Cncology

1 nurse Caren ls carlng for a cllenL wlLh breasL cancer scheduled for chemoLherapy Per physlclan
ordered admlnlsLraLlon of ClsplaLln lv lnfuslon All of Lhe followlng are sLeps Lo be used by nurse caren
when admlnlsLerlng and preparlng chemoLherapeuLlc agenLs excepL
a use of proLecLlve equlpmenL lncludlng goggles mask gown and gloves
b Apply black llghLreslsLanL cloLh over lv boLLle and lv llne
c ulspose maLerlals used ln a black Lrash bag
d lmplemenL reverse lsolaLlon precauLlon
2 aLlenL Llmer has [usL recelved chemoLherapy for prosLaLe cancer 1he nurse's prlorlLy nurslng
dlagnosls for aLlenL Llmer ls
a 8lsk for lnfecLlon
b owerlessness
c AcLlvlLy lnLolerance
d lmbalanced nuLrlLlon less Lhan body requlremenLs
3 A paLlenL wlLh Lhyrold cancer ls undergolng chemoLherapy wlLh 8leomycln lv uurlng her rounds Lhe
paLlenL's relaLlve asked Lhe nurse whlch foods Lo avold 1he nurse ls correcL lf she sLaLes whlch of Lhe
followlng foods Lo avold
a vegeLable salad
b welldone sLeak
c glnlsang munggo
d sLeamed flsh
4 A cllenL undergolng chemoLherapy develops sLomaLlLls Whlch of Lhe followlng ls an approprlaLe
nurslng lnLervenLlon for cllenLs wlLh sLomaLlLls?
a avold llp lubrlcanLs
b encourage hoL foods Lo dlmlnlsh mlcroorganlsms
c use mouLhwash wlLh alcohol conLenL
d do frequenL oral care afLer meals

3 A cllenL wlLh osLeosarcoma ls complalnlng of chronlc [olnL palns Whlch of Lhe followlng nurslng
lnLervenLlons wlll help relleve cllenL's paln?
a admlnlsLer paln medlcaLlons 81C wlLh 8 precauLlon
b provlde acLlve and passlve 8CM
c CompleLely lsolaLe paLlenL Lo promoLe resL
d Chronlc [olnL palns felL by paLlenLs wlLh bone cancer are psychologlc ln naLure Lhus Lhey do noL
requlre any lnLervenLlon
6 aLlenL Cory has sLage lv colon cancer uurlng nurse !oy's rounds Cory sLaLed l've llved a good llfe
and l have no regreLs when l dle" nurse !oy undersLands LhaL paLlenL Cory ls ln whaL sLage accordlng Lo
kubler8oss's flve sLages of dylng?
a uenlal
b anger
c bargalnlng
d accepLance
nurse Lovely ls asslgned ln a general ward aLlenL 8lchmond dlagnosed wlLh leukemla was admlLLed
ln a semlprlvaLe room(2 beds ln a room) and ls scheduled for chemoLherapy AnoLher paLlenL named
8hoderlck was admlLLed ln LhaL same room and was found ouL Lo have pulmonary congesLlon nurse
Lovely exhlblLs sound crlLlcal Lhlnklng and declslonmaklng when she
a Closes Lhe dlvlders ln beLween Lhe Lwo beds Lo provlde prlvacy Lo boLh cllenLs
b Lransfers paLlenL 8lchmond Lo a prlvaLe room nearesL Lhe nurse sLaLlon
c Lransfers paLlenL 8hoderlck ln a prlvaLe room
d CrlenL boLh paLlenLs Lo hosplLal pollcles and house rules aL Lhe same Llme Lo promoLe Llme
managemenL

erloperaLlve
8 aLlenL Marlanne 43 years old ls scheduled for cholecysLecLomy 1he nurse ln charge revlews her
laboraLory resulLs Whlch of Lhe followlng lab flndlngs would posLpone Lhe surglcal procedure?
a serum k40 mLq/L c 88S200
b Pgb130 mg/dl d plaLeleL cL 190

9 aLlenL !enna has losL her husband ln a car accldenL a few years ago She ls scheduled for
cholecysLecLomy Loday As parL of nurse clara's preoperaLlve nurslng lnLervenLlon she asked aLlenL
!enna Lo remove all her [ewelrles lncludlng her weddlng rlng aLlenL !enna refuses Lo remove Lhe rlng
due Lo senLlmenLal value Whlch ls an approprlaLe compromlse nurse clara can offer Lo paLlenL !enna
wlLhouL reduclng safeLy ln Lhe C8?
a LeL paLlenL !enna slgn a walver and allow her Lo go Lo surgery wlLh Lhe rlng
b lasLen Lhe rlng around her flnger wlLh Lape endorse lL Lo Lhe C8 nurse and documenL
c posLpone Lhe surgery and requesL Lhe chaplaln Lo provlde paLlenL wlLh emoLlonal supporL
d noLlfy Lhe nurse supervlsor

10 A paLlenL ls for emergency appendecLomy 1he nurse provldes preoperaLlve preparaLlons Whlch of
Lhe followlng ls noL lncluded?
a lnsLrucL on nC b abdomlnoperlneal skln prep
c lnserL lv llne uslng a largebore caLheLer d admlnlsLer enema for bowel prep

11 ALroplne and ulphenhydramlne are Lwo examples of preanesLheLlc medlcaLlons glven prlor Lo C8
1he purpose of glvlng Lhese medlcaLlons before surgery ls
a Lo LreaL underlylng cardlac problems before surgery
b Lo reduce sallvaLlon and bronchlal secreLlons prlor Lo surgery
c Lo prevenL selzures durlng surgery
d Lo prevenL masslve blood/fluld loss durlng surgery

12 A paLlenL ls undergolng hls flrsL surgery lnLraoperaLlvely Lhe paLlenL suddenly develops lncreaslng
body LemperaLure Lachycardla and muscle rlgldlLy 1he nurse recognlzes Lhese as sympLoms of whaL
rare lnLraop compllcaLlon?
a MallgnanL hyperLhermla
b sepLlc shock
c LhyroLoxlcosls
d PypersensLlvlLy reacLlon
13 uurlng surgery Lhe physlclan orders Lhe clrculaLlng nurse Lo lnserL anoLher lv llne for blood
Lransfuslon purposes 1he nurse uses whlch of Lhe followlng ?
a lv caLheLer gauge 22 b lv caLheLer gauge 20
c lv caLheLer gauge 24 d lv caLheLer gauge 18

14 Lhe drug of cholce for LreaLlng MallgnanL PyperLhermla ls
a uanLrolene na (uanLrlum) b naloxone (narcan)
c AnLlbloLlcs d ALroplne SulfaLe

13 1he nurse's prlorlLy ln carlng for paLlenLs ln Lhe lmmedlaLe posLoperaLlve phase would be
a MonlLorlng fluld lnLake and ouLpuL b 1eachlng deep breaLhlng exerclses
c MalnLalnlng paLenL alrway d ConLrolllng nausea and vomlLlng

16 When dlscusslng breaLhlng exerclses wlLh a posLoperaLlve cllenL nurse Pazel should lnclude whlch
of Lhe followlng Leachlng?
a ShorL frequenL breaLhs b Lxhale wlLh mouLh open
c Lxerclse Lwlce a day d lace hand on Lhe abdomen and feel lL rlse

1 A cllenL afLer havlng pelvlc surgery was broughL Lo Lhe ACu 1he nurse carlng for Lhe paLlenL
assessed lnadequaLe urlne ouLpuL of 10cc for Lhe pasL hour 1he flrsL Lhlng Lhe nurse should do ls
a noLlfy Lhe anesLheslologlsL lmmedlaLely
b check Lhe foley caLheLer for klnks
c fasL drlp 200cc of presenL lvl
d admlnlsLer anLldlureLlcs eg furosemlde

18 A cllenL afLer 1AP8SC Lwo days ago suddenly complalns of paln on her rlghL calf Whlch of Lhe
followlng should be done by Lhe nurse?
a assess for Poman's slgn
b lnsLrucL Lhe cllenL Lo exLend her knee and hlp
c genLly massage Lhe calf
d apply warm compress on Lhe affecLed area
19 aLlenL uennls 43 yo male has a hlsLory of CAu and anglna Pe recenLly underwenL cardlac
caLheLerlzaLlon uurlng Lhe flrsL several hours posL caLheLerlzaLlon lL ls essenLlal for Lhe nurse Lo
a monlLor Lhe cllenL's LemperaLure every hour
b frequenLly monlLor Lhe paLlenL's 8 and aplcal pulse
c Lurn Lo slde every hour
d Leach deep breaLhlng and coughlng exerclses
20 aLlenL uoroLhy ls dlagnosed wlLh rheumaLlc hearL dlsease She underwenL mlLral valve replacemenL
surgery uurlng Lhe posLoperaLlve phase Lhe nurse ln charge noLlces conLlnuous bleedlng ln Lhe
operaLlve slLe 1he nurse prepares Lo admlnlsLer whlch drug?
a 1ranexamlc acld b Warfarln
c vlLamln C d Lu1A

