Question 1 1 

/ 1 pts

When caring for the client who is prescribed the 

combination of a loop diuretic and beta blocker to
control 
hypertension, which nursing considerations are essential? 

Select all that apply.

  Monitor blood sugar readings. 

  Encourage keeping up with work as a diversional activity 

  Maintain an intake and output record. 

  Assist the client to a standing position 

  Maintain bed rest until blood pressure is normal 

  Discuss sexual implications. 

Question 2 1 / 1 pts

A nurse gathers admission history from a 57-year-old client 

who is scheduled to have abdominal surgery.

Which risk factors associated with thrombophlebitis 

should the nurse discuss with the physician? Select
all that apply.

  The client has been on bed rest due to heart failure. 

  The client complains of leg fatigue. 

  The client complains of cramping in the lower leg at night 

  The client complains of pain in the joints. 

  The client weighs 350 pounds (159 kg). 

   The client smokes two packs of cigarettes per day 

Question 3 1 / 1 pts

A 75-year-old client in a nursing home has arteriosclerosis. Which

assessment findings is the nurse most likely to 

observe when examining a client with arterial insufficiency 

secondary to peripheral arteriosclerosis? Select all that 

apply.

  Bounding peripheral pulses 

  Thin shiny skin 

  Hyperactive knee jerk refl exes 

  Flushed skin 

  Decreased leg hair 

  Thick, tough toenails 

Question 4 1 / 1 pts

A 23-year-old is brought to the hospital after efforts to relieve a fever are

unsuccessful. The tentative diagnosis is meningitis. If the diagnosis is
accurate, which assessment findings should the nurse document? Select
all that apply.

  . Diarrhea 

  FeveR 

  . Muscle weakness 

  Photophobia 
   A stiff neck 

  . Vertigo 

Meningitis is an inflammation of the meninges and can be caused

by bacteria, viruses, fungi, or parasites. Bacterial meningitis is the
most serious form and is contagious. Neck stiffness, also called
nuchal rigidity, is a common symptom among those who contract
meningitis. Other common signs and symptoms include
photophobia, nausea, vomiting, restlessness, irritability, seizures,
headache, and fever. Muscle weakness, diarrhea, and vert

Question 5 1 / 1 pts

Emergency medical personnel bring a client who is lethargic and

confused to the emergency department. A tentative diagnosis of type 1
diabetes mellitus and diabetic ketoacidosis (DKA) is made.
Which assessment findings would the nurse expect to 

document if the client has DKA? Select all that apply

  The client is dyspneic and hypotensive. 

  The client has warm, flushed skin and has vomited 

  The client is hypertensive and tachycardic. 

  The client breathes noisily and smells of acetone. 

  The client complains of abdominal pain and is thirsty. 

  The client stares blankly and smells of alcohol 

 An acetone (sometimes described as sweet or 
fruity) breath odor, weakness, thirst, anorexia, vomiting, 
drowsiness, abdominal pain, rapid and weak pulse, hypotension,
flushed skin, and Kussmaul’s respirations (rapid, 
deep, and noisy) are manifested by persons with diabetic 
ketoacidosis (DKA). In severe cases, the client may be 
comatose or semi-comatose.

Question 6 1 / 1 pts

A client seeks medical attention after noticing fullness in 

the neck. After several diagnostic tests, a large endemic 

goiter is diagnosed.

As the nurse provides care for the client newly diagnosed with a large
goiter, which interventions should be implemented? Select all that apply

  Administer prescribed antibiotics 

  Assess for high fever 

  Observe the client’s respiratory status 

  Provide a diet high in iodized salt 

  Obtain an order for a soft diet 

  Elevate the head of the client’s bed 

 An endemic goiter is caused by a defi -
ciency of iodine in the diet resulting in an enlarged 
thyroid gland. As a consequence, the client feels a 
fullness in the neck. Appropriate nursing interventions 
include observing the client’s respiratory status because 
the client may experience respiratory distress due to 
pressure on the trachea. Elevating the head of the bed 
can relieve respiratory symptoms. Because the endemic 
goiter is a result of iodine deficiency, providing a diet 
high in iodized salt is also appropriate. Obtaining an 
order for a soft diet is prudent because of the pressure 
of the enlarged thyroid on the esophagus, which makes 
swallowing difficult. There is no need to assess for fever 
or administer antibiotics

Question 7 1 / 1 pts

The nurse enters seizure precautions into the client’s care plan
Which environmental modifi cations should the nurse
implement? Select all that apply.

  Make sure suction equip 

  Keep the side rails up and padded 

  . Keep the room dark and quiet. 

  Provide soft, soothing music 

  Lower the bed to the lowest position. 

  Ensure a warm, well-lit room 

 Safety is a priority for a client diagnosed with a seizure disorder.
Should a seizure occur, modifying  the environment helps reduce
the potential for injuries. The nurse should keep the room dark and
quiet, lower the bed to its lowest position, and keep the side rails
up and padded. Suction and oxygen equipment should also be
available. Lights, noise, and warm temperatures have been known
to cause seizures. Providing soft, soothing music can cause
relaxation but does not decrease the potential for injuries.

Question 8 1 / 1 pts

The nurse documents that the client is at risk for falls. Which risk factors
increase any client’s risk for falls? Select all that apply

  The client needs help with toileting 

  The client has impaired vision 

  The client has vertigo 

  The client is male. 

  The client is taking antibiotics 

  The client is confused 

 Assessment of a client’s fall risk is a National Patient Safety Goal
set by The Joint Commission and should be completed on
admission, periodically during the hospitalization according to
hospital policy, and when the client’s status changes. Men are
more likely to take risks or not ask for help, which makes them
more at risk for falls. Clients who are confused become
disorganized, are less likely to follow or remember instructions,
have poor judgment, and are more likely to forget their limitations.
Vertigo or dizziness makes clients unsteady on their feet, which
also poses a risk for falls. Clients with sensory deficits such as
hearing loss or visual impairment are more at risk for falls related
to environmental hazards. Altered elimination, such as
incontinence, urinary or bowel frequency, nocturia, or needing
assistance to go to the toilet, also are risk factors that frequently
cause falls. Taking antibiotics is not considered a risk factor for
falls

Question 9 1 / 1 pts

After using the glucometer, the emergency department 

technician reports to the nurse that the client’s capillary 

blood glucose measures 498 mg/dL.

