Question: A client experiences residual effects following an acute attack of Ménière’s disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Answer Options: A) Headache rated at 0 on a 0 to 10 scale. B) Blood pressure of 120/80 mm Hg. C) Ambulates easily without vertigo. D) Oxygen saturation level of 99%.
Answer: C) Ambulates easily without vertigo.
Question: A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
Answer Options: A) Report when hematuria becomes pink tinged. B) Monitor urinary stream for decrease in output. C) Restrict physical activities. D) Use incentive spirometer.
Answer: B) Monitor urinary stream for decrease in output.
Question: A 59-year-old male client presents to the clinic reporting pain in the right great toe. The client reports that the pain feels like it is another attack of gout, which he has had on two other occasions in the last 4 months. The client reports to the nurse that the pain started about 9 days ago in the evening and that it got very painful and swollen shortly thereafter. In the past, the client’s gout attacks have resolved without treatment after about 5 days, but the client reports that his condition has not improved and that he is unable to walk or work without excruciating pain in the great toe joint.
Answer Options: Various interventions and conditions.
Answer: The correct intervention would be to begin ordered medications (such as colchicine and NSAIDs already prescribed) and monitor parameters such as serum uric acid and pain.
Question: A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Answer Options: A) Intracerebral hemorrhage. B) Rocky Mountain spotted fever. C) Cerebrovascular accident (CVA). D) Meningococcal meningitis.
Answer: D) Meningococcal meningitis.
Question: A client is admitted with bipolar disorder, manic psychosis. The client is placed in seclusion after unsuccessful attempts by staff at deescalating the client during a sudden mood swing from laughter to jumping and screaming threats while waving a plastic dinner knife. The client is given haloperidol 5 mg IM STAT prior to seclusion. Which intervention is most important for the nurse to implement immediately after seclusion?
Answer Options: A) Release the client as soon as composure is regained, B) Secure the room with padded walls and minimal furnishings, C) Observe for extrapyramidal symptoms, such as dystonia, D) Provide one-on-one observation at all times.
Answer: C) Observe for extrapyramidal symptoms, such as dystonia.
Question: A client who is admitted with an acute coronary syndrome (ACS) receives eptifibatide, a glycoprotein (GP) IIB IIIA inhibitor. Which assessment finding places the client at greatest risk?
Answer Options: A) Incontinent with blood in urine, B) Unresponsive to painful stimuli, C) Presence of hematemesis, D) Blood pressure of 100/60 mm Hg.
Answer: C) Presence of hematemesis.
Question: While preparing to administer a scheduled IV medication, the client tells the nurse that the IV site hurts and refuses to allow the nurse to administer a flush to assess the site. Which intervention should the nurse implement?
Answer Options: A) Redress the IV site while assessing for redness, B) Discontinue the IV site after inserting a new access, C) Apply ice then a warm compress to the IV site, D) Review the medical record for the date of insertion.
Answer: B) Discontinue the IV site after inserting a new access.
Question: A client who was rescued from a house fire is admitted to the burn unit with deep dermal, partial thickness (second degree) burns over approximately one-third of the back and upper thighs. The nurse begins administration of prescribed crystalloid fluids for the first 24-hours following the burn incident. Which physiological response is promoted by the administration of the fluids?
Answer Options: A) Restoration of electrolyte balance, B) Extension of plasma until blood is available, C) Fluid resuscitation due to capillary leaking, D) Replacement of insensible water loss.
Answer: C) Fluid resuscitation due to capillary leaking.
Question: A client is being evaluated for gastroplasty. The client has experienced difficulty with managing diabetes mellitus and hypertension, but is approved for surgery. Which intervention is most important for the nurse to include in this client’s plan of care?
Answer Options: A) Monitor for urinary incontinence, B) Apply sequential compression stockings, C) Provide a wide variety of meal choices, D) Observe for signs of depression.
Answer: D) Observe for signs of depression.
Question: An older adult client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA). The client has facial paralysis and cannot move the left side of the body. When entering the room, the nurse finds the client’s spouse tearful and trying unsuccessfully to give the client a drink of water. Which action should the nurse take?
Answer Options: A) Ask the spouse to stop and assess the client’s swallowing reflex, B) Assist the spouse and carefully give the client small sips of water, C) Obtain thickening powder before providing any more fluids, D) Give the spouse a straw to help facilitate the client’s drinking.
Answer: A) Ask the spouse to stop and assess the client’s swallowing reflex.
Question: A client who is admitted with an acute coronary syndrome (ACS) receives eptifibatide, a glycoprotein (GP) IIB IIIA inhibitor. Which assessment finding places the client at greatest risk?
Answer Options: A) Incontinent with blood in urine, B) Unresponsive to painful stimuli, C) Presence of hematemesis, D) Blood pressure of 100/60 mm Hg.
Answer: C) Presence of hematemesis.
Question: Which of the following sentences would be the best topic sentence for the paragraph?
Answer Options: If you want to get in shape, the first step is to get moving. One of the easiest ways to lose inches is to take a walk on a daily basis. There are physical and psychological reasons for a daily walk. Exercise does not have to be difficult; consider walking.
Answer: There are physical and psychological reasons for a daily walk.
Question: Which of the following sentences follows the rules of punctuation and capitalization?
Answer Options: “I loved that show,” he said. “It’s my favorite of the year.” “I loved that show.” he said. “It’s my favorite of the year.” “I loved that show,” He said: “it’s my favorite of the year.” “I loved that show,” He said. “It’s my favorite of the year.”
Answer: “I loved that show,” he said. “It’s my favorite of the year.”
Question: Which of the following is the meaning of the prefix “ante-” as used in the sentence above?
Answer Options: Before After Beyond Against
Answer: Before
Question: Which of the following sentences correctly uses apostrophes?
Answer Options: My grandparents’s families are coming to town for the holidays. There are many parks’ located across the country. All of the womens’ things were lost at sea. Our home’s roof needs repairing.
Answer: Our home’s roof needs repairing.
Question: Which of the following options correctly completes the sentence above?
Answer Options: that which whom who
Answer: who
Question: Which of the following sentences does not belong in a paragraph about caring for newly hatched chickens?
Answer Options: Giving the chicks medicated or non-medicated food is a controversial choice that you should make after speaking to your supplier or feed store personnel. Eggs should be collected daily from a mature hen to ensure the eggs are not fertilized. Make sure the chicks have plenty of clean water in shallow containers, giving them sugar water on their first day for a boost of energy. Set the hatching area temperature to 95° F, reducing it by 5° each week after the chicks arrive.
Answer: Eggs should be collected daily from a mature hen to ensure the eggs are not fertilized.
Question: Which of the following is true about a strong academic thesis?
Answer Options: It is a viewpoint endorsed by one’s professor. A reasonable argument cannot be made against it. It reflects the opinions of most people. It directly states the argument.
Answer: It directly states the argument.
Question: Which of the following statements about a paragraph’s concluding sentence is true?
Answer Options: It summarizes the essay’s main point. It gives information that opposes the topic sentence. It gives supporting details for the topic sentence. It summarizes the paragraph’s main point.
Answer: It summarizes the paragraph’s main point.
Question: Many ______ books are popular among adults these days.
Answer Options: childrens children’s’s children’s childrens’
Answer: children’s
Question: The spaces between the ribs are known as ______ spaces; they contain the ______ veins.
Answer Options: Intervenous Intravenous Intracostal Intercostal
Answer: Intercostal…intercostal