8esplraLory
21 aLlenL krls ls suspecLed Lo have 18 Pls physlclan ordered for a ManLoux LesL 1he nurse would
a use a gauge 26 needle and ln[ecL Lhe u aL a 43
0
angle
b lnsLrucL Lhe paLlenL Lo apply a Loplcal corLlcosLerold Lo reduce paln on Lhe ln[ecLlon slLe
c lnLsrucL Lhe paLlenL LhaL lL wlll Lake 23 days Lo deLermlne Lhe resulL
d 1ell Lhe paLlenL LhaL an lnduraLlon measurlng more Lhan 10mm lndlcaLes LhaL he ls free from
Lhe dlsease
22 A nurse ls carlng for a cllenL wlLh an endoLracheal Lube hooked Lo a mechanlcal venLllaLor She
noLlced LhaL Lhe cllenL has nolsy breaLhlng and prepares for sucLlonlng 1he nurse ls correcL when she
does whlch of Lhe followlng before endoLracheal sucLlonlng?
a apply an ollbased lubrlcanL Lo Lhe Llp of Lhe sucLlon caLheLer
b wear clean gloves mask and goggles for proLecLlon
c swab Lhe openlng of Lhe L1 wlLh alcohollzed coLLon ball
d dellver 100 oxygen for 1 mln
23 nurse Anna ls worklng aL Lhe Lmergency deparLmenL of a local hosplLal A paLlenL was suddenly
rushed ln wlLh no slgns of sponLaneous breaLhlng buL wlLh a palpable pulse nurse Anna's prlmary acLlon
ls Lo
a admlnlsLer oxygen vla face mask aL 10 L/mln
b hook Lo a pulse oxlmeLer
c do manual ambubagglng whlle preparlng for lnLubaLlon
d do chesL compresslons
24 1he nurse ls aware LhaL Lhe earllesL slgn of hypoxla ln a cllenL ls
a cyanosls
b lncreased 88
c hyperLenslon
d resLlessness
23 aLlenL uanLe has a dlagnosls of CCu emphysema ln exacerbaLlon 1he nurse revlews hls A8C resulL
whlch showed pP32 pCC
2
30 PCC
3
26 Lhe nurse vlews Lhls as
a resplraLory acldosls b resplraLory alkalosls
c meLabollc acldosls d meLabollc alkalosls

26 Lhe nurse undersLands LhaL Lhe cause of paLlenL uanLe's A8C resulLs ls
a lnadequaLe oxygenaLlon
b proLeln degradaLlon whlch causes keLones ln Lhe blood sLream Lo rlse
c Lhe alveoll are Loo lnflamed causlng CC2 Lo be Lrapped lnslde Lhe lungs
d excesslve PCC3 excreLlon ln Lhe urlne

2 PealLh Leachlngs for paLlenL uanLe lncludes
a hlgh calorlc hlgh proLeln dleL
b deep breaLhlng exerclses uslng a brown paper bag durlng dyspnea
c pursedllp breaLhlng exerclses
d lmporLance of hlghflow oxygenaLlon

28 1he mosL effecLlve Lechnlque ln weanlng a paLlenL from a mechanlcal venLllaLor ls
a use of a nonlnvaslve venLllaLor eg 8la or CA
b 1plece weanlng
c use of oLher venLllaLor modes such as SlMv
d dlrecL exLubaLlon and oxygenaLlon supporL uslng face mask
29 aLlenL 8owena 34 years old has pulmonary hyperLenslon and ls belng evaluaLed for hearLlung
LransplanL 1he nurse asks her whaL LreaLmenL she ls currenLly recelvlng She ls llkely Lo menLlon whlch
LreaLmenL?
1 oxygen 2 Amlnoglycosldes
3 dlureLlcs 4 vasodllaLors
3 anLlhlsLamlnes 6 Sulfonamldes
a 123 3
b 1 3 3 6
c 1 2 3
d 13 4
30 nurse ulana ls carlng for paLlenL 8ryan who was recenLly lnLubaLed and hooked Lo a mechanlcal
venLllaLor uurlng her rounds Lhe hlghpressure alarm on 8ryan's venLllaLor sounded nurse ulana
checks for Lhe followlng causes of hlgh pressure alarm LxCL1
a blLlng of Lhe L1 b excesslve secreLlons ln Lhe L1
c a leak ln Lhe Lublngs d bronchospasms

31 A cllenL seeks emergency care for hls bronchlal asLhma aLLack 1he nurse prepares Lo admlnlsLer all
of Lhe followlng medlcaLlon LxCL1
a SalbuLamol nebullzaLlon b PydrocorLlsone
c lpraLroplum 8r d Lsmolol

32 AfLer recelvlng Lhe wrong medlcaLlon Lhe cllenL suddenly wenL lnLo cardloresplraLory arresL
Lmergency resusclLaLlon was lnlLlaLed and Lhe cllenL was lnLubaLed 1he nurse ln charge compleLes an
lncldenLal reporL WhaL should Lhe nurse do nexL?
a aLLach Lhe lncldenL reporL Lo Lhe charL
b documenL Lhe lncldenL ln Lhe nurse's noLes
c make a copy of Lhe lncldenL reporL for Lhe cllenL
d uocumenL ln Lhe nurse's noLes LhaL an lncldenL reporL was made

Cardlovascular
33 A cllenL had a recenL AMl aLLack Cn assessmenL Lhe paLlenL has a hearL raLe of 120bpm 880/60
blbasllar crackles plLLlng blpedal edema and a urlne ouLpuL of 10 ml ln Lhe pasL hour 1he nurse
prepares Lhe paLlenL for Lransfer Lo Lhe lCu slnce Lhe paLlenL ls experlenclng
a cardlogenlc shock b rlghLslded hearL fallure
c rupLured aorLlc aneurysm d aLelecLasls

34 nurse Sarah ls carlng for a paLlenL ln Lhe lCu sufferlng from aLrlal flbrlllaLlon 1he sLudenL nurse asks
her why Lhe paLlenL ls recelvlng warfarln (Coumadln) nurse Sarah's besL response would be
a warfarln has an anLlarryhLhmlc effecL
b warfarln prevenLs blood cloL formaLlon ln Lhe aLrla
c warfarln conLrols Lhe hearL's rapld venLrlcular response
d warfarln produces a poslLlve lnoLroplc and negaLlve chronoLroplc effecL ln Lhe hearL

33 aLlenL !oshua ls dlagnosed wlLh lefLslded hearL fallure and ls recelvlng several medlcaLlons for hls
dlsease 1he nurse ln charge wlLh !oshua's care revlewed hls laboraLory resulLs and are as follows
Serum na13 serum k30 Lhe nurse should quesLlon whlch drug before admlnlsLerlng Lhem?
a MeLoprolol b 8anlLldlne
c lSMn d lurosemlde

36 nurse !ohn ls carlng for a paLlenL wlLh Abdomlnal aorLlc aneurysm Whlch s/sx would alerL nurse
!ohn of an lmpendlng AAA rupLure?
a lncreaslng abdomlnal paln
b hyperLenslon and Lachycardla
c lefL slded chesL paln radlaLlng Lo Lhe arm
d lefL flank paln

3 A cllenL recoverlng from a myocardlal lnfarcLlon ls Laklng lsosorblde mononlLraLe Whlch of Lhe
followlng ls a common adverse effecL of Lhls medlcaLlon?
a urlnary frequency b hyperLenslon
c poundlng headache d prurlLus

38 nurse !oyce ls carlng for a paLlenL wlLh LefLslded hearL fallure She ls preparlng Lo admlnlsLer
dlgoxln(lanoxln) 023mg LableL 8efore she admlnlsLers Lhe drug nurse !oyce should check Lhe paLlenL's
a PearL raLe b bowel sounds
c ausculLaLe lung flelds d hearL sounds

39 Whlch of Lhe followlng blood LesLs ls Lhe mosL accuraLe ln deLermlnlng Ml?
a LuP b CreaLlnlne klnase
c Lroponln levels d myoglobln
40 aLlenL 8ussel 43 years old male was rushed Lo Lhe er complalnlng of severe chesL paln and
dyspnea Pe has an exLenslve hlsLory of smoklng vlLal slgns 8160/80 P8120bpm 8833 Pe has
blbasllar crackles on ausculLaLlon cyanoLlc and ls dlaphoreLlc 1he nurse places hlghesL prlorlLy ln dolng
whlch of Lhe followlng seLs of lnLervenLlons
a admlnlsLer oxygen obLaln 12L LCC glve SL nlLroglycerln and chew 4LableLs asplrln
b hook Lo oxygen obLaln 12L ecg lnserL lv llne of nSS lnlLlaLe slde drlp of dopamlne
c prepare for endoLracheal lnLubaLlon hook Lo cardlac monlLor admlnlsLer aLroplne lv
d lnserL nC1 foley caLheLer obLaln sLaL cranlal C1 scan admlnlsLer clLlcollne lv
41 Lhe nurse revlews Lhe cllenL's hlsLory before admlnlsLraLlon of flbrlnolyLlc Lherapy wlLh
sLrepLoklnase Whlch of Lhe followlng would conLralndlcaLe flbrlnolyLlc Lherapy?
a bronchlal asLhma b acLlve pepLlc ulcer dlsease
c ulabeLes melllLus d Menlere's dlsease

42 ?ou are an LMS paramedlc evaluaLlng a 30 year old man aL hls home Pe complalns fo crushlng
subsLernal chesL paln profuse sweaLlng and SC8 Pls vlLal slgns are as follows Lemp3 P8100bpm
810/100 8832 C2saL90 Whlch of Lhe followlng lncludes Lhe besL lmmedlaLe LreaLmenL for Lhls
paLlenL?
a oxygen morphlne asplrln followed by subllngual nlLroglycerln lf morphlne falls Lo relleve paln
b oxygen nlLroglycerlne morphlne buL wlLhhold asplrln unless Lhe S1 segmenLs ls elevaLed ln Lhe ecg
c oxygen nlLroglycerln followed by morphlne lf Lhe nlLroglycerln falls Lo relleve paln asplrln
d oxygen nlLroglycerln no morphlne because of hlgh 8
43 whlch of Lhe followlng ls a slgn of dlglLalls LoxlclLy?
aelevaLed 8 b skln rashes
c lncreased appeLlLe d seelng yellow spoLs

