Exam Review
- Which assessment finding of a patient 8 hours after a subtotal thyroidectomy does the nurse consider most relevant as an indication of a possible complication?A)The dressing has a moderate amount of serosanguineous drainage.B)The respiratory rate has dropped from 18 to 14 breaths per minute.C)The patient's hand spasms during blood pressure measurement.D)The patient responds to questions correctly but does not open the eyes while talking.
- A nurse is caring for a patient who is 4 hours postoperative following a hip replacement. The nurse should instruct the patient to avoid which of the following activities?A)Using a raised toilet seatB)Using a walkerC)Putting on shoes and socks without assistanceD)Placing a large pillow between legs when turning
- A patient with Type II Diabetes on oral hypoglycemic therapy is scheduled for angiography using IV contrast dye. What teaching should the nurse include?A)"Do not take your metformin (biguanide) until 48 hours after your procedure."B)"If you take repaglinide (meglitinide), do not eat breakfast before your procedure."C)"Glipizide (sulfonylurea) will protect your kidneys from the effects of the contrast."D)"Be sure to take your medications so you don't become hyperglycemic."
- The nurse understands that which type of immunity is the longest acting?A)Artificial activeB)Natural passiveC)AdaptiveD)Natural active
Exam Review
- What information from the patient or family is most important for the nurse to obtain when fibrinolytic therapy is being considered for a possible stroke?A)Time of symptom onsetB)Other medical conditionsC)Loss of bladder controlD)Progression of symptoms
- The nurse is reviewing the menu selections for a patient who is on a low-cholesterol diet. What meal item should the nurse question?A)Fruit salad with yogurtB)Cheese-steak sandwichC)Grilled fish sandwichD)Vegetarian wrap
- The nurse is reviewing lab values of a patient admitted with hypothyroidism. What would the nurse expect to find?A)Elevated TSH levelB)Low urinary cortisolC)Low serum sodiumD)High T3 and T4 levels
- A nurse assesses patients in an osteoporosis clinic. Which patient would the nurse assess first?A)Patient taking Risedronate who reports occasional dyspepsiaB)Patient taking Ibandronate who cannot remember when the last dose wasC)Patient taking calcium with Vitamin D who reports flank pain 2 weeks agoD)Patient taking Raloxifene who reports unilateral calf swelling
Exam Review
- The nurse receives an order for Cefazolin 1 gram in 50 mL of Normal Saline to be infused over 30 minutes. At what rate in mL/hr should the nurse program the IV pump?A)100 mL/hrB)50 mL/hrC)30 mL/hrD)75 mL/hr
- What is the priority nursing assessment for a patient diagnosed with rheumatoid arthritis (RA) and Sjögren's syndrome?A)Oxygen saturationB)Abdominal assessmentC)Visual assessmentD)Breath sounds
- Which statement made by a patient who has acute pyelonephritis indicates to the nurse correct understanding of the antibiotic therapy?A)"If my temperature goes above 100 for 2 days, I should take double the dose of the drug."B)"I should notify the prescriber to change the medication if I develop diarrhea while taking the drug."C)"Even if I feel completely well, I should take the drug exactly as prescribed until it is gone."D)"If my temperature is normal for 3 days in a row, the infection is gone and I can stop taking the drug."
- A nurse is planning care for a patient who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?A)Obtain weight weeklyB)Administer antibioticsC)Encourage frequent ambulationD)Encourage increased fluid intake
Exam Review
- A nurse is assessing a female patient who is taking hormone therapy for breast cancer. What assessment finding requires the nurse to notify the primary health care provider immediately?A)Red, warm, swollen calfB)Irregular mensesC)Ongoing breast tendernessD)Edema in the lower extremities
- Mr. James is a 62-year-old African-American male with a history of gout, type II diabetes mellitus, and high cholesterol. His father died of a myocardial infarction, and his mother is alive and healthy. He had a left knee replacement at age 59. Since turning 60, Mr. James has adopted a low-fat diet and walks daily with his wife. His average resting pulse rate is 70, and his blood pressure averages 140/90. What patient teaching should the nurse provide to help Mr. James decrease his risk for stroke? (Select all that apply.)A)Healthy dietary habits to lower cholesterolB)Complete antibiotics regimenC)Avoid known allergensD)Discuss ways to lower blood pressureE)Management of type II diabetes
- A nurse is reviewing the laboratory results of a patient who is at risk for developing diabetes mellitus. Which of the following results indicates the patient meets the criteria for diagnosis of diabetes mellitus?A)HbA1c 5.5%B)Fasting blood glucose 155 mg/dLC)2-hour blood glucose 170 mg/dLD)Random blood glucose 180 mg/dL
- A young adult female patient reports dyspnea, fatigue, and heavy menstrual periods. Her hemoglobin level is 8 g/dL and hematocrit is 28%. What type of anemia are these findings consistent with?A)Iron-deficiency anemiaB)Hemolytic anemiaC)Folic acid deficiency anemiaD)Sickle cell anemia
Exam Review
- The nurse is caring for a patient with adrenal insufficiency. What priority physical assessment should the nurse perform?A)Cardiac assessmentB)Neurologic assessmentC)Respiratory assessmentD)Skin assessment
- What is the highest priority goal the nurse sets for a patient with pneumonia?A)Absence of cyanosisB)Maintenance of SaO2 > 95%C)Walking 20 feet three times dailyD)Absence of confusion
- A nurse is reviewing the medical record of a patient admitted to "rule out colon cancer." Which lab value would the nurse interpret as being consistent with colon cancer?A)Lymphocyte count 65%B)D-dimer 2000 ng/mLC)White cell count of 2.3/μLD)Positive fecal occult blood test
- When evaluating patient medications, the nurse knows which class of oral hyperglycemic agent lowers fasting blood glucose by triggering the release of insulin from beta cells?A)Amylin analogsB)Alpha-glucosidase inhibitorsC)BiguanidesD)Sulfonylureas
Exam Review
- A nurse is caring for a patient undergoing radiation therapy for breast cancer. Which skin care instructions should the nurse include in discharge teaching?A)Wash with antibacterial soap and a washcloth to prevent infection.B)Use only natural exfoliants daily to maintain skin integrity.C)Avoid sun exposure by wearing soft clothing over the area.D)Apply organic skin lubricants.
- A nurse is providing community education on the seven warning signs of cancer. Which signs are included? (Select all that apply.)A)Changes in bladder habitsB)Near-daily abdominal painC)Obvious change in a moleD)Indigestion or trouble swallowingE)A sore that does not heal
- Which of the following is a characteristic manifestation of pyelonephritis?A)HeadacheB)Frequent urinationC)Costovertebral angle (CVA) tendernessD)Chest pain
- The nurse has received report for a patient that is being admitted with a history of epilepsy. What safety precautions does the nurse implement for this patient? (Select all that apply.)A)Ensure suction equipment is at the bedside and working properly.B)Ensure that the patient has IV access.C)Keep the patient on strict bedrest to minimize risk of falls.D)Place the client on clear liquids to minimize the risk of aspiration.E)Place a padded tongue blade at the bedside in case of a seizure.