Chapter 1 Practice Exam

Question 1

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

Answer 1

A. Nasal Congestion

Question 2

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

Answer 2

B. Hypokalemia

Normal Potassium level 3.5-5.5

Question 3

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

Answer 3

A. Taking the vital signs

Question 4

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.

Answer 4

B. Applying oxygen

Question 5

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

Answer 5

C. Take the medication with water only

Question 6

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

Answer 6

B. A torque wrench

Question 7

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

Answer 7

D. 21 pounds

In 1 year its triple the birth weight

Question 8

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

Answer 8

D. Bone pain

Sarcoma is a type of bone cancer

Question 9

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

Answer 9

C. WBC 2,000 per cubic millimeter

The normal range for WBC= 5,000-10,000/cu millimeter

Question 10

Client with diverticulosis should avoid?

A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls

Answer 10

C. Cucumber salad

Question 11

Client with rectal cancer is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period?

Answer 11

D. Facilitating perineal wound drainage

Question 12

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?

Answer 12

C. Cooked Broccoli

Question 13

Nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would NOT be common for this diagnosis?

Answer 13

C. Diarrhea

Question 14

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?

Answer 14

A. Closed chest drainage

Question 15

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?

Answer 15

A. Bradycardia

Question 16

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?

Answer 16

C. Identification of peripheral pulses

Question 17

Which data would support the diagnosis of pernicious anemia?

Answer 17

A red, beefy tongue

Question 18

Client arrives in the room with a fractured femur. The nurse should anticipate an order for?

Answer 18

Buck’s traction

Question 19

Client with cancer is to undergo an IV pyelogram. The nurse should:

Answer 19

Ask the client to void immediately before the study

Question 20

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:

Answer 20

That is in situ

Question 21

Client is 2 days post-op colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate?

Answer 21

Cover the wound with a sterile saline soaked dressing

Question 22

Client who is scheduled for surgery says she’s unclear about the surgery and possible complications. Which is the most appropriate action?

Answer 22

Call the surgeon and ask him or her to see the client to clarify the information

Question 23

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Answer 23

A history of radiation treatment in the neck region

Question 24

Client with pancreatitis has been transferred to the care unit. Which order would the nurse anticipate?

Answer 24

Insertion of a Levine tube

Question 25

Montgomery straps are utilized on a client because:

Answer 25

The client will require frequent dressing changes

Question 26

Physician has ordered that the client’s medication be administered by which method?

Answer 26

Into the cerebrospinal fluid

Question 27

Which client can be assigned to the newly licensed practical nurse?

Answer 27

The client with diverticulitis

Question 28

Which is the following roommates would be best for the client with newly admitted with gastric resection?

Answer 28

A client with phlebitis

Question 29

Which of the following should be cared by the registered nurse?

A. Client 2 days post-appendectomy

Answer 29

D. Client 2 days post-thoracotomy

Question 30

Client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

Answer 30

To lower the ammonia level

Question 31

What lab should be evaluated while the client is receiving TPN?

Answer 31

Blood glucose

Question 32

Least effective test in making the diagnosis of a myocardial infarction?

Answer 32

AST

Question 33

The first exercise that should be performed by the client who had a mastectomy is:

Answer 33

Squeezing a ball

Question 34

Client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Answer 34

Atropine Sulfate

Question 35

Managing discomfort for a client associated with an episiotomy after discharge:

Answer 35

Warm sitz baths twice per day