NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
      A)
      Increased serum calcium
      B)
      Increased rum amylase
      C)
      Decreased WBC
      D)
      Decreased serum lipase
    2. A nurse at a provider's office is instructing a client who is scheduled for an outpatient barium swallow. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will require an IV catheter for this test."
      B)
      "I can have clear liquids up to 4 hours before the test.”
      C)
      "I need to bring a snack because I'll be here all day."
      D)
      "I should expect light-colored stools after the procedure."
    3. A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
      A)
      Obtain the client's heart rate.
      B)
      Place the client in a high-Fowler's position.
      C)
      Assess the client for bladder distention.
      D)
      Administer a nitrate antihypertensive.
    4. A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for
      A)
      bleeding
      B)
      constipation.
      C)
      fatigue.
      D)
      side effects of immunosuppressants.
    Page 1 of 10

    Exam Review

    1. A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?
      A)
      Both require frequent surgery
      B)
      Both manifest fistula formation
      C)
      Both are inflammatory
      D)
      Both begin in the rectum
    2. A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
      A)
      Full body alopecia
      B)
      Anorexia and malnutrition
      C)
      Bleeding from the gums
      D)
      Diarrhea and dehydration
    3. A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
      A)
      Suction saliva from the client's mouth.
      B)
      Perform passive range of motion on each extremity.
      C)
      Record the client's intake and output
      D)
      Monitor the client's electrolyte levels.
    4. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
      A)
      Serum sodium
      B)
      Serum creatinine
      C)
      Urine-specific gravity
      D)
      Blood urea nitrogen (BUN)
    Page 2 of 10

    Exam Review

    1. A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?
      A)
      Document the amount of drainage.
      B)
      Check the drainage for glucose.
      C)
      Obtain a culture of the drainage.
      D)
      Notify the client's provider.
    2. A nurse is reviewing the medical record of a client who has acute leukemia. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ▾ bending and ▾ fracture
      Dropdown 1:
      Option 1: bending
      Option 2: fracture
      Option 3: dysrhythmia
      Dropdown 2:
      Option 1: bending
      Option 2: fracture
      Option 3: dysrhythmia
    3. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained any urine in the past hour. Which of the following actions should the nurse take first?
      A)
      Notify the provider
      B)
      Irrigate the catheter
      C)
      Adjust the rate of the bladder irrigant
      D)
      Check the tubing for kinks
    4. A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?
      A)
      Haptoglobin
      B)
      Schilling test
      C)
      Antinuclear antibodies
      D)
      Sweat test
    Page 3 of 10

    Exam Review

    1. A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
      A)
      "My period ended 2 days ago."
      B)
      "The last time I voided it was painful and red-tinged."
      C)
      "I drink at least 2 quarts of fluid every day."
      D)
      "I don't eat shellfish because it gives me hives."
    2. A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test?
      A)
      "It requires removing metal objects like jewelry."
      B)
      "It requires electrodes on the client's chest."
      C)
      "It takes about 5 or 10 min."
      D)
      "It requires fasting the morning of the test."
    3. A nurse in an emergency department is caring for a client Exhibits
    4. A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS? PH 7.22 PaCO2 68 mm Hg Base excess-2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/L
      A)
      Respiratory acidosis
      B)
      Metabolic alkalosis
      C)
      Respiratory alkalosis
      D)
      Metabolic acidosis
    Page 4 of 10

    Exam Review

    1. The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)
      A)
      Decreased lung sounds
      B)
      Heart rate 110/min and regular
      C)
      Oxygen saturation of 95%
      D)
      Subcutaneous emphysema
      E)
      Trachea midline
      F)
      Puncture site dry
    2. A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements Indicates an understanding of the teaching?
      A)
      "I will eat smaller meals if I feel nauseated."
      B)
      I will eat foods that are served at room temperature."
      C)
      "I will drink more liquids with my meals."
      D)
      "I will increase the amount of unsaturated fats in my diet."
    3. A nurse is admitting a client who has an exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?
      A)
      Investigate the client’s emotional concerns
      B)
      Obtain a dietary history from the client
      C)
      Check the client’s perianal skin integrity
      D)
      Review the client’s electrolyte values
    4. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client’s blood glucose level as 210 mg/dL instead of 120 mg/dL and administered an insulin dose appropriate for a reading over 200 mg/dL before breakfast. Which of the following actions is the nurse’s priority?
      A)
      Notify the nurse manager
      B)
      Complete an incident report
      C)
      Monitor the client for hypoglycemia
      D)
      Give the client 15 to 20 g of carbohydrate
    Page 5 of 10

    Exam Review

    1. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
      A)
      WBC 5,000/mm3
      B)
      Positive Western blot test
      C)
      CD4-T-cell count 180 cells/mm3
      D)
      Platelets 150,000/mm3
    2. A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
      A)
      WBC 2300/mm3
      B)
      Platelets 155.000/mm
      C)
      RBC 5 million/mm
      D)
      Hemoglobin 12 g/dl
    3. A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
      A)
      Urine output
      B)
      BP
      C)
      Heart rate
      D)
      Weight
    4. A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
      A)
      Administer pain medication.
      B)
      Elevate the head of the bed to 30".
      C)
      Darken the client's room and close the door.
      D)
      Increase fluid intake.
    Page 6 of 10