Chapter 1 Practice Exam Flashcards
The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. The nurse should be particularly alert for:
A. Nasal congestion
B. Abdominal tenderness
C. Muscle tetany
D. Oliguria
A. Nasal Congestion
A client with cancer is admitted to the oncology unit. Stat lab values reveals Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
B. Hypokalemia
Normal Potassium level 3.5-5.5
A 24 year old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
A. Taking the vital signs
B. Obtaining the permit
C. Explaining the procedure
D. Checking the lab work
A. Taking the vital signs
The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority?
A. Starting an IV
B. Applying oxygen
C.
D.
B. Applying oxygen
The nurse is caring for a client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
D. Allow at least 1 hour in between taking the medicine and taking other medications
C. Take the medication with water only
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
B. A torque wrench
An infant weights 7 pounds at birth. The expected weight by 1 year should be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
In 1 year its triple the birth weight
A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
D. Bone pain
Sarcoma is a type of bone cancer
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this medication?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
C. WBC 2,000 per cubic millimeter
The normal range for WBC= 5,000-10,000/cu millimeter
Client with diverticulosis should avoid?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
C. Cucumber salad
Client with rectal cancer is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period?
D. Facilitating perineal wound drainage
Nurse has a client who has an order for a low-roughage diet. Which food would have to be eliminated from this client’s diet?
C. Cooked Broccoli
Nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would NOT be common for this diagnosis?
C. Diarrhea
Removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-op measure would usually be included in the plan?
A. Closed chest drainage
Client with cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhytmia during this procedure?
A. Bradycardia
Nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the pre-op period?
C. Identification of peripheral pulses
Which data would support the diagnosis of pernicious anemia?
A red, beefy tongue
Client arrives in the room with a fractured femur. The nurse should anticipate an order for?
Buck’s traction
Client with cancer is to undergo an IV pyelogram. The nurse should:
Ask the client to void immediately before the study
Nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:
That is in situ
Client is 2 days post-op colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate?
Cover the wound with a sterile saline soaked dressing
Client who is scheduled for surgery says she’s unclear about the surgery and possible complications. Which is the most appropriate action?
Call the surgeon and ask him or her to see the client to clarify the information
When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?
A history of radiation treatment in the neck region
Client with pancreatitis has been transferred to the care unit. Which order would the nurse anticipate?
Insertion of a Levine tube
Montgomery straps are utilized on a client because:
The client will require frequent dressing changes
Physician has ordered that the client’s medication be administered by which method?
Into the cerebrospinal fluid
Which client can be assigned to the newly licensed practical nurse?
The client with diverticulitis
Which is the following roommates would be best for the client with newly admitted with gastric resection?
A client with phlebitis
Which of the following should be cared by the registered nurse?
A. Client 2 days post-appendectomy
D. Client 2 days post-thoracotomy
Client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:
To lower the ammonia level
What lab should be evaluated while the client is receiving TPN?
Blood glucose
Least effective test in making the diagnosis of a myocardial infarction?
AST
The first exercise that should be performed by the client who had a mastectomy is:
Squeezing a ball
Client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?
Atropine Sulfate
Managing discomfort for a client associated with an episiotomy after discharge:
Warm sitz baths twice per day
