Question: A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?
Answer Options: If the medicine causes an upset stomach, take an antacid at the same time, Limit your daily fluid intake while taking this medication, This medication can cause photophobia, so be sure to wear sunglasses outdoors, You should report any tendon discomfort you experience while taking this medication
Answer: You should report any tendon discomfort you experience while taking this medication
Question: The nurse is caring for a patient with diabetes.
Answer Options: Blood glucose, Blurry vision, Blood pressure, Heart rate, Nausea, Fruity odor to breath
Answer: Blood glucose, Blurry vision, Blood pressure, Heart rate, Nausea, Fruity odor to breath
Question: Only choose one option (anticipated, nonessential, contraindicated) for each potential order.
Answer Options: Physical therapy consult, Insert a urinary catheter, Maintain NPO, IV Dextrose 5% with NS at 100 ml/hr, Check Urinalysis in the morning
Answer: Anticipated for Insert a urinary catheter, Maintain NPO, and Check Urinalysis; Contraindicated for IV Dextrose 5% with NS
Question: Which of the following actions should the nurse take? Select all that apply.
Answer Options: Obtain pulse oximeter, Obtain blood glucose from the lab, Obtain temperature, Administer dextrose, Stop insulin drip, Assess neurological status
Answer: Obtain pulse oximeter, Obtain blood glucose from the lab, Obtain temperature, Assess neurological status
Question: For each assessment finding, click to specify if the finding indicates that the client’s condition has improved, has not changed, or has declined. Only choose one option for each assessment finding.
Answer Options: Hyperglycemia, Blood pressure, Respirations, Heart Rate, Temperature
Answer: Hyperglycemia: Declined; Blood pressure: Improved; Respirations: No Change; Heart Rate: Improved; Temperature: No Change
Question: A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?
Answer Options: Apply cold compress to the client’s flank area, Encourage intake of at least 3 L of fluids per day, Restrict protein intake to 2 servings per day, Discourage ambulation
Answer: Encourage intake of at least 3 L of fluids per day
Question: A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
Answer Options: Insomnia, Drowsiness, Constipation, Hypoactive deep-tendon reflexes
Answer: Insomnia
Question: A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet?
Answer Options: Poached eggs, Baked chicken, Whole grains, Ripe bananas
Answer: Whole grains
Question: A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, “I don’t need this medication. I am not constipated.” The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Answer Options: Bicarbonate, Ammonia, Glucose, Potassium
Answer: Ammonia
Question: A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient’s spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN?
Answer Options: Decreased Osmolality, Taut, dry skin, Elevated blood glucose, Elevated BUN and creatinine, Slow heart rate
Answer: Taut, dry skin, Elevated blood glucose, Elevated BUN and creatinine
Question: The nurse is assessing an adult patient with Type 1 diabetes mellitus. Which labs result should be reported to the physician immediately?
Answer Options: Blood glucose 112 mg/dL, Hemoglobin A1C 6.0%, Positive ketones in the urine, Creatinine 2.5 mg/dL, Hemoglobin 10.2 g/dL, Microalbuminuria 40mg/24hours
Answer: Positive ketones in the urine, Creatinine 2.5 mg/dL, Hemoglobin 10.2 g/dL
Question: A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Answer Options: Insulin detemir, Insulin glargine, NPH insulin, Regular insulin
Answer: Regular insulin
Question: A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Answer Options: Kernig’s sign, Babinski’s sign, Chvostek’s sign, Brudzinski’s sign
Answer: Chvostek’s sign
Question: A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Answer Options: Insulin detemir, Insulin glargine, NPH insulin, Regular insulin
Answer: Regular insulin
Question: A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Answer Options: Kernig’s sign, Babinski’s sign, Chvostek’s sign, Brudzinski’s sign
Answer: Chvostek’s sign
Question: What are the elements of Peplau’s theory of interpersonal relations?
Answer Options: Introduction, identification, exploitation, resolution Introduction, open-ended questions, exploring feelings, summary Orientation, exploration, recommendations, summary Orientation, identification, exploitation, resolution
Answer: Orientation, identification, exploitation, resolution
Question: Evidence-based practice considers expert clinical knowledge as well as clinical research
Answer Options: True False
Answer: True
Question: What three elements are important to integrate into practice?
Answer Options: Theory, research, medication management Theory, research, evidence-based practice Therapy, medication management, research Research, evidence-based practice, concordance
Answer: Research, evidence-based practice, concordance
Question: Define concordance:
Answer Options: Sticking with the treatment plan Medications are working as intended Working with the patient in a partnership to create a mutually agreed-upon plan The patient follows the treatment plan as defined by the NP
Answer: Working with the patient in a partnership to create a mutually agreed-upon plan
Question: What type of health belief would best describe how Patty is managing her treatment?
Answer Options: Experimental-reflective Directive reactive Consolidative Deferential compliant
Answer: Experimental-reflective
Question: Which neurotransmitter is NOT targeted by psychotropic medication?
Answer Options: GABA Epinephrine Dopamine Norepinephrine
Answer: Epinephrine