Exam Review
- A nurse is providing discharge education to a client diagnosed with fluid volume excess (FVE) due to liver failure. Which of the following meal options should the nurse recommend for the client?A)Baked chicken breastB)Bowl of ice creamC)Canned soupD)Spaghetti and with commercial red sauce
- A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?A)Dilute urineB)Poor skin turgorC)HypotensionD)Ataxia
- A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?A)Increase in hr of sleep per nightB)Decrease in level of thyroxine (T4)C)Increase in weightD)Decrease in level of thyroid stimulating hormone (TSH).
- A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?A)Serum T4B)Serum T3C)Thyroid stimulating hormone (TSH)D)Free T4
Exam Review
- A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?A)HypolipidemiaB)COPDC)Diabetes mellitusD)Gallstones
- A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which the following laboratory findings indicate a therapeutic effect of the medication?A)Blood urea nitrogen (BUN) 15 mg/dLB)Urine specific gravity 1.015C)Serum sodium 146 mEq/LD)Blood glucose 80 mg/dL
- A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?A)The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.B)The gallbladder became infected by a virus and needs to be removed.C)The gallbladder is no longer working.D)The gallbladder has become inflamed due to the cholesterol in the gallstones.
- A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following responses from the nurse best explains how a person can become infected with the virus?A)"Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C."B)"Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C."C)"Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C."D)"Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C."
Exam Review
- A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?A)“These are unusual symptoms. I will ask the provider for an ophthalmology referral."B)"Exposure to sunlight will help to strengthen your eyes."C)"Surgery will be necessary to correct the damage to your eyes."D)"Eye drops and dim lighting can improve your symptoms."
- A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?A)"You will need to remain at the hospital for the entire time the radioiodine is radioactive."B)"A low fiber diet will be necessary."C)"Additional immunizations will be needed for full protection."D)"You will need to use a bathroom separate from other household members."
- A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following physiological alterations is consistent with a diagnosis of SIADH?A)Increased serum sodiumB)Decreased serum osmolalityC)Decreased urine osmolalityD)Decreased urinary sodium
- A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?A)Impaired skin integrityB)Pathologic fracturesC)Fluid retentionD)Dysphagia
Exam Review
- A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?A)Surgical dressingB)Oxygen saturationC)Bowel soundsD)Temperature
- A nurse is assessing an older adult client who has just been admitted to the medical-surgical unit and presents with a large amount of abdominal ascites. Client is alert and oriented x3, states that he walks independently at home and normally uses a cane, but forgot to bring it to the hospital. Which of the following measures is important for the nurse to initiate first?A)Skin safety protocolB)Fall risk protocolC)Bleeding precaution protocolD)Sodium restriction diet
- A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?A)Client report of anorexiaB)Flaccid musclesC)Negative Chvostek's signD)Client report of numbness in his hands
- A 58-year-old man with known alcoholic cirrhosis presents to the emergency department with massive hematemesis and progressive abdominal distension. On examination, he is hypotensive (BP 85/60 mmHg), tachycardic (HR 110 bpm), and has tense ascites. Endoscopy reveals actively bleeding esophageal varices. Which of the following is the most appropriate initial management step?A)Administer intravenous propranolol and schedule elective band ligationB)Transfuse packed red blood cells to a hemoglobin >13 g/dLC)Initiate IV octreotide and antibiotics, and arrange for endoscopic variceal ligationD)Start diuretics to reduce ascitic fluid immediately
Exam Review
- A nurse is caring for a client who reports consuming heavy amounts of alcohol. Which of the following manifestations should the nurse expect?A)GlaucomaB)Fatty liver diseaseC)AsbestosisD)Gallstones
- A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?A)Instruct the client not to lift over 4.5 kg (10 lb).B)Offer the client ice cream postoperatively.C)Place the client in a supine position postoperatively.D)Encourage ambulation once fully awake.
- A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect?A)LethargyB)BradycardiaC)Weight gainD)Heat intolerance
- A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?A)AmylaseB)MagnesiumC)RBC countD)Calcium
Exam Review
- A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?A)Dry skinB)DrowsinessC)Heat intoleranceD)Bradycardia
- A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?A)Administer a unit of packed RBCs.B)Increase the client's IV fluid rate.C)Initiate a dopamine IV infusion for the client.D)Elevate the client's feet.
- A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?A)Administer vitamin K.B)Restrict the client's intake of fluids.C)Reduce the client's intake of protein.D)Administer diuretics.
- A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?A)Observe the client carefully for signs of hypocalcemia.B)Administer aspirin as prescribed for any sign of hyperthermia.C)Provide a quiet, low-stimulus environment.D)Keep the client NPO.