front 1 When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will | back 1 assist the patient to sit up at the bedside |
front 2 A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform first? | back 2 Assess the neurovascular status of the right leg |
front 3 A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic intervention does the nurse recommend? | back 3 Ice packs |
front 4 The nurse is assessing a client who has hepatitis C. What extrahepatic complications would the nurse anticipate? | back 4 Polyarthritis Heart Disease Myalgia |
front 5 A client has a bone density score of -2.8. What intervention would the nurse anticipate based on this assessment? | back 5 Planning to teach about bisphosphonates |
front 6 A client who had a partial gastrectomy 3 days ago begins experience vertigo sweating and tachycardia about 30 minutes after eating breakfast what postoperative complications would the nurse suspect | back 6 Dumping syndrome |
front 7 After a patient has had a hemorrhoidectomy at an outpatient surgical center, which instructions will the nurse include in discharge teaching? | back 7 Take prescribed pain medications before you expect a bowel movement |
front 8 Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient who has acute pancreatitis? | back 8 Muscle twitching and finger numbness |
front 9 Which assessment finding is of most concern for a 46-year-old woman with acute pancreatitis? | back 9 Palpable abdominal mass |
front 10 A woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. Which intervention should the nurse anticipate? | back 10 Nystatin tablets |
front 11 A patient with knee pain who is diagnosed with bursitis asks the nurse to explain just what bursitis is. The nurse will respond that bursitis is an inflammation of | back 11 a small, fluid-filled sac found at many joints |
front 12 The nurse is caring for a client who has pain during circumduction of the shoulder when the nurse moves the arm behind the client. Which of the following questions should the nurse ask? | back 12 "Do you have difficulty putting on a jacket? |
front 13 The nurse admitting a patient with acute diverticulitis explains that the initial plan of care is to | back 13 Administer IV fluid |
front 14 A client had an open traditional Whipple procedure this morning. For what priority complication would the nurse assess? | back 14 Fluid and electrolyte imbalances |
front 15 The nurse is performing an initial assessment and notes that the client weighs 186.4 Ib (84.7 kg). Six months ago, the client weighed 211.8 lb (96.2 kg). What action by the nurse is appropriate? | back 15 Ask the client if the weight loss was intentional |
front 16 The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include? | back 16 Drink fluids between meal but not with meals |
front 17 Which assessment finding is of most concern for a patient with acute pancreatitis? | back 17 Palpable abdominal mass |
front 18 The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading cause of cirrhosis? | back 18 Hepatitis C |
front 19 The nurse notes that the primary health care provider documented the presence of mucosal erythroplasia in a client. What does the nurse understand that this most likely means for this client ? | back 19 Early sign of oral cancer |
front 20 Which daily behavior of a client with GI problems requires further nursing assessment? Select all that apply. | back 20 Smokes a pack of cigarettes Uses Fleet enemas frequently to assist with bowel movements Takes 325 mg of aspirin at night for arthritic pain Travels extensively across the world |
front 21 A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer. The nurse will teach the patient to avoid | back 21 Smoked foods such as ham and bacon |
front 22 Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)? | back 22 Ranitidine decreases gastric acid secretion |
front 23 The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor? | back 23 Upper gastrointestinal (GI) bleeding |
front 24 A client has an open traditional hiatal hernia repair this morning. What is the nurse’s priority for client care at this time? | back 24 Preventing respiratory complications |
front 25 The nurse working with older clients understands age-related changes in the gastrointestinal system. Which changes does this include? (SATA) | back 25 Decreased hydrochloric acid production Diminished sensation that can lead to constipation Fat not digested as well in older adults Pancreatic vessels become calcified |
front 26 The nurse will plan to monitor a patient with an obstructed common bile duct for | back 26 Steatorrhea |
front 27 A nurse is learning about different surgical procedures and their classifications. Which examples below does this include? (Select all that apply.) | back 27 Liver biopsy: diagnostic Arthroscopy: preventative. Ileostomy: palliative. Total shoulder replacement: reconstructive Body contouring: cosmetic |
front 28 A client is scheduled to have a total hip arthroplasty. What preoperative teaching by the nurse is most important? | back 28 Remind the client to have all dental procedures completed at least 2 weeks prior to surgery. |
front 29 A client who had a fractured ankle open reduction internal fixation (ORIF) 4 weeks ago, reports burning pain and tingling in the affected foot. For which potential complication would the nurse anticipate? | back 29 Complex regional pain syndrome |
front 30 A nurse plans care for a client who is recovering from open reduction and internal fixation(ORIF) surgery for a right hip fracture. Which interventions would the nurse include in this plan of care? (Select all that apply.) | back 30 Elevate heels off the bed with a pillow. Ambulate the client on the first postoperative day. Reposition the client every 2 hours. |
front 31 A nurse teaches a client with a fractured tibia about external fixation. Which advantages of external fixation for the immobilization of fractures would the nurse share with the client? (Select all that apply.) | back 31 It leads to minimal blood loss. It allows for early ambulation. It promotes healing. |
