during dressing changes
The nurse is caring for a client with a decrease in airway diameter causing airway resistance. The client experiences coughing and mucus production. Upon lung assessment, which adventitious breath sounds are anticipated?
Wheezes
When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include?
You shouldn't experience a headache after this type of anesthesia
A client has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The client is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?
Your appendix doesn't play a major role, so you won't notice any difference after your recover from surgery
The nurse has been assigned to care for various clients. Which client is at the highest risk for a fluid and electrolyte imbalance?
an 82 year old client who receives all nutrition via tube feedings and whose medications include carvedilol and torsemide
A nurse is preparing to insert a peripheral intravenous access device into the arm of a client. When preparing the skin for insertion, which of the following should the nurse use to prevent possible health-care associated bloodstream infections?
chlorhexidine
A client has symptoms suggestive of peritonitis. Nursing management would not include:
limiting analgesics to avoid the formation of paralytic ileus
During surgery a patient develops hypothermia. The circulating nurse would monitor the patient closely for which of the following?
metabolic acidosis
The nurse is caring for a client needing emergency surgery. Which preoperative teaching is least important to prepare the client for surgery?
post-discharge diet
The patient is NPO prior to having a colonoscopy. The patient is to take a daily blood pressure pill prior to the procedure. Until when may water be given prior to the procedure?
up to 2 hours before surgery
