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A collection of multiple-choice questions related to various nursing topics, including transurethral prostatectomy, bone cancer, blood transfusions, diverticulosis, lung cancer, diabetes mellitus, cardiac stent placement, migraine headaches, psoriasis vulgaris, gastric bypass surgery, raynaud's disease, crohn's disease, kidney stones, chronic kidney disease, seizures, chest pain, glaucoma, gastroesophageal reflux disease, and more. Each question is followed by the correct answer, providing a valuable resource for nursing students and professionals seeking to test their knowledge and understanding of key concepts in nursing practice.
Typology: Exams
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1.Client is recovering from a transurethral prostatectomy. Which activity should be limited until after the first postoperative visit with the healthcare provider?: Drink 3L 2.A client with stage IV bone cancer is admitted to the hospital for a 1- scale. Which intervention should the nurse implement?: Administer opioid and non-opioid medications simultaneously 3.A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the health care provider? a. low back pain and hypotension b. rhinitis and nasal stuffiness c. delayed painful rash with urticarial d. arthritic joint changes and chronic pain: a. low back pain and hypotension ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION 4.When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse in- clude? a. Have small frequent meals and sit up for at least two hours after meals. b. Eat a bland diet and avoid spicy foods. c. Eat a high fiber diet and increase fluid intake. d. Eat a soft diet with increased intake of milk and milk products: c. Eat a high fiber diet and increase fluid intake. ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE 5.The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial nursing action?
2 / 30 a. Provide additional oral fluid intake
3 / 30 b. Measure the client's intake and output. c. Increase the flow of the bladder irrigation d. Administer a PRN dose of an antispasmodic agent: c. Increase the flow of the bladder irrigation ANSWER (C) Increase the flow of the bladder irrigation 6.A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of breath and difficult to arouse. When performing a head -to-toe assessment, the nurse discovers four analgesic patches on: Remove all morphine patches 7.Coming down the basement steps, a client is brought to the emergency room X-ray ... cast, which assessment finding warrants immediate Intervention by the nurse?: Right foot pale with sluggish capillary refill 8.An overweight, young adult who was recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which actions should the nurse implement? (Select all that apply.) a. Check finger stick glucose b. Assess skin temperature and moisture c. Measure pulse and blood pressure: a. Check finger stick glucose b. Assess skin
4 / 30 temperature and moisture
5 / 30 c. Measure pulse and blood pressure ANSWER: (CAM) 9.A client who underwent cardiac stent placement four days ago arrives to the emergency department reporting a sudden onset of chest pressure and shortness of breath. Which action should the nurse take next? a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the stethoscope. b. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting edema. c.Verify troponin level assessments are scheduled every 3-6 hours for a series of three. d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitor- ing .: d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring 10.While completing a health assessment for a client with migraine headaches, the nurse assesses bilateral weakness in the clients hand grips. The client reports joint pain and trouble twisting a door knob due to weak- nesses. Which action should the nurses take in response to these figures? a. Implement fall precautions to reduce the clients risk of injury. b. Explain that relief of the migraine pain will reduce related symptoms. c. Gather additional assessment data about the pain and weakness. d. Consult with the occupational therapist for a functional assessment: c. Gather additional assessment data about the pain and weakness. 11.The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?
6 / 30 a. Thick skin plaques topped by silvery white scales b. Tenderness upon palpation and generalized erythema c. Brown, rough, greasy, wart-like papules on the face d. Requires sunglasses because sunlight hurts eyes: b. Tenderness upon pal- pation and generalized erythema 12.An adult client who had a gastric bypass surgery 2 weeks ago, is admit- ted with possible anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory rate 26 breaths/minute, and blood pressure 100/50 mmHg. Which intervention is most important for the nurse to include in the client's plan of care? a. Encourage regular turning. b. Monitor skin for breakdown. c. Strict IV fluid replacement d. Assess wound drainage daily: c. Strict IV fluid replacement 13.A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instructions should the nurse provide? a. Painful areas should be rubbed gently until the pain subsides. b. Return appointments will be needed for IV pain medications. c. Enrolling in a pain clinic can provide relief alternatives. d. Wearing gloves when handling cold items guards against painful spasms.- : d. Wearing gloves when handling cold items guards against painful spasms.
