Professional Documents
Culture Documents
1.
2.
1.
The nurse is providing dietary instructions to a 68-year-old client who is at high
risk for development of coronary heart disease (CHD). Which information should
the nurse include?
A.
B.
C.
D.
Ensure saturated fat is less than 30% of total caloric intake.
2.
Which reaction should the nurse identify in a client who is responding to
stimulation of the sympathetic nervous system?
A.
Pupil constriction.
B.
C.
Bronchial constriction.
D.
Decreased blood pressure.
3.
3.
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is
beginning treatment. Which subjective information is most important for the
nurse to note?
A.
A history of obesity.
B.
C.
D.
Numbness in the soles of the feet.
4.
4.
A female client is brought to the clinic by her daughter for a flu shot. She has lost
significant weight since the last visit. She has poor personal hygiene and
inadequate clothing for the weather. The client states that she lives alone and
denies problems or concerns. What action should the nurse implement?
A.
B.
C.
D.
5.
A client with a 16-year history of diabetes mellitus is having renal function tests
because of recent fatigue, weakness, elevated blood urea nitrogen, and serum
creatinine levels. Which finding should the nurse conclude as an early symptom
of renal insufficiency?
A.
Dyspnea.
B.
Nocturia.
C.
Confusion.
D.
Stomatitis.
6.
6.
A client has been taking oral corticosteroids for the past five days because of
seasonal allergies. Which assessment finding is of most concern to the nurse?
A.
B.
C.
Purulent sputum.
D.
Excessive hunger.
7.
7.
Which symptoms should the nurse expect a client to exhibit who is known to
have a pheochromocytoma?
A.
B.
C.
D.
Nausea, vomiting, and muscular weakness.
8.
8.
A client taking furosemide (Lasix), reports difficulty sleeping. What question is
important for the nurse to ask the client?
9.
A.
B.
C.
D.
At what time do you take your medication?
9.
The nurse knows that lab values sometimes vary for the older client. Which data
should the nurse expect to find when reviewing laboratory values of an 80-yearold male?
A.
B.
C.
D.
10.
10.
The nurse working in a postoperative surgical clinic is assessing a woman who
had a left radical mastectomy for breast cancer. Which factor puts this client at
greatest risk for developing lymphedema?
A.
B.
C.
D.
Her hobby is playing classical music on the piano.
11.
11.
A client has taken steroids for 12 years to help manage chronic obstructive
pulmonary disease (COPD). When making a home visit, which nursing function is
of greatest importance to this client? Assess the client's
12.
A.
B.
C.
temperature.
D.
skin color and turgor.
12.
A 58-year-old client, who has no health problems, asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on which
information?
A.
B.
C.
D.
14.
A.
B.
C.
D.
14.
B.
C.
D.
B.
C.
D.
Three months after the exposure.
16.
16.
A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. What action should the nurse implement?
A.
B.
C.
D.
Tell the client to stop taking the medication for a week to see if
symptoms subside.
17.
17.
A 58-year-old client who has been post-menopausal for five years is concerned
about the risk for osteoporosis because her mother has the condition. Which
information should the nurse offer?
A.
B.
C.
D.
B.
C.
D.
The importance of increasing milk in the diet.
19.
19.
A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor because
A.
they occur in the lower lobe alveoli which are more sensitive to
infection.
B.
20.
C.
D.
children.
20.
During assessment of a client with amyotrophic lateral sclerosis (ALS), which
finding should the nurse identify when planning care for this client?
A.
Muscle weakness.
B.
Urinary frequency.
C.
D.
A decline in cognitive function.
21.
21.
An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices
that his tongue is somewhat cracked and his eyeballs are sunken into his head.
What nursing intervention is indicated?
A.
B.
C.
D.
B.
C.
D.
B.
C.
D.
Propanolol (Inderal).
B.
Captopril (Capoten).
C.
Furosemide (Lasix).
D.
Dobutamine (Dobutrex).
25.
25.
Which healthcare practice is most important for the nurse to teach a
postmenopausal client?
A.
B.
C.
D.