Based on the client’s blood glucose measurement, the 

nurse immediately reevaluates the client. Which physician 

orders should the nurse anticipate? Select all that apply.

  Intravenous regular insulin 

  Vital signs every 2 hours 

  STAT serum blood glucose 

  Electronic glucometer measurements before meals and at bedtime 

  A diet of six small, frequent meals 

  Continuous cardiac monitoring 

Partial Question 10 0.33 / 1 pts

In the critical care unit, reducing the risk of health care associated
infection is one of the goals. Which of the following are guidelines for
maintaining infection-control practices in hospitals? (Select all that apply.)

  
Wear gloves whenever you enter the room of a patient on contact
precautions.
 

  
Use airborne precautions for patients who have infections that spread
through the air such as tuberculosis, chickenpox, and measles.
 

  
Place a patient on airborne precautions in a private room that has
monitored negative air pressure, and keep the door open.
 

  
Wear a mask when working within 3 feet of a patient who is on droplet
precautions.
 

  
Use contact precautions for patient diagnosed with rubella, mumps,
diphtheria, or the adenovirus infection.
 

Question 11 1 / 1 pts

Abdominal X-rays reveal that a resident of a long-term 

care facility has an abdominal aortic aneurysm.

46. Which findings documented by the nurse in the client’s 

history are the most significant factors that predispose the 

client to forming an abdominal aortic aneurysm? Select all 

that apply

  The client has chronic hypertension. 

   The client takes digoxin (Lanoxin). 

  The client has a sedentary lifestyle. 

  The client is 80 years old. 

  The client smokes 2 packs of cigarettes per day. 

  The client has type 1 diabetes mellitus. 

Question 12 1 / 1 pts

The nurse teaches the client with newly diagnosed 

diabetes mellitus about the signs and symptoms of
hypoglycemia. Which
of the following should the nurse stress in teaching? Select all that apply

  Hunger 

  Sleepines 

  Confusion 

  Thirst 

  Shakiness 

  Diaphoresis 

Question 13 1 / 1 pts

A 60-year-old client seeks medical attention with symptoms of vomiting

blood and passing bloody stools. The 

tentative diagnosis is cirrhosis of the liver. Which information in the client’s

health history most likely relates to the development of cirrhosis? Select
all that apply
   The client smokes two packs of cigarettes per day 

  The client eats poorly as a consequence of being homeless for 5 years 

  The client has a history of pancreatitis. 

  
The client has been taking antihypertensive medi�cations for the past 15
yea
 

  The client drinks a fi fth of whiskey daily. 

Question 14 1 / 1 pts

The nurse provides discharge instructions for a client 

who has recovered after a cardiac catheterization. Which 

instructions should be included? Select all that apply

  Take a shower rather than a tub bath until the puncture site heals. 

  
Flush the toilet twice after eliminating urine and stool in the next 24 hours 

  Change the dressing over the puncture site daily until it heals. 

  Drink a generous amount of fl uids for the next 24 hours 

  Report worsening of pain in the leg that was cath�eterized. 

  Perform leg exercises every 2 hours while awake. 

Question 15 1 / 1 pts

Which of the following clients are at high risk for 

acquiring gangrene of the foot? Select all that apply.

   A client with a history of myocardial infarction 

  An elderly man with impaired circulation 

  A homeless person who has osteoarthritis 

  A client who is taking warfarin (Coumadin) 

  An insulin-dependent diabetic client 

  A woman who experiences trauma to the toes 

Question 16 1 / 1 pts

If the client’s cirrhosis is advanced, what will the 

nurse expect to fi nd during the initial health assessment? 
Select all that apply.

  An abnormally high blood glucose level 

  Skin that is jaundiced 

  The presence of spiderlike blood vessels on the skin 

  Laboratory results revealing an elevated serum cholesterol level 

  An unusually large and edematous abdomen 

  Vein engorgement around the umbilicus 

Question 17 1 / 1 pts

Which statements should not be included when the nurse 

instructs a female client about the technique for collecting
a clean-catch
midstream urine specimen for routine urinalysis? Select all that apply
   Void into the plastic liner under the toilet seat. 

  Mix the antiseptic solution with the collected urine specimen 

  Void a small amount, and then collect a sample of urine. 

  Clean the urethral area using several circular motions 

  Collect the urine in the nonsterile cup. 

  Drink several caffeinated beverages before collect�ing the ur 

Question 18 1 / 1 pts

Enriquez an insulin dependent diabetes mellitus client is being

hospitalized because of diabetic ketoacidotic coma. Which clinical
manifestations should the nurse expect? Select all that apply.

  Dry skin 

  Absence of ketones in the urine 

  Abdominal pain 

  Kussmaul respirations 

  Blood glucose level of less than 100 mg/dL 

Question 19 1 / 1 pts

Which of the following signs and symptoms would 

lead the nurse to suspect HIV infection? Select all
that 
apply

  No answer text provided. 

   A blemish on the face 

  Cough 

  Fatigue 

  Fever 

  Swollen lymph nodes in the axillae and groin 

  Diarrhea 

Partial Question 20 0.6 / 1 pts

The nurse is aware that oxygen toxicity occurs when oxygen

concentrations of more than 50% are administered for 
longer than 48 hours.

Which of the following signs and symptoms would 

indicate that the client is experiencing oxygen toxicity? 

Select all that apply

  Hyperventilation 

  Nasal stuffiness 

  Substernal chest pain 

  Headache 

  Nausea 

  Nonproductive cough 

Question 21 1 / 1 pts

A client is diagnosed as having colitis. Which clinical  findings should the
nurse expect the client to report? Select all that apply

  Diarrhea 

  Abdominal cramps 

  Fever 

  Gain in weight 

  Splitting up blood 

Question 22 1 / 1 pts

Before suctioning, the nurse attaches a pulse 

oximeter to the client’s fi nger. Which nursing actions are 

appropriate at this time? Select all that apply.

  Relocate the spring-loaded sensor periodically 

  Notify the physician each time an alarm sounds 

  Connect the cable to the oximeter. 

  Set the SpO2 alarms between 95% and 100% 

  
Position the sensors so they are directly opposite to each other on the
client’s fi nger.
 

  Remove the client’s fi ngernail polish. 

