By: angelaoberoi86 • 1 year ago
Some examples from this set of practice questions
1.
75 -A nurse is caring for a client with a diagnosis of abruptio placentae. For which early signs of hypovolemic shock does the nurse closely monitor the client? Select all that apply. A. Tachycardia Correct B. Cool, clammy skin C. Decreased respiratory rate D. Diminished peripheral pulses Correct E. Urine output of less than 30 mL/hr
Answer: A. Tachycardia Correct D. Diminished peripheral pulses Correct
2.
53 A client with cervical cancer who is undergoing chemotherapy with cisplatin (Platinol). For which adverse effect of cisplatin will the nurse assess the client? A. Nausea B. Bloody urine C. Hearing loss D. Electrocardiographic changes
Answer: C. Hearing loss
3.
108- A nurse working the evening shift is helping clients get ready for sleep. A female client with mania is hyperactive and pacing the hallway. The appropriate nursing action is to: A. Stay with the client and observe her behavior B. Take the client to the bathroom and provide her with a warm bath C. Tell the client that it is time for sleep and that she needs to go to her room D. Tell the client that other clients are trying to sleep and that she is being disruptive
Answer: B. Take the client to the bathroom and provide her with a warm bath
4.
5.NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client\'s record and notes that the client routinely takes an oral antihypertensive medication each morning. The nurse should: A. Administer the antihypertensive with a small sip of water B. Withhold the antihypertensive and administer it at bedtime C. Administer the medication by way of the intravenous (IV) route D. Hold the antihypertensive and resume its administration on the day after the ECT
Answer: A. Administer the antihypertensive with a small sip of water
5.
30 A client with myasthenia gravis is taking neostigmine bromide (Prostigmin). The nurse determines that the client is gaining a therapeutic effect from the medication after noting: A. Bradycardia B. Increased heart rate C. Decreased blood pressure D. Improved swallowing function
Answer: D. Improved swallowing function
6.
121- A nurse provides home care instructions to a client who has undergone fluorescein angiography. The nurse determines that the client needs further instruction if the client states that he must: A. Drink fluids to eliminate the dye B. Contact the physician if the skin appears yellow C. Expect that the urine will be bright green until the dye has been excreted D. Wear sunglasses and avoid direct sunlight until pupil dilation returns to normal
Answer: B. Contact the physician if the skin appears yellow
7.
43 A nurse is developing a plan of care for a pregnant client with sickle-cell disease. Which concern does the nurse recognize as the priority? A. Inability to cope B. Decreased nutrition C. Decreased fluid volume D. Inability to tolerate activity
Answer: C. Decreased fluid volume
8.
82 -A nurse is reviewing the laboratory results of a client with ovarian cancer who is undergoing chemotherapy. Which finding indicates to the nurse that the client is experiencing an adverse effect of the chemotherapy? A. Sodium 140 mEq/L B. Hemoglobin 12.5 g/dL C. Blood urea nitrogen (BUN) 20 mg/dL D. White blood cell count of 2500 cells/mm3
Answer: D. White blood cell count of 2500 cells/mm3
9.
100- A nurse is providing instruction in how to perform Kegel exercises to a client with stress incontinence. The nurse tells the client to: A. Always perform the exercises while lying down B. Expect an improvement in the control of urine in about 1 week C. Tighten the pelvic muscles for as long as 5 minutes, three or four times a day D. Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
Answer: D. Tighten the pelvic muscles for a slow count of 10, then relax for a slow count of 10
10.
A client who has undergone abdominal hysterectomy asks the nurse when she will be able to resume sexual intercourse. The nurse tells the client that sexual intercourse may be resumed: A. At any time after the surgery B. When menstruation resumes C. When pelvic sensation and response to stimuli return D. In about 6 weeks, when the vaginal vault is satisfactorily healed
Answer: D. In about 6 weeks, when the vaginal vault is satisfactorily healed
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