 Question 1

A client diagnosed with AKI is experiencing hyperkalemia. Which medication would

the nurse anticipate on preparing to help improve the client's potassium level?

 Question 2

A client is hospitalized with cirrhosis, ascites, and mild hepatic encephalopathy,

suddenly vomits 200 mL of bright red blood. Which of the following would the nurse
do first?

 Question 3

A client undergoes an arthroplasty with reconstruction and replacement of the finger

joints. Postoperatively, what is most important for the nurse to do?

 Question 4

A client undergoing surgery and radiation for treatment of breast cancer has a
nursing diagnosis of disturbed body image R/T absence of the breast. What is an
appropriate nursing intervention at this time?

 Question 5

A client with a history of heart failure, HTN, now presents with (AKI) Acute Kidney
Injury as a result of nephrotoxic diuretics. Currently his serum K+ - 6.2 mEq/L with
cardiac changes, the BUN is 108 mg/dL, his serum creatinine - 4.1 mg/d/L and his
HCO3 is 14 mEq/L. He is somnolent and disoriented. Which treatment would the
nurse expect to use for this client?

 Question 6

A client with advanced AIDS has impaired memory related to neurologic changes. In
planning care, what would the nurse set as the highest priority?

 Question 7
 A client with rheumatoid arthritis has been on Methotrexate, a DMARD drug for 2
weeks. Which laboratory data warrants intervention by the nurse?

 Question 8

A nurse in a medical clinic is providing teaching to an older adult client who has
osteoarthritis that is affecting her knees. Which of the following client statements
indicates an understanding of the teaching?

 Question 9

A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA).
Which of the following findings is a late manifestation of this condition?

 Question 10

A nurse in the emergency department is planning care for a client who has a right hip
fracture. Which of the following immobilization devices should the nurse anticipate in
the plan of care?

 Question 11

A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty.
Which of the following actions by the nurse are appropriate? (Select all that apply.)

 Question 12

A nurse is admitting an adult client who has suspected osteoporosis. Which of

following findings are risk factors for osteoporosis? (Select all that apply.)

 Question 13

A nurse is assessing a client who had an external fixation device applied 2 hr ago for
a fracture of the left tibia and fibula. Which of the following findings is a manifestation
of compartment syndrome? (Select all that apply.)

 Question 14

A nurse is assessing a client who has a casted compound fracture of the femur.
Which of the following findings is a manifestation of a fat embolus?

 Question 15

A nurse is assessing a client who has a puncture wound on his foot. Which of the
 following findings is a manifestation of acute osteomyelitis?

 Question 16

A nurse is assessing a client who has arteriosclerosis and is scheduled for a possible
right lower extremity amputation. Which of the following are expected findings in the
affected extremity? (Select all that apply.)

 Question 17

A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which
of the following manifestations should the nurse expect to find? (Select all that
apply.)

 Question 18

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of
the following findings should the nurse expect?

 Question 19

A nurse is assessing a client who is scheduled to undergo a right knee arthroplasty.

The nurse should expect which of the following findings? (Select all that apply.)

 Question 20

A nurse is caring for a client following a below-the-elbow amputation. Which of the

following actions should the nurse take? (Select all that apply.)

 Question 21

A nurse is caring for a client who had an above-the-knee amputation. The client
reports a sharp, stabbing type of phantom pain. Which of the following actions should
the nurse take?

 Question 22

A nurse is caring for a client who is in Buck's traction. Which of the following actions
should the nurse take? (Select all that apply.)

 Question 23

A nurse is caring for a client who is postoperative and in skeletal traction. When
assessing the client, the nurse should expect which of the following findings? (Select
all that apply.)
 Question 24

A nurse is caring for a client who is postoperative following a right-sided mastectomy

and has a drain connected to a portable drainage evacuator. Which of the following
actions should the nurse?

 Question 25
A nurse is caring for a client who is postoperative following an open reduction
internal fixation (ORIF) of a femur fracture. Which of the following parameters should
the nurse include in the evaluation of the neurovascular status of the client's affected
extremity? (Select all that apply.)

 Question 26

A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks
client to state if he understands the procedure that is being performed. Which of the
following statements by the client indicates an understanding of the procedure?

