1. A client comes to the clinic complaining of muscle cramping and pain both legs when
walking for short periods of time. Which medical
Answer
Intermittent claudication
2. When planning patient care for the day. The nurse is concerned that which patient has the
greatest risk for developing heart disease
Answer
69 year old African American male with uncontrolled hypertension
3. The nurse , teaching a patient about lifestyle modifications to help her manage hypertension
, determines that instruction has been effective when the patient states
Answer
I know I need to work on giving up my cigarettes and alcohol
4. A patient admitted with chronic venous insufficiency has an infected wound of the left lower
extremity. Which of the following will the nurse find when assessing the wound
Answer
Surrounding skin is brown and purple in color
5. What should the nurse instruct an older patient diagnosed with chronic venous insufficiency
to do in order to help relieve symptoms
Answer
Wear elastic hose as prescribed
6. Beta blocking agent (Metoprolol) Lopressor has been started. Which para- meters should be
assessed each time prior to administering the beta blocker while the clients is inpatient? Select
all that apply
Answer
Blood pressure
, Heart rate
7. The nurse is preparing to admit a child who presents with a history of seizures. After one
such episode, the nurse correctly documents that "the patient"
Answer
Sat very still and was unresponsive with a blank stare for two minutes
8. The nurse is planning care for a patient with seizure disorder. The nurse selects risk injury as
nursing diagnosis. Which of the following nursing intervention is appropriate if the patient hasa
seizure? Select all that apply
Answer
Stay with patient
Turn the patient to a lateral position Calling for help
9. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura.
The nurse understands the client is describing which of the following?
Answer
Sensory warning that the activity seizure is imminent
10. An older adult male reports to the nurse that he has difficulty starting urination and is
voiding several times during the night. The nurse suspects that this client has which
condition
Answer
BPH (Benign prostatic hypertrophy)
11. A nurse is caring for a client who begins having a tonic-clonic seizure activity while lying
in the hospital bed. Which of the following actions by the nurse would be contraindicated?
Answer
12. The electrolyte imbalance is a possible complication after
subtotal thyroidectomy. This complication occurs secondary to inadvertent damage to or removal
of the parathyroid glands during surgery
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