Question: The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. The plan of care includes assessment of specific gravity every four hours. The results of this test will allow the nurse to assess which aspect of the client’s health?
Answer Options:
A. Potassium balance
B. Calcium balance
C. Nutritional status
D. Fluid volume status
Answer: D — Fluid volume status
Question: What should you do if you are asked to interpret highly technical information with which you are not familiar?
Answer Options:
• Attempt to interpret to the best of your ability
• Inform the client and request a subject matter expert
• Inform the client that you need to use a dictionary or glossary to assist you
Answer: B — Inform the client and request a subject matter expert
Question: A nurse practitioner has provided care for three different clients with chronic pharyngitis over the past several months. Which client is at greatest risk for developing chronic pharyngitis?
Answer Options:
A. A client who is a habitual user of alcohol and tobacco
B. A client who eats a diet high in spicy foods
C. A client who has gastrointestinal reflux disease (GERD)
D. A client who is a habitual user of caffeine and other stimulants
Answer: C — A client who has gastrointestinal reflux disease (GERD)
Question: A nurse is caring for a client who is on birth control. The client has been diagnosed with an upper respiratory infection and has been prescribed antibiotics. Which statement by the client indicates proper understanding of teaching?
Answer Options:
A. “I do not have to worry because antibiotics don’t interfere with oral birth control.”
B. “I will not have intercourse while taking antibiotics.”
C. “I will need to use other methods of protection while taking antibiotics.”
D. “I will need to stop the birth control and use other protection while using the antibiotics.”
Answer: C — “I will need to use other methods of protection while taking antibiotics.”
Question: The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?
Answer Options:
A. Maintaining accurate records of intake and output
B. Maintaining a patent airway
C. Providing appropriate pain control
D. Inserting a nasogastric (NG) tube as prescribed
Answer: B — Maintaining a patent airway
Question: The nurse is planning care for a client with venous insufficiency. Which nursing intervention would be appropriate for this client’s plan of care?
Answer Options:
A. Apply compression only at night
B. Elevate lower extremities
C. Teach frequent rest periods due to pain
D. Educate on decreased protein
Answer: B — Elevate lower extremities
Question: The triage nurse in the emergency department is assessing a client who reports pain and swelling in the right lower leg. The client’s pain became much worse last night and appeared along with fever, chills, and sweating. The client states, “I hit my leg on the car door 4 or 5 days ago, and it has been sore ever since.” The client has a history of chronic venous insufficiency. Which intervention should the nurse anticipate for this client?
Answer Options:
A. Platelet transfusion to treat thrombocytopenia
B. Intravenous heparin to treat venous thromboembolism (VTE)
C. Antibiotics to treat cellulitis
D. Warfarin to treat arterial insufficiency
Answer: C — Antibiotics to treat cellulitis
Question: A client scheduled for magnetic resonance imaging (MRI) has arrived at the radiology department. The nurse who prepares the client for the MRI should prioritize what action?
Answer Options:
A. Removing all metal-containing objects
B. Instructing the client to void prior to the MRI
C. Withholding stimulants 24 to 48 hours prior to exam
D. Initiating an IV line for administration of contrast
Answer: A — Removing all metal-containing objects
Question: The nurse is caring for a client who has just returned to the unit after a colon resection. The client is showing signs of hypoxia. The nurse knows that this is probably caused by:
Answer Options:
A. Infection
B. Shunting
C. Nitrogen narcosis
D. Impaired diffusion
Answer: B — Shunting
Question: A nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The nurse should provide further education when the patient gives examples of which protein-containing foods?
Answer Options:
A. Peanut butter & jelly sandwich
B. Nuts & seeds
C. Dried beans
D. Bagel with cream cheese
Answer: D — Bagel with cream cheese
Question: The nurse is taking a health history of a new client who reports pain in the left lower leg and foot when walking. This pain is relieved with rest, and the nurse observes that the left lower leg is slightly edematous and is hairless. When planning this client’s care, the nurse should most likely address which health problem?
Answer Options:
A. Arterial embolus
B. Coronary artery disease (CAD)
C. Intermittent claudication
D. Raynaud disease
Answer: C — Intermittent claudication
Question: The ED nurse is caring for a client with a suspected MI. What drug should the nurse anticipate administering to this client?
Answer Options:
A. Oxycodone
B. Morphine
C. Acetaminophen
D. Warfarin
Answer: B — Morphine
Question: Which home valuation approach is most likely used by home insurance companies?
Answer Options:
Discounted cash flow analysis
Sales comparison approach
Replacement cost approach
They use their own assessment that differs from all three
Answer: Replacement cost approach
Question: Match the medications to the correct STI treatment (image provided).
Answer Options:
Medication matching image
Answer: Acyclovir
Antiretroviral (ART) therapy
Azithromycin
Doxycycline
Metronidazole
Metronidazole
Penicillin
Fluconazole
Question: The person you are interpreting for (the LEP) recounts a conversation in which vulgar language was used. You know that this client is very offended by the use of vulgar language. You should:
Answer Options:
• “Soften” the language when you interpret since the vulgar language might work against the LEP
• Use a different term that has similar meaning, but is not vulgar, so you do not offend the client
• Interpret everything that you hear, including the vulgar language
Answer: C — Interpret everything that you hear, including the vulgar language
Question: A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the client’s skin appears yellow. Which blood tests should be done to further explore this clinical sign?
Answer Options:
A. Complete blood count (CBC)
B. Liver function tests (LFTs)
C. Platelet count
D. Blood urea nitrogen and creatinine
Answer: B — Liver function tests (LFTs)
Question: The nurse’s review of a client’s most recent blood work reveals a significant increase in the number of band cells. The nurse’s subsequent assessment should focus on which of the following?
Answer Options:
A. Respiratory function
B. Signs and symptoms of infection
C. Recent changes in activity tolerance
D. Evidence of decreased tissue perfusion
Answer: B — Signs and symptoms of infection
Question: A client has come into the free clinic asking to be tested for human immunodeficiency virus (HIV) infection. The client asks the nurse how the test works. The nurse responds that if the testing shows that antibodies to the acquired immunodeficiency syndrome (AIDS) virus are present in the blood, this indicates that the client has which of the following?
Answer Options:
A. An AIDS-related complication
B. Immunity to HIV
C. An HIV infection
D. An intact immune system
Answer: C — An HIV infection
Question: If you can afford to pay the downpayment, it is always better to buy a home rather than rent it.
Answer Options:
A. True
B. False
Answer: B. False
Question: Which of the following property valuation approaches is most common in commercial real estate?
Answer Options:
Sales Comparison
Replacement Cost Approach
Discounted Cash Flow (DCF)
Depends on the real estate sector
Answer: Discounted Cash Flow (DCF)