44 Whlch of Lhe followlng represenLs a slgnlflcanL rlsk lmmedlaLely afLer surgery for repalr of aorLlc
aneurysm?
a oLenLlal wound lnfecLlon
b oLenLlal lneffecLlve coplng
c oLenLlal elecLrolyLe balance
d oLenLlal alLeraLlon ln renal perfuslon

43 ln assesslng Lhe hlsLory of a cllenL wlLh 8heumaLlc hearL dlsease Lhe nurse expecLs Lo flnd
a a hlsLory of posLsLrepLococcal lnfecLlon
b exLenslve smoklng hlsLory
c paLlenL was recenLly dlagnosed wlLh a Luberculosls lnfecLlon
d prevlous hlsLory of MM8 vacclnaLlon

nervous sysLem
46 A cllenL was admlLLed Lo Lhe L8 followlng a moLorcycle accldenL 1he nurse obLalned a clear nasal
dlscharge Whlch of Lhe followlng dlfferenLlaLes mucus from CSl?
a proLeln bglucose
c lolaLe d sp CravlLy

4 8radley was recenLly dlagnosed wlLh mulLlple sclerosls Whlch of Lhe followlng assessmenLs does Lhe
nurse expecL Lo flnd?
a acLlve deep Lendon reflex b Lremors aL resL
c dlplopla d severe headache

48 A nurse ls plannlng Lo assess Lhe corneal reflex on unconsclous cllenL Whlch of Lhe followlng ls Lhe
safesL sLlmulus Lo Louch Lhe cllenL's cornea?
a CoLLon buds b SLerlle glove
c SLerlle Longue depressor d Wlsp of coLLon

49 ?ou are carlng for a cllenL wlLh a recenL cerebro vascular accldenL Pow would you poslLlon Lhls
cllenL Lo reduce lnLracranlal pressure?
a suplne lefL laLeral poslLlon
b semlfowler's poslLlon 3043 degrees head elevaLlon
c Lrendelenburg poslLlon
d lefL laLeral poslLlon wlLh head on neuLral poslLlon

30 1he nurse ls carlng for a CvA cllenL wlLh a cerebellar lnfarcL 1he nurse expecLs Lhe cllenL Lo have
problems wlLh her
a LhoughL process b galL and balance
c LhermoregulaLlon d moLor response

31 Lhe nurse ls preparlng a cllenL wlLh suspecLed bacLerlal menlnglLls for lumbar puncLure Pow would
Lhe nurse poslLlon Lhe cllenL durlng Lhe procedure?
a prone poslLlon
b laLeral poslLlon wlLh knees benL and chln Louclng Lhe chesL
c dorsal recumbenL poslLlon wlLh legs ralsed up ln sLlrrups
d flaL on bed for 46 hours

32 Lhe nurse ls carlng for a cllenL wlLh a compleLe 13 splnal cord ln[ury upon assessmenL Lhe nurse
noLes flushed skln dlaphoresls 8160/90 1he cllenL complalns of severe poundlng headache 1he
nurse lnLervenes by
a lmmedlaLe lnserLlon of foley bag caLheLer b place paLlenL ln 1rendelenburg poslLlon
c use fan Lo reduce dlaphoresls d lnserL nC1 and perform gasLrlc lavage

33 whlch of Lhe followlng ls lndlcaLlve of lncreaslng lC?
a wldenlng pulse pressure bradycardla b narrowlng pulse pressure bradycardla
c poundlng headache and vlsual dlsLurbances d chesL paln radlaLlng Lo lefL arm

34 A nurse ls carlng for a cllenL wlLh a splnal cord ln[ury above C4 Whlch of Lhe followlng nurslng
dlagnoses ls Lhe nurse's prlorlLy ln carlng for Lhls cllenL?
a lmpalred moblllLy b selfcare deflclL
c lneffecLlve breaLhlng paLLern d fluld volume excess

33 A paLlenL ls scheduled for cranlal C1 scan wlLh lv conLrasL Whlch of Lhe followlng perLlnenL daLa
would conLralndlcaLe Lhls procedure?
a l8S208 b Pgb108
c serum na131 d CreaLlnlne20

36 a paLlenL wlLh a hlsLory of epllepsy suddenly drops Lo Lhe floor and exhlblLs generallzed Lonlcclonlc
selzures 1he nurse's prlorlLy ls Lo
a lnserL Longue blade Lo malnLaln paLenL alrway b proLecL Lhe head from ln[ury
c resLrlcL Lhe cllenL's movemenLs d Llme Lhe lengLh of Lhe selzure

3 A nurse ls Leachlng a cllenL wlLh selzure dlsorders regardlng phenyLoln (ullanLln) whlch he wlll be
Laklng aL home 1he nurse would lnclude Lhe followlng LxCL1
a sLore Lhe medlcaLlons ln a clear dry plasLlc conLalner
b use a sofLbrlsLled LooLhbrush
c Lake Lhe medlcaLlon aL Lhe same Llme everyday
d Lake Lhe medlcaLlon wlLh food or mllk Lo prevenL gasLrlc lrrlLaLlon

38 1he nurse ls carlng for a paLlenL wlLh subdural hemaLoma followlng a car accldenL 1he paLlenL ls
unconsclous CCS6/13 and ls lnLubaLed vlLal slgns reveal 8 160/80 863 resp28 1emp33 Lhe
nurse anLlclpaLes Lo admlnlsLer whlch of Lhe followlng medlcaLlons Lo reduce lncreased lnLracranlal
pressure?
a nlcardlplne lv b Subllngual nlLroglycerln
c Morphlne SulfaLe d MannlLol 20 lv bolus

39 Whlch of Lhe followlng condlLlons can mlmlc Lhe slgns nd sympLoms of an acuLe sLroke?
a cardlac arresL b pneumoLhorax
c hypoglycemla d wolfparklnsonwhlLe syndrome

60 1he nurse ln Lhe medlcalsurglcal unlL ls preparlng a cllenL of a Cranlal C1 scan wlLh ConLrasL dye
8efore Lhe procedure lL ls lmporLanL for Lhe nurse Lo asl
a Pow much do you welgh? b have you had a llghL breakfasL?
c Are you allerglc Lo seafood? d uld you Lake coffee Lhls mornlng?

61 A nurse ls carlng for a cllenL wlLh a splnal cord ln[ury and ls currenLly recelvlng hlgh doses of Solu
Medrol (meLhylprednlsolone) Lo reduce neurologlc Llssue damage Whlch of Lhe followlng medlcaLlons
would Lhe physlclan prescrlbe Lo reduce Lhe occurrence of Lhe harmful effecLs of Lhls drug?
a PydrocorLlsone b ulphenhydramlne
c lbuprofen d Cmeprazole

62 Whlle assesslng a cllenL ln Lhe L8 nurse Clara noLed LhaL Lhe paLlenL has kernlg's and 8rudzlnskl's
slgn 1hese assessmenL flndlngs lndlcaLe LhaL Lhe paLlenL has
a galL and balance problems b menlngeal lrrlLaLlon
cappendlceal lnflammaLlon d hypocalcemla

63 A cllenL undergoes cranloLomy wlLh a supraLenLorlal braln Lumor Cn Lhe flrsL posLop day Lhe nurse
would poslLlon Lhe cllenL
a flaL on bed b laLeral on Lhe operaLlve slLe
c elevaLe head of bed 30
0
d elevaLe head of bed 10
0


64 1he mosL common Lype of braln Lumor ls
a glloma b cranlopharyngloma
c menlngloma d AvM

63 SympLoms of arklnson's dlsease can be aLLrlbuLed Lo Lhe decrease ln Lhe serum levels of whlch
neuroLransmlLLer?
a CA8A b dopamlne
c Sodlum d oLasslum

8enal SysLem
66 nurse !oanne ls carlng for a cllenL wlLh Chronlc 8enal lallure nurse !oanne wlLh lnsLlLuLe all of Lhe
followlng LxCL1
a lnsLrucL Lo llmlL oral fluld lnLake Lo less Lhan 1 llLer per day
b sLrlcL monlLorlng of lnLake and ouLpuL
c low calclum dleL
d low salL dleL aL leasL less Lhan 1gram per day

6 nurse !M ls a hemodlalysls nurse carlng for paLlenL Ld who has [usL flnlshed hls hemodlalysls sesslon
for LhaL day 1he physlclan ordered LryLhropoelLln 4000 unlLs Lo be ln[ecLed subcuLaneously afLer
hemodlalysls aLlenL Ld asks nurse !m whaL Lhe drug ls for nurse !M would reply
a 1hls wlll help malnLaln Lhe acldbase balance ln your body
b Lhls wlll sLlmulaLe producLlon of new red blood cells ln your body
c 1hls wlll promoLe excreLlon of urlne ln your kldneys
d 1hls wlll boosL your lmmune sysLem Lo prevenL lnfecLlon

68 nurse !M a hemodlalysls nurse ls carlng for a paLlenL who has [usL had an l! caLh lnserLlon a few
hours ago uurlng her rounds she noLlced LhaL Lhe l! caLheLer was dlslodged and Lhe paLlenL was
bleedlng profusely WhaL would nurse !M's lnlLlal response be
a admlnlsLer Lranexamlc acld 300mg lv sLaL
b apply LournlqueL on Lhe slLe Lo sLop Lhe bleedlng and noLlfy Lhe physlclan lmmedlaLely
c apply pressure and cold compress unLll bleedlng sLops Lhen noLlfy Lhe physlclan lmmedlaLely
d place Lhe paLlenL on Lrendelenburg poslLlon apply a new gauze Lhen keep Lhe paLlenL monlLored for
slgns of lnadequaLe Llssue perfuslon

