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Typology: Exams
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2 / 1.A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder ANS - Desmopressin 2.A nurse assess a client who is recovering from an ileostomy placement. Which clinical manifestation would alert the nurses to contact the healthcare provider urgently ANS A bluish stoma 3.The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing instructions should be included as part of the discharge teaching ANS " You should limit high-fat meats and fried foods from your diet." 4.The nurse is caring for a 46-year-old female client who presented to the emergency department with dizziness, nausea, vomiting, and fatigue over the past two days. The client has recently been diagnosed with breast cancer and has been undergoing chemptherapy. The client labs reveal the following Na 150 mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL. Which of the following imbalances is the client exhibiting
3 / ANS Hypernatremia, hypokalemia, hypercalcemia 5.A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first ANS Pain 6.A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would the nurse include in the client's plan of care to delay the onset of microvascular and macrovascular complications ANS "Maintain tight glycemic control and prevent hyperglycemia" 7.A client assessment reveals fatigue, poor memory and weight gain. The lab results reveal elevated thyroid stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse knows that these are manifestations of which disorder ANS Hypothyroidism
4 / 8.A nurse is providing client and family education for a client diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? (Select all that apply) ANS Modify diet. Stress reduction. Adhere to prescribed medications 9.The nurse is caring for a client with end stage renal failure PaO2 is 94 mmHg. Arterial blood gases indicate that she is experiencing metabolic acidosis with partial respiratory compensation. Which of the following arterial blood gases support this ANS pH=7.33, PaCO2=31mmHg, HCO3=19mEq/L 10.Which of the following signs and symptoms indicate a possible upper gastrointestinal (GI) bleed? (Select all that apply) ANS Bright red or coffee ground vomitus
5 / Vertigo Weak peripheral pulses 11.The nurse is providing care for a client who underwent a parathyroidecto- my two days ago. To prevent complication with the surgery, which laboratory value requires close monitoring by the nurse ANS Serum calcium levels 12.A client underwent a colon resection with colostomy placement. Which of the following would the surgeon consult post-operatively for colostomy management ANS Wound Ostomy Continence Nurse 13.The client has just receive a round of chemotherapy and will be discharged home. The nurse is educating the client about the concerns of neutropenia and the continuing risk for infection. Which of the following statements would NOT be appropriate given the client's situation
6 / ANS "If you experience a fever, treat it with over-the-counter medications and report it to your physician if symptoms don't resolve in 48 hours" 14.A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the following signs and symptoms are consistent with this diagno- sis ANS Severe hypotension 15.A nurse is caring for an adolescent client who has a long history of dia- betes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic Ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to be given intravenously to treat this client? ANS Regular insulin.
7 / HcO3= 18 mEq/L PaO2= 85 mmHg ANS Respiratory alkalosis with partial metabolic compensation. 17.A nurse is caring for a client recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosis? ANS Increased serum thy- roglobulin (TG) level 18.A nurse is planning to educate a client diagnosed with fluid volume over- load. Which of the following will the nurse educate the client to determine gains and losses in fluid? ANS Monitor daily weights. 19.An older adult client reports lack of energy and needs several naps throughout the day. Which problem may the symptoms be associated with that is often seen in older adults? ANS Hypothyroidism
8 / 20.A nurse is caring for a 57-year-old Hispanic male who was recently diag- nosed with Cushing's disease. Which of the following laboratory test validate the diagnosis? ANS Elevated cortisol level. 21.Which of the following is a life-threatening emergency and serious com- plication of untreated or poorly treated hypothyroidism? ANS Myxedema coma 22.A nurse is caring for a client admitted for an exacerbation of Crohn's disease. A nasogastric (NG) tube has been placed and is connected to suction, and the client is currently receiving an infusion of total parental nutrition via a peripherally inserted central catheter (PICC) line. Which of the following action should the nurse take? ANS Monitor laboratory values and assess for abdominal respiratory or cardiac functioning 23.The nurse is caring for a client with a new diagnosis of adrenal insufficieny. Which of the following will the nurse expect upon assessment? (Select all that apply) ANS -Hypotension
9 / 24.The nurse is providing discharge instructionis to a client with Hepatitis B. Which of the following statements demonstrates and understanding of the discharge instructions? ANS "I won't share my shaving razors with my spouse" 25.The graduate nurse is caring for a child with suspected appendicitis. What intervention by this graduate nurse would be inappropriate or contraindicated in the care of this client? ANS Administer an enema for constipation. 26.After chemotherapy for cancer, a client develops chemotherapy induced nausea and vomiting (CINV). For this client, the nurse should give the highest priority to which action in the plan of care? ANS Administer an anti-emetic medication as prescribed. 27.The nurse is providing discharge education to a client diagnosed with anorexia nervosa. Which statement by the client would indicate the client needs furthur education? ANS "If I feel constipated, I will start an over-the-counter oral laxative" 28.A nurse is caring for a 60-year-old femal that underwent a surgical proce- dure and is post-op day four. The client has no active bowel sounds, no bowel movement, and no flatulence. Which of the following does the nurse suspect the client is experiencing? ANS Non-mechanical bowel obstruction.
