A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through
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nasogastric tube in the last 2 hours. Which action should the nurse take first? ✔✔
Reposition the client on her side. The priority is to determined if the tube is functioning
correctly, which would relieve the client's nausea. The least invasive intervention is to
reposition the client (B), should be attempted first, followed by (A & C) if these are
unsuccessful then (D).
When assigning clients on a medical-surgical floor to a RN and a LPN, it is best for the
charge nurse to assign which client to the LPN?
A. A child with bacterial meningitis with recent seizures.
B. An older adult client with pneumonia and viral meningitis.
C. A female client in isolation wiht meningococcal meningitis.
D. A male client 1 day post-op after drainage of a brain abscess. ✔✔ B. Is the most
stable. A, C, D have an increased risk for elevated ICP.
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties.
B. Sudden, stabbing, severe pain over the lip and chin.
C. Unilateral facial weakness and paralysis.
D. Difficulty in talking, chewing, and swallowing. ✔✔ B. Trigeminal neuralgia is
characterized by paroxysms of pain, similar to an electric shock, in the area innervated
by one or more branches of the trigeminal nerve.
A. Characteristic of Meniere's
C. Characteristic of Bell palsey
D. Characteristic of disorders of the hypoglossal (12th cranial nerve)
Which abnormal lab finding indicates that a client with diabetes needs further evaluation
for diabetic nephropathy?
A. Hypokalemia
B. Microalbuminauria
C. Elevated serum lipids
D. Ketonuria ✔✔ B. Microalbuminuria is the earliest sign of nephropathy and indicates
the need for follow-up evaluation. Hyperkalemia (A) is associated with end stage renal
disease caused by diabetic nephropathy. (C) may be elevated in end stage renal
disease. (D) may signal the onset of DKA.
An older male client comes to the geriatric screening clinic complaining of pain in his left
calf. The nurse notices a reddened area on the calf of his right leg that is warm to touch
and the nurse suspects that the client may have thrombophlebitis. Which addition
assessment is most important for the nurse to perform?
A. Measure calf circumference.
B. Auscultate the client's breath sounds.
C. Observe for ecchymosis and petechiae.
D. Obtain the client's blood pressure. ✔✔ B. Since the client may have a pulmonary
embolus secondary to the thrombophlebitis.
A. Would support the nurses assessment.
C. Least helpful since bruising is not associated with thrombophlebitis.
D. Less important then auscultation.
The nurse know that a client taking diuretics must be assessed for the development of
hypokalemia, and that hypokalemia will create changes in the client's normal ECG
tracing. Which ECG change would be an expected finding in the client with
hypokalemia?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave ✔✔ D. A U wave is a positive deflection following the T wave
and is often present with hypokalemia. A, B, C indicate hyperkalemia.
An older client is admitted with a diagnosis of bacterial pneumonia. The nurse's
assessment of the client will most likely reveal which S/SX?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production.
D. Confusion and tachycardia. ✔✔ D. The onset of pneumonia is the older may be
signaled by general deterioration, confusion, increased heart rate or increased
respiratory rate.
(A, B, C) are often absent in the older with bacterial pneumonia.
The nurse observes ventricular fibrillation on telemetry and upon entering the clients
bathroom finds the client unconscious on the floor. What intervention should the nurse
implement first?
A. Administer an antidysrhythmic medication.
B. Start cardiopulmonary resuscitation.
C. Defibrillate the client at 200 joules.
D. Assess the client's pulse oximetry. ✔✔ B. Ventricular fibrillation is a life-threatening
dysrhythmia and CPR should be started immediately. A & C are appropriate but B is the
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