69 ln carlng for a paLlenL wlLh chronlc kldney dlsease 1he nurse should lnclude whlch of Lhe followlng
lnLervenLlons ln her plan of care
a Lake Lhe paLlenL's helghL and welghL b encourage frequenL Lurnlng Lo slde every 2 hours
c provlde llberal amounLs of flulds Lo prevenL dehydraLlon d encourage Lo Lake frulLs and frulL [ulces

0 A male cllenL was broughL back Lo Lhe medlcalsurglcal unlL afLer a cysLo1u8 and ls on cysLoclysls
Whlch of Lhe followlng nurslng lnLervenLlons should Lhe nurse lnclude ln Lhls cllenL's plan of care?
a sLarL bladder Lralnlng by clamplng Lhe caLheLer every 4hours
b monlLor lnLake and ouLpuL accuraLely
c lnsLrucL Lhe paLlenL LhaL large brlghL red blood cloLs may flow ouL of Lhe caLheLer and ls normal
d resLrlcL fluld lnLake Lo less Lhan 1 llLer per day Lo reduce bladder dlsLenLlon

1 nurse Macy ls carlng for a cllenL wlLh AcuLe renal fallure When Leachlng a cllenL regardlng her plan
of care nurse Macy should lnclude
a encouraglng deep breaLhlng and coughlng Lechnlque b LlmlLlng oral fluld lnLake
c Avold calclumrlch foods d lsolaLlon precauLlons

2 nurse !m ls carlng for a paLlenL for hemodlalysls Whlch of Lhe followlng medlcaLlons should she
wlLhhold prlor Lo hemodlalysls?
a 8anLldlne (8axlde) b Amlodlplne (norvasc)
c naPCC3 d CefLrlaxone

3 nurse !M ls preparlng a cllenL for ku8lv pyelogram All of Lhe followlng lnLervenLlons are
approprlaLe for Lhls procedure excepL
a keep paLlenL of nC 68 hours
b admlnlsLer phosphosoda Lhe nlghL before procedure
c assess for senslLlvlLy Lo lodlne
d admlnlsLer sedaLlve 30 mlns before Lhe procedure

4 aLlenL !enny was dlagnosed wlLh uncompllcaLed urlnary LracL lnfecLlon 1he nurse would lnclude
whlch of Lhe followlng ln her dlscharge Leachlng for !enny?
a low cholesLerol dleL b low poLasslum dleL
c proper perlneal hyglene eg wlplng from back Lo fronL d lncrease oral fluld lnLake Lo 23L per day

3 A cllenL undergoes exLracorporeal shockwave llLhoLrlpsy Whlch of Lhe followlng lnsLrucLlons should
Lhe nurse lnclude before dlscharge?
a monlLor your LemperaLure every 4 hours b lncrease your oral fluld lnLake Lo 23 l per day
c Lake sLool sofLeners d change dresslng on Lhe lnclslon slLe frequenLly

6 a female cllenL wlLh an Pv lnfecLlon ln her genlLal area soughL consulLaLlon aL Lhe L8 WhaL
lnformaLlon ls approprlaLe Lo Lell Lhls cllenL?
a Lhls condlLlon puLs her aL rlsk for cervlcal cancer Lherefore a ap smear should be done aL leasL
annually
b Lhe mosL common drug of cholce ls meLronldazole whlch could eradlcaLe Lhe problem afLer 10days
anLlbloLlc Lherapy
c Condoms durlng lnLercourse can reduce Lhe lncldence of Lransmlsslon of Lhe dlsease by 100
d Lhe Pv cannoL be LransmlLLed Lhrough oral sex

A cllenL admlLLed ln Lhe L8 complalns of perlorblLal edema and Leacolored urlne When obLalnlng
Lhe cllenL's hlsLory for slgnlflcanL flndlngs Lhe nurse should ask whlch of Lhe followlng?
a prevlous hlsLory of asLhma b prevlous hlsLory of sLrepLococcal lnfecLlon
c smoklng hlsLory of 12 packs per day d famlly hlsLory of ulabeLes melllLus

8 A cllenL ls undergolng perlLoneal dlalysls Whlch of Lhe followlng nurslng dlagnosls ls of hlghesL
prlorlLy for Lhls Lype of cllenL?
a lmpalred moblllLy b rlsk for lnfecLlon
c alLered nuLrlLlon d lneffecLlve coplng

9 A cllenL wlLh an lndwelllng caLheLer lnslsLs on ambulaLlng Lo vlslL famlly members ln Lhe lobby 1he
nurse Leaches Lhe cllenL on how Lo do Lhls wlLhouL compromlslng Lhe lndwelllng caLheLer Whlch of Lhe
followlng ls correcL?
a Lhe cllenL seLs Lhe dralnage bag on Lhe floor whlle slLLlng down
b Lhe cllenL malnLalns Lhe dralnage bag below Lhe bladder aL all Llmes
c Lhe cllenL clamps Lhe caLheLer whlle ambulaLlng
d Lhe cllenL loops Lhe Lubes around Lhe dralnage bag

80 A cllenL ls admlLLed Lo Lhe hosplLal wlLh benlgn prosLaLlc hyperplasla Lhe nurse mosL relevanL
assessmenL would be
a llank paln radlaLlng ln Lhe groln b paln ln Lhe upper quadranL of Lhe abdomen
c erlneal edema d drlbbllng urlne

Cl1 sysLem

81 ln carlng for a cllenL dlagnosed wlLh paralyLlc lleus whlch of Lhe followlng dlagnosLlc exams would
Lhe nurse conducL flrsL?
a ChesL xray b urlnalysls
c serum elecLrolyLe deLermlnaLlon d none of Lhe above

82 A nurse ls carlng for a cllenL wlLh dlarrhea and vomlLlng Whlch of Lhe followlng nurslng dlagnosls
would be of hlghesL prlorlLy?
a lluld volume deflclL b lmbalanced nuLrlLlon less Lhan body requlremenLs
c laLlgue d owerlessness

83 !erry was dlagnosed wlLh appendlclLls Pe develops a fever hypoLenslon and Lachycardla and a
boardllke abdomen 1he nurse suspecLs whlch of Lhe followlng compllcaLlons?
a lnLesLlnal obsLrucLlon b erlLonlLls
c 8owel lschemla d ueflclenL fluld volume

84 Whlch of Lhe followlng assessmenLs would conflrm a dlagnosls of perlLonlLls?
a 8oardllke abdomen on palpaLlon b poor skln Lurgor
c hypoacLlve bowel sounds d Cullen's slgn

83 nurse 8ea should lnsLrucL Lhe male cllenL wlLh an lleosLomy Lo reporL lmmedlaLely whlch of Lhe
followlng sympLom?
a Absence of dralnage from Lhe lleosLomy for 6 or more hours
b assage of llquld sLool ln Lhe sLoma
c Cccaslonal presence of undlgesLed food
d A LemperaLure of 33 C

86 cllenL has CasLroesophageal 8eflux ulsease (CL8u) 1he nurse should Leach Lhe cllenL LhaL afLer
every meals Lhe cllenL should
a 8esL ln slLLlng poslLlon b 1ake a shorL walk
c urlnk plenLy of waLer d Lle down aL leasL 30 mlnuLes

8 A cllenL wlLh llver clrrhosls develops esophageal varlces 1he nurse knows LhaL Lhls compllcaLlon ls
due Lo
a low plaLeleL counL b elevaLlon of serum ammonla ln Lhe blood sLream
c orLal hyperLenslon d none of Lhe above

88 A nurse ls carlng for a cllenL wlLh llver clrrhosls Whlch of Lhe followlng causes relaLed Lo Lhls dlsease
puL Lhe cllenL aL rlsk for bleedlng
a hyperLenslon b decreased vlL k synLhesls
c elevaLlon of serum ammonla d asclLes

89 AfLer 8lllroLh ll Surgery Lhe cllenL developed dumplng syndrome Whlch of Lhe followlng should Lhe
nurse exclude ln Lhe plan of care?
A SlL uprlghL for aL leasL 30 mlnuLes afLer meals
8 1ake only slps of P2C beLween blLes of solld food
C LaL small meals every 23 hours
u 8educe Lhe amounL of slmple carbohydraLe ln Lhe dleL

90 A cllenL ls recelvlng 1n afLer an exLenslve lnLesLlnal surgery Whlch of Lhe followlng assessmenL
flndlngs would lndlcaLe LhaL Lhe paLlenL ls experlenclng hyperglycemla?
a CheynesLokes breaLhlng b polyurla
c dlaphoresls d LhroaL paln

91 A nurse ls carlng for a cllenL wlLh hepaLlLls 8 lnfecLlon Whlch of Lhe followlng precauLlons should be
lnsLlLuLed by Lhe nurse?
a alrborne precauLlon b sLrlcL lsolaLlon precauLlon
c Cl precauLlon d blood and body flulds precauLlon
92 1he husband of a cllenL asks Lhe nurse abouL Lhe proLelnresLrlcLed dleL ordered because of
advanced llver dlsease WhaL sLaLemenL by Lhe nurse would besL explaln Lhe purpose of Lhe dleL?
A 1he llver cannoL rld Lhe body of ammonla LhaL ls made by Lhe breakdown of proLeln ln Lhe
dlgesLlve sysLem"
8 1he llver heals beLLer wlLh a hlgh carbohydraLes dleL raLher Lhan proLeln"
C MosL people have Loo much proLeln ln Lhelr dleLs 1he amounL of Lhls dleL ls beLLer for llver
heallng"
u 8ecause of porLal hyperemesls Lhe blood flows around Lhe llver and ammonla made from
proLeln collecLs ln Lhe braln causlng halluclnaLlons"

93 Whlch of Lhe followlng assessmenL daLa may lndlcaLe LhaL a paLlenL ls sufferlng from acuLe
appendlclLls?
a kernlg's slgn b ChvosLek's slgn
c Crey 1urner's slgn d 8ovslng's slgn

