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The scope of this Nursing Test IV is parallel to the NP4 NLE Coverage:
1. Following spinal injury, the nurse should encourage the client to drink Xuids
to avoid:
2. The client is transferred from the operating room to recovery room after an
open-heart surgery. The nurse assigned is taking the vital signs of the client.
The nurse notiKed the physician when the temperature of the client rises to
38.8 ºC or 102 ºF because elevated temperatures:
3. After radiation therapy for cancer of the prostate, the client experienced
irritation in the bladder. Which of the following sign of bladder irritability is
correct?
A. Hematuria
B. Dysuria
C. Polyuria
D. Dribbling
4. A client is diagnosed with a brain tumor in the occipital lobe. Which of the
following will the client most likely experience?
A. Visual hallucinations.
B. Receptive aphasia.
C. Hemiparesis.
D. Personality changes.
5. A client with Addison’s disease has a blood pressure of 65/60. The nurse
understands that decreased blood pressure of the client with Addison’s
disease involves a disturbance in the production of:
A. Androgens
B. Glucocorticoids
C. Mineralocorticoids
D. Estrogen
A. Inspired air will move from the lung into the pleural space.
B. There is greater negative pressure within the chest cavity.
C. The heart and great vessels shift to the affected side.
D. The other lung will collapse if not treated immediately.
8. The client in the orthopedic unit asks the nurse the reason behind why
compact bone is stronger than cancellous bone. Which of the following is the
correct response of the nurse?
9. The nurse is reviewing the laboratory results of the client. In reviewing the
results of the RBC count, the nurse understands that the higher the red blood
cell count, the :
10. The physician advised the client with Hemiparesis to use a cane. The
client asks the nurse why cane will be needed. The nurse explains to the
client that cane is advised speciKcally to:
13. A 55-year-old client is admitted with chest pain that radiates to the neck,
jaw and shoulders that occurs at rest, with high body temperature, weak with
generalized sweating and with decreased blood pressure. A myocardial
infarction is diagnosed. The nurse knows that the most accurate explanation
for one of these presenting adaptations is:
15. The physician scheduled the client with rheumatoid arthritis for the
injection of hydrocortisone into the knee joint. The client asks the nurse why
there is a need for this injection. The nurse explains that the most important
reason for doing this is to:
16. The nurse is assigned to care for a 57-year-old female client who had a
cataract surgery an hour ago. The nurse should:
A. Advise the client to refrain from vigorous brushing of teeth and hair.
B. Instruct the client to avoid driving for 2 weeks.
C. Encourage eye exercises to strengthen the ocular musculature.
D. Teach the client coughing and deep-breathing techniques.
A. “You sound concerned; You’ll probably remember more as you wake up.”
B. “Tell me what you think happened.”
C. “You were in a car accident this morning.”
D. “An amputation of your right leg was necessary because of an accident.”
22. The client who had transverse colostomy asks the nurse about the
possible effect of the surgery on future sexual relationship. What would be
the best nursing response?
23. A 75-year-old male client tells the nurse that his wife has osteoporosis
and asks what chances he had of getting also osteoporosis like his wife.
Which of the following is the correct response of the nurse?
24. An older adult client with acute pain is admitted in the hospital. The nurse
understands that in managing acute pain of the client during the Krst 24
hours, the nurse should ensure that:
26. The nurse is reviewing the client’s chart about the ordered medication.
The nurse must observe for signs of hyperkalemia when administering:
A. Furosemide (Lasix)
B. Hydrochlorothiazide (HydroDIURIL)
C. Metolazone (Zaroxolyn)
D. Spironolactone (Aldactone)
27. The physician prescribed Albuterol (Proventil) to the client with severe
asthma. After the administration of the medication the nurse should monitor
the client for:
A. Palpitation
B. Visual disturbance
C. Decreased pulse rate
D. Lethargy
28. A client is receiving diltiazem (Cardizem). What should the nurse include
in a teaching plan aimed at reducing the side effects of this medication?
29. A client is receiving simvastatin (Zocor). The nurse is aware that this
medication is effective when there is decrease in:
A. The triglycerides
B. The INR
C. Chest pain
D. Blood pressure
30. A client is taking nitroglycerine tablets, the nurse should teach the client
the importance of:
A. Increasing the number of tablets if dizziness or hypertension occurs.
B. Limiting the number of tablets to 4 per day.
C. Making certain the medication is stored in a dark container.
D. Discontinuing the medication if a headache develops.
32. The client with an acute myocardial infarction is hospitalized for almost
one week. The client experiences nausea and loss of appetite. The nurse
caring for the client recognizes that these symptoms may indicate the:
33. A client with a partial occlusion of the left common carotid artery is
scheduled for discharge. The client is still receiving Coumadin. The nurse
provided a discharge instruction to the client regarding adverse effects of
Coumadin. The nurse should tell the client to consult with the physician if:
34. Levodopa is ordered for a client with Parkinson’s disease. Before starting
the medication, the nurse should know that:
A. Muscle strength
B. Symptoms
C. Blood pressure
D. Consciousness
A. Seizure activity
B. Liver function
C. Cardiac output
D. Pain relief
38. A client with Addison’s disease is scheduled for discharge. Before the
discharge, the physician prescribes hydrocortisone and Xudrocortisone. The
nurse expects the hydrocortisone to:
A. Arterial blood pH
B. Pulse rate
C. Serum glucose
D. Intake and output
41. A client with cancer of the lung is receiving chemotherapy. The physician
orders antibiotic therapy for the client. The nurse understands that
chemotherapy destroys rapidly growing leukocytes in the:
A. Bone marrow
B. Liver
C. Lymph nodes
D. Blood
43. The nurse is assigned to care for a client with diarrhea. Excessive Xuid
loss is expected. The nurse is aware that Xuid deKcit can most accurately be
assessed by:
A. Potassium
B. Sodium
C. Chloride
D. Calcium
45. Which of the following client has a high risk for developing hyperkalemia?
A. Crohn’s disease
B. End-Stage renal disease
C. Cushing’s syndrome
D. Chronic heart failure
46. The nurse is reviewing the laboratory result of the client. The client’s
serum potassium level is 5.8 mEq/L. Which of the following is the initial
nursing action?
48. A female client is brought to the emergency unit. The client is complaining
of abdominal cramps. On assessment, client is experiencing anorexia and
weight is reduced. The physician’s diagnosis is colitis. Which of the following
symptoms of Xuid and electrolyte imbalance should the nurse report
immediately?
50. The nurse is reviewing the laboratory result of the client. An arterial blood
gas report indicates the client’s pH is 7.20, PCO2 35 mmHg and HCO3 is 19
mEq/L. The results are consistent with:
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
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