front 32 A nurse cares for a client with a recently fractured tibia. Which assessment would alert the nurse to take immediate action? | back 32 Numbness and tingling in the extremity |
front 33 A nurse cares for a client who had a bronchoscopy/post endoscopy 2 hours ago. The client asks for a drink of water. What action would the nurse take next? | back 33 Assess the gag reflex before giving any food or water. |
front 34 A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to drink. What action by the nurse is appropriate? | back 34 Assess the gag reflex. |
front 35 A nurse cares for an older adult who is admitted to the hospital with complications of diverticulitis. Which actions should the nurse include in the plan of care?(Select all that apply.) | back 35 Administer pain medications as prescribed. Palpate the abdomen for distention. Assess for sudden changes in mental status. Evaluate stools for occult blood. |
front 36 Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer? | back 36 Red, velvety, patches on the buccal mucosa |
front 37 Which statement to the nurse from a patient with jaundice indicates a need for teaching? | back 37 “I use acetaminophen (Tylenol) every 4 hours for back pain.” |
front 38 What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (SATA) | back 38 Administer vitamin B12 injections Ask the primary health care provider about folic acid replacement Provide iron supplements for the client |
front 39 When caring for a patient with a history of a total gastrectomy, the nurse will monitor for | back 39 cobalamin (vitamin B12) deficiency |
front 40 A nurse teaches a client who is at risk for carpal tunnel syndrome. Which health promotion activities would the nurse include in the health teaching? (SATA) | back 40 “Frequently assesses the ergonomics of the equipment being used.” “Take breaks to stretch fingers and wrists during working hours.” “Adjust chair height to allow for good posture.” |
front 41 When assessing for Tinel’s sign in a patient with possible right carpal tunnel syndrome, the nurse will ask the patient about | back 41 Tingling in the right thumb and index finger |
front 42 The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about | back 42 dual-energy x-ray absorptiometry (DXA) |
front 43 Which information in a 67-yr-old woman’s health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system? | back 43 The patient’s mother became shorter with aging |
front 44 The nurse reviews a list of drugs that can cause secondary osteoporosis. Which drugs are most commonly associated with this health problem? (SATA) | back 44 Barbiturates Corticosteroids Loop Diuretics |
front 45 Which medication information will the nurse identify as a potential risk to a patient’s musculoskeletal system? | back 45 The patient has severe asthma requiring frequent therapy with oral corticosteroids. |
front 46 A nurse assesses a client who has cirrhosis of the liver. Which laboratory findings would the nurse expect in clients with this disorder? | back 46 Elevated international normalized ratio (INR) Elevated serum ammonia Elevated prothrombin time (PT) |
front 47 The nurse is reviewing the laboratory profile for a client who has muscular dystrophy. Which laboratory value(s) would the nurse expect to be elevated? (SATA) | back 47 Creatine Kinase (CK) Lactic dehydrogenase (LDH) Aspartate aminotransferase (AST) Aldolase (ALD) |
front 48 The nurse is caring for several clients with osteoporosis. For which client would bisphosphonates not be a good option? | back 48 Client with a spinal cord injury who cannot tolerate sitting up. |
front 49 What abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider? | back 49 Petechiae on the chest and abdomen |
front 50 An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible etiology(ies) does the nurse consider for this result? (SATA) | back 50 Normal age-related decrease in serum calcium Possible occurrence of osteoporosis or osteopenia |
front 51 A nurse assesses a client who has cirrhosis of the liver. Which laboratory findings would the nurse expect in clients with this disorder? (SATA) | back 51 Elevated international normalized ratio (INR) Elevated serum ammonia Elevated prothrombin time (PT) |
front 52 A patient with acute pancreatitis is NPO and has a nasogastric (NG) tube to suction. Which information obtained by the nurse indicates that these therapies have been effective? | back 52 Abdominal pain is decreased |
front 53 An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of osteoporosis is | back 53 A loss of height |
front 54 Which action will the nurse take when caring for a patient with osteomalacia? | back 54 Teach about the use of vitamin D supplements |
front 55 After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching? | back 55 "I need to avoid protein in my diet." |
front 56 Which action should the nurse take to evaluate treatment effectiveness for a patient who has hepatic encephalopathy? | back 56 Ask the patient to extend both arms forward |
front 57 The nurse is caring for a patient who has cirrhosis. Which data obtained by the nurse during the assessment will be of most concern? | back 57 The patient’s hands flap back and forth when the arms are extended |
front 58 Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for an open cholecystectomy? | back 58 Deep breathing and coughing |
front 59 The nurse is teaching a client about taking elbasvir for hepatitis C. What information in the client's history would the nurse need prior to drug administration? | back 59 History of hepatitis B |
front 60 To prepare a patient with ascites for paracentesis, the nurse | back 60 asks the patient to empty the bladder |
front 61 The nurse assesses a newly admitted client and documents a body mass index (BMI) of 31.2. What does this value indicate to the nurse? | back 61 The client is obese. |
front 62 A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stool a day. The nurse will plan to | back 62 Discontinue the patient's oral food intake |
front 63 A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which action by the nurse is appropriate? | back 63 Schedule the patient for HCV genotype testing |