Question 23 1 / 1 pts

The client informs the nurse that the physician just prescribed sublingual
nitroglycerin tablets to take whenever 
chest pain is experienced.
Which side effects are most closely associated with 
the use of nitroglycerin tablets? Select all that apply

  Headache 

  Backache 

  Dizziness 

  Pallor 

  Diarrhea 

  Jaundice 

Question 24 1 / 1 pts

A client was confined at Lung Center Philippines with acute exacerbation

of chronic obstructive pulmonary disease. Which findings would the nurse
expect to observe on evaluation of this client? (Select all that apply)

  A low arterial PCO2 level 

  A widened diaphragm noted on the chest x-ray 

  Pulmonary function tests that demonstrate increased vital capacity 

  A hyperinflated chest noted on the chest x-ray 

  Decreased oxygen saturation with mild exercise 

Question 25 1 / 1 pts

Mr. Enriquez is hospitalized because of cirrhosis of the liver. The nurse

should assess For which classic signs of hepatic coma. Select all that
apply. 

  Flapping hand tremors 

  Hyperactive deep tendon reflexes 

  Mental confusion 

  Brown-colored stools 

  Increased cholesterol 

Question 26 1 / 1 pts

The accident victim is taken to the emergency department 

for evaluation.

While waiting for the physician to examine the client, 

how should the nurse position the client?

  Right lateral with the neck fl exed 

  Dorsal recumbent with the legs elevated 

  Flat with a neck immobilizer in place 

 Until spinal cord injury is ruled out, the client 

should be kept fl at with the head immobile. Keeping the 

head elevated 30 to 45 degrees aids in promoting venous 

return, which helps to reduce intracranial pressure. This 

choice is appropriate but only after spinal cord injury has 

been ruled out. None of the other positions allows for 

elevation of the victim’s head and, therefore, will not help 

to reduce or stabilize the intracranial pressure

   Supine with the head slightly elevated 

Question 27 1 / 1 pts

A cyanotic client with an unknown diagnosis is admit[1]ted to the

emergency room. In relation to oxygen, the first nursing action would be to

  Wait until the client’s lab work is done 

  
Administer oxygen at 10 L flow per minute and check the client’s nail beds 

  Not administer oxygen unless ordered by the physician 

  Administer oxygen at 2 L flow per minute 

Question 28 1 / 1 pts

A client with a leaking cerebral aneurysm is being treated 

conservatively with complete bed rest, anticonvulsants, 

and sedatives.

Of the following
nursing observations, which is most 
important to address in view of the client’s condition?

  The client’s skin is warm and clammy 

  The client is becoming jittery. 

  The client develops diarrhea. 

  The client has a chronic cough. 

Question 29 1 / 1 pts

Nurse Emma is in charge of a client with an intracranial aneurysm at the
Neuro ICU. According to the nurse, which of the following is associated to
cranial nerve III dysfunction?

  Ptosis of the left eyelid 

  Slight slurring of speech 

  Mild drowsiness 

  Less frequent spontaneous speech 

Question 30 1 / 1 pts

The nurse enters the room of a client who is in the clonic phase of a
tonic–clonic seizure. The initial nursing action should be to

  Obtain equipment for orotracheal suctioning 

  Place some padding under the head. 

  Insert a padded mouth gag 

  Gently restrain the limbs 

Question 31 1 / 1 pts

Mannitol (Osmitrol) is administered intravenously to a client admitted to

the hospital with loss of consciousness and a closed head injury. The
nurse determines that the medication achieved its priority effect if which of
the following outcomes was noted?

  Weight loss of 1 kg and a serum creatinine of 0.8 mg/dl. 

  Serum creatinine of 1.2 mg/dL and normal intracranial pressure 

   Improved level of consciousness and normal intracranial pressure 

  
Diuresis of 500 ml in 2 hours and a blood urea nitrogen (BUN) of 15
mg/dL.
 

Question 32 1 / 1 pts

The laboratory analysis of cerebrospinal fluid (CSF) acquired from a

lumbar puncture from a child suspected of having bacterial meningitis is
being reviewed by a nurse. Which of the following outcomes is most likely
to confirm the diagnosis?

  Cloudy CSF with high protein and low glucose 

  Decreased pressure and cloudy CSF with high protein 

  Clear CSF with low protein and low glucose 

  Cloudy CSF with low protein and low glucose 

Question 33 1 / 1 pts

When the client asks why fl uids are being restricted, 

which explanation by the nurse is best?

  Fluid restriction reduces the volume in the cranium. 

  Large amounts of fl uid may contribute to vomiting.” 

  “The kidneys need to conserve fl uid output. 

  The prescribed volume is sufFicient for relieving thirst.” 

Question 34 1 / 1 pts

A client is being brought into the emergency department after suffering a

head injury The first action by the nurse is to determine the client's:

  Respiratory rate and depth 

  Pulse and blood pressure 

  Level of consciousness 

  Ability to move extremities 

Question 35 1 / 1 pts

The nurse initiates a teaching plan for the client with 

Parkinson’s disease.

Which instruction should be the nurse’s priority in this situation?

  Need to remove all safety hazards 

The primary focus for the client with Parkinson’s 

disease is safety because much of the disease progression 

renders the client at risk for falling. The client typically 

has a propulsive unsteady gait, characterized by a tendency 

to take increasingly quicker steps while walking. The client may

have
diffi culty beginning to walk, then diffi culty 
returning to a seated position.

  Steps to enhance the client’s immune system 

  Importance of social interactions 

  Importance of maintaining a balanced diet 

Question 36 1 / 1 pts

 When implementing seizure precautions, which 
nursing action is most appropriate?

  Maintain the client’s bed in the lowest position. 

To protect a client with a known or suspected 

seizure disorder, the bed should be kept in the
lowest 
position, decreasing the chance of injury from falling to 

the fl oor during seizure activity. Although glass or metal 

utensils on a tray may injure a client, they are not usually 

restricted. The nurse may be able to observe the client 

more closely if the client is in a room closer to the nurses’ 

station, but such room arrangements are not always available.
Restraining a client is not warranted

  Ensure that soft limb restraints are applied to upper extremities 

  Move the client to a room closer to the nurses’ station 

  Serve the client’s food in paper and plastic containers 

Question 37 1 / 1 pts

The nursing team begins developing a care plan for the 

stroke victim.

When the nurse

monitors the client’s neurologic 

status, which finding is most suggestive that the client’s 

intracranial pressure is increasing?

  Radial pulse rate is greater than the apical rate. 