 Question 27

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should
identify which of the following findings as an adverse effect of this medication?

 Question 28

A nurse is caring for a client who received a lower back injury during a fall and
describes sharp pain in the back and down the left leg. In which of the following
positions should the nurse plan to place the client to attempt to decrease the pain?

 Question 29

A nurse is completing a preoperative teaching plan for a client who is scheduled to

have a total hip arthroplasty. Which of the following should the nurse include in the
teaching plan? (Select all that apply.)

 Question 30

A nurse is completing discharge teaching to a client who had a wound debridement

for osteomyelitis. Which of the following information should the nurse include?

 Question 31

A nurse is completing discharge teaching with a client following arthroscopic knee

surgery. Which of the following instructions should the nurse include in the teaching?
 Question 32
1 out of 1 points
A nurse is performing health screenings at a health fair. Which of the following clients
have a risk factor for osteoporosis? (Select all that apply.)

 Question 33
1 out of 1 points
A nurse is planning a presentation about HIV for a church-based group. Which of the
following information about HIV transmission should the nurse include?

 Question 34
1 out of 1 points
A nurse is planning discharge teaching for a client who had a total hip arthroplasty.
Which of the following should the nurse include in the teaching? (Select all that
apply.)

 Question 35
1 out of 1 points
A nurse is planning discharge teaching on home safety for an adult client who has
osteoporosis. Which of the following information should the nurse include in the
teaching? (Select all that apply.)

 Question 36
1 out of 1 points
A nurse is preparing a plan of care to prevent a client from developing flexion
contractions following a below-the-knee amputation 24 hr ago. Which of the following
actions should the nurse include?

 Question 37
1 out of 1 points
A nurse is presenting a community-based program about HIV and AIDS. A client
asks the nurse to describe the initial symptoms experienced with HIV infection.
Which of the following manifestations would the nurse include in her explanation?

 Question 38
1 out of 1 points
A nurse is presenting information to a group of clients at a health fair about
measures to reduce the risk of amputation. Which of the follow information should
the nurse provide? (Select all that apply.)

 Question 39
1 out of 1 points
A nurse is providing care for a client who had a vertebroplasty of the thoracic spine.
Which of the following actions should the nurse take?
 Question 40
1 out of 1 points
A nurse is providing dietary teaching about calcium-rich foods to a client who has
osteoporosis. Which of the following foods should the nurse include in the
instructions?

 Question 41
1 out of 1 points
A nurse is providing discharge teaching to a client who has a fracture of the right tibia
and a fiberglass cast. Which of the following instructions should the nurse include in
the teaching?

 Question 42

A nurse is providing information about capsaicin cream to a client who reports

continuous knee pain from osteoarthritis. Which of the following information should
the nurse include in the discussion?

 Question 43

A nurse is providing information to a client who has osteoarthritis of the hip and knee.
Which of the following information should the nurse include in the information?
(Select all that apply.)

 Question 44
1 out of 1 points
A nurse is providing nutritional teaching to a client who has osteoporosis. Which of
the following foods should the nurse recommend as being the highest in calcium?

 Question 45
1 out of 1 points
A nurse is providing teaching for a client who has a history of low back injury. Which
of the following instructions should the nurse give the client to prevent future
problems with low back pain? (Select all that apply.)

 Question 46
1 out of 1 points
A nurse is reviewing the health record of a client who is to undergo total joint
arthroplasty. The nurse should recognize which of the following findings as a
contraindication to this procedure?

 Question 47
0 out of 1 points
A nurse is teaching a client about risk factors for osteoporosis. Which of the following
 factors should the nurse include in the teaching? (Select all that apply.)

 Question 48
0 out of 1 points
A nurse is teaching a client how to manage an external fixation device upon
discharge. Which of the following statements by the client indicates understanding?
(Select all that apply.)

 Question 49
1 out of 1 points
A nurse is teaching a client who is starting to take methotrexate to treat rheumatoid
arthritis. Which of the following instructions should the nurse include in the teaching?

 Question 50
1 out of 1 points
A nurse is teaching a female client who has a new diagnosis of systemic lupus
erythematosus (SLE). The nurse should recognize the need for further teaching
when the client identifies which of the following as a factor that can exacerbate SLE?

