Question: A patient is scheduled for a colonoscopy. Which of the following statements indicates a need for further teaching?
Answer Choices:\n\n“I’ll take only clear liquids the day before.” “I’ll need someone to drive me home.” “I’ll take my blood pressure medicine with water the morning of the test.” “I can eat a light breakfast the morning of the procedure.”
Answer:\n“I can eat a light breakfast the morning of the procedure.”
Question: A patient is prescribed digoxin. Which of the following indicates digoxin toxicity?
Answer Choices:\n\nMuscle weakness Vision changes Increased appetite Hypotension
Answer:\nVision changes
Question: Which client is at greatest risk for developing pressure ulcers?
Answer Choices:\n\nA 45-year-old obese client who ambulates with a cane A 70-year-old client with urinary incontinence and limited mobility A 60-year-old client with arthritis A 25-year-old paraplegic with upper body strength
Answer:\nA 70-year-old client with urinary incontinence and limited mobility
Question: A nurse is educating a patient on how to prevent recurrent urinary tract infections. Which statement by the patient indicates understanding?
Answer Choices:\n\n”I will take bubble baths daily.” “I will wipe from back to front after using the bathroom.” “I will urinate after sexual intercourse.” “I will drink 2 glasses of water per day.”
Answer:\nI will urinate after sexual intercourse
Question: Which of the following dietary choices is best for a client with iron-deficiency anemia?
Answer Choices:\n\nChicken breast with mashed potatoes Eggs with toast Steak with broccoli Fish with rice
Answer:\nSteak with broccoli
Question: Which of the following is a priority nursing intervention for a client receiving chemotherapy?
Answer Choices:\n\nEncourage a high-protein diet Administer antiemetics as prescribed Monitor for signs of infection Provide emotional support
Answer:\nMonitor for signs of infection
Question: Which of the following is the most appropriate nursing diagnosis for a client with Parkinson’s disease who has a shuffling gait and tremors?
Answer Choices:\n\nRisk for Falls Impaired Skin Integrity Ineffective Coping Disturbed Body Image
Answer:\nRisk for Falls
Question: A patient presents with confusion, dry mucous membranes, and thirst. Which of the following lab values is expected?
Answer Choices:\n\nSodium 120 mEq/L Sodium 135 mEq/L Sodium 140 mEq/L Sodium 155 mEq/L
Answer:\nSodium 155 mEq/L
Question: Which of the following is the best action when a patient with Alzheimer’s disease becomes agitated during a bath?
Answer Choices:\n\nRestrain the patient for safety Explain the procedure in detail Calmly stop and try again later Call for additional staff
Answer:\nCalmly stop and try again later
Question: A client receiving lithium therapy presents with tremors, nausea, and confusion. The nurse should:
Answer Choices:\n\nGive the next dose as scheduled Increase sodium intake Withhold the medication and notify the provider Encourage fluid restriction
Answer:\nWithhold the medication and notify the provider
Question: The nurse is assessing a patient with suspected appendicitis. Which finding requires immediate intervention?
Answer Choices:\n\nFever and chills Nausea and vomiting Rebound tenderness Absent bowel sounds
Answer:\nAbsent bowel sounds
Question: Which lab value indicates a therapeutic level of warfarin (Coumadin)?
Answer Choices:\n\nINR 1.0 INR 2.5 INR 0.8 INR 4.5
Answer:\nINR 2.5
Question: A nurse is caring for a patient who has a history of seizures. What is the priority equipment to have at bedside?
Answer Choices:\n\nECG monitor Suction equipment Pulse oximeter Oxygen mask
Answer:\nSuction equipment
Question: A nurse is caring for a postpartum client who is Rh-negative and just delivered an Rh-positive baby. What medication should the nurse expect to administer?
Answer Choices:\n\nRubella vaccine Rh immune globulin Hepatitis B vaccine Oxytocin
Answer:\nRh immune globulin
Question: Which nursing action is appropriate when administering ear drops to an adult client?
Answer Choices:\n\nPull the pinna down and back Pull the pinna up and back Instill drops directly onto the tympanic membrane Keep the head turned for 1 minute only
Answer:\nPull the pinna up and back
Question: Which finding is most concerning in a patient receiving IV morphine for postoperative pain?
Answer Choices:\n\nDrowsiness Respiratory rate of 8/min Itching Nausea
Answer:\nRespiratory rate of 8/min
Question: A patient with heart failure gains 3 lbs in 2 days and reports shortness of breath. What should the nurse do first?
Answer Choices:\n\nAdminister PRN diuretic Restrict fluid intake Auscultate lung sounds Notify the healthcare provider
Answer:\nAuscultate lung sounds