  Systolic pressure increases and diastolic pressure decrease 

  Apical heart rate is greater than the radial rate 

  Systolic pressure decreases and diastolic pressure increases 

Incorrect Question 38 0 / 1 pts

The client is returned to the nursing unit after 6 hours of 
surgery.

During the immediate postoperative assessment, the 

nurse notes that the client’s dressing is moist. Which action 

is most appropriate to take fi rst?

  Change the dressing. 

  Document the fi ndings. 

  Reinforce the dressing. 

  Remove the dressing. 

Question 39 1 / 1 pts

A client is experiencing acute cardiac and cerebral symptoms related to

excess fluid volume. The nurse implements which of the following
measures to increase the client's comfort until specific therapy is ordered
by the physician?

  Administers oxygen at 4 liters per minute by nasal cannula 

  Elevates the client's head to at least 45 degrees 

  Measures urine output on an hourly basis 

  Measures intravenous and oral fluid intake 

Question 40 1 / 1 pts

The nurse is planning care for a client with a 13 spinal cord injury. The
nurse includes which intervention in the plan to prevent autonomic
hyperreflexia?
   Administer dexamethasone (Decadron) as per physician's order 

  
Assist the client to develop a daily bowel routine to prevent constipation. 

  
Teach the client that this condition is relatively minor with few symptoms. 

  
Assess vital signs and observe for hypo tension, tachycardia, and
tachypnea.
 

Question 41 1 / 1 pts

The nurse attaches a footboard to the client’s bed.

Which statement best describes how the nurse positions the client’s feet
when a footboard is used 

  The soles are parallel to the board 

  The ankles are extended more than 90 degrees. 

  The knees are fl exed less than 90 degrees 

  The soles are perpendicular to the board 

Question 42 1 / 1 pts

A nurse is assessing the neurologic status of a client exhibiting neurologic

difficulties.
Which client response depicts normal function of cranial nerve XI?

  A client wrinkling the forehead 

  A client puffi ng out the cheeks 

   A client sticking out the tongue 

  A client shrugging the shoulders 

Question 43 1 / 1 pts

A client recovering from a craniotomy complains of a "runny nose. Which

of the following nursing actions should be immediately implemented?

  Tell the client to use soft tissues to soak up the drainage. 

  Monitor the client for signs of a cold 

  Notify the physician. 

  Provide the client with soft tissues. 

Question 44 1 / 1 pts

The charge nurse enters the nursing diagnosis “Risk for 

ineffective airway clearance related to an inability to swallow” on the

client’s care plan. Which nursing intervention is most appropriate for 
managing the identified problem?

  Removing all head pillows 

  Providing frequent oral hygiene 

  Keeping the client supine 

  Performing oral suctioning 

Question 45 1 / 1 pts

Myasthenic crisis and cholinergic crisis are the major complications of
myasthenia gravis. Which of the following is essential nursing knowledge
when caring for a client in crisis?

  
Cholinergic drugs should be administered to prevent further complications
associated with the crisis.
 

  
Weakness and paralysis of the muscles for swallow ing and breathing
occur in either crisis.
 

  . Loss of body function creates high levels of anxiety and fear 

  
. The clinical condition of the client usually improves after several days of
treatment
 

Question 46 1 / 1 pts

A nurse is reviewing teaching a client with trigeminal neuralgia how to

minimize pain episodes. Which comments by the client indicate that he
understands the  instructions? Select all that apply.

  I can wash my face with cold water.” 

  “I’ll try to chew my food on the unaffected side.” 

  If tooth brushing is too painful, I’ll try to rinse my mouth instead.” 

  Drinking fluids at room temperature should re duce pain.” 

  “I’ll eat food that is very hot.” 

Question 47 1 / 1 pts

A nurse is planning care for a client with multiple sclerosis. Which

problems should the nurse expect the client to experience? Select all that
apply.

  Balance problems 

  Mood disorders 

  Immunity compromise 

  Vision disturbances 

  Coagulation abnormalities 

Question 48 1 / 1 pts

A client is admitted to the hospital for repair of an unruptured cerebral

aneurysm. Before surgery, the nurse performs frequent assessments on
the client. Which assessment finding would be noted first if the aneurysm
ruptures?

  Widened pulse pressure 

  Unilateral motor weakness 

  Unilateral slowing of pupil response 

  A decline in the level of consciousness 

Question 49 1 / 1 pts

What is the priority nursing intervention in the postictal phase of a

seizure?
   Reorient the client to the surroundings. 

  Assess the client’s breathing pattern. 

A priority nursing measure during the postictal phase of a seizure is

to maintain the client’s airway 
and assess the client’s breathing pattern for an effective 
rate, rhythm, and depth. Oxygen administration may be 
necessary. Assessing the levels of consciousness and 
 arousability as well as reorientation to person, place, and 
time is important to complete but only after a patent airway and
regular respiratory pattern have been established. 
Incontinence of bowel and bladder is common during a 
seizure, and providing hygiene is important to provide 
dignity for the client, but not as important as maintaining

  Assess the client’s level of arousal 

  Change the client’s clothing. 

Question 50 1 / 1 pts

The client’s spouse notices situations during which 

the client laughs or cries inappropriately. The spouse 

asks the nurse, “Why are these mood swings occurring?” 

Which is the best response by the nurse?

  It is common to be very emotional after a major life event. 

  
Emotional fl uctuations are common for many after experiencing a stroke. 

  The stroke has destroyed the part of the brain dealing with emotions. 

  
Your spouse is trying to gain control over the situation by these mood
swings
 

Incorrect Question 51 0 / 1 pts

A 65 year old office executive sought consultation due to excruciating
chest pain. Electrocardiogram revealed an abnormality and the client was
diagnosed with atrial fibrillation. Which of the following statements best
describe this condition?

  QRS waves are more pronounced than normal 

  Ventricular rate of contraction is 140 beats / min 

  Atria are smaller than normal 

  Ventricular contractions occur at regular intervals 

  P waves of the ECG are pronounced 

Question 52 1 / 1 pts

For a client who presents with a heart murmur, the nurse can best explain
how a murmur manifests in the body by saying

  “The systolic occurs between S1 and S2.” 

  “It is a measure of turbulence of blood flow through the valve.” 

A murmur is heard as turbulence of blood flow through the valve. It is

classified by timing, so answers
(1) and (2) are correct, but they
have to do with timing.
Answer (3) has to do with pattern of flow. 

  “The diastolic occurs between S2 and S1.” 

  “It is determined by intensity over time.” 

