1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client
... [Show More] reflects an understanding of the
teaching?
a. “Iwill need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.”
c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction
internal fixation of the right ankle. Which of the following assessment findings should
the nurse report to the provider?
a. Extremity cool upon palpation
b. Serosanguineous drainage on the dressing.
c. Capillary refill of 2 seconds.
d. Clientreport of discomfort when moving toes.
3) A nurse is assessing a client while suctioning the client’stracheostomy tube. Which of
the following findings should indicate to the nurse the clientis experiencing hypoxia?
a. The clientstarts to cough
b. The client’s heart rate increases
c. The clientis diaphoretic
d. The client’s blood pressure decreases
4) A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first?
a. Document the client’sintake and output.
b. Scanthe bladder with a portable ultrasound.
c. Pour warm water over the client’s perineum.
d. Perform a straight catheterization.
5) A nurse is providing discharge instructionsto a client who has active tuberculosis(TB).
Which of the following information should the nurse include inthe instructions?
a. Sputum specimens are necessary every 2 to 4 weeks until there are three
negative cultures.
b. The contagious period generally lastsfor 6 to 8 weeks after the initiation of
medication therapy.
c. Familymembers should follow airborne precautions athome.
d. A follow-up tuberculosis
6) A nurse is caring for a client who has increased intracranial pressure (ICP) and is
receiving mannitol via continuousIV infusion. Which of the following findingsshould the
nurse report to the provider as an adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
c. Increasedurinary output
d. Decreased deep tendon reflexes
7) A nurse is providing discharge teaching to a client who is postoperative following a
modified radical mastectomy. Which of the following instructions should the nurse
include?
a. Flex the affected arm when ambulating
b. Numbness can occur along the inside of the affected arm
c. Beginactive range-of-motion exercises 1 day after surgery
d. Dress in clothing that fits snugly
8) A nurse is providing education to a client who hastuberculosis(TB) and their family.
Which of the following information should the nurse include in the teaching?
a. After 1 week of medication, TB is no longer communicable.
b. Dispose of contaminated tissues in a paper bag.
c. Airborne precautions are necessary in the home.
d. Family members inthe household should undergo TB testing.
9) A nurse is providing discharge teaching about infection prevention to a client who has
AIDS. Which of the following statements by the client indicates understanding of the
teaching?
a. “I will eat a salad at least once each day to increase my intake of vitamin K.”
b. “I canwork in my flower garden as long as Iwear gardening gloves to cover my
skin.”
c. “Iwill no longerfloss my teeth after brushing my teeth.”
d. “I can sip on a glass of juice for atleast 2 hours before Ishould discard it.”
10) A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia?
a.
11) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of
the following findings indicates a potential complication?
a. RBC count 5.2 million/mm3
b. WBC count 2,000/mm3
c. Platelets 380,000/mm3
d. Potassium4 mEq/L
12) A nurse is assessing heart sounds of a client who reports substernal precordial pain.
Identify which of the following soundsthe nurse should document in the client’s medical
record by listening to the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
13) A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
14) A nurse is preparing to present a program about prevention of atherosclerosis at a
health fair. Which of the following recommendations should the nurse plant to include?
(select all that apply)
a. Follow a smoking cessationprogram
b. Maintain an appropriate weight
c. Eat a low-fat diet
d. Increase fluid intake
e. Decreaseintake of complex carbohydrates
15) A home health nurse is providing teaching to a client who has a stage 1 pressure injury
on the greater trochanter of his left hip. Which of the following instructions should the
nurse include in the teaching?
a. Clean thewound daily with an antiseptic
b. Use a donut-shaped pillow when sitting in a chair
c. Change position every hour
d. Massage the area two times daily
16) A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make?
a. “Ginkgo biloba relieves nausea for people who have vertigo.”
b. “Taking ginkgo biloba will help relieve your joint pain.”
c. “Ginkgo biloba can cause an increased risk for bleeding.”
d. “Taking ginkgo biloba decreases the risk of migraine headache.”
17) A nurse is providing teaching to a client who has a new prescription for psyllium. Which
of the following information should the nurse include in the teaching?
a. Drink 240 mL (8 oz) of water after administration.
b. Expect results in4 to 6 hr
c. Take this medication before meals to increase appetite.
d. Reduce dietary fiber intake to improve medication absorption.
18) A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client hasjust undergone thoracentesis. The nurse should expect a reduction
in which of the following common manifestations of advanced cancer?
a. Dyspnea
b. Hemoptysis
c. Mucus production
d. Dysphagia
19) A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube. The nurse should recognize that which of the following c [Show Less]