7 / 30 14.A client with newly diagnosed Crohn's disease asks the nurse about dietary
8 / 30 restrictions. How should the nurse respond? a. Explain that the need to restrict fluids is the primary limitation. b. Advise the client to limit foods that are high in calcium and iron. c. Instruct the client to avoid foods with gluten, such as wheat bread. d. Describe the use of an elimination diet to find trigger foods: d. Describe the use of an elimination diet to find trigger foods 15.The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi.? a. Jogs more frequently than usual daily routine. b. Eats a vegetarian diet with cheese 2 to 3 times a day. c. Experiences additional stress since adopting a child. d. Drinks several bottles of carbonated water daily: b. Eats a vegetarian diet with cheese 2 to 3 times a day. 16.An older male client tells the nurse that he is losing sleep because he has to get up several times at night to go to the bathroom, that he has trouble starting his urinary system, and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement? a. Review the client's fluid intake prior to bedtime. b. Obtain a finger stick blood glucose level. c. Palpate the bladder above the symphysis pubis. d. Collect a urine specimen for culture analysis: c. Palpate the bladder above the symphysis pubis.
9 / 30 17.A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis? a. Nephrotic syndrome history. b. Latent hepatitis C. c. Crohn's disease with colectomy. d. Type 2 diabetes mellitus: c. Crohn's disease with colectomy. 18.When providing care for an unconscious client who has seizures. Which nursing intervention is most essential? a. Maintain the client in a semi-Fowler's position. b. Keep the room at a comfortable temperature. c. Ensure oral suction is available. d. Provide frequent mouth care: c. Ensure oral suction is available. 19.A client presents to the emergency department reporting chest pain that is radiation to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the health- care provider? a. Fentanyl. b. Hydromorphone. c. Oxycodone. d. Morphine: d. Morphine 20.An adult who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about
10 / 30 going blind. Which nursing instruction is most important for the nurses to provide this client? a. Maintain prescribed eye drop regimen b. Eat a diet high in carotene. c. Wear prescription glasses. d. Avoid frequent eye pressure measurement.: a. Maintain prescribed eye drop regimen 21.Which information should the nurse include on the teaching plan of a client diagnosed with gastroesophageal reflux disease (GERD)? a. Adjust food intake to three full meals per day and no snacks. b. Sleep without pillows at night to maintain neck alignment. c. Minimize symptoms by wearing loose, comfortable clothing. d. Avoid participation in any aerobic exercise programs: c. Minimize symptoms by wearing loose, comfortable clothing. 22.A client arrives to the emergency department reporting an intermittent fever and night sweats for the past 3 weeks and has developed a productive cough containing small amounts of blood. Which intervention should the nurse prioritize? a. Move into airborne isolation b. Collect specimens for blood cultures. c. Arrange transport for radiographic imaging. d. Obtain a sputum sample: a. Move into airborne isolation
11 / 30 23.A client receives a prescription for 1 liter of Ringer's intravenously to be infused over 6 hours. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only. If rounding is required, round to the nearest whole number.): 167 mL 1000mL/6(hours) =166.6=167mL 24.The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? a. Activity level of bowel sounds. b. Eating patterns of dietary intake. c. Level and amount of physical activity d. Color and consistency of feces: b. Eating patterns of dietary intake. 25.An older adult client with a long hist ory of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? a. Apply a tight flow venturi mask. b. Encourage client to drink water. c. Assist client to an upright position. d. Administer a prescribed sedative: c. Assist client to an upright position. 26.Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy? a. Monitor the client's intravenous site hourly during the treatment
12 / 30 b. Keep the head of the bed
