Exam Review
A pediatric client with hydrocephalus is scheduled to undergo ventriculoperitoneal (VP) shunt placement. The nurse is preparing to administer preoperative medications to the child. Which medication should the nurse anticipate administering to reduce cerebrospinal fluid (CSF) production and facilitate surgical placement of the VP shunt?
A)Morphine sulfateB)AcetaminophenC)MannitolD)OndansetronThe nurse is caring for a client three hours following a bronchoscopy.
➢ Which assessment finding requires follow-up by the nurse?
A)The client coughs when having small sips of waterB)The client reports a sore throatC)The client has blood-tinged sputumD)The client reports that he cannot catch his breathA neonate is suspected of having a tracheoesophageal fistula.
➢ Which of the following findings would be consistent with a diagnosis of a tracheoesophageal fistula?
A)hypersensitive gag reflex.B)dry mouth.C)cyanosis.D)decreased level of consciousness.The nurse is planning care for a client with a low serum albumin level.
➢ Which of the following interventions should the nurse include in the client’s plan of care?
A)Obtain a capillary blood glucoseB)Implement seizure precautionsC)Implement strict bed restD)Collaborate with a registered dietician
Exam Review
The nurse is assessing a client with hyperparathyroidism. Which of the following findings would support a diagnosis of hyperparathyroidism?
A)nephrolithiasisB)hyperphosphatemiaC)diarrheaD)halitosisThe nurse is giving discharge instructions to a client recently diagnosed with vaginitis. Which of the following instructions should the nurse include?
A)Urinate before having sexual intercourseB)Practice regular douchingC)Clean the vulva with moisturizing soapD)Wear loose-fitting clothing and cotton underwearThe nurse is planning a staff development conference about anaphylaxis. Which of the following information should the nurse include?
A)0.9% saline should be infused once vascular access is established.B)The initial treatment is intravenous diphenhydramine.C)The client should carry a prefilled syringe of hydrocortisone.D)If shock occurs, the client should be positioned in reverse Trendelenburg.The nurse is designing a care plan for a client scheduled for a total laryngectomy. The nurse plans on consulting which discipline in this client's care plan?
A)physical therapyB)respiratory therapyC)occupational therapyD)case management
Exam Review
The nurse is caring for a client with congestive heart failure (CHF). The nurse should anticipate a prescription for which medication?
A)EnalaprilB)VerapamilC)LovastatinD)GemfibrozilThe nurse is reviewing laboratory data for a client suspected of having a myocardial infarction. The nurse anticipates that the CK-MB isoenyzme will peak within how many hours?
A)3 to 6 hoursB)1 to 2 hoursC)48 to 72 hoursD)18 hoursThe nurse is triaging a client who reports recent international travel. The primary healthcare provider (PHCP) suspects the client may have severe acute respiratory syndrome (SARS). The nurse should initially
A)place the client on contact and airborne precautions.B)obtain blood, urine, and sputum for culture.C)prepare the client for a chest radiograph (x-ray).D)infuse 0.9 saline at 100mL/hr.You are caring for a patient with Raynaud's disease who has intractable pain. The patient is scheduled to undergo surgical interruption of pain conduction pathways to improve vascular blood supply as well as eliminate vasospasm and pain. Which type of surgery is the patient most likely to undergo?
A)CordotomyB)RhizotomyC)NeurectomyD)Sympathectomy
Exam Review
The nurse is reviewing gastrointestinal assessment with a group of student nurses. It would be correct if the student identifies which of the following would cause hyperactive bowel sounds?
A)paralytic ileusB)gastroenteritisC)late bowel obstructionD)peritonitisThe nurse is caring for a client who is 24 hours postoperative following a left total knee replacement. Which assessment data would indicate that the client is ready for discharge?
A)Pulse (P) 102, RR 18, BP 104/72 mm HgB)Urine output of 200 mL in the past 8 hoursC)Lung bases are clear upon auscultationD)The client rates left knee pain as 8/10 on the Numerical Rating ScaleThe nurse is caring for a pediatric client with a nasogastric tube (NGT) connected to intermittent suction.
➢ The nurse should monitor the client for the potential of developing
A)hyponatremia.B)metabolic acidosis.C)hyperkalemia.D)hypercalcemia.The nurse is assessing a client with leukemia. Which of the following assessment findings would be expected?
A)Dyspnea, malaise, and hypotension.B)Bruising, fatigue, and bone pain.C)Bradycardia, hypotension, and palpitations.D)Paresthesia, facial rash, and abdominal pain.
Exam Review
The nurse is caring for a 4-year-old client who suffered second and third-degree burns to the chest, abdomen, and legs. Vital signs: P 117, RR 44, BP 90/60, pulse oximetry reading 88% on room air.
➢ The nurse should initially
A)obtain a prescription for intravenous fluid replacement.B)prepare the client for airway intubation.C)perform wound care to the burned areas.D)review the client's laboratory data.The nurse is working with a child who has a learning disability. The child is ten years old and has trouble reading and interpreting words, letters, and symbols. What is the most likely diagnosis?
A)Phonologic processing deficitB)DyslexiaC)Tourette’s syndromeD)ApraxiaThe nurse is assessing a client diagnosed with an atrioventricular canal, the nurse is aware that many infants with this condition also receive a diagnosis of which of the following?
A)Trisomy 18B)Turner syndromeC)Trisomy 21D)DiGeorge SyndromeThe nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH).
➢ Which of the following laboratory tests require careful monitoring?
A)PotassiumB)SodiumC)GlucoseD)Magnesium
Exam Review
The ICU nurse assesses a comatose patient with a known lesion to the medulla. Which breathing pattern would the nurse expect to assess?
A)Cheyne-StokesB)Apneustic breathingC)Central neurogenic hyperventilationD)Cluster breathingThe nurse is preparing to teach a client who was recently diagnosed with Meniere’s disease.
➢ To help the client reduce the incidence of attacks, the nurse should recommend that the client do which of the following?
A)Irrigate their ear with sterile water.B)Reduce dietary sodium intake.C)Not use earbuds or headphones.D)Speak with limited inflections.The nurse is caring for a client who has ascites and hepatic encephalopathy. Which of the following prescriptions should the nurse clarify with the primary healthcare provider (PHCP)?
A)AlprazolamB)RifaximinC)LactuloseD)SpironolactoneThe nurse is caring for a client who has nephrogenic diabetes insipidus.
➢ Which of the following medications should the nurse expect to be prescribed for the client?
A)prednisoneB)hydrochlorothiazideC)verapamilD)lithium