94 All of Lhe followlng are funcLlons of Lhe llver LxCL1
a synLheslzes proLeln b deLoxlfles blood
c produces glucagon d produces blle for faL emulslflcaLlon

93 Whlch of Lhe followlng LesLs would be used flrsL ln evaluaLlng a cllenL wlLh uCl8?
a endoscopy b 8arlum swallow
c fecal occulL blood d explore laparoLomy

96 1he prlmary purpose of a SengsLaken8lakemore Lube lnserLlon ln a paLlenL wlLh llver clrrhosls ls
a Lo promoLe gasLrlc decompresslon b Lo sLop bleedlng from esophageal varlces
c Lo admlnlsLer food and flulds d Lo assess from Cl bleedlng

9 AcuLe pancreaLlLls ls common ln paLlenLs wlLh a hlsLory of
a dlabeLes melllLus b smoklng
c alcohollsm d hlgh sodlum lnLake ln dleL

98 CLA or Carclno embryonlc anLlgen ls a dlagnosLlc LesL used Lo deLecL
a colon cancer b dlverLlcullLls
c ulceraLlve collLls d Leglonnalre's dlsease

99 8anlLldlne famoLldlne and clmeLldlne are examples of
a roLon pump lnhlblLors b calclum channel anLagonlsLs
c 8eLa blocker d P
2
recepLor anLagonlsL

100 1he nurse ls Leachlng a group of cllenLs on how Lo prevenL hemorrholds Whlch of Lhe followlng
would Lhe nurse lnclude ln her Leachlng plan?
a lnsLrucL on low flber dleL b avold sLress
c llmlL fluld lnLake d use LlghL cloLhlng

Lndocrlne
101 A cllenL wlLh uM ll has an elevaLed glycosylaLed hemoglobln (PgbA1C) 1hls Lells Lhe nurse of Lhe
cllenL's
a hydraLlon sLaLus for Lhe pasL 12 hours b cllenL's senslLlvlLy Lo lnsulln
c cllenL's glucose conLrol for Lhe pasL 3 monLhs d progresslon of Lhe cllenL's anemla

102 Whlch of Lhe followlng assessmenL flndlngs would show LhaL a cllenL ls sufferlng from
hypocalcemla?
a 8rudzlnskl's slgn b Perman's slgn
c Cushlng's 1rlad d 1rousseau's slgn

103 Whlch of Lhe followlng nurslng dlagnoses would be of hlghesL prlorlLy ln a cllenL wlLh unconLrolled
ulabeLes melllLus and ls showlng slgns of ukA
a fluld volume excess b lmbalanced nuLrlLlon more Lhan body requlremenLs
c fluld volume deflclL d lneffecLlve LhermoregulaLlon

104 A cllenL ls recenLly dlagnosed wlLh 1ype ll dlabeLes melllLus upon dlscharge Lhe nurse plans Lo
lnclude whlch of Lhe followlng ln hls dlscharge Leachlng for Lhls cllenL?
a smoklng reducLlon b glucose conLrol beLween 180200 mg/dl
c an eye exam every 2 years unLll Lhe age of 30 d dleL exerclse

103 A cllenL wlLh 1ype l dlabeLes melllLus complalns of llghL headedness and Llngllng sensaLlon of hls
flngers vS 8100/0 Lemp 363 r93bpm 8828 8lood glucose68mg/dl 1he nurse should
a encourage slow deep breaLhs
b offer a glass of concenLraLed orange [ulce
c admlnlsLer 10 unlLs Pumulln 8 SC
d place cllenL on 1poslLlon fasL drlp lvl and noLlfy physlclan

106 ln prlmary hyperLhyroldlsm Lhe nurse would expecL Lhe cllenL's lab values Lo be
a 14 and 13 elevaLed 1SP decreased
b 14 and 13 decreased 1SP lncreased
c 14 ls dcreased 13 and 1SP elevaLed
d 14 and 13 normal 1SP undeLecLable

10 A cllenL wlLh a hlsLory of uM Lype l was rushed Lo Lhe L8 wlLh complalns of SC8 and leLhargy vS
8130/80 8110pbm 8833 8lood glucose613mg/dl A sLaL A8C was done 8esulLs are as follows
pP32 pCC2 33 PCC319 aC283 1hls A8C resulLs show
a resplraLory acldosls b resplraLory alkalosls
c meLabollc acldosls d meLabollc alkalosls

108 A nurse ls carlng for a cllenL ln acuLe addlsonlan crlsls Whlch of Lhe followlng nurslng dlagnoses ls
of hlghesL prlorlLy?
a fluld volume excess b decreased cardlac ouLpuL
c lmpalred moblllLy d rlsk for lnfecLlon

109 A nurse ls carlng for a cllenL dlagnosed wlLh Lype l dlabeLes melllLus uurlng rounds Lhe cllenL
complalns of llghL headedness dlaphoresls numbness of flngers and lnLense hunger 88S 43 mg/dl
1he nurse prepares Lo admlnlsLer whlch of Lhe followlng drugs
a u
3
w 300ml lv lnfuslon b Lnoxaparln SC
c u
3030
30ml vlal lv push d Pumulln 8 10 unlLs SC

110 A cllenL wlLh a hlsLory of prlmary hyperLhyroldlsm suddenly complalns of SC8 and palplLaLlon vS
lnclude 8160/80 8130bpm 8834 Lemp38 CllenL shows slgns of neck veln dlsLenLlon and
blbasal crackles on ausculLaLlon 1he nurse knows LhaL Lhe cllenL ls experlenclng whlch of Lhe followlng
compllcaLlons
a Lhyrold sLorm b LeLany
c severe hypercalcemla d PPnk

111 Whlch of Lhe followlng fluld replacemenL Lherapy ls accuraLe for a cllenL wlLh hyperosmolar
hyperglycemlc nonkeLoLlc syndrome (PPnk)?
a regulaLe lvl Lo kvC b admlnlsLer 6L of lvl over Lhe flrsL 12 hours
c admlnlsLer dexLrose conLalnlng normal sallne lv fluld
d admlnlsLer plaln normal sallne soluLlon aL a slow drlp Lo prevenL clrculaLory overload
112 A cllenL wlLh hyperLhyroldlsm was prescrlbed wlLh ropanolol (lnderal) 30mg C 1he purpose of
Lhls drug ls Lo
a decrease Lhyroxlne levels ln Lhe bloodsLream b lower blood pressure
c conLrol and regulaLe hearL raLe d decrease appeLlLe
113 A cllenL ls suspecLed Lo develop LeLany afLer a subLoLal LhyroldecLomy Whlch of Lhe followlng
sympLoms mlghL lndlcaLe LeLany?
a 1lngllng ln Lhe flngers b aln ln hands and feeL
c 1enslon on Lhe suLure llnes d 8leedlng on Lhe back of Lhe dresslng

114 A 38 year old woman was newly dlagnosed wlLh hypoLhyroldlsm 1he nurse ls aware LhaL Lhe slgns
and sympLoms of hypoLhyroldlsm lnclude
a ularrhea b vomlLlng
c 1achycardla d WelghL galn

113 A cllenL was admlLLed wlLh a serum glucose of 618 mg/dl 1he cllenL ls awake and orlenLed wlLh
hoL dry skln wlLh a LemperaLure of 380
0
C a hearL raLe of 113bpm and 810/83 mmPg 1he paLlenL ls
noLed Lo have a characLerlsLlc frulLy breaLh odor 8ased on Lhese flndlngs whlch of Lhe followlng nurslng
dlagnoses Lakes hlghesL prlorlLy?
a lluld volume deflclL b lneffecLlve LhermoregulaLlon
c rlsk for lnfecLlon d lmbalanced nuLrlLlon less Lhan body requlremenLs

hemaLologlc
116 A cllenL who ls a !ehova's wlLness refused blood Lransfuslon and slgned a walver for refusal Whlch
of Lhe followlng medlcaLlons can be used as an alLernaLlve for blood Lransfuslon?
a 8anLldlne b 1ranexamlc acld
c LryLhropoleLln d Abclxlmab

11 A cllenL ls dlagnosed wlLh von Wlllebrand's dlsease Whlch of Lhe followlng nurslng dlagnoses ls of
hlghesL prlorlLy?
a fluld volume deflclL b rlsk for lnfecLlon
c rlsk for bleedlng d alLered Llssue perfuslon

118 A cllenL ls recelvlng blood Lransfuslon lf Lhe cllenL experlences an acuLe hemolyLlc reacLlon Lhe
nurse would
asLop 81 and lnfuse u3W lvl
b slow Lhe Lransfuslon and monlLor Lhe paLlenL closely
c SLop 81 noLlfy Lhe blood bank admlnlsLer ulphenhydramln 30mg lM
d SLop 81 lnfuse normal sallne noLlfy Lhe blood bank noLlfy Lhe aLLendlng physlclan prepare 8enadryl
30mg lv

119 A cllenL ls Laklng lerrous SulfaLe for an lrondeflclency dlsease Whlch of Lhe followlng may Lhe
nurse lnsLrucL Lo promoLe absorpLlon of lerrous sulfaLe?
a Lake Lhe lron supplemenL wlLh meals b Lake lL 1 hour before meals and wlLh orange [ulce
c Lake lL LogeLher wlLh an anLacld d none of Lhe above

120 A cllenL wlLh pernlclous anemla has a deflclency of whlch of Lhe followlng vlLamlns?
a Lhlamlne b rlboflavln
c cyanocobalamlne d phenylalanlne

