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    Exam Review

    1. After the nurse receives report, which client should the nurse assess first?
      A)Client who is experiencing hallucinations and extreme anxiety after the use of marijuana.
      B)Client with a history of alcohol use complaining of insomnia and diaphoresis.
      C)Client who has a respiration rate of 14 after overdosing on oxycodone (OxyContin).
      D)Client admitted with cocaine use who has an irregular heart rate of 142 beats/minute and a BP 186/92 mmHg.
    2. The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For Which complication would the nurse monitor?
      A)Dyspepsia
      B)Upper gastrointestinal (GI) bleeding
      C)Gastric cancer
      D)Large bowel obstruction
    3. The nurse assesses a client who has a possible gastritis. Which assessment findings indicates that, the client has chronic gastritis? (Select all that applies).(SATA)
      A)Intolerance of fatty foods
      B)Dyspepsia
      C)Nausea and vomiting
      D)Anorexia
      E)Pernicious anemia
    4. The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?
      A)Esophagogastroduodenoscopy (EGD)
      B)Abdominal arteriogram
      C)Magnetic resonance imaging (MRI)
      D)Nuclear medicine scan
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    Exam Review

    1. The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?
      A)"I should drink wine occasionally instead of every night".
      B)"I should decrease my intake of caffeinated drinks, especially coffee".
      C)"I can continue smoking cigarettes which is better than chewing tobacco".
      D)"I will take acetaminophen instead of aspirin when I have a headache".
    2. A nurse is caring for several clients at risk for shock. Which laboratory value requires the nurse to communicate with the primary health care provider?
      A)Lactate: 5.4 mg/dL
      B)White blood cell count: 11,000/mm3 (11x 10/U)
      C)Sodium: 150 mEq/L (150 mmol/L)
      D)Creatinine: 0.9 mg/dL
    3. The new nurse reads a client has a wound "healing by second intention" and ask what that means. Which description by the charge nurse is most accurate?
      A)"The wound was stapled together after an infection was cleared up".
      B)"The wound is an open cavity that will fill in with granulation tissue."
      C)"The wound edges have been approximated and stitched together."
      D)"The wound was contaminated by debris and can't be closed at all."
    4. What would be the priority intervention for the care of the client who is pulseless and has the following rhythm on the monitor?
      A)CPR
      B)Defibrillator
      C)Cardioversion
      D)Amiodarone 300mg IV bolus. Amiodarone 150mg bolus if needed.
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    Exam Review

    1. A 59-year-old client is brought into the emergency room with complaints of chest pain. The client states that the pain is crushing, constrictive pressure that is not relieved with position change. He states that the pain started 3 hours ago in the middle of his chest and radiates down his left arm. The client has a history of diabetes, asthma, and hypertension. Temperature: 99 Blood Pressure: 138/72 Heart Rate: 106 Respiration: 19 ECG: ST segmented depression Troponin: Negative The client is given medication for his unstable angina. Soon after, the client states that he is having difficulty breathing with audible wheezing heard on auscultation. Which of the following is most likely responsible for the symptoms experience by this client?
      A)Nitroglycerin
      B)Heparin
      C)Morphine
      D)Propranolol
    2. A client was admitted to the intensive care unit after having an abdominal aortic aneurism resection. The client's cardiac monitor shows a heart rate of 110. The clients hemodynamic monitoring shows a central venous pressure (CVP): 1 mmHg and a pulmonary Arterial Wedge Pressure (PAWP): 3 mmHg. Which health care provider order would the nurse anticipate receiving?
      A)Decrease IV Fluids to 75ml/hr and recheck hemodynamic parameters.
      B)Administer furosemide (Lasix) 20mg IVP
      C)Administer 0.9% Normal Saline @ 150ml/hr.
      D)Monitor hemodynamic monitoring parameters again in one hour.
    3. Exhibits What order by the health care provider should the nurse question?
      A)Increase 0.9% Normal Saline infusion to 250 ml/hr per protocol.
      B)Administer Furosemide (Lasix) 20mg IV push.
      C)Collect UA for culture and sensitivity.
      D)Collect blood cultures and start Vancomycin 1gm IV.
    4. A client admitted to a medical-surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4,000 with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values, what will the nurse do? Calculate the absolute neutrophil count.
      A)Place the client in a private room.
      B)Collect blood cultures and start antibiotics.
      C)Place the client on bleeding precautions.
      D)Document findings in the client's chart
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    Exam Review

    1. The nurse prepares to administer blood transfusion to a client. Which means of identification does the nurse use to ensure that the blood is administered to the correct client?
      A)Ask the clients spouse if he is supposed to have a transfusion.
      B)Compare the name and ID number on the blood product tag with the name and ID number on the clients ID band.
      C)Compare the unit and room number of the client with the unit and room number listed on the blood product tag.
      D)Ask the client whether his or her name is the one on the blood product tag.
    2. The nurse is preparing to transfuse a client with a unit of packed red blood cells (PRBC's). Which intravenous solution is correct for use with the PRBC transfusion?
      A)0.9% Sodium Chloride (NS)
      B)0.45% Sodium Chloride
      C)5% dextrose in water (D3W)
      D)Lactated Ringers Solution
    3. The nurse has just received change-of-shift report about the following clients. Which client should be assessed first?
      A)A 36-year-old client with pelvic inflammation disease due for antibiotic.
      B)A 22-year-old gymnast with secondary amenorrhea who says that her menstrual cycle was 2 months ago.
      C)A client with a possible ectopic pregnancy who is complaining of severe shoulder pain.
      D)A client who is complaining of 4/10 pain after an abdominal hysterectomy.
    4. Which information about continues bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostrate (TURP)?
      A)Bladder irrigation decreases the risk of postoperative bleeding.
      B)Hydration and urine output are maintained by bladder irrigation.
      C)Antibiotics are infused continuously through the bladder irrigation.
      D)Bladder irrigation prevents obstruction of the catheter after surgery.
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    Exam Review

    1. The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?
      A)A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago.
      B)A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy.
      C)A 39-year-old client with heavy spotting after having a progestin-containing IUD (Mineral Inserted a month ago.
      D)A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness.
    2. A 36-year-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?
      A)The lumps are smaller and less painful after starting oral contraceptives.
      B)Firm and movable lumps are in the upper outer breast quadrants.
      C)An area on the breast is hot, pink, and tender to the touch.
      D)The lumps get more painful before the client's menstrual period.
    3. After receiving change of shift report, which client should the nurse assess first?
      A)Client with serum magnesium level of 1.1 mEq/L who has tremors and hyperactive deep tendon reflexes.
      B)Client with serum sodium level of 145 mEq/L who has a dry mouth and is asking for a glass of water.
      C)Client with serum potassium level of 5.0 mEq/L who is complaining of abdominal cramping.
      D)Client with serum phosphorus level of 4.5 mg/dL.
    4. A client is receiving 3% of saline continues IV infusion for hyponatremia. Which assessment data will require the most rapid response by the nurse?
      A)There are crackles audible throughout bilateral lung fields.
      B)The blood pressure increases from 120/80- to 142/94
      C)There is slight sediment and blood in the client's urine.
      D)The client's radial pulse is 105 beats/minute.
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