NursGuru

    Exam Review

    1. The nurse caring for a client with systemic lupus erythematosus (SLE) would include which information in teaching about triggers that can result in an exacerbation of the disease?
      A)
      Use of acetaminophen to manage pain
      B)
      Onset of menopause
      C)
      Ultraviolet (UV) light exposure
      D)
      Family history of SLE
    2. A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?
      A)
      Bleeding posterior to the nasal packing.
      B)
      Oral dryness caused by nasal packing.
      C)
      An adverse reaction to the analgesic.
      D)
      A normal response to the analgesic and surgery.
    3. A 58-year-old man is going to have chemotherapy for lung cancer. He asks the nurse how the chemotherapeutic drugs will work.The most accurate explanation the nurse can give is which of the following?
      A)
      "The molecular structure of the DNA is altered."
      B)
      "Cancer cells are susceptible to drug toxins."
      C)
      "Chemotherapy encourages cancer cells to divide."
      D)
      "Chemotherapy affects all rapidly dividing cells."
    4. A patient with a gastric outlet obstruction has been treated with NG decompression. After the first 24 hours, the patient develops nausea and increased upper abdominal bowel sounds. What is the best action by the nurse?
      A)
      Check the patency of the NG tube.
      B)
      Place the patient in a recumbent position.
      C)
      Encourage the patient to deep breathe and consciously relax.
      D)
      Assess the patient's vital signs and circulatory status.

    Exam Review

    1. A client with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti- inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?
      A)
      Melena
      B)
      Decreased vision
      C)
      Pancytopenia
      D)
      Hyperglycemia
    2. The nurse determines that teaching for the patient with peptic ulcer disease has been effective when the patient makes which statement?
      A)
      "I have learned some relaxation strategies that decrease my stress."
      B)
      "I should stop all my medications if I develop any side effects."
      C)
      "I should continue my treatment regimen as long as I have pain."
      D)
      "I can buy whatever antacids are on sale because they all have the same effect."
    3. The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?
      A)
      Teach the patient to pursed lip breath.
      B)
      Auscultate breath sounds every 4 hours.
      C)
      Assist the patient to get out of bed.
      D)
      Plan patient activities to minimize exertion.
    4. Which medication should the nurse anticipate being used first in the emergency department for relief of severe respiratory distress related to asthma?
      A)
      Albuterol nebulizer
      B)
      Prednisone orally
      C)
      Ipratopium inhaler
      D)
      Fluticasone inhaler

    Exam Review

    1. Colleen, a 19 year old Freshman, was drinking alcohol at a frat party. She stupors, falls and hits her head on the ground. Her friend Julie dials "911" because Colleen is now unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is Colleen at risk for if medical attention is not provided?
      A)
      Metabolic Acidosis
      B)
      Respiratory Acidosis
      C)
      Respiratory Alkalosis
      D)
      Metabolic Alkalosis
    2. A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
      A)
      Place the child in a quiet environment.
      B)
      Apply lotion to hands and feet.
      C)
      Encourage the parents to rest when possible.
      D)
      Make a list of foods that the child likes.
    3. Mrs. Kalen is a 70 year old female who has arrived into the ER due to persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What would you interpret the acid-base disorder to be?
      A)
      Uncompensated Respiratory Acidosis
      B)
      Fully Compensated Metabolic Acidosis
      C)
      Uncompensated Metabolic Alkalosis
      D)
      Partially Compensated Respiratory Alkalosis
    4. Mrs. Kalen is a 70-year-old female who has arrived at the ER due to persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. Based on the acid-base interruption from Mrs. Kalen, what can the nurse anticipate the treatment will be for correcting this imbalance?
      A)
      administration of antiemetics
      B)
      administration of diuretics
      C)
      Possible Electrolyte replacement if warranted
      D)
      Administration of IV 0.9 Saline Solution infusion
      E)
      Have the patient go home and rest. It will resolve itself shortly.

    Exam Review

    1. Mrs. Kalen is a 70 year old female who has arrived into the ER due to persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What would you interpret the acid-base disorder to be?
      A)
      Uncompensated Respiratory Acidosis
      B)
      Fully Compensated Metabolic Acidosis
      C)
      Uncompensated Metabolic Alkalosis
      D)
      Partially Compensated Respiratory Alkalosis
    2. The patient who is confined to bed in the supine position has gained 5 lbs. in the last 48 hours. In which area does the nurse assess skin turgor for accurate determination of dependent edema?
      A)
      Foot
      B)
      Forehead
      C)
      Ankle
      D)
      Chest
      E)
      Sacrum
    3. A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?
      A)
      Anger
      B)
      Sleep
      C)
      Boredom
      D)
      Introversion
    4. Which nursing documentation demonstrates the integration of patient-centered care?
      A)
      Steady gait observed when ambulating.
      B)
      Social worker paged for consultation.
      C)
      Nursing literature reviewed for best practice approaches.
      D)
      Discussed dietary preferences with client.

    Exam Review

    1. An older adult is admitted to the hospital. The patient's height is 5 feet, 6 Inches (1.68M), and weigh 250 lb. (113.3kg). The nurse calculates the patient's current body mass index (BMI) as: (Round your answer to the nearest whole number.)
      A)
      41.0
      B)
      35.5
      C)
      30.0
      D)
      40.0
    2. Based on the diagnosis of Dehydration, select which IV solution will be ordered to treat waiting this patient.
      A)
      5% dextrose in Lactated ringers
      B)
      0.45% sodium chloride
      C)
      0.9 Sodium chloride
      D)
      3% Normal Saline
    3. A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?
      A)
      Bleeding posterior to the nasal packing.
      B)
      Oral dryness caused by nasal packing.
      C)
      An adverse reaction to the analgesic.
      D)
      A normal response to the analgesic and surgery.
    4. The nurse is caring for a 48-year-old-client admitted with complaints of fatigue and hemoptysis, but no other significant medical history. Social history includes smoking 1 pack/day x 20 years and occasional alcohol use. He denies taking any medication. The Mantoux test placed 72 hours earlier reveals an indurated area of 4 cm. Which action will the nurse plan to include in the care for this client?
      A)
      Prepare to administer intravenous (IV) antibiotics
      B)
      Prepare client for computerized.tomography (CT scan)
      C)
      Prepare to start oxygen therapy
      D)
      Place client in airborne isolation

    Exam Review

    1. Cephalosporins are similar to another group of beta-lactam antibiotics called the?
      A)
      Macrolides
      B)
      Fluoroquinolones
      C)
      Aminoglycosides
      D)
      Penicillins
    2. The nurse receives an order to draw a peak level on a patient prescribed Gentamicin via Intravenous (IV) infusion. When is the best time for the nurse to draw this peak level?
      A)
      30 minutes before starting the infusion.
      B)
      30 minutes after infusion is complete
      C)
      Immediately before the next dose of Gentamicin
      D)
      1 hour after infusion is complete
    3. Select Dropdowns: Aminoglycosides work by binding to the dropdown which prevents dropdown
    4. A nursing instructor is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines?
      A)
      "Antihistamines block release of histamine from mast cells and basophils."
      B)
      "Antihistamines block H1 receptors to prevent actions of histamine at these sites."
      C)
      "H1 antagonists can bind to H1 receptors, H2 receptors, and muscarinic receptors."
      D)
      "First-generation antihistamines are more selective than second-generation antihistamines."