Nurse Moose
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    Exam Review

    1. The nurse should teach the client who is taking digoxin 0.125 mg PO daily to call the healthcare provider if which side effect is experienced?
      A)Tinnitus
      B)Constipation
      C)Visual disturbances
      D)Vertigo
    2. The nurse, who is caring for a client diagnosed with coronary artery disease, prioritizes the problem of impaired Tissue Perfusion into the plan of care. Which expected outcome would be most appropriate? The client will:
      A)express no complaints of chest discomfort or shortness of breath.
      B)discuss which lifestyle modifications will be necessary to maintain health.
      C)have clear breath sounds bilaterally upon auscultation.
      D)have a urinary output of greater than 30 ml per hour for 24 hours.
    3. Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?
      A)I usually wait about two hours after I feel chest discomfort to seek medical attention."
      B)"I know that I should carry my medication with me in case develop chest pain."
      C)"My wife and I will learn to cook using the "good" cooking das
      D)"I feel a little anxious when I get chest discomfort."
    4. The nurse obtains a prescription for furosemide 40 mg IV for a client who has pulmonary congestion as the result of fluid volume overload. The nurse assesses the vital signs to be T-98.6, P-110, RR-24 and BP-90/60. What is the most appropriate action at this time?
      A)Withhold the dose and reassess the blood pressure in 30 minutes
      B)Administer the medication and notify the healthcare provider of the blood pressure
      C)Administer the dose and continue to monitor the vital signs
      D)Call the healthcare provider to obtain an order for oral furosemide
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    Exam Review

    1. The nurse, who is assessing a client with peripheral vascular disease, notes that the client has no hair on the legs and has thick toenails. Which statement best describes the cause of this finding?
      A)Depending on the client's age, the findings may be normal
      B)A blood clot may be forming and the client needs immediate intervention
      C)Decreased oxygen to the tissues causes changes in hair growth and nail texture
      D)Decreased hair is most likely a hereditary condition and naill changes are related to fungus
    2. The nurse is caring for a client diagnosed with iron deficiency anemia as the result of a gastrointestinal (GI) bleed. What discharge instruction should the nurse provide if this client is also prescribed aspirin 81 mg daily?
      A)"You can take 81 mg of enteric coated aspirin with orange juice at lunch time
      B)"Take the aspirin with a glass of milk or food in the morning"
      C)"Take a baby aspirin with a full glass of cold water at bedtime."
      D)"It's ok to take the aspirin with some ginseng tea in the evening."
    3. The nurse evaluates a client's response to the prescribed atorvastatin. Which finding indicates an expected outcome?
      A)Total cholesterol 198 mg/dL
      B)Low density lipoprotein (LDL) 90 mg/dL
      C)Serum albumin 6 g/L
      D)Alanine aminotransferase (ALT) 25 units/L
    4. The nurse is assisting a client diagnosed with hypertension with menu selection. Which items should the nurse suggest?
      A)Baked chicken, baked beans, french fries, and cake
      B)Grilled steak, fresh green beans, mashed potatoes, and ice cream
      C)Tomato soup, fried flounder, white rice and an apple
      D)Baked salmon, fresh broccoli, brown rice and fresh fruit
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    Exam Review

    1. The client problem of Activity Intolerance related to hypoxemia from sickling RBCs has been made for a client with sickle cell anemia. Which intervention should the nurse include in the plan of care? (SELECT ALL THAT APPLY)(SATA)
      A)Allow for rest periods between activities throughout the day
      B)Provide supplemental oxygen when the pulse oximetry falls below 96%
      C)Perform serial neurologic assessments to maintain safety and prevent injury
      D)Assess ability to perform activities of daily living (ADLS)
      E)Monitor blood pressure, pulse and respirations after activity
    2. A 10-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. After 5 weeks of methylphenidate, the nurse should monitor for which desired outcome? (SELECT ALL THAT APPLY)(SATA)
      A)working on an arithmetic quiz for 20 minutes without getting out of their seat
      B)family members report no episodes of pica
      C)does not tell untrue information
      D)completing a jigsaw puzzle with a friend
      E)decreased manipulative behaviors
    3. The nurse auscultates a heart murmur on a client with cardiovascular disease. At which anatomic landmark will an aortic murmur be heard the loudest?
      A)Second Intercostal space right of sternum
      B)Fourth intercostal space, left mid-clavicular line
      C)Third intercostal space, left of sternum
      D)Second intercostal space left of sternum
    4. The nurse calculates that 8 ml of cefazolin is to be drawn from a vial after reconstitution. The instructions state that the medication is to be further diluted in 50 mls of NSS for IV administration and to run over 30 minutes. At what rate will the nurse set to infusion pump to deliver the medication?
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    Exam Review

    1. The nurse reviews the newly written prescriptions for a client admitted with the diagnoses of coronary artery disease and hypertension. Which prescription should the nurse implement first?
      A)Furosemide 40 mg PO daily for a client whose blood pressure is 123986.
      B)Nitroglycerin 0.4 mg SL PRN for a client complaining of chest
      C)Metoprolol 25 mg PO bid for a client whose heart rate is 55 beats
      D)Diltiazem 30 mg PO tid for a client whose heart rate is 90 beats/min
    2. The nurse has obtained assessment data for a client who is scheduled for a cardiac angiogram (catheterization). Which information must the nurse report to the health care provider prior to the procedure?
      A)Pedal pulses are +1 bilaterally
      B)Client has multiple food allergies
      C)Admission blood pressure is 110/70
      D)Client is slightly anxious
    3. The nurse is working collaboratively with the physical therapist to develop an exercise program for a client recently diagnosed with hypertension. Which intervention would be best to assist the client in maintaining the exercise program?
      A)Reassuring the client that they will be able to do the exercise program
      B)Explaining the exercise program to the client's spouse
      C)Providing the client with specific details of how to perform the exercises
      D)Adapting the program to the client's needs and abilities
    4. The nurse is reviewing the laboratory test results of a client with long standing hypertension. Which result would be of most concern to the nurse?
      A)Blood urea nitrogen (BUN) 20 mg/d
      B)Creatinine 2.6 mg/dl
      C)Hemoglobin 12.8 g/dl
      D)Potassium 3.8 mEq/L
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    Exam Review

    1. A client who is mentally impaired is incontinent of stool. What is the nurse's best intervention to help prevent skin breakdown?
      A)Place a pad under the buttocks
      B)Check the rectal area for soiling frequently
      C)Wash the buttocks with strong soap and water
      D)Place the call bell in each reach
    2. The client diagnosed with Vitamin B12 deficiency presents to the outpatient department for the follow up evaluation. Which nursing assessment finding indicates that the treatment has been effective? The client:
      A)has gained 2 pounds and has pink buccal mucosa.
      B)verbalizes eating more iron fortified cereals.
      C)no longer has paresthesia of the hands and feet.
      D)has stopped drinking any alcoholic beverages
    3. A client is ordered to receive a bolus of 200 mL of NSS in 25 minutes. At what rate should the nurse set the IV pump?
    4. A client is experiencing sickle cell crisis precipitated by a right lower lobe pneumonia. The vital signs are: HR-110/min: RR-28; B/P-96/54: T-100.8 PO: Pulse Oximetry-96%. What is the best nursing action?
      A)Maintain IV fluid infusion and assess adequacy of hydration
      B)Provide continuous sedation for pain relief
      C)Insert an indwelling (Foley) catheter and monitor hourly urinary output
      D)Prepare for endotracheal intubation and ventilatory support
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