MID 41-68

Question 1

Edra who experienced an inhalation injury 6 hours ago has been wheezing.
When he is assessed, wheezes are no longer heard. What is the nurse’s best action?

B. Document the findings as the only action
D. Raise the head of the bed
A. Notify the emergency team
C. Loosen the dressings on the chest

Answer 1

A. Notify the emergency team

Question 2

Which of the following laboratory findings fits with a diagnosis of cardiogenic shock?

D. Decreased red blood cells,
hemoglobin, and hematocrit
C. Increased blood urea nitrogen and creatinine levels
B. Increased white blood cells
A. Decreased liver enzymes

Answer 2

C. Increased blood urea nitrogen and creatinine levels

Question 3

Which is the nurse’s PRIORITY action when managing a client experiencing a type I hypersensitivity?

C. Stopping the blood transfusion
A. Management of arthralgia
B. Airway management
D. Decreasing a fever

Answer 3

B. Airway management

Question 4

A burn patient with a dressing covering the neck is experiencing some respiratory difficulty. What is the burn unit nurse’s best
first action?

A. Notify the emergency team
B. Document the observation as the only action
C. Administer oxygen
D. Loosen the dressing

Answer 4

D. Loosen the dressing

Question 5

The client has experienced an electrical injury, with the entrance site on the left hand and the exit site on the left foot. What are the priority assessment data to
obtain from this client on admission?

D. Current range of motion in all extremities
A. Airway patency
B. Heart rate and rhythm
C. Orientation to time, place and person

Answer 5

B. Heart rate and rhythm

Question 6

All of the following laboratory test results on a burned client’s blood are present during the emergent phase. Which result should the nurse report to the physician immediately?

B. Serum potassium 7.5 mmol/L
A. Serum Sodium 131 mmol/L
D. Hematocrit is 52 %
C. Arterial pH of 7.32

Answer 6

B. Serum potassium 7.5 mmol/L

Question 7

A night shift ICU nurse is required to closely monitor four clients diagnosed with
shock. During the shift assessment, the nurse documents the following values for the clients. Which client is most stable?

C. Client C: Heart rate 115 beats per minute, systolic BP 129 mm Hg, urine output 60 ml/hour
B. Client B: Capillary refill time between 7 and 10 seconds, urine output 35 ml/hour
A. Client A: Heart rate 70 beats per minute, systolic blood pressure (BP) 100
mm Hg, urine output 30 ml/hour
D. Client D: Capillary refill time between 5 and 6 seconds, urine output 30 ml/hour

Answer 7

C. Client C: Heart rate 115 beats per minute, systolic BP 129 mm Hg, urine output 60 ml/hour

Question 8

On your nursing care plan for Ricci, a patient with a urinary tract infection, which of the following would be appropriate nursing interventions? SATA

B. Restrict fluid intake to 1-2 liters per day.
C. Monitor intake and output daily.
A. Encourage voiding every 2-3 hours while awake.
D. The patient verbalizes the importance of using vaginal sprays to decrease reoccurrence of urinary tract infections prior to discharge home.

Answer 8

C. Monitor intake and output daily.
A. Encourage voiding every 2-3 hours while awake.

Question 9

In a hospital morning conference, patients listed below were presented. Among them, which patient is at a higher risk for an electrolyte imbalance?

D. A healthy 87 year old with intermittent episodes of gout
B. A 55 year old diabetic with nausea and vomiting
A. An 8 month old with a fever of 102.3 ‘F and diarrhea
C. A 5 year old with RSV

Answer 9

B. A 55 year old diabetic with nausea and vomiting

Question 10

A patient was rushed to the Fermin Memorial Hospital emergency department
following a motorcycle accident in which the motorcycle fell on the rider’s leg. A femur fracture is confirmed by imaging. The ER nurse notes swelling in the affected leg. The patient complains of unbearable pain and a feeling of tightness in the affected leg. Which of the following conditions does the ER nurse expect?

D. Fat embolism
C. Hypertensive crisis
A. Compartment syndrome
B. Fluid volume overload

Answer 10

A. Compartment syndrome

Question 11

As a nurse at Medical ward, which positioning strategy should be utilized for a patient diagnosed with hypovolemic shock?

A. Prone
D. Semi-Fowler’s
C. Supine
B. Modified Trendelenburg

Answer 11

B. Modified Trendelenburg

Question 12

Sweeny, who is having spasms and burning while urinating due to a UTI, is
prescribed “Pyridium”(Phenazopyridine ). Which option below is a normal side effect of this drug?

A. Hematuria
C. Urethra mucous
B. Crystalluria
D. Orange colored urine

Answer 12

D. Orange colored urine

Question 13

Which of the following nursing interventions should be included in the
patient’s care plan during dialysis therapy at Long Beach Community Hospital?

C. Pad the side rails of the bed.
D. Keep the client NPO.
A. Limit the client’s visitors.
B. Monitor the client’s blood pressure.