13 / 30 elevated until the treatment is completed. c. Instruct the client to drink plenty of fluids during the treatment. d. Administer an antiemetic before starting the chemotherapy: a. Monitor the client's intravenous site hourly during the treatment 27.The home health nurse provides teaching about self injection to a client who was recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video, which instruction should the nurse provide? (Please view the video to select the opt ion that applies. To repeat the video, click the play button again.) a. Continue with the insulin injection. b. Keep the skin flat rather than bunched. c. Lie down flat for better skin exposure. d. Select a different injection site: a. Continue with the insulin injection. 28.An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to breathe is admitted for further treatment. Initial assessment in- cludes a heart rate 128 beats/minute and irregular, respirations 38 breathe/minute. blood pressure 168/100 mmHg, wheezes, and crackles in all lung fields. An hour after the administration of furosemide 60 mg IV. Which assessments should the nurse obtain to determine the client's re- sponse to treatment? Select at that apply. a. Oxygen saturation b. Pain scale c. Lung sounds d. Urinary output
14 / 30 e. Skin elasticity: a. Oxygen saturation c. Lung sounds d. Urinary output (LOU)
15 / 30 b. irrigation the catheter manually. c. Decreasing the flow rate. d. Discounting infusing solution.: a. Monitoring catheter drainage (pic one says this) 32.The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin sodium 5,000 units subcutaneously daily. What is the priority nursing action? a. Notify the healthcare provider of the client's medication history. b. Observe the heparin injections sites for signs of bruising. c. Have the client sign the surgical and transfusion permits. d. Ensure that the potential for bleeding is explained to the client: a. Notify the healthcare provider of the client's medication history. 33.An obese client with emphysema who smokes at l east a pack of cigarettes daily is admitted after experiencing a sudden in- crease in dyspnea and activity intolerance. Oxygen therapy is initiated and its determined that the client will be discharged with oxygen. Which information is most important for the nurse to emphasize in the discharge teaching plan? a. Approaches to conserve energy. b. Guidelines for oxygen use. c. Methods for weight loss. d. Strategies for smoking cessation: b. Guidelines for oxygen use. 34.The healthcare provider prescribes penicillin 200,000 units intramuscular- ly for a client with pneumonia. The available vial is labeled,
16 / 30 "Penicillin 500,000 units/mL".
17 / 30 How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required, round the nearest tenth.)- : 0. 35.The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signs; heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement? a. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter. b. Medicate for pain and monitor vital signs according to protocol. c. Administer intravenous fluid bolus as prescribed by the healthcare provider. d. Encourage the client to splint the incision with a pillow to cough and deep breathe: b. Medicate for pain and monitor vital signs according to protocol. 36.While assessing a client with degenerative joint disease, the nurse ob- serves Heberden's nodes, large prominences on the client's fingers that are reddened. The client reports that the nodes are painful. Which action should the nurse take? a. Assesses the client's radical pulses and capillary refill time. b. Discuss approaches to chronic pain control with the client. c. Notify the healthcare provider of the finding immediately. d. Review the client's dietary intake of high- protein foods: b. Discuss approaches to chronic pain control with the client. 37.A client with draining skin lesions of the lover extremity is admitted with possible Methicillin-Resistant Staphylococcus Aureus (MRSA). Which nursing interventions should the nurse i include in the plan of care? (Select all that apply.)
18 / 30 a. Explain the purpose of a low bacteria diet.
19 / 30 b. Monitor the client's white blood cell count. c. Send wound drainage for culture and sensitivity d. Use standard precautions and wear a mask e. Institute contact precautions for staff and visitors: b. Monitor the client's white blood cell count. c. Send wound drainage for culture and sensitivity e. Institute contact precautions for staff and visitors (MIS) 38.The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough and shortness of breath. Which action is most important for the nurse to take? a. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with patient. b. Move the client to a private room, keep the door closed, and initiate droplet precautions. c. Start an intravenous infusion for antiviral drug to be administered for positive COVID-19 test results. d. Assist the client to recall everyone possibly exposed since onset symptoms.: b. Move the client to a private room, keep the door closed, and initiate droplet precautions 39.A client with multiple sclerosis has urinary retention related to sensorimo- tor details. Which action should the nurse include in the client's plan of care? a. Remind the client to practice pelvic floor (Kegel) exercises regularly. b. Provide a bedside commode for immediate use in the client's discomfort.
