i. A nurse is assessing a client who has received an antibiotic. The nurse
shouldidentify which of thefollowing findings as an indication of a
... [Show More] possible
allergic reaction to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension
ii. A nurse on a mental health unit is caring for a client who has schizophrenia and
is experiencingauditory hallucinations telling them to hurt others. The client is
refusing to take anti-psychoticmedication. Which of the following responses
should the nurse make?
A. “You should plan to take this medication for a few weeks.”
B. “You will regret it if you do not take this medication.”
C. “This medication will help you respond to the voices.
D. “This medication will help you stop the voices you are hearing.”
iii. A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy.Which of the following conditions should the nurse
identify as increasing the client’s risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias
iv. A nurse is reviewing the laboratory results of a client who has rheumatoid
arthritis. Which of thefollowing findings should the nurse report to the provider?
A. WBC count 8,000/mm
B. Platelets 150,000/mm
C. Aspartate aminotransferase
10units/LD. Erythrocyte
sedimentation 75 mm/hr
v. A nurse is suctioning the airway of a client who is receiving mechanical
ventilation via an endotracheal tube. Which of the following findings should the
nurse identify as an indication thatsuctioning has been effective?
A. Presence of a productive cough
B. Decreased peak inspiratory pressure
C. Thinning of mucous secretions
D. Flattening of the artificial airway cuff
vi. A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of
thefollowing actions should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy for the client’s situation.
C. Confront the client about his
behavior.
D. Speak assertively to the client.
vii. A nurse is caring for a client who is immediately postoperative following an
adrenalectomy to treatCushing’s disease. Which of the following actions is
thenurse’s priority?
A. Reposition the client for comfort every 2 hours
B. Observe for any indications of infection
C. Document amount and color of the incisional
drainage
D. Monitor the client’s fluid and electrolyte
status.
viii. A nurse is caring for a client who is scheduled for a surgical procedure and
states,“I don’t want tohave this surgery anymore.” Which of the following [Show Less]