Question: A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Answer Options:
Hot flashes
Increased libido
Increased muscle mass
Hypoglycemia
Answer: Hot flashes
Question: A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
Answer Options:
“I plan to take this medication for 1 week.”
“This medication may cause my blood pressure to increase.”
“I will have my liver function tested while I am taking this medication.”
“I should take an antacid with each dose of this medication.”
Answer: “I will have my liver function tested while I am taking this medication.”
Question: A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud’s?
Answer Options:
Eating a strict vegetarian diet
Taking amlodipine for hypertension
Using a nicotine transdermal patch
A history of herpes zoster
Answer: Using a nicotine transdermal patch
Question: A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse intervene immediately?
Answer Options:
Sore throat
SaO₂ 92%
Stridor
Rhonchi
Answer: Stridor
Question: A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse’s priority?
Answer Options:
Warmth of extremities
Temperature
Gag reflex
Level of pain
Answer: Gag reflex
Question: A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Answer Options:
“Contact your pharmacy to inquire about a different medication.”
“I can arrange for a social worker to talk with you before you leave.”
“I can contact the occupational therapist to schedule a home visit.”
“You should ask your provider to prescribe a cheaper medication.”
Answer: “You should ask your provider to prescribe a cheaper medication.”
Question: A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?
Answer Options:
Loosen or tighten the screws on the device as needed for the client’s comfort.
Move the client up and down in bed by holding onto the halo traction device.
Ensure that there is space for one finger to fit between the vest and the client’s skin.
Apply medicated powder under the vest to reduce itching.
Answer: Ensure that there is space for one finger to fit between the vest and the client’s skin.
Question: A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?
Answer Options:
Discard the radioactive device in the client’s trash can.
Keep soiled bed linens in the client’s room.
Instruct visitors to remain 3 feet from the client.
Limit time for visitors to 2 hr per day.
Answer: Limit time for visitors to 2 hr per day.
Question: A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Answer Options:
Administer prescribed corticosteroids.
Lower the head of the bed to semi-Fowler’s.
Change infusion to lactated Ringer’s and maintain rate.
Slow infusion rate and contact the provider.
Answer: Slow infusion rate and contact the provider.
Question: A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?
Answer Options:
Decreased coagulation
Proteinuria
Decreased serum lipid levels
Hyperalbuminemia
Answer: Proteinuria