Question 53 1 / 1 pts

A 78-year-old client is admitted to the hospital with left sided heart failure.
When obtaining a health history from the client, the 
nurse would expect to learn that which of the following 
was the client’s earliest symptom?

  Headaches 

  Anorexia 

  Nausea 

  Dyspnea 

Question 54 1 / 1 pts

Which risk factor is least likely to have predisposed 

the client to having a myocardial infarction (MI)?

  Working under emotional stress 

  Eating fatty foods 

  Smoking cigarettes 

  Drinking an occasional cocktail 

Question 55 1 / 1 pts

A client is admitted, and the monitor shows an abnormal rhythm. A major

sign of hemodynamic instability
would be

  Shortness of breath. 
 A major sign of hemodynamic instability is shortness of breath, in
addition to ongoing chest pain and a
heart rate over 150 per minute. Anxiety would be present, but is not a
determining factor

  Client complaining of anxiety. 

  Mild chest pain. 

  Heart rate of 80. 

Question 56 1 / 1 pts

In the critical care unit, ensuring patient safety and preventing falls is one
of the goals. Which of the following would be a substitute to the use of
restraints for safeguarding the IPSG goal?

  
Maintain a high bed position so the patient will not attempt to get out
unassisted
 

  Allow the patient to use the bathroom independently. 

  Involve family members in the patient’s care. 

  Keep the patient sedated with tranquilizers 

Question 57 1 / 1 pts

A client is receiving parenteral nutrition (PN) via a central venous catheter

(CVC) is scheduled to receive an intravenous (IV) antibiotic. Which should
the nurse implement before administering the antibiotic?

  Flush the CVC with normal saline 

   Check the compatibility with the PN 

  Ensure as separate IV access route 

  Turn off the PN for 30 minutes 

Question 58 1 / 1 pts

The client with hypertension will begin taking furosemide 

(Lasix) 40 mg orally every day.

Which observation by the nurse is the best indication 

that the furosemide (Lasix) has had a desired effect?

  The client’s pulse becomes slower. 

  The client’s urine output increases. 

  The client’s anxiety is diminished 

  The client’s blood pressure stabilizes. 

Question 59 1 / 1 pts

To evaluate a client’s condition following cardiac catheterization, the

priority intervention is to palpate the pulse

  At the insertion site. 

  In all extremities 

  Above the catheter insertion 

  Distal to the catheter insertion 

 Palpating pulses distal to the insertion site is important to evaluate for
thrombophlebitis and vessel occlusion. They should be bilateral and
strong.

Question 60 1 / 1 pts

While a client scheduled for a cardiac catheterization is being admitted,

the client states to the nurse, “I always

safety protocol, the most
get a rash when I eat shellfish.” Following
appropriate initial nursing intervention is to

  Ask the client if there are any other foods that cause such a reaction 

  Place a note on the chart regarding this reaction 

  Notify the physician. 

Because the dye used during a cardiac catheterization contains

iodine, the physician must be aware of this

interventions should
client’s reaction to iodine (shellfish). The other
be carried out, but they should follow
notifying the physician. 

  Notify the dietitian of the reaction and request a “no shellfish” diet. 

Partial Question 61 0.33 / 1 pts

A nurse is preparing to take the blood pressure of

a client. Which actions are appropriate? Select all
the
apply

  
Wrapping the cuff so that the lower border is 8 cm above the antecubital
space
 
   
nflating the cuff to 30 mm above the reading where the brachial pulse
disappeared
 

  Selecting a cuff that’s 80% of arm circum�ference 

  
Quickly releasing the bulb valve so the pressure drops more than 5 mm Hg
per second
 

  Centering the bladder of the cuff over the brachial artery 

Partial Question 62 0.5 / 1 pts

A client on telemetry reports that she’s having

that
chest pain. The hospital unit has standing orders

the physician.
allow a nurse to begin treating the client before notifying
Place the following actions in proper
ascending chronological order. Use all
the options.

1. Evaluate the client’s response.

2. Administer SL nitroglycerin.

4. Check vital signs.

3. Administer oxygen at 2 L/min.

  1, 3, 2 4 

  2,4, 1, 3 

  3, 4, 2, 1 

Oxygen at 2 to 4 L/min via nasal cannula

is a first-line agent to treat myocardial oxygen deficit.

Checking vital signs, particularly blood pressure, is important before

administering SL nitroglycerin. The
nurse will evaluate the effectiveness
of the treatment
given, document it, and report to the physician

  4, 3, 2, 1 
Question 63 1 / 1 pts

The nurse implements the teaching plan for cardiac catheterization and
coronary arteriogram.

client indicates an understanding of what will
Which statement by the
happen during the testing procedure?

  I will be anesthetized and will not feel any dis�comfort 

  “I will be able to hear my heart beating in my chest.” 

  “I will feel a warm sensation as the dye is instilled.” 

  I will feel a heavy sensation all over my body.” 

Question 64 1 / 1 pts

Which signs and symptoms should the nurse expect to find in a client with
angina? Select all that apply

  Slowed respiratory rate 

  General muscle aching 

  Chest tightness 

  Jaw pain 

  Chest pressure 

Question 65 1 / 1 pts

A client is experiencing tachycardia. The nurse’s understanding of the
physiological basis for this symptom is explained by which of the following
statements?

  
The inflammatory process causes the body to demand more oxygen to
meet its needs.
 

  Respirations are labored 

  
The heart has to pump faster to meet the demand for oxygen when there is
lowered arterial oxygen tension.
 

  The demand for oxygen is decreased because of pleural involvement. 

Question 66 1 / 1 pts

A 65-year-old client with severe chest pain is evaluated in 

the emergency department. A tentative diagnosis of myocardial infarction

(MI) is made.
When the nurse is obtaining this client’s health history, which question
about pain is least helpful?

  “What were you doing when your pain started?” 

  Where is your pain located?” 

  “What medications do you take for pain 

  How long have you been in pain?” 

Question 67 1 / 1 pts

The physician tells a client at risk for CAD that a high 
cholesterol level needs to be lowered and advises following 
a low-cholesterol diet.
When the client asks the nurse how cholesterol acts as 
a cardiac risk factor, what is the best explanation?

  Excess fat in the blood causes slower blood clotting. 

  Excess fat in the blood stimulates the heart to beat faster 

  Excess fat in the blood expands the circulating blood volume. 

