Question: Chronic kidney disease client with elevated BP and electrolyte imbalance—most important action?
Answer Choices:
A Measure abdominal girth
B Measure ankle circumference
C Auscultate heart rhythm
D Monitor sodium intake
Answer: C. Auscultate heart rhythm
Question: Post-op client now has purulent drainage. What is priority?
Answer Choices:
A Cleanse with saline
B Monitor WBC
C Check odor
D Request culture
Answer: D. Request culture
Question: Alzheimer’s client asks for deceased mother. What intervention?
Answer Choices:
A Clarify reality
B Wake q4h for reality check
C Use distraction
D Reduce daytime interaction
Answer: C. Use distraction
Question: UAP found client pale, weak, diaphoretic. What is priority?
Answer Choices:
A Ask why UAP didn’t notify
B Explain reporting protocols
C Ask UAP to prep for meds
D Stop care and assess client
Answer: D. Stop care and assess client
Question: Bipolar client with slurred speech and unsteady gait—what is most important to report?
Answer Choices:
A Alcohol level 0.09%
B Weight loss
C Lithium 1.6 mEq/L
D Slept 6 hours in 3 days
Answer: C. Lithium 1.6 mEq/L
Question: CKD client with high magnesium—what history to investigate?
Answer Choices:
A Tobacco
B Laxatives
C Shellfish
D Genetic disorders
Answer: B. Laxatives
Question: Older adult with high magnesium—what history is most important?
Answer Choices:
A Tobacco use
B Laxative use
C Fish oil/shellfish
D Genetic disorders
Answer: B. Laxative use
Question: Chest tube client with decreased LOC—priority nursing action?
Answer Choices:
A Secure chest tube
B Mark drainage
C Keep container below insertion site
D Give PRN pain meds
Answer: C. Keep container below insertion site
Question: DM client at home—what indicates understanding?
Answer Choices:
A Annual eye exam
B Carbs = 35% of calories
C Check blood sugar q4–6h
D Use salt/herbs for flavor
Answer: A. Annual eye exam
Question: Nurse teaching home care for type 2 DM. What indicates understanding?
Answer Choices:
A Annual eye exam
B Carbs = 35%
C Check BG q4–6h
D Use salt/herbs for taste
Answer: A. Annual eye exam
Question: Scoliosis screening reveals lordosis. What should nurse document?
Answer Choices:
A Lateral curvature
B Rounded spine
C Convex thoracic curve
D Excessive lumbar concave curve
Answer: D. Excessive lumbar concave curve
Question: Electrolyte imbalance + mental changes in CKD—priority action?
Answer Choices:
A Measure abdominal girth
B Measure ankle circumference
C Auscultate heart rate
D Monitor sodium intake
Answer: C. Auscultate heart rate
Question: Acetaminophen dose calculation—How many tablespoons for 1000 mg if suspension is 500 mg/15 mL?
Answer Choices:
N/A
Answer: 2
Question: Assigning client to PN—who is appropriate?
Answer Choices:
A Myxedema coma
B Subdural hematoma
C Viral meningitis with temp increase
D DKA with GCS drop
Answer: C. Viral meningitis with temp increase