NursGuru

    Exam Review

    1. Which of the following are clinical manifestations for thyroid cancer? Select all that apply
      (SATA)
      A)
      Hoarseness
      B)
      Increased appetite
      C)
      Difficulty swallowing
      D)
      Neck swelling
      E)
      Constipation
    2. A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)
      Correct Answer:2000
    3. Which of the following interventions is essential for post-operative mastectomy care to maintain range of motion?
      A)
      Assist with active or passive range of motion exercises at least three times daily
      B)
      Apply pressure dressings to prevent contractures and scarring.
      C)
      Monitor areas at high risk for pressure sores, heels, sacrum, back of the head
      D)
      Use compression dressings for up to 4-6 months to increase mobility and reduce scarring
    4. The client, admitted with an acute gastrointestinal bleed, is being treated with a transfusion of 2 units of packed red blood cells. The client is demonstrating shortness of breath, new cough, increased blood pressure, jugular venous distention, and tachycardia. How should the nurse interpret these findings? The client is experiencing this type of transfusion reaction:
      A)
      circulatory overload
      B)
      febrile
      C)
      bacteria
      D)
      transfusion related acute lung injury

    Exam Review

    1. Which of the following is a common side effect of tamoxifen?
      A)
      Weight loss
      B)
      Hot Flashes
      C)
      Hypertension
      D)
      Muscle cramps
    2. Which of the following are risk factors for the development of breast cancer? Select All that Apply.
      (SATA)
      A)
      History of fibrocystic breast tissue
      B)
      Obesity
      C)
      BRCA1 negative
      D)
      Chronic fatigue
      E)
      Smoking
    3. Which information should the nurse include in the teaching plan for a client who has hypertrophic cardiomyopathy?
      A)
      If fatigue occurs, stop taking beta blockers
      B)
      Limit fluid intake to 1000 mL per day
      C)
      Monitor weights daily
      D)
      Limit strenuous physical activity
    4. The nurse should question which of the written medical prescriptions for the client admitted to the emergency department with a major burn?
      A)
      Administering IV Lactated Ringers @ 150ml/hour
      B)
      Morphine 5 mg IV every 3 hours prn for pain
      C)
      Strict intake and output
      D)
      Insert an indwelling (Foley) catheter

    Exam Review

    1. The nurse is caring for a client who had a thrombotic stroke in the emergency department. It has been 2.5 hours since the onset of symptoms. The rationale for using tissue plasminogen activator (t-PA) for this client is to:
      A)
      prevent platelet aggregation.
      B)
      reduce the risk of blood vessel spasm.
      C)
      prevent infection in the brain.
      D)
      lyse the blood clot
    2. Which of the following clinical manifestations of ovarian cancer? Select All that Apply.
      (SATA)
      A)
      Visual disturbances
      B)
      Back pain
      C)
      Persistent indigestion
      D)
      Pelvic or abdominal pain
      E)
      Ascites
      F)
      Unexplained weight loss
      G)
      Frequent urination
    3. The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse adjust the IV tubing?
    4. The client is receiving induction chemotherapy. Which information is important for the nurse to include in the initial treatment plan?
      A)
      Physician order for life sustaining treatment.
      B)
      Encourage low residue foods.
      C)
      Neutropenic precautions.
      D)
      An advanced directive

    Exam Review

    1. A 45-year-old client with chronic myelocytic leukemia (CML) is considering a bone marrow transplant from a sibling. How should the nurse assist this client with treatment decisions?
      A)
      Ensure the patient understands the risks and benefits involved with this treatment
      B)
      Explain that a cure is not possible with any other type of treatment
      C)
      Encourage the patient to ask what new and experimental treatments are available.
      D)
      Emphasize the positive aspects of the procedure for both donor and recipient
    2. The nurse is caring for a client who is receiving chemotherapy for acute lymphocytic leukemia (ALL). Which medical prescription should the nurse question?
      A)
      Mechanical soft diet
      B)
      Promethazine HCL 25 mg IM for nausea
      C)
      No fresh fruits, flowers, or plants at the bedside
      D)
      Ambulate with assistance
    3. Which intervention is most important to teach the client who develops thrombocytopenia secondary to chemotherapy?
      A)
      Use an electric razor when shaving.
      B)
      Restrict visits from children under twelve-years-old.
      C)
      Incorporate rest periods throughout the day.
      D)
      Take your temperature day
    4. What is the recommended age to start discussions about PSA screening for males at average risk of developing prostate cancer?
      A)
      45
      B)
      65
      C)
      55
      D)
      40

    Exam Review

    1. A 64-year-old African American man comes into the emergency department with a complaint of right upper arm pain. The client denies falling or any trauma to the extremity. The X-ray revealed a fracture of the right humerus. The nurse anticipates which of the following diagnosis?
      A)
      End-stage renal disease
      B)
      Chronic myelogenous leukemia (CML)
      C)
      Rheumatoid arthritis
      D)
      Multiple myeloma
    2. Which of the following are signs and symptoms of a brain tumor? (Select All that Apply.)
      A)
      weight gain
      B)
      Visual changes
      C)
      Personality Changes
      D)
      Loss of balance
      E)
      Chest Pain
      F)
      Morning headache
    3. In continuous bladder irrigation (CBI) if 200 mL of sterile saline solution is instilled into the bladder and 300 mL of urine and solution are drained out, how much true urine output is calculated?
      A)
      150 ml
      B)
      100 mL
      C)
      200 ml
      D)
      50 mL
    4. A physician orders Lithium 1.5 grams/day PO in three divided doses for a client with bipolar disorder. The medication is supplied 250 mg/5 mL. How many milliliters will the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

    Exam Review

    1. The nurse has formulated a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements for a client diagnosed with acute leukemia. What is the expected outcome of nursing care?
      A)
      Ability to consume nutritional foods and or supplements without nausea or vomiting
      B)
      Consume adequate nourishment to promote weight within a normal range
      C)
      Consume a diet high in protein and low carbohydrate content
      D)
      Demonstrate a two pound weight gain with the use of liquid supplements
    2. A charge nurse is providing an in-service to a group of nurses about chronic myelogenous leukemia (CML). Which of the following should the nurse include in the teaching as risk factors for this condition? (Select all that apply)
      A)
      Being a white male
      B)
      Hormone therapy
      C)
      Chemotherapy
      D)
      Under the age of 50 years old
      E)
      Radiation exposure
    3. The nurse is caring for a client with suspected infectious endocarditis. Which information obtained in the health history could contribute to the development of this problem?
      A)
      Periodontal disease and gum surgery three months ago
      B)
      Breast cancer treated with chemotherapy and radiation
      C)
      Type I diabetic for ten years
      D)
      Myocardial infarction one year ago
    4. The nurse is caring for a client with suspected infectious endocarditis. Which information obtained in the health history could contribute to the development of this problem?
      A)
      Periodontal disease and gum surgery three months ago
      B)
      Breast cancer treated with chemotherapy and radiation
      C)
      Type I diabetic for ten years
      D)
      Myocardial infarction one year ago