121 nurse Sarah ls carlng for paLlenL !uan who was recenLly dlagnosed wlLh Plv uurlng !uan's check up
he was advlsed Lo have Cu4 level measuremenL 1he nurse knows LhaL Lhls LesL ls used Lo deLermlne
!uan's
a level of vlral load b rlsk for bleedlng eplsode
c rlsk for an opporLunlsLlc lnfecLlon d ablllLy Lo fully recover from Lhe dlsease

122 A cllenL ls recelvlng chemoLherapy 1he nurse revlews Lhe cllenL's lab resulLs and noLes LhaL Lhe
cllenL has LhrombocyLopenla 1he nurse places hlghesL prlorlLy ln whlch of Lhe followlng nurslng
dlagnoses
a 8lsk for hemorrhage b lmbalanced body nuLrlLlon less Lhan body requlremenLs
c rlsk for lnfecLlon d rlsk for asplraLlon

123 whlch blood Lype would Lhe nurse ldenLlfy as Lhe raresL?
a Lype A b 1ype 8
c Lype C d 1ype A8

124 Lhe nurse ls preparlng Lo admlnlsLer a unlL of packed 88Cs Lo a cllenL wlLh severe anemla Whlch lv
fluld should Lhe nurse use Lo prlme Lhe Lublngs before hooklng Lhe blood producL?
a u3L8 b nSS
c u3w d L8

123 Whlch sLep musL be done flrsL before admlnlsLerlng a blood Lransfuslon?
a verlfy Lhe blood producL and cllenL ldenLlLy b verlfy Lhe physlclan's orders
c verlfy Lhe explraLlon daLe and exLracLlon daLe d assess Lhe lv slLe

Lmergency nurslng
126 ?ou are Lhe Lrlage nurse ln Lhe L8 deparLmenL uurlng your shlfL 3 paLlenLs were rushed ln Lhe
hosplLal 1he flrsL cllenL has complalnLs of severe dlarrhea for 34 days Lhe second cllenL has complalnLs
of chesL LlghLness slnce Lhls mornlng Lhe 3
rd
cllenL has a deep laceraLed wound on hls rlghL arm 2
0
Lo a
vehlcular accldenL wlLh a 8 of 90/60 Whlch of Lhe cllenLs Lake hlghesL prlorlLy?
a Lhe flrsL cllenL b Lhe second cllenL
c Lhe Lhlrd cllenL d Lhe fourLh cllenL

12 A cllenL 23 yo Male was admlLLed Lo Lhe L8 due Lo acuLe alcohol lnLoxlcaLlon 1he physlclan
ordered u3 lacLaLed 8lnger's soluLlon wlLh vlL 8 complex lncorporaLed 1he raLlonale for Lhe vlLamln b
complex ls Lo prevenL
a wernlckekorsakoff encephalopaLhy b perlpheral neuropaLhy
c depresslve mood dlsorder d slck slnus syndrome

128 a cllenL was rushed lnLo Lhe L8 due Lo aLLempLed sulclde wlLh aceLamlnophen overdose Whlch of
Lhe followlng lsa an anLldoLe for aceLamlnophen?
a naloxone b ueforoxamlne maleaLe
c naceLylcysLelne d llumazenll

129 A paLlenL was rushed Lo Lhe L8 wlLh chlef complalnLs of uC8 followlng a bee sLlng 1he paLlenL ls
resLless hypoxlc and dlaphoreLlc vlLal slgns 883/60 8120bpm 8840 02saL89 Wheezlng
sounds are audlble on ausculLaLlon 1he nurse anLlclpaLes Lo admlnlsLer any/all of Lhe followlng excepL
aeplnephrlne b dlphenhydramlne
c hydrocorLlsone d verapamll

130 A 23 yo female cllenL was admlLLed ln Lhe L8 wlLh complalns of abdomlnal paln and vomlLlng
PlsLory revealed LhaL Lhe paLlenL lngesLed varlous unrecalled drugs an hour 1A 1he physlclan ordered
for sLaL gasLrlc lavage 1he nurse would place Lhe cllenL ln whlch of Lhe followlng poslLlons durlng Lhe
procedure?
a lefL laLeral b rlghL laLeral
c suplne d slms poslLlon

131 A cllenL was admlLLed ln Lhe L8 due Lo a [elly flsh sLlng ln hls rlghL leg 1he nurse assessed Lhe
affecLed exLremlLy Lo be swollen and palnful 1he sLlng was sLlll ln place Whlch of Lhe followlng
subsLances could help dlsarm Lhe [ellyflsh sLlng?
a naCP bAgCl
c aceLlc acld(vlnegar) d Magneslum SulfaLe

132 A 2 year old moLorcycle accldenL vlcLlm presenLs Lo Lhe Lu Pe has obvlous fracLures of hls lefL
humerus rlghL femur and lefL Llbla and flbula Pe ls Lachycardlc and sllghLly hypoLenslve ?ou begln
lnlLlal volume resusclLaLlon Were someone Lo ask you Lhe slngle goal of volume resusclLaLlon you
would mosL correcLly answer
a resLoraLlon of organ perfuslon b normallzaLlon of vlLal slgns
c normallzaLlon of hemaLocrlL d achlevemenL of a normal blood pressure

133 A 13 year old boy presenLs Lo Lhe emergency room wlLh rlghL scroLal swelllng noLed afLer a
hlghschool baskeLball game Cn assessmenL hls rlghL LesLlcle ls swollen and a rlghL groln bulge can be
palpaLed 1he physlclan dlagnosed hlm wlLh an lngulnal hernla 1he nurse could help reduce swelllng by
placlng Lhe paLlenL ln whaL poslLlon?
a lefL laLeral b suplne
c seml fowler's d Lrendelenburg poslLlon

134 A 23 year old man who ls broughL Lo Lhe emergency room ls an unresLralned drlver ln a headon
colllslon of car versus pole aramendlcs aL Lhe scene reporL Lhe drlver Lo be alerL and orlenLed wlLh a
hearL raLe of 88 and a blood pressure of 140/60 1he car ls reporLed Lo have susLalned a greaL deal of
fronLend damage 1he paLlenL arrlves aL Lhe Lu and durlng lnlLlal assessmenL you flnd hlm Lo be alerL
LalkaLlve and complalnlng of lefLslded chesL paln and abdomlnal paln 1he lnlLlal vlLals are as follows
P892 8100/30 8822 ?ou noLe ln your survey LhaL Lhe paLlenL has no lefLslded breaLh sounds
before you can proceed furLher he becomes unconsclous and loses vlLal slgns ?ou flrsL lnlLlal acLlon
should be Lo
a perform gasLrlc lavage b hook Lo cardlac monlLor
c call a code" d place a cenLral lv caLheLer

133 A 61 year old man wlLh a hlsLory of alcohollsm presenLs wlLh Lhe sudden onseL of excruclaLlng
eplgasLrlc paln LhaL radlaLes Lhrough hls back LaboraLory flndlngs show an elevaLed serum amylase
llpase and a hlgh wbc counL A dlagnosls of acuLe pancreaLlLls was made 1he nurse should lnsLrucL Lhe
paLlenL on
a a low salL low faL dleL b nC
c faL resLrlcLed dleL d dlabeLlc dleL

136 1o conflrm proper placemenL of an endoLracheal Lube Lhe nurse would
a ausculLaLe Lhe chesL and eplgasLrlc area
b asplraLe Lracheal secreLlons ln Lhe L1
c dlp Lhe end of Lhe Lube ln waLer and noLe for bubbllng
d none of Lhe above

13 lollowlng an exLenslve vehlcular accldenL an unconsclous cllenL was rushed Lo Lhe L8 1he cllenL ls
noLed Lo have bradycardla bradypnea and hyperLenslon wlLh noLed wldenlng pulse pressure 1he nurse
musL noLlfy Lhe physlclan lmmedlaLely because Lhese flndlngs may reflecL whlch of Lhe followlng
condlLlons?
a shock bencephallLls
c lncreased lnLracranlal pressure d sLaLus epllepLlcus

138 Whlch of Lhe followlng ls lmporLanL when resLralnlng a vlolenL cllenL?
a have Lhree sLaff members presenL one for each slde of Lhe body and Lhe oLher on Lhe head
b always Lle resLralnLs Lo slde ralls
c have an organlzed efflclenL Leam approach
d secure resLralnLs Lo Lhe gurney wlLh knoLs

139 A cllenL beglns Lo experlence alcohollsm relaLed halluclnaLlons Whlch of Lhe followlng ls an
approprlaLe lnLervenLlon?
a keeplng Lhe cllenL resLralned aL all Llmes
b check Lhe cllenL's 8 every 13 mlns and offerlng [ulce
c provldlng a quleL envlronmenL and admlnlsLerlng medlcaLlons as need and as prescrlbed
d resLralnlng Lhe cllenL and monlLorlng 8 every 30 mlns

140 A cllenL ls broughL Lo Lhe Lu followlng a blcycle accldenL 1he orLhopedlc surgeon Lells Lhe nurse Lhe
cllenL has a greensLlck fracLure 1hls means
a Lhe fracLure llne exLends Lhrough Lhe enLlre bone
b Lhe fracLure ls caused by a secondary dlsease
c bone fragmenLs are separaLed ln Lhe fracLure llne
d one slde of Lhe bone ls broken and Lhe oLher slde ls benL


141 Whlch of Lhe followlng medlcaLlons serve as an anLldoLe for heparln?
a vlL k b proLamlne sulfaLe
c fomeplzol d meLhylene blue

142 Whlch of Lhe followlng would Lhe nurse anLlclpaLe Lo admlnlsLer ln a cllenL wlLh an oplum
overdose?
a naloxone b meLhoLrexaLe
c flumazenll d morphlne

143 A cllenL was admlLLed Lo Lhe L8 due Lo overdose of morphlne LableLs Whlch of Lhe followlng should
Lhe nurse place prlorlLy ln her assessmenLs?
a hyperLenslon b resplraLory depresslon
c dlarrhea d serum blood glucose