  Excess fat in the blood thickens the lining of the arteries 

Question 68 1 / 1 pts

The physician orders a patient-controlled analgesia (PCA) 

infusion pump for the client after coronary artery bypass 

graft (CABG) surgery.

When the nurse informs

the client about the use of the 
PCA pump, which instruction is most important to include?

  “Use the PCA pump only when the pain is severe.” 

  Press the control button whenever you feel you need pain medication.” 

  Call the nurse each time you need to use the PCA pump.” 

  
Do not use the PCA pump too frequently, because it can cause addiction.” 

Question 69 1 / 1 pts

The client’s left-sided heart failure worsens with severe 

pulmonary edema. The nurse prepares to transfer the client
to the
intensive care unit (ICU)
 The client tells the nurse of being extremely frightened. What is the most
appropriate action for the nurse to take at this time?

  Record the collected data. 

  Tell the client it will be fi ne 

  Notify the physician. 

  Stay with the client. 

Question 70 1 / 1 pts

When auscultating the apical pulse of a client who has atrial fibrillation,
the nurse would expect to hear a
rhythm that is characterized by

  Slow but strong and regular beats. 

  Long pauses in an otherwise regular rhythm. 

  The presence of occasional coupled beats. 

  A continuous and totally unpredictable irregularity. 

In atrial fibrillation, multiple ectopic foci stimulate the atria to contract.

The AV node is unable to transmit
all of these impulses to the ventricles,
resulting in a pattern of highly
irregular ventricular contractions.

Incorrect Question 71 0 / 1 pts

The nurse was tasked by the supervisor to organize a safety event report,
the nurse should be aware of which of the following precise statements?
   The safety event report becomes a part of the medical record 

  A physician must be present when a safety event report is completed 

  
Te safety event report is not part of the medical record and should not be
mentioned in the documentation.
 

  
Laws governing the completion of a safety event report are uniform
throughout the country
 

Question 72 1 / 1 pts

The nurse is assessing the insertion site on a central line.  Which of the
following findings would need to be further invested?

  The catheter taped at the 80 cm mark 

  Erythema and tenderness 

  A small amount of dried blood 

  Biopatch and transparent dressing 

Partial Question 73 0.5 / 1 pts

Buerger’s disease is characterized by all of the following except:

  Arterial thrombosis formation and occlusion. 

  Lipid deposits in the arteries. 

 Buerger disease, also known as Thromboangiitis obliterans (TAO) is
a progressive, nonatherosclerotic, segmental, inflammatory disease
that most often affects small and medium arteries of the upper and
lower extremities. The typical age range for occurrence is 20 to 50
years, and the disorder is more frequently found in males who
smoke.

  Venous inflammation and occlusion. 

  Redness or cyanosis in the limb when it is dependent. 

Question 74 1 / 1 pts

A nurse is assisting in admitting a client with substernal chest pain. Which

diagnostic tests does the
nurse anticipate the client
will receive to confirm or
rule out a diagnosis of myocardial infarction (MI)?

Select all that apply

  Urinalysis 

  Electroencephalogram 

  Serum bilirubin 

  Serum myoglobin 

  Serum troponin 

Question 75 1 / 1 pts

The nurse working on a medical-surgical unit identifies 

several clients who have been diagnosed with coronary 

artery disease (CAD).

Which of the following client risk factors is most 

significant for developing CAD?

   History of mitral valve repair 

  Weighing 25 pounds (11.3 kg) above norm 

  Rheumatic fever during childhood 

  Drinking a nightly cocktail 

Incorrect Question 76 0 / 1 pts

Which statement by the client indicates an accurate 

understanding of the purpose of aerosol therapy?

  “Aerosolization dries respiratory passages.” 

  “Aerosol therapy relieves tissue irritation.” 

  “This therapy kills infectious organisms.” 

  Aerosol therapy helps to slow breathing. 

Question 77 1 / 1 pts

Which assessment finding indicates that the client has 

most likely developed pleurisy as a result of the pneumonia?

  Pain when breathing 

  Productive cough 

  Rapid heart 

  Cyanotic nail beds 

Question 78 1 / 1 pts

The client suddenly experiences chest pain and dyspnea 

and tells the nurse, “Nurse, I think I am dying.”

Which nursing intervention is most important in response to the client’s

physical symptoms at this time?

  Having the client rate the pain on a pain scale 

  Administering oxygen by face mas 

  Requesting a physician’s order for cardiac enzymes 

  Assessing the client’s capillary refi ll 

Question 79 1 / 1 pts

A client with a prolonged upper respiratory infection seeks 

medical attention for symptoms of a low-grade fever, poor 

appetite, and malaise.

If the client has sinusitis in the maxillary sinuses, where 

will the client most likely report feeling pain?

  In the cheeks 

  Near the eyebrows 

  Over the eyes 

  Above the ears 

Question 80 1 / 1 pts

The nurse on duty is evaluating several clients in the intensive care unit.
Which of the following is TRUE concerning auscultation of the chest?

  
The presence of egophony can be used to distinguish pulmonary fibrosis
from alveolar filling.
 

  
“Cardiac asthma” refers to wheezing associated with alveolar edema in
congestive heart failure
 

  
Absence of breath sounds in a hemithorax is almost always associated
with a pneumothorax
 

  
An astute clinician should be able to differentiate “wet” from “dry” crackles 

  Rhonchi are a manifestation of obstruction of medium-sized airways. 

Question 81 1 / 1 pts

When preparing the skin prior to CVC insertion you should

  Wear non sterile gloves 

  Were a sterile gloves 

  Not wear gloves 

  
Ask the nurse to prep the area while you are putting on sterile gloves,
gown, and mask
 
Question 82 1 / 1 pts

After collecting the sputum specimen from the client, 

which nursing action is most appropriate?

  Provide mouth care 

  Administer oxygen 

  Offer nourishment 

  Encourage ambulation 

Question 83 1 / 1 pts

The condition of the patient and the treatment being administered

determine how often CVP measurement should be done. The normal
CVP is?

  4 - 8 mm hg 

  1 -3 mm hg 

  2 - 6 mm hg 

  6 -10 mm hg 

Question 84 1 / 1 pts

A nurse is caring for a female client after a bronchoscope and biopsy.

Which of the following signs, if noted in the client, should be reported
immediately to the physicians?