 Question 51
1 out of 1 points
A nurse is teaching with a client about taking high doses of oral glucocorticoids for an
extended period of time to treat rheumatoid arthritis. Which of the following
instructions should the nurse include in the teaching?

 Question 52
1 out of 1 points
A patient with circumferential burns of both legs develops a decrease in dorsalis
pedis pulse strength and numbness in the toes. Which action should the nurse take
first?

 Question 53
1 out of 1 points
A patient with extensive electrical burn injuries is admitted to the emergency
department. Which prescribed intervention should the nurse implement first?

 Question 54
1 out of 1 points
After teaching a client with HIV infection about using antiretroviral drugs, the nurse
recognizes that further teaching is needed when the client says

 Question 55
1 out of 1 points
After undergoing a modified radical mastectomy, which action is best to delegate to
an experienced LPN?
 Question 56
1 out of 1 points
During the immediate postoperative period following a mastectomy, the nurse initially
institutes which exercise for the affected arm?

 Question 57
0 out of 1 points
Following a modified radical mastectomy, a client develops lymphedema of the
affected arm. What does the nurse teach the client to do?

 Question 58
1 out of 1 points
Following the change-of-shift handoff, which client would the nurse assess first?

 Question 59
1 out of 1 points
The "rapid" HIV antibody testing is performed on a client at high risk for HIV infection.
What would the nurse explain about this test?

 Question 60
0 out of 1 points
The client in end-stage liver failure with cirrhosis, is being admitted to the medical
floor. Which health-care provider order would the nurse question?

 Question 61
1 out of 1 points
The nurse is assessing a client diagnosed with peptic ulcer disease and notes a
painful hard rigid abdomen. Which intervention would the nurse implement first?

 Question 62
1 out of 1 points
The nurse is caring for a client who is receiving antibiotics to eliminate osteomyelitis.
Which of the following is most important for the nurse to instruct the client to do
regarding his daily care?

 Question 63
0 out of 1 points
The nurse is caring for a client with a right total knee repair. Which intervention would
the nurse implement?

 Question 64
1 out of 1 points
The nurse is evaluating the effectiveness of fluid resuscitation provided to a patient
with a major burn. Which evaluation criterion indicates that fluid resuscitation has
 been effective during the first 24 hours of care?

 Question 65
0 out of 1 points
The patient is receiving treatment during the emergent phase of burn management.
Which laboratory result would the nurse expect for the patient at this time?

 Question 66
0 out of 1 points
To treat a cirrhotic client with hepatic encephalopathy, lactulose, rifaximin, and a
proton pump inhibitor are ordered. What is your best explanation to the family on why
the laxative is ordered.?

 Question 67
0 out of 1 points
What is an appropriate food for a client with a stroke who has mild dysphagia?

 Question 68
1 out of 1 points
What is the percentage of total body surface area for a patient with deep partial-
thickness burns to the anterior trunk, perineum, and anterior and posterior left arm.
Using the "rule of nines", which is the percent of TBSA that was burned?

 Question 69
1 out of 1 points
Which client goal is most appropriate for a client diagnosed with OA?

 Question 70
0 out of 1 points
Which of the following would the nurse include in the plan of care for a client
undergoing hemodialysis? Select all that apply.

 Question 71
1 out of 1 points
Which statements would the nurse include when teaching the client who is newly
diagnosed with osteoporosis? Select all that apply.

 Question 72
Needs Grading
The physician ordered Pronestyl (procainamide) 2 g in 500 mL of D5W. It is to infuse
at 0.24 g/hour per infusion pump. How many hours will the IV run? Round to the
nearest hour._____________

 Question 73
Needs Grading
 The physician ordered Lasix (furosemide) 20 mg q 8 hours as a single dose for a
child who weighs 22 lb. The safe dosage range is 2 mg/kg. a) Is this dose safe?
_________

 Question 74
Needs Grading
The physician ordered 80 units of regular insulin in 250 mL of NS. It is to infuse at 10
units/hour per infusion pump. What is the correct IV rate in milliliters per hour?
Round to the nearest whole number.____________

 Question 75
1 out of 1 points
A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period.
Which of the following descriptive terms should the nurse place in the client's
electronic record?