144 lollowlng a Lraglc vehlcular accldenL lnvolvlng numerous vlcLlms Lhe followlng ln[ured people were
broughL Lo Lhe hosplLal When deLermlnlng prlorlLy needs who among Lhe followlng paLlenLs needs
lmmedlaLe care from Lhe nurse?
a a 1 year old boy wlLh second degree burns of 10 of Lhe body
b a 23 year old wlLh closed fracLure on hls lefL femur
c a 30 year old wlLh mulLlple brulses on hls arms and chesL
d a 33 year old paLlenL wlLh severe laceraLlons lnvolvlng open fracLures of ma[or bones

MusculoskeleLal
143 A cllenL was dlagnosed wlLh acuLe gouLy arLhrlLls Whlch of Lhe followlng should Lhe nurse lnsLrucL
Lhe cllenL Lo avold
a sLrlng beans b green leafy vegeLables
c mashed poLaLoes d whole wheaL bread

146 whlch of Lhe followlng cells are lnvolved ln bone resorpLlon?
a osLeoblasLs b osLeocyLes
c chondrocyLes d osLeoclasLs

14 when carlng for a cllenL wlLh an acuLe gouL aLLack Lhe nurse anLlclpaLes Lo admlnlsLer whaL
medlcaLlon Lo relleve paln?
a allopurlnol b colchlclne
c prednlsone d dexameLhasone

148 1he nurse ls carlng for a cllenL who underwenL a LoLal hlp replacemenL surgery ln Lhe posL op
perlod Lhe nurse should lnclude whlch of Lhe followlng ln her care plan?
a keep leg adducLed aL all Llmes b provlde 8CM every 2 hours on Lhe affecLed leg
c place a plllow ln beLween her legs d malnLaln cllenL on semlfowler's poslLlon

149 A cllenL wlLh ageL's dlsease ls complalnlng of dlfflculLy urlnaLlng 1he physlclan consulLs urology
WhaL would Lhe nurse expecL Lo flnd?
a renal calcull b benlgn prosLaLlc hyperLrophy
c u1l d uehydraLlon

130 A nurse ls Leachlng a cllenL on how Lo use cruLches whlle cllmblng up Lhe sLalrs Whlch of Lhe
followlng ls approprlaLe Lo Leach Lhls cllenL?
a place boLh cruLches up on Lhe sLeps followed by swlnglng boLh legs
b place Lhe unaffecLed leg on Lhe sLep flrsL lollowed by Lhe cruLches and affecLed leg whlch should
move LogeLher
c place Lhe cruLches and ln[ured leg flrsL followed by Lhe unaffecLed leg
d none of Lhe above

131 lollowlng a vehlcular accldenL Lhe cllenL was dlagnosed Lo have a fracLured pelvls lor 2448 hours
afLer Lhe accldenL Lhe nurse monlLors Lhe cllenL for whaL poLenLlal compllcaLlon of pelvlc fracLures?
a faL embollsm b comparLmenL syndrome
c lnfecLlon d hypercalcemla

132 Lhe nurse ls carlng for a cllenL wlLh a long arm clrcular casL Whlch of Lhe followlng flndlngs should
Lhe nurse reporL Lo Lhe physlclan?
a mlnlmal paln ln arm b casL edges are rough wlLh some skln lrrlLaLlon
c flngers are swollen and cold Lo Louch d caplllary reflll Llme of 12 sec

133 a cllenL presenLed Lo Lhe L8 wlLh complalns of ankle spraln durlng a walkaLhon 1he nurse's
prlmary lnLervenLlon ls Lo
a elevaLe affecLed parL and apply cold compress
b MalnLaln affecLed exLremlLy below Lhe level of Lhe hearL Lhen apply cold compress
c provlde passlve 8CM around Lhe affecLed [olnL
d apply a shorL leg casL on Lhe affecLed exLremlLy

134 A cllenL ls admlLLed ln Lhe medlcalsurglcal ward wlLh an osLeomyellLls Whlch of Lhe followlng
organlsms ls Lhe mosL common causaLlve agenL for Lhls dlsease?
a Lcoll b pseudomonas
c P lnfluenza d sLaphylococcus aures

133 Lhe nurse ls carlng for a cllenL on a skln LracLlon Whlch of Lhe followlng acLlons ls of uLmosL
lmporLance?
a assesslng exLremlLy for neurovascular lnLegrlLy b keeplng a nuLrlLlous dleL
c keeplng Lhe ropes over Lhe cenLer of Lhe pulley d keeplng Lhe welghLs hanglng freely

136 A cllenL ls recelvlng enoxaparln SC afLer hlp replacemenL surgery Whlch adverse reacLlon should
Lhe nurse monlLory Lhe cllenL?
a anaphylacLlc shock b bronchospasm
c bleedlng d dlarrhea

13 whlch of Lhe followlng would Lhe nurse ldenLlfy as a neuroLransmlLLer?
a aceLylchollne b adenoslne LrlphosphaLe
c Coenzyme A d esLradlol

138 1he nurse observes a 3 year old cllenL wlLh a severely lncreased Lhoraclc curve or a humpback
WhaL ls Lhls condlLlon called?
a Lordosls c scollosls
b kyphosls d ageL's dlsease
139A cllenL ls scheduled for lnserLlon of an lnferlor vena cava (lvC) fllLer nurse aLrlcla consulLs Lhe
physlclan abouL wlLhholdlng whlch regularly scheduled medlcaLlon on Lhe day before Lhe surgery?
a oLasslum Chlorlde bWarfarln Sodlum
c lurosemlde duocusaLe

160 A nurse ls plannlng Lo assess Lhe corneal reflex on unconsclous cllenL Whlch of Lhe followlng ls Lhe
safesL sLlmulus Lo Louch Lhe cllenL's cornea?
a CoLLon buds b SLerlle glove
c SLerlle Longue depressor d Wlsp of coLLon

161 A female cllenL develops an lnfecLlon aL Lhe caLheLer lnserLlon slLe 1he nurse ln charge uses Lhe
Lerm laLrogenlc" when descrlblng Lhe lnfecLlon because lL resulLed from
a CllenL's developmenLal level b 1herapeuLlc procedure
c oor hyglene d lnadequaLe dleLary paLLerns

162 nurse Carol ls assesslng a cllenL wlLh arklnson's dlsease 1he nurse recognlze bradyklnesla when
Lhe cllenL exhlblLs
a lnLenLlonal Lremor b aralysls of llmbs
c Muscle spasm d Lack of sponLaneous movemenL

163 A cllenL who suffered from auLomoblle accldenL complalns of seelng frequenL flashes of llghL 1he
nurse should expecL
a Myopla b ueLached reLlna
c Claucoma d Scleroderma

164 kaLe wlLh severe head ln[ury ls belng monlLored by Lhe nurse for lncreaslng lnLracranlal pressure
(lC) Whlch flndlng should be mosL lndlcaLlve slgn of lncreaslng lnLracranlal pressure?
a lnLermlLLenL Lachycardla b olydlpsla
c 1achypnea d lncreased resLlessness

163 A hosplLallzed cllenL had a Lonlcclonlc selzure whlle walklng ln Lhe hall uurlng Lhe selzure Lhe
nurse prlorlLy should be
a Pold Lhe cllenLs arms and leg flrmly
b lace Lhe cllenL lmmedlaLely Lo sofL surface
c roLecLs Lhe cllenL's head from ln[ury
d ALLempL Lo lnserL a Longue depressor beLween Lhe cllenL's LeeLh

166 A cllenL has undergone rlghL pneumonecLomy When Lurnlng Lhe cllenL Lhe nurse should plan Lo
poslLlon Lhe cllenL elLher
a 8lghL sldelylng poslLlon or suplne b Plgh fowlers
c 8lghL or lefL slde lylng poslLlon d Low fowler's poslLlon

16 nurse !enny should cauLlon a female cllenL who ls sexually acLlve ln Laklng lsonlazld (lnP) because
Lhe drug has whlch of Lhe followlng slde effecLs?
a revenLs ovulaLlon b Pas a muLagenlc effecL on ova
c uecreases Lhe effecLlveness of oral conLracepLlves d lncreases Lhe rlsk of vaglnal lnfecLlon


168 A cllenL has undergone gasLrecLomy nurse !ovy ls aware LhaL Lhe besL poslLlon for Lhe cllenL ls
a LefL slde lylng b Low fowler's
c rone d Suplne

169 uurlng Lhe lnlLlal posLoperaLlve perlod of Lhe cllenL's sLoma 1he nurse evaluaLes whlch of Lhe
followlng observaLlons should be reporLed lmmedlaLely Lo Lhe physlclan?
a SLoma ls dark red Lo purple b SLoma ls oozes a small amounL of blood
c SLoma ls llghLly edemaLous d SLoma does noL expel sLool

10 kaLe whlch has dlagnosed wlLh ulceraLlve collLls ls followlng physlclan's order for bed resL wlLh
baLhroom prlvlleges WhaL ls Lhe raLlonale for Lhls acLlvlLy resLrlcLlon?
a revenL ln[ury b romoLe resL and comforL
c 8educe lnLesLlnal perlsLalsls d Conserve energy

11 nurse kC should regularly assess Lhe cllenL's ablllLy Lo meLabollze Lhe LoLal parenLeral nuLrlLlon
(1n) soluLlon adequaLely by monlLorlng Lhe cllenL for whlch of Lhe followlng slgns
a Pyperglycemla b Pypoglycemla
c PyperLenslon d LlevaLe blood urea nlLrogen concenLraLlon

12 A female cllenL has an acuLe pancreaLlLls Whlch of Lhe followlng slgns and sympLoms Lhe nurse
would expecL Lo see?
a ConsLlpaLlon b PyperLenslon
c AsclLes d !aundlce