  Blood-streaked sputum 
   Abnormal spasm on the Bronchial pathway 

  Hematuria 

  Dry Cough 

Question 85 1 / 1 pts

The nurse is educating a hospitalized client diagnosis with emphysema

about measures that will enhance the effectiveness of breathing during
dyspneic periods. Which position should the nurse instruct the client to
assume?

  Sitting up in bed 

  Sitting up and leaning on an overbed table 

  Sitting in a recliner chair 

  Side lying in bed 

Question 86 1 / 1 pts

The purpose of adding PEEP to positive pressure ventilation is to

  . increase FIO2 in an attempt to wean the patient and avoid O2 toxicity 

  
determine is the patient is able to be weaned and avoid the risk of
pneumomediastinum
 

  increase functional residual capacity and improve oxygenation 

   
determine if the patient is in synchrony with the ventilator or needs to be
paralyzed
 

Question 87 1 / 1 pts

The low-pressure alarm sounds on a ventilator. The nurse assesses the

client and then attempts to determine the cause of the alarm. If
unsuccessful in determining the cause of the alarm, the nurse should take
what initial action?

  start CPR 

  administer oxygen 

  check the client's vital signs 

  ventilate the client manually 

Incorrect Question 88 0 / 1 pts

The following are your nursing guidelines for postural drainage for having
too much secretions, which of this should not be applied to Mr.
Fernandez?

  Plan apical secretion drainage, if several areas require drainage 

  Allow him to continue the session despite of discomfort 

  Percuss only in areas where there is no increase pain 

  Do this only an hour after his meal 

 Question 89 1 / 1 pts

Because of mismatched V/Q shunting, chronic bronchitis will manifest

what ABG imbalance?

  Metabolic Alkalosis 

  Metabolic Acidosis 

  Respiratory Acidosis 

  Respiratory Alkalosis 

Incorrect Question 90 0 / 1 pts

Treatment therapy of patients with advanced ARDS will be:

  Large doses of Antibiotics 

  Low dose of Surfactants 

  O2 therapy in 2L/min 

  Intubation and Mechanical Ventilators 

Question 91 1 / 1 pts

Which nursing observation provides the best evidence 

that postural drainage is effective?

  The client’s respiratory rate is increased. 

   The client raises a large volume of sputum. 

  The client’s heart rate is much improved. 

  The client’s sputum culture is negative. 

Question 92 1 / 1 pts

Nurse Nilda  is caring for a patient intubated and on a mechanical

ventilator for several days. Which weaning parameter would tell the nurse
if the patient has enough muscle strength to breathe without assistance?

  Minute ventilation 

  Tidal volume 

  Negative inspiratory force 

  Forced vital capacity 

Question 93 1 / 1 pts

When caring  a plan for a patient on a mechanical ventilator, the nurse

understands that the application of positive end-expiratory pressure
(PEEP) to the ventilator settings has which therapeutic effect?

  Prevention of barotrauma to the lung tissue 

  
Increased fraction of inspired oxygen concentration (FIO2) administration 

  Prevention of alveolar collapse during expiration 

  Increased inflation of the lungs 

Incorrect Question 94 0 / 1 pts

An emergency room nurse is assessing a female client who has sustained

a blunt injury to the chest wall. Which of these signs would indicate the
presence of a pneumothorax in this client?

  Diminished breath sounds while interviewing the client 

  The presence of a barrel chest and fast breathing 

  A low respiratory rate and slow breathing 

  A report on one -sided chest pain and SOB 

Question 95 1 / 1 pts

The nurse is caring for a client who must take a liquid 

cough syrup and several other oral tablets at the same 

time.

What nursing action is most appropriate when administering both types of

oral medication to this client?

  Administer the cough syrup fi rst, then the tablets 

  Give the cough syrup between administering the tablets 

  Administer the tablets first, then the cough syrup. 

  Wait 15 minutes after giving the cough syrup before giving the tablets. 

Question 96 1 / 1 pts

A grownup man is admitted with a pneumothorax following an accident.

Immediately after insertion of a chest tube, the patient says to the nurse,
“Why do I even have a tube in my chest and that thing placing at the side t
of the bed? I don’t like it.” What must the nurse encompass when replying
to the patient?

  Focus on the client’s feelings 

  
Explain that the chest tube will remove air and/or fl uid from the pleural
cavity and allow the lung to reexpand
 

  Tell the client that the chest tube helps the client take bigger breaths 

  
Tell the client that the nurse will contact the physician to have it removed 

Question 97 1 / 1 pts

An older adult is admitted with severe pneumonia. Which of the following

measures should the nurse include in the plan of care immediately after
admission? Select all that apply.

  Administer antibiotics as ordered. 

  Ambulate three times a day. 

  Administer antipyretics as ordered. 

  Encourage the client to drink 2 L of fl uid daily. 

  Administer mucolytics as ordered 

  Eat three large meals a day. 

Question 98 1 / 1 pts

While on the way to work one morning, a nurse witnesses a motorcycle

accident and stops to assist the victim.

When assessing the accident victim, which finding strongly suggests the
presence of a fl ail chest?

  The trachea deviates from midline. 

  A portion of the chest moves inward during inspiration 

  The victim has severe chest pain during expiration 

  Sucking air is heard near the chest. 

Question 99 1 / 1 pts

A hospitalized lawyer becomes extremely fearful and has an impression

of approaching doom. The nurse thinks the client may be experiencing a
pulmonary embolus. Which action should the nurse implement first?

  Auscultate the client’s lung sounds 

  Obtain a STAT pulse oximeter reading 

  Place the client in a high Fowler’s position 

  Administer oxygen 10 L via nasal cannula 

Question 100 1 / 1 pts

A high school football player comes to the emergency 

department with signs and symptoms suggestive of two 

fractured ribs.

Before discharging a client with fractured ribs from 

the emergency department, which instruction is most 

important for the nurse to provide?

  Breathe shallowly to avoid discomfort 

   Breathe deeply several times every hour 

  Breathe rapidly to promote ventilation 

  Breathe into a paper bag every hour 

Question 101 1 / 1 pts

The client who has been diagnosed with pneumonia has 

action is most
difficulty coughing up respiratory secretions. Which nursing
appropriate when planning to obtain the ordered sputum specimen?

  Provide the client with a generous fl uid intake. 

  Ask the dietitian to send the client a clear liquid diet. 

  Encourage the client to change positions regularly 

  Administer an antitussive before collecting the specimen. 

Question 102 1 / 1 pts

The best evidence that the client understands the procedure for a
pulmonary function test is when stating that it 
involves which action?

