Question: Which actions should the nurse take for a client who has urolithiasis?
Answer Options:
Hypocalcemia.
Diuretic use.
Family history.
BMI less than 25.
Answer: Family history.
Question: For a client who has acute pancreatitis, after treating the client’s pain, which of the following should the nurse address as the priority intervention?
Answer Options:
Auscultate the client’s lungs.
Assist the client to a side-lying position.
Withhold oral fluids and food.
Provide oral hygiene.
Answer: Withhold oral fluids and food.
Question: Which laboratory values should a nurse anticipate an elevation of for a client with primary hypothyroidism?
Answer Options:
Free T4.
Serum T4.
Thyroid stimulating hormone (TSH).
Serum T3.
Answer: Thyroid stimulating hormone (TSH).
Question: Which room assignment should the nurse plan for a client in the manic phase of bipolar disorder?
Answer Options:
A semi-private room with a roommate who has a similar diagnosis.
A seclusion room until the client’s activity level becomes more subdued.
A private room close to the nursing station.
A private room in a quiet location on the unit.
Answer: A private room in a quiet location on the unit.
Question: Which finding should the nurse expect in a client who has diabetes insipidus?
Answer Options:
Dehydration.
Hyperglycemia.
Bradycardia.
Polyphagia.
Answer: Dehydration.
Question: In which position should the nurse keep a client who is 8 hr postoperative following a subtotal thyroidectomy?
Answer Options:
Semi-Fowler’s with neck extended.
Semi-Fowler’s with neck in a neutral position.
High Fowler’s with neck extended.
High Fowler’s with neck in a neutral position.
Answer: Semi-Fowler’s with neck in a neutral position.
Question: Which actions should a nurse take for a client who is postoperative following an open cholecystectomy for their Jackson-Pratt (JP) drain?
Answer Options:
Expel the air from the JP bulb after emptying to re-establish suction.
Measure the drainage every hour for the first 8 hr postoperative.
Secure the drain to the client’s bed sheet.
Remove the JP drain when the drainage has ceased, covering the opening with sterile gauze.
Answer: Expel the air from the JP bulb after emptying to re-establish suction.
Question: Which signs should a nurse suspect indicate tardive dyskinesia in a client being treated with haloperidol?
Answer Options:
Involuntary pelvic rocking and hip thrusting movements.
Urinary retention and constipation.
Facial grimacing and eye blinking.
Fine hand tremors and pill rolling.
Tongue thrusting and lip smacking.
Answer: Tongue thrusting and lip smacking.
Question: Which response by the nurse is appropriate when a client with bipolar disorder demands that the nurse call the provider immediately at 0300?
Answer Options:
“I can’t call a doctor in the middle of the night unless it’s an emergency.”
“Go back to your room, and I’ll try to get in touch with your doctor.”
“You are being unreasonable, and I will not call your doctor at this hour.”
“You must be very upset about something.”
Answer: “You must be very upset about something.”
Question: Which of the following assessment findings indicate a therapeutic response to the treatment plan for a client with anorexia nervosa?
Answer Options:
ECG report.
Respiratory assessment.
Weight.
Sodium level.
Temperature.
Creatinine level.
Answer: Weight.
Question: Which of the following actions should the nurse take for a client who is 8 hr postoperative following a subtotal thyroidectomy?
Answer Options:
Semi-Fowler’s with neck extended.
Semi-Fowler’s with neck in a neutral position.
High Fowler’s with neck extended.
High Fowler’s with neck in a neutral position.
Answer: Semi-Fowler’s with neck in a neutral position.
Question: Which room assignment should a nurse plan for a client who is in the manic phase of bipolar disorder?
Answer Options:
A semi-private room with a roommate who has a similar diagnosis.
A seclusion room until the client’s activity level becomes more subdued.
A private room close to the nursing station.
A private room in a quiet location on the unit.
Answer: A private room in a quiet location on the unit.
Question: For a client with Addison’s disease at risk for Addisonian crisis, which action should the nurse take?
Answer Options:
Restrict fluid intake.
Administer oral corticosteroids.
Weigh the client daily.
Provide a low-carbohydrate diet.
Answer: Administer oral corticosteroids.
Question: Which of the following findings should the nurse expect in a client who has myxedema?
Answer Options:
Diarrhea.
Heat intolerance.
Facial edema.
Tachycardia.
Answer: Facial edema.
Question: Which complications should a nurse identify as manifestations following the client’s first hemodialysis treatment?
Answer Options:
Peritonitis.
Dialysis disequilibrium.
Septicemia.
Air embolism.
Answer: Dialysis disequilibrium.
Question: Which condition associated with SIADH should the nurse ask the client about in their medical history?
Answer Options:
Lung cancer.
Osteoarthritis.
Liver cirrhosis.
Dyspepsia.
Answer: Lung cancer.