10 / 29.A nurse is teaching a client with diabetes mellitus who asks, "Why is it nec- essary to maintain my blood glucose levels no lower than about 60mg/dL?" How would the nurse respond? ANS "Your brain needs a constant supply of glucose because it cannot store it"
11 / 30.Which of the following surgical procedures is appropriate for a client with chronic pancreatitis? ANS Radical pancreatectomy. 31.A nurse is caring for a client recently diagnosed with colorectal cancer. Which of the following lab values would confirm the diagnosis? ANS Increased carcinoembryonic antigens (CEA) 32.A nurse is caring for a client who recently underwent a colon resection for colorectal cancer. The client is post-op day two and has developed a fever. Vital signs are a temperature of 102 degrees F. Heart Rate 126 bpm, Blood Pressure 100/50 mmHg. This client is complaining of increased abdominal pain. Based on this information which of the following conditions is the client exhibiting? ANS Peritonitis 33.A nurse is caring for a client who has recently been diagnosed with ulcer- ative colitis. Which of the following statements by the client would indicate an understanding of the disease process? ANS It is caused by an inflammatory process of the gastrointestinal tract" 34.The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cervical cancer?-
12 / ANS Administering the human papillomavirus (HPV) vaccine.
13 / 39.A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings would indicate to the nurse that the client's peristalsis is returning? ANS Passage of flatulence.
14 / 40.A nurse is educating a newly diagnosed type 1 diabetic client. Which education topic is the nurse's priority? ANS Signs and symptoms of hypoglycemia. 41.A 42-year-old femal presents to the emergency room with mid-upper ab- dominal pain radiating to he right shoulder, rebound tenderness, nausea, and dyspepsia. Based on the client's presentation, which of the following does the nurse anticipate is the client's diagnosis? ANS Cholecystitis. 42.A client tells the nurse that he is "so thirsty". The lab results reveal an antidiuretic hormone (ADH) deficiency and increased urine output with a low urine specific gravity (<1.005). What endocrine disorder is the client most likely experiencing? ANS Diabetes Insipidus. 43.A nurse is providing care to a client that is diagnosed with hypokalemia. After reviewing the client's current medications, which of the following might have contributed to hypokalemia? ANS Loop diuretics. 44.The client is diagnosed with metastatic cancer. The family asks the nurse, "What is the difference between hospice and palliative care?" The nurse correctly responds with which statement? ANS "Palliative care is to prevent and treat symptoms and side effects of cancer treatment"
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16 / 49.The nurse is evaluating the serum laboratory results on the following four clients. Which of the following clients will the nurse assess first? ANS A client admitted with abdominal pain and vomiting with a potassium level of 2.8 mEq/L 50.A nurse is providing teaching to a client about hyperglycemia. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations specific to hyperglycemia?(Select all that apply) ANS -Polyuria
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18 / 55.A client with a history of vomiting complains of muscle weakness, heart palpitations, and nausea. The client's laboratory finding are as follows Na 140mEq/L and potassium 2.5mEq/L. Which of the following electrolyte imbal- ances us the client exhibiting? ANS Hypokalemia 56.Which laboratory report is the highest concern for the nurse to monitor for a client with bone marrow suppression receiving chemotherapy? ANS White blood cell (WBC) count 57.A nurse is caring for a client who is prescribed high-dose corticosteroids therapy for one month to treat a severe inflammatory condition in the in- testines from irritable bowel syndrome. The client's symptoms have now re- solved, and the client asks, "When can I stop taking these medications?" How would the nurse respond? ANS "Once you start corticosteroids you must be tapered off the medication" 58.The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply) ANS -Fruity breath odor -Altered mental status -Kussmaul breathing
19 / 59.A nurse is caring for a client who has diverticulitis. Which of the following is a critical manifestation of diverticulitis? ANS Localized lower abdominal pain.
20 / 60.The nurse is assessing a client recently diagnosed with leukemia. Which of the following assessment findings would support this diagnosis? ANS Petechiae or ecchymosis 61.A nurse instructs the client on prolonged cortisol therapy to report which signs and symptoms? ANS Weight gain and moon face 62.A 28-year old female presented to the emergency room with complaints of abdominal pain, nausea and vomiting for the past 24 hours. The client is afebrile, heart rate is 130 bpm, and blood pressure is 90/60mmHg. During the pain assessment, the client rates her pain a "10" on a scale of 0-10. The nurse notes the client's pain to be in the right lower quadrant region. Based on the assessment finding, which of the assessment findings, which of the following would the nurse anticipate as the client's diagnosis? ANS Appendicitis 63.The nurse knows which statement is true about age-related changes and the endocrine system in older adults? ANS Thyroid hormone secretion decreases
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22 / 68.The laboratory values of a client with diabetes mellitus include a fasting blood glucose level of 92 mg/dL and hemoglobin A1C of 5.9%. What are the nurse's interpretations of these findings? ANS The client's glucose control for the fasting glucose and past 90 days demonstrates good control. 69.A nurse is caring for a client in the emergency room after a motor vehicle accident. The client is unconscoius with a cervical collar in place. The client has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which of the following lab values validates the diagnosis?- ANS Decreased serum sodium
23 / 70.A client was admitted with the following arterial blood gas (ABG) how does the nurse interpret these results? pH= 7.32 PaCO2= 50 mmHg HCO3= 30 mEq/L PaO2= 75 mmHg ANS Respiratory Acidosis with Partial Metabolic Compensation