NursGuru

    Exam Review

    1. A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
      A)
      Dyspepsia
      B)
      Epigastric discomfort
      C)
      Hematemesis
      D)
      Constipation
    2. A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect?
      A)
      Hypertension
      B)
      Weight loss
      C)
      Hematuria
      D)
      Bradycardia
    3. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
      A)
      Inverted P wave
      B)
      Elevated ST segment
      C)
      Abnormally prominent U wave
      D)
      Wide QRS
    4. Which symptom is most commonly associated with Addison's disease due to low cortisol levels?
      A)
      Fatigue
      B)
      Weight gain
      C)
      Hypertension
      D)
      Hyperglycemia

    Exam Review

    1. A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
      A)
      Urge incontinence
      B)
      Stress incontinence
      C)
      Reflex incontinence
      D)
      Overflow incontinence
    2. A nurse is assessing a client's wound dressing and observes a watery red drainage. The nurse should document this drainage as which of the following?
      A)
      Serous
      B)
      Purulent
      C)
      Sanguineous
      D)
      Serosanguineous
    3. A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?
      A)
      I will wait for you to evaluate my pain before asking for more medication.
      B)
      I will ask for less medication to avoid addiction.
      C)
      I will call for pain medication as my pain starts to increase again.
      D)
      I will call for pain medication before the previous dose wears off.
    4. What is the primary laboratory finding that distinguishes Hyperosmolar Hyperglycemic State (HHS) from Diabetic Ketoacidosis (DKA)?
      A)
      Decreased blood pH
      B)
      Severe hyperglycemia
      C)
      Ketone presence in the urine
      D)
      Elevated osmolality

    Exam Review

    1. A client is using a PCA pump with a lockout interval of 15 minutes for pain management. What is the primary purpose of this lockout feature?
      A)
      To prevent the patient from using too little medication.
      B)
      To remind the patient of the medication schedule.
      C)
      To prevent overdosing by enforcing a minimum interval between doses.
      D)
      To allow the nurse to control medication administration.
    2. A nurse is teaching a client who is taking metformin XR for type 2 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
      A)
      Take the medication with a meal.
      B)
      You may crush or chew the medication.
      C)
      This medication may cause an increase in perspiration.
      D)
      This medication may turn your urine orange.
    3. A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?
      A)
      Lower right quadrant
      B)
      Upper right quadrant
      C)
      Lower left quadrant
      D)
      Upper left quadrant
    4. A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?
      A)
      Serum calcium levels
      B)
      Serum potassium levels
      C)
      Serum phosphorus levels
      D)
      Serum magnesium levels

    Exam Review

    1. A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
      A)
      Pacemaker
      B)
      65 years of age
      C)
      Alcohol use disorder
      D)
      Breast cancer survivor for 9 years
    2. A nurse is monitoring the urinary output of an adult client who had a colon resection. Which of the following 24-hour output totals indicates oliguria?
      A)
      600 mL
      B)
      380 mL
      C)
      550 mL
      D)
      720 mL
    3. A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
      A)
      Client report of anorexia
      B)
      Flaccid muscles
      C)
      Negative Chvostek's sign
      D)
      Client report of numbness in his hands
    4. A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority?
      A)
      Pain
      B)
      Level of consciousness
      C)
      Gag reflex
      D)
      Nausea

    Exam Review

    1. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?
      A)
      Hypoactive bowel sounds in two quadrants
      B)
      Abdominal distention
      C)
      Passage of flatus
      D)
      Request for a cup of tea and some toast
    2. A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)
      A)
      Immobility
      B)
      BMI of 20
      C)
      Oral contraceptive use
      D)
      Hypertension
      E)
      High calcium intake
    3. A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?
      A)
      You can eat a full liquid meal up to 1 hour before the procedure.
      B)
      You may have pink-tinged urine after this procedure.
      C)
      You should limit fluids for 12 hr following the procedure.
      D)
      You will be placed on your right side during the procedure.
    4. A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?
      A)
      Cool, clammy skin
      B)
      Vomiting
      C)
      Fruity odor on the client's breath
      D)
      Bradycardia

    Exam Review

    1. A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
      A)
      Hypervolemia
      B)
      Hyponatremia
      C)
      Hyperkalemia
      D)
      Hypovolemia
    2. A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I will feel shaky.
      B)
      I will be more thirsty than usual.
      C)
      My skin will be warm and moist.
      D)
      My appetite will be decreased.
    3. A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
      A)
      Weak, irregular pulse
      B)
      Hyperactive reflexes
      C)
      Hyperactive bowel sounds
      D)
      Extreme thirst
    4. A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client received additional IV fat emulsion during the night shift. Which of the following actions should the nurse take?
      A)
      Saline lock the IV catheter after discontinuing the TPN solution.
      B)
      Call the provider for new TPN orders.
      C)
      Hang the IV fat emulsion solution.
      D)
      Hang dextrose 10% in water (D10W) until the TPN solution is delivered.