 Question 76
1 out of 1 points
A nurse is assessing a client who has chronic kidney disease for fluid volume
increase. Which of the following provides a reliable measure of fluid retention?

 Question 77
1 out of 1 points
A nurse is assessing a client who has pancreatitis. Which of the following actions
should the nurse take to assess the presence of Cullen's sign.

 Question 78
1 out of 1 points
A nurse is caring for a client who has a new arteriovenous (AV) graft in his left
forearm. Which of the following techniques should the nurse use to assess the
patency of this graft?

 Question 79
1 out of 1 points
A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting
for 24 hr. Which of the following actions is the nurse's priority?

 Question 80
0 out of 1 points
A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which
of the following information should the nurse include in the plan? (Select all that
apply).

 Question 81
1 out of 1 points
 A nurse is reviewing a new prescription for ursodiol with a client who has
cholelithiasis. Which of the following information should the nurse include in the
teaching?

 Question 82
1 out of 1 points
A nurse is teaching a client who is scheduled for extracorporeal shock wave
lithotripsy (ESWL). Which of the following statements by the client indicates
understanding of the teaching?

 Question 83
1 out of 1 points
You are caring for patient who was admitted with cirrhosis. For the nursing diagnosis
of Excess Fluid Volume, which indicator is the most reliable for tracking fluid
retention?

 Question 84
1 out of 1 points
What treatment for acute cholecystitis will prevent further stimulation of the
gallbladder?

 Question 85
1 out of 1 points
A client has a spinal cord injury at the level of the T2-T3 vertebrae. When planning
care, the nurse would anticipate which of the following types of disability?

 Question 86
0 out of 1 points
A client with a spinal cord injury at the cervical level is identified. What intervention
will be done to facilitate respirations?

 Question 87
0 out of 1 points
A nurse caring for a client who had a right-sided stroke and is exhibiting
homonymous hemianopsia when eating. Which of the following actions should the
nurse take?

 Question 88
0 out of 1 points
A nurse is assessing a client who has Parkinson's disease. Which of the following
manifestations should the nurse expect? Select all that apply.

 Question 89
1 out of 1 points
A nurse is assessing a client's cranial nerves as part of a neurological examination.
 Which of the following actions would the nurse take to assess cranial nerve III?

 Question 90
1 out of 1 points
A nurse is caring for a client who has impairment of cranial nerves IX and X. Which
of the following actions would the nurse take?

 Question 91
1 out of 1 points
A nurse is caring for a client who is prescribed seizure precautions. Which of the
following interventions should the nurse include in the client's plan of care?

 Question 92
1 out of 1 points
A nurse is caring for a client who who has had a stroke involving the right
hemisphere. Which of the following alterations in function should the nurse expect?

 Question 93
1 out of 1 points
A nurse is planning care for a client who had a traumatic brain injury and is emerging
restlessly from a coma. Which of the following interventions would the nurse include
in the plan?

 Question 94
0 out of 1 points
A nurse suspects that a client admitted for treatment of bacterial meningitis is
experiencing increased intracranial pressure (ICP). Which of the following
assessment findings by the nurse supports this suspicion?

 Question 95
0 out of 1 points
During an admission health assessment, the nurse elicits a positive Kernig's sign
from the patient. Which diagnostic test procedure would the nurse anticipate the
HCP ordering to confirm a diagnosis?

 Question 96
1 out of 1 points
The client diagnosed with an acute exacerbation of multiple sclerosis is placed on
high-dose intravenous injections of corticosteroid medication. Which nursing
intervention would be implemented?

 Question 97
1 out of 1 points
The nurse determines that teaching about management of migraine headaches has
been effective when the patient says which of the following?
 Question 98
1 out of 1 points
The nurse is caring for a client with a hemorrhagic stroke. Which medication would
the nurse question administering?

 Question 99
1 out of 1 points
A nurse is caring for a client who is unconscious following a cerebral hemorrhage.
Which of the following nursing interventions is of highest priority?

 Question 100
1 out of 1 points
A nurse is providing discharge instructions on phenytoin to a client with tonic-clonic
seizure disorder. Which instructions would the nurse include? Select all that apply.

Thursday, December 17, 2020 7:58:31 PM EST