13 A 38 year old woman has newly dlagnosed wlLh hypoLhyroldlsm 1he nurse ls aware LhaL Lhe slgns
and sympLoms of hypoLhyroldlsm lnclude
a ularrhea b vomlLlng
c 1achycardla d WelghL galn

14 A cllenL has undergone for an lleal condulL Lhe nurse ln charge should closely monlLor Lhe cllenL for
occurrence of whlch of Lhe followlng compllcaLlons relaLed Lo pelvlc surgery?
a AsclLes b 1hrombophleblLls
c lngulnal hernla d erlLonlLls

13 ur Marquez ls abouL Lo deflbrlllaLe a cllenL ln venLrlcular flbrlllaLlon and says ln a loud volce
clear" WhaL should be Lhe acLlon of Lhe nurse?
a laces conducLlve gel pads for deflbrlllaLlon on Lhe cllenL's chesL
b 1urn off Lhe mechanlcal venLllaLor
c ShuLs off Lhe cllenL's lv lnfuslon
d SLeps away from Lhe bed and make sure all oLhers have done Lhe same

16 A cllenL has been dlagnosed wlLh glomerulonephrlLls complalns of LhlrsL 1he nurse should offer
a !ulce b Clnger ale
c Mllk shake d Pard candy



1 A cllenL admlLLed wlLh newly dlagnosed wlLh Podgkln's dlsease Whlch of Lhe followlng would Lhe
nurse expecL Lhe cllenL Lo reporL?
a Lymph node paln b WelghL galn
c nlghL sweaLs d Peadache

18 1he nurse ls assesslng Lhe cllenL's casLed exLremlLy for slgns of lnfecLlon Whlch of Lhe followlng
flndlngs ls lndlcaLlve of lnfecLlon?
a Ldema b Weak dlsLal pulse
c Coolness of Lhe skln d resence of hoL spoL" on Lhe casL

19 nurse !ocelyn ls carlng for a cllenL wlLh nasogasLrlc Lube LhaL ls aLLached Lo low sucLlon nurse
!ocelyn assesses Lhe cllenL for sympLoms of whlch acldbase dlsorder?
a 8esplraLory alkalosls b 8esplraLory acldosls
c MeLabollc acldosls d MeLabollc alkalosls

180 A cllenL ls suspecLed of developlng dlabeLes lnslpldus Whlch of Lhe followlng ls Lhe mosL effecLlve
assessmenL?
a 1aklng vlLal slgns every 4 hours b MonlLorlng blood glucose
c Assesslng A8C values every oLher day d Measurlng urlne ouLpuL hourly

181 nurse 8ecky ls carlng for cllenL who beglns Lo experlence selzure whlle ln bed Whlch acLlon should
Lhe nurse lmplemenL Lo prevenL asplraLlon?
a oslLlon Lhe cllenL on Lhe slde wlLh head flexed forward
b LlevaLe Lhe head
c use Longue depressor beLween LeeLh
d Loosen resLrlcLlve cloLhlng

182 A cllenL has undergone bone blopsy Whlch nurslng acLlon should Lhe nurse provlde afLer Lhe
procedure?
a AdmlnlsLer analgeslcs vla lM
b MonlLor vlLal slgns
c MonlLor Lhe slLe for bleedlng swelllng and hemaLoma formaLlon
d keep area ln neuLral poslLlon

183 A cllenL ls sufferlng from low back paln Whlch of Lhe followlng exerclses wlll sLrengLhen Lhe lower
back muscle of Lhe cllenL?
a 1ennls b 8askeLball
c ulvlng d Swlmmlng

184 A cllenL wlLh pepLlc ulcer ls belng assessed by Lhe nurse for gasLrolnLesLlnal perforaLlon 1he nurse
should monlLor for
a (+) gualac sLool LesL b Slow sLrong pulse
c Sudden severe abdomlnal paln d lncreased bowel sounds

183 A cllenL has undergone surgery for reLlnal deLachmenL Whlch of Lhe followlng goal should be
prlorlLlzed?
a revenL an lncrease lnLraocular pressure b AllevlaLe paln
c MalnLaln darkened room d romoLe lowsodlum dleL
186 A CllenL wlLh glaucoma has been prescrlbed wlLh mloLlcs 1he nurse ls aware LhaL mloLlcs ls for
a ConsLrlcLlng pupll b 8elaxlng clllary muscle
c ConsLrlcLlng lnLraocular vessel d aralyzlng clllary muscle

18 When sucLlonlng an unconsclous cllenL whlch nurslng lnLervenLlon should Lhe nurse prlorlLlze ln
malnLalnlng cerebral perfuslon?
a AdmlnlsLer dlureLlcs b AdmlnlsLer analgeslcs
c rovlde hyglene d PyperoxygenaLe before and afLer sucLlonlng

188 When dlscusslng breaLhlng exerclses wlLh a posLoperaLlve cllenL nurse Pazel should lnclude whlch
of Lhe followlng Leachlng?
a ShorL frequenL breaLhs b Lxhale wlLh mouLh open
c Lxerclse Lwlce a day d lace hand on Lhe abdomen and feel lL rlse

189 Loule wlLh burns over 33 of Lhe body complalns of chllllng ln promoLlng Lhe cllenL's comforL Lhe
nurse should
a MalnLaln room humldlLy below 40 b lace Lop sheeL on Lhe cllenL
c LlmlL Lhe occurrence of drafLs d keep room LemperaLure aL 80 degrees

190 nurse 1rlsh ls aware LhaL Lemporary heLerografL (plg skln) ls used Lo LreaL burns because Lhls grafL
wlll
a 8elleve paln and promoLe rapld eplLhellallzaLlon
b 8e suLured ln place for beLLer adherence
c uebrlde necroLlc eplLhellum
d ConcurrenLly used wlLh Loplcal anLlmlcroblals

191 When Leachlng a cllenL abouL Lhe slgns of colorecLal cancer nurse 1rlsh sLresses LhaL Lhe mosL
common complalnL of persons wlLh colorecLal cancer ls
a Abdomlnal paln b Pemorrholds
c Change ln callber of sLools d Change ln bowel hablLs

192 Maureen ls recelvlng u3W 1 llLer regulaLed aL 40 gLLs/mln Lo be consumed ln 8 hours lL was sLarLed
aL 8am AL 10am her relaLlve lnformed you LhaL Lhe boLLle ls almosL empLy Whlch of Lhe followlng wlll
you do flrsL?
a dlsconLlnue lv and assess Maureen b assess Maureen and check lvl level lefL ln Lhe boLLle
c refer Lo nurse manager d replace lvl wlLh Lhe prescrlbed followup

193 nurse !ody accldenLally admlnlsLered 40mg of nlfedlplne Lo a cllenL lnsLead of 10mg even Lhough
Lhe cllenL exhlblLs no adverse reacLlons Lo Lhe larger dose nurse !ody should
a compleLe an lncldenL reporL b call Lhe hosplLal aLLourney
c lnform Lhe cllenL's famlly d do noLhlng

194 8ased on Lhe cadlac monlLor uerlck's hearL raLe has lncreased Lo 130bpm ShorLly afLer Lhls
lncrease you noLlce cedrlc ls ln venLrlcular Lachycardla AfLer reporLlng Lhls Lo Lhe physlclan you
anLlclpaLe LhaL Lhe physlclan wlll order
a lnLracardlac eplnephrlne b lnserLlon of a pacemaker
c bolus of lldocalne d C8
193 Pelen has lefLslded hearL fallure she complalns of lncreaslng shorLness of breaLh and ls aglLaLed
and coughlng up plnkLlnged foamy spuLum As a nurse you should recognlze Lhls as a slgn of
a shock c acuLe pulmonary edema
b rlghL slded hearL fallure d pneumonla

196 aLlenL Cabrlel ls undergolng blood Lransfuslon of Lhe flrsL unlL WhaL are Lhe earllesL slgns of
Lransfuslon reacLlons
a ollgurla and [aundlce c hyperLenslon and flushlng
b urLlcarla and wheezlng d headache chllls fever

19 1he nurse ls Lo admlnlsLer uemerol 30mg and vlsLarll 30mg lM Lo paLlenL Adella uemerol ls
avallable ln a mulLldose vlal labeled 100mg/ml whlle vlsLarll comes ln an ampule labeled 30mg/ml you
are Lo glve boLh medlcaLlons ln one ln[ecLlon ?ou wlll
a wlLhdraw medlcaLlon from Lhe ampule Lhen from Lhe vlal
b wlLhdraw Lhe medlcaLlon from Lhe vlal flrsL Lhen from Lhe ampule
c ln[ecL alr lnLo Lhe vlal Lhen lnLo Lhe ampule
d ln[ecL alr lnLo Lhe ampule asplraLe deslred dose Lhen lnLo Lhe vlal

198when glvlng uemerol 30mg from a mulLldose vlal labeled 100mg/ml and vlsLarll 30mg from an
ampule labeled 30mg/ml whaL ls Lhe LoLal volume LhaL you wlll ln[ecL Lo Lhe cllenL?
a 2ml b 1ml
c 13ml d 13ml

199?our cllenL who was admlLLed ln Lhe crlLlcal care ls concerned LhaL he cannoL pay hls bllls and
professlonal fees ?ou refer hlm Lo a
a nurse supervlsor b soclal worker
c cashler and bllllng secLlon d physlclan

200 AnLon has lung cancer and ls golng Lhrough chemoLherapy Pe ls referred by Lhe oncology nurse Lo
a selfhelp group of cllenLs wlLh cancer Lo
a provlde emoLlonal supporL
b Lo be parL of research
c recelve flnanclal asslsLance
d help wlLh chemoLherapy