  Breathing into a mouthpiece 

  Having an X-ray taken 

  Examining expectorated sputum 

  Drawing a blood specimen 

Question 103 1 / 1 pts

Which nursing explanation identifies the primary 

rationale for administering aminophylline?

  Aminophylline thins respiratory secretions. 

  Aminophylline dilates the bronchial airways. 

  Aminophylline reduces sputum production. 

  Aminophylline relieves persistent coughing. 

Question 104 1 / 1 pts

A male client is admitted to the health care facility for treatment of chronic
obstructive pulmonary disease. Which nursing diagnosis is most important
for this client?

  Risk for infection related to retained secretions 

  Anxiety related to actual threat to health status 

  Improper tissue perfusion related to airway obstruction 

  
Impaired gas exchange related to increased pressure on the bronchial tree
 

Question 105 1 / 1 pts

A client hospitalized in the coronary intensive care unit developed

pulmonary embolism. The nurse should evaluate for which of the following
commonly reported symptom?
   Dyspnea when deep breaths are taken 

  Sudden chills and fever 

  Hot, flushed feeling 

  Chest pain that occurs suddenly 

Question 106 1 / 1 pts

Which nursing assessment is most important when 

caring for a client experiencing a severe allergic  reaction?

  Monitoring the client’s blood pressure 

  Checking the client’s pupillary response 

  Taking the client’s temperature 

  Assessing the client’s skin color 

Incorrect Question 107 0 / 1 pts

A client with a persistent upper respiratory infection 

develops acute bronchitis and is given a prescription
for 
guaifenesin (Robitussin AC), an antitussive that contains 

codeine.

the characteristics of the client’s cough, 
Aside from
which other pertinent assessment finding should the
nurse 
document?

  Family history of respiratory disease 

  Any self-treatment measures used by the client 

  Appearance of respiratory secretions 

   Current vital signs 

Question 108 1 / 1 pts

The ABG analysis results reveal that the client’s partial pressure of arterial
carbon dioxide (PaCO2) is 65 mm Hg. The nurse recognizes that this is
abnormal because normal PaCO2 levels fall between which values?

  22 and 26 mm Hg 

  80 and 100 mm Hg 

  7.35 and 7.45 

  35 and 45 mm Hg 

Question 109 1 / 1 pts

Nurse Miko is taking care  a client with ARDS. Which of the subsequent
medical signs might symbolize that this client is in respiration failure?
Select all that apply

  Pulse oximetry of 94% on room air 

  A pCO2 level over 50 mmHg 

  An ABG pH level of 7.35 

  A PaO2 level below 60 mmHg 

Question 110 1 / 1 pts

Other than obtaining a vaccination against infl uenza, 
which nursing advice is most helpful to high-risk clients 
who want to avoid getting influenza?

  Reduce daily stress and anxiety 

  Consume adequate vitamin C 

  Avoid crowded places 

  Dress warmly in cold weather 

Question 111 1 / 1 pts

Air tapping on expiration is usually seen on:

  Asthma 

  Emphysema 

  ARDS 

  Chronic Bronchitis 

Question 112 1 / 1 pts

Which of the following statements is true with regard to COPD?

  
COPD is an internationally recognized term used to indicate chronic
bronchitis, emphysema ARDS
 

  COPD is more common in young age. 

   
COPD originates in the peripheral airways and in the air spaces of the
lungs
 

  
Key feature of COPD is poor reversibility of airflow limitation even after
giving mucomyst.
 

Question 113 1 / 1 pts

The nurse is caring for a male client who recently underwent a

tracheostomy. The first priority when caring for a client with a
tracheostomy is:

  use sign basic language in communication 

  encouraging him to perform passive exercise 

  
helping him communicate by teaching how to speak in slow structured
manner
 

  assist in all ADLs 

Question 114 1 / 1 pts

Before weaning a male client from a ventilator, which assessment

parameter is most important for the nurse to review?

  Capability of the client to maintain normal breathing pattern 

  Capability of the client to maintain normal tissue perfusion 

  Prior outcomes of weaning 

   Electrocardiogram (ECG) results 

Incorrect Question 115 0 / 1 pts

To determine whether the pneumonia is caused by a 

bacteria or virus, the nurse asks the client about the onset 
of the symptoms. What is the rationale for the nurse’s 

questioning?

  
The symptoms of bacterial pneumonia usually come on rapidly and tend to
be more severe.
 

  
The symptoms of viral pneumonia begin a couple of weeks after a person
has developed upper respiratory symptoms, such as congestion or a sore
throat.
 

  
The symptoms of viral pneumonia usually come on rapidly and tend to be
more severe.
 

  
The symptoms of bacterial pneumonia begin a couple of weeks after a
person has developed upper respiratory symptoms, such as congestion or
a sore throat
 

Question 116 1 / 1 pts

A junior nurse is caring for a patient who’s in respiratory distress  due to

ARDS. Which of the subsequent situations could most possible be found
in this patient?

  Disturbed personal identity 

   Lack of tissue perfusion 

  Problems with thermoregulation 

  Anuria 

Question 117 1 / 1 pts

Diagnosis of Chronic Bronchitis will include at least:

  3 mos. of productive cough for two years in a row 

  1 mos. of productive cough for two years in a row 

  6 mos. of productive cough for two years in a row 

  2 mos. of productive cough for two years in a row 

Incorrect Question 118 0 / 1 pts

When teaching the client about topical nasal decongestant sprays, the
nurse should warn that overuse of such 

medication is likely to result in which adverse effect?

  Rebound congestion with nasal stuffi ness 

  Ulceration of the nasal mucous membranes 

  Nasal irritation with rhinorrhea 

  Decreased ability to fi ght microorganisms 

Question 119 1 / 1 pts

If the client has normal cardiovascular and renal function, what is an

appropriate goal for oral intake in the next 24-hour period?

  3,000 ml 

  1,000 mL 

  500 mL 

  1,500 mL 

Question 120 1 / 1 pts

The client experiencing a severe allergic reaction 

becomes pulseless. The nurse shakes the client, shouts 

the client’s name but gets no response, and activates the 

emergency medical response system. Which nursing action 

becomes the next priority?

  Administer a single blow to the sternum 

  Give two quick breaths that make the chest visibly rise 

  Begin chest compressions at a rate of 100 per minute 

  Administer an epinephrine (Adrenalin) injection.