20 / 30 c. Explain the need to limit intake of oral fluids to reduce client discomfort. d. Teach the client techniques for performing intermittent catheterization.: d. Teach the client techniques for performing intermittent catheterization 40.A client who has a history of hypothyroidism was initially with lethargy and confusion. Which additional finishing warrants finding warrants the most immediate action by the nurse? a. Facial puffiness and periorbital edema. b. Further decline in level consciousness. c. Hematocrit of 30% (0.30). d. Cold and dry skin.: b. Further decline in level consciousness. 41.The nurse is caring for a client with human immunodeficiency virus (HIV) who has developed oral thrush and is experiencing burning and soreness in the south, Which intervention should the nurse implement first. a. Cleanse the mouth with swabs. b. Encourage frequent mouth care. c. Obtain a soft diet for the client. d. Administer a topical analgesic: d. Administer a topical analgesic 42.The healthcare provider prescribes diagnostic tests for a client whose chest ray indicates pneumonia. Which diagnostic test should the nurse review for implementation in the most therapeutic treatment of the pneumonia? a. Sputum culture and sensitivity.
21 / 30 b. Arterial blood gases (ABG).
22 / 30 c. Computerized tomography (CT) of the chest. d. Blood cultures.: a. Sputum culture and sensitivity. 43.The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding? a. Carotid bruit. b. Jugular vein distention. c. Palpable cervical lymph node. d. Nuchal rigidity: a. Carotid bruit. 44.A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. The client receives prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the discharge teaching? a. Eat high protein foods to achieve ideal body weight. b. Use electric heating pad when pain is at its worse. c. Encourage active range of motion to limit stiffness. d. Drink at least 8 cups (1920 mL) of water per day.: d. Drink at least 8 cups (1920 mL) of water per day. 45.A client with pheochromocytoma reports the onset of a severe headache. The nurse observes that the client is very diaphoretic. Which assessment data should the nurse obtain next? a. Capillary glucose. b. Oxygen saturation. c. Body temperature.
23 / 30 d. Blood pressure: d. Blood pressure 46.The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and legs, and massive ascites. Which mechanism contributes to edema and ascites in clients with cirrhosis? a. Hypoalbuminemia that results in a decreased colloidal onoctic pressure. b. Hyperaldosteronism causing an increased sodium reabsorption in renal tubules. c. Decreased renin-angiotensin response related to an increase in renal blood flow. d. Decreased portacaval pressure with greater collateral circulation: a. Hypoal- buminemia that results in a decreased colloidal onoctic pressure. 47.A client with a history of asthma reports having episodes of bronchocon- striction and increased mucous production while exercising. Which action should the nurse implement? a. Determine if the client is using an inhaler before exercising. b. Teach client to use pursed lip breathing when episodes occur. c. Review the client's routine asthma management prescriptions. d. Assess client for signs and symptoms of upper airway infection.: a. Deter- mine if the client is using an inhaler before exercising. 48.Question about dry feet: apply lotion to prevent cracks 49.The nurse is evaluating a male client's understanding of diet teaching about the DASH eating plan. Which behavior indicates that the client is adhering to the eating plan?: Low fat yogurt 50.A client with operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. Which action should
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25 / 30 nurse implement?: Prepare ice packs for placement in the client's axillary area 51.The nurse is obtaining the ad mission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?: Upper mid abdominal pain described as gnawing and burning 52.An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis. What is the priority nursing action?: a. Administer IV antibiotics as prescribed 53.A client who has developed acute kidney injury (AKI) due to aminoglyco- side antibiotics has moved from the oliguric phase to the diuretic phase of AKI. Which parameters are most important for the nurse to plan to carefully moni- tor? a. Uremic irritation of mucous membranes and skin surfaces. b. Hypovolemia and electrocardiographic (ECG) changes. C. Side effects of total parental nutrition (TPN) and Intralipids. d. Elevated creatinine and blood urea nitrogen (BUN): b. Hypovolemia and electrocardiographic (ECG) changes. 54.The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral neuropathy. Which information should the nurse provide? a. Aching feet may be soaked in lukewarm water for one hour or more. b. Shoes should be worn outside the house, but it is fine to be barefoot inside. c. Family members can help with regular foot exams. d. Heating pads are useful if on the lowest setting: c. Family members can help with regular foot exams. 55.Question about facial droop: prepare for fiberlyntic therapy