Question: Which of the following details support the claim that the Farallon Islands are a natural home to many animals?
Answer Options: Human presence Abundant land Ocean currents Lush landscape
Answer: Abundant land
Question: Which of the following supports the main idea of the passage?
Answer Options: Humans disrupted the ecosystem of the Farallon Islands The Farallon Islands are currently an agricultural resource for San Francisco The ecosystem of the Farallon Islands has always been unstable The Farallon Islands are a dedicated sanctuary for western gulls
Answer: The ecosystem of the Farallon Islands has always been unstable
Question: With which of the following organizations might the author of this article most closely associate?
Answer Options: A nature conservancy group A group that studies marine mammal behavior A group that supports first-time novelists An educational special interest group
Answer: A group that studies marine mammal behavior
Question: What source is a credible source that might have helped write the article?
Answer Options: A copy of a story published by the Fish and Wildlife Service An executive order was written by former President Theodore Roosevelt A biography of a prominent natural manager An 1890 geographer’s notes on efforts to map Northern California’s coast
Answer: An executive order was written by former President Theodore Roosevelt In this chat, you have asked a total of 28 questions. Here are the questions along with their answer options and the correct answers provided:
Question: A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Answer Options: Heart rate 160/min, Hypokalemia, Blood pressure 115/68 mmHg, Mottled skin
Answer: Heart rate 160/min
Question: A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect?
Answer Options: Murmur, Bradycardia, Weak pulses, Clubbing of the nail beds, Hypotension
Answer: Murmur, Weak pulses, Hypotension
Question: A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104° F, and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
Answer Options: Acetaminophen 650 mg rectally, Administer normal saline IV at 500 mL/hr, Start norepinephrine to keep blood pressure above 90 mm Hg, Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
Answer: Start norepinephrine to keep blood pressure above 90 mm Hg
Question: A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Answer Options: Checks the provider’s orders and confirmed dosage in a medication reference guide, Documents medication administration prior to administering it, Verifies the medication against the prescription and medication label, Scans the bar code on the medication administration record and the client’s arm band.
Answer: Documents medication administration prior to administering it
Question: A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?
Answer Options: Administer 1 mg glucagon subcutaneously, Obtain a glucose reading using a finger stick, Infuse dextrose 50% by slow IV push, Have the patient drink 4 ounces of orange juice.
Answer: Obtain a glucose reading using a finger stick
Question: A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?
Answer Options: Insert an indwelling urinary catheter, Prepare the abdominal and perineal areas, Initiate IV access, Witness the signature for informed consent for surgery.
Answer: Initiate IV access
Question: A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
Answer Options: Dissolves blood clots, Slows intestinal motility, Relieves pain, Prevents dysrhythmias.
Answer: Prevents dysrhythmias
Question: A nurse in a provider’s office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?
Answer Options: Heart failure, Asthma, Aortic valve regurgitation, Aortic stenosis.
Answer: Aortic valve regurgitation
Question: A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?
Answer Options: Nystagmus, Hypersomnia, Depression, Dilated pupils.
Answer: Dilated pupils
Question: A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Answer Options: Joint pain, Elevated blood pressure, Increased urine output, Vaginal discharge.
Answer: Elevated blood pressure
Question: A nurse is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client’s care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Answer Options: Fluid imbalance, Paralytic ileus, Infection, Airway obstruction.
Answer: Airway obstruction
Question: A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
Answer Options: Apply a tourniquet just below the elbow, Clean the wound, Apply direct pressure over the wound, Elevate the limb and apply ice.
Answer: Apply direct pressure over the wound
Question: A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?
Answer Options: Bloody drainage in the collection chamber, Constant bubbling in the suction-control chamber, Continuous bubbling in the water-seal chamber, Fluid-level fluctuations in the water-seal chamber.
Answer: Continuous bubbling in the water-seal chamber
Question: A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Answer Options: “DIC is characterized by an elevated platelet count.”, “DIC is controllable with lifelong heparin usage.”, “DIC is caused by abnormal coagulation involving fibrinogen.”, “DIC is a genetic disorder involving a vitamin K deficiency.”
Answer: “DIC is caused by abnormal coagulation involving fibrinogen.”
Question: A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?
Answer Options: Arteriovenous fistula, Short peripheral catheter, Implanted infusion port, Peripherally inserted central catheter (PICC).
Answer: Peripherally inserted central catheter (PICC)
Question: A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Answer Options: Dysrhythmias, Cataracts, Bleeding, Pancreatitis.
Answer: Dysrhythmias
Question: A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate first?
Answer Options: Restrict fluid intake to 1,000 mL per day, Maintain an IV of 0.45% sodium chloride, Provide a diet containing 2 g of sodium per day, Administer desmopressin acetate 0.2 mg orally.
Answer: Restrict fluid intake to 1,000 mL per day
Question: A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?
Answer Options: Development of subcutaneous emphysema, Presence of tidal fluctuation in the water seal chamber, Chest tube eyelets not visible, Continuous bubbling in the suction control chamber.
Answer: Development of subcutaneous emphysema
Question: A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?
Answer Options: Arterial blood pH 7.46, Serum sodium 140 mg/dL, Serum bicarbonate less than 15, Blood urea nitrogen (BUN) 18 mg/dL.
Answer: Serum bicarbonate less than 15 You have asked a total of six questions in this chat session. Here is the information in the format you requested:
Question: A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Answer Options: Illogicality, Affective flattening, Somatic delusions, Bizarre behavior
Answer: Affective flattening
Question: A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
Answer Options: Furosemide, Dexamethasone, Heparin, Atropine
Answer: Heparin
Question: A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)
Answer Options: Fetal breathing, Fetal motion, Fetal gender, Amniotic fluid volume, Fetal neck translucency
Answer: Fetal breathing, Fetal motion, Amniotic fluid volume
Question: Admission vital signs for a patient who has a brain injury are blood pressure of 128/68 mm Hg, pulse of 110 beats/min, and respirations of 26 breaths/min. Which of the following sets of vital signs, if taken 1 hour later, will be of most concern to the nurse?
Answer Options: 148/78 mm Hg, pulse 112 beats/min, respirations 28 breaths/min; 154/68 mm Hg, pulse 56 beats/min, respirations 12 breaths/min; 110/70 mm Hg, pulse 120 beats/min, respirations 30 breaths/min; 134/72 mm Hg, pulse 90 beats/min, respirations 32 breaths/min
Answer: Blood pressure 154/68 mm Hg, pulse 56 beats/min, respirations 12 breaths/min