Answer 13

B. Monitor the client’s blood pressure.

Question 14

The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
A. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
B. Respiratory acidosis

Answer 14

C. Metabolic alkalosis

Question 15

Nurse Sarah is reviewing the care plan for Mr. Anderson, a patient with chronic renal failure who is complaining about persistent itching or pruritus. What instruction should Nurse Sarah include in Mr. Anderson’s teaching plan to manage this symptom?

B. Vigorously rub the affected skin area with a towel.
C. Utilize alcohol-based emollients for skin moisture.
D. Take baths frequently to keep the skin clean.
A. Maintain short, clean fingernails.

Answer 15

A. Maintain short, clean fingernails.

Question 16

Narda Bekeneris unexpectedly fell asleep while sun bathing. By the time she woke up, it had been more than six hours since she had something to eat or drink. She began vomiting and having diarrhea. Her electrolyte balance could be disrupted from which of the following?

C. Low blood sugar
A. Dehydration
D. Demineralization
B. Hyperthermia

Answer 16

A. Dehydration

Question 17

Miss Greta is a patient with neurogenic shock is experiencing a heart rate of 30 bpm. What medication does the nurse Ning anticipate will be ordered by the physician STAT?

C. Atropine
D. Norepinephrine
A. Adenosine
B. Warfarin

Answer 17

C. Atropine

Question 18

Laboratory tests revealed that patient Zeenah’s [Na+] is 170 mEq/L. Which clinical manifestation would nurse Natty expect to assess?

C. Fruity breath and Kussmaul’s respirations
D. Muscle weakness and paresthesia
A. Tented skin turgor and thirst
B. Muscle twitching and tetany

Answer 18

A. Tented skin turgor and thirst

Question 19

A Resident physician in the medical ward prescribed several medications for the
treatment of a patient. Which of the following medications is least likely to alter the usual presentation of patients presenting with hypovolemic shock?

A. Metoprolol.
D. Cephalexin.
C. Furosemide.
B. Diltiazem.

Answer 19

D. Cephalexin.

Question 20

Francine, a 22-year-old lady is displaying grimaces during her treatment in
the hospital due to burn trauma. Which nursing intervention should be included for reducing pain due to cellular injury?

B. Elevating the injured area to decrease venous return to the heart
D. Applying warm packs initially to reduce edema
A. Administering anti inflammatory agents as prescribed
C. Keeping the skin clean and dry

Answer 20

A. Administering anti inflammatory agents as prescribed

Question 21

The client has a clinic appointment scheduled 10 days after discharge. Which laboratory finding at that time would indicate that allopurinol (Zyloprim) has had a therapeutic effect?

D. Decreased serum uric acid level
B. Increased urinary calcium excretion
C. Increased serum calcium level
A. Decreased urinary alkaline
phosphatase level

Answer 21

D. Decreased serum uric acid level

Question 22

Leander, a nurse preceptor in King Khalid Medical City, is discussing diffusion of particles in the kidneys. The student nurse correctly understands diffusion as which of the following?

C. The movement of salts and waste products across a concentration gradient
A. The movement of salts and waste products across a concentration gradient using a protein carrier
D. The movement of salts and waste products across a concentration gradient using ATP
B. The movement of water across a concentration gradient

Answer 22

C. The movement of salts and waste products across a concentration gradient

Question 23

Dave, a 6-year-old boy, was rushed to the hospital following her mother’s complaint that her son has been vomiting, nauseated
and has overall weakness. After a series of tests, the nurse notes the laboratory results: potassium: 2.9 mEq. Which primary acidbase imbalance is this boy at risk for if medical intervention is not carried out?

B. Metabolic Alkalosis
A. Metabolic Acidosis
C. Respiratory Acidosis
D. Respiratory Alkalosis

Answer 23

B. Metabolic Alkalosis

Question 24

How can diuretics disrupt a person’s fluid and electrolyte balance?

D. They send a message to the brain to stimulate a person’s thirst.
A. They send a message to the brain to tell the kidneys to stop excreting urine.
C. They make a person urinate more frequently, so the kidneys excrete higher
than normal amounts of sodium.
B. They increase the amount of electrolytes in the body, and the kidneys are unable to filter them out and excrete them.

Answer 24

B. They increase the amount of electrolytes in the body, and the kidneys are unable to filter them out and excrete them.

Question 25

Rhian is a 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. As a renal nurse what do you do to prevent
complications associated with this device?

D. Report a bruit or thrill over the fistula to the doctor.
A. Insert I.V. lines above the fistula .
B. Avoid taking blood pressures in the arm with the fistula.
C. Palpate pulses above the fistula.

Answer 25

B. Avoid taking blood pressures in the arm with the fistula.

Question 26

Patient Hassan is diagnosed with metabolic acidosis, which would the nurse Bernard expect the health care provider to order?

D. Bronchodilator
A. Potassium
B. Sodium bicarbonate
C. Serum sodium level

Answer 26

B. Sodium bicarbonate

Question 27

What clinical manifestation should alert the nurse to possible carbon monoxide
poisoning in a client who experienced a burn injury during a house fire?

D. presence of carbonaceous particles in sputum
B. expiratory strider and nasal flaring
C. cherry red color to the mucus membrane
A. pulse oximetry reading of 80%

Answer 27

C. cherry red color to the mucus membrane