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WorksheetsNOA DavisEdge Review
Total questions: 80
Worksheet time: 3hrs 39mins
An older adult client reports coughing and dyspnea. During assessment, the nurse auscultates S1, S2, and S3 heart sounds and crackles in the lung fields. What is the nurse’s priority action?
ask whether the client has an allergy to antibiotics
Draw blood to measure cardiac biomarkers
Ask whether the client has ever had pneumonia
Prepare the client for a chest radiograph
The nurse is caring for a client who is at risk for orthostatic hypotension. Which action should the nurse take?
Assist the client to quickly change positions
Use a walking belt when ambulating the client
Administer opioid analgesics prior to ambulation
Restrict fluids between the hours of 14:00 and 08:00
A client is scheduled for a cardiac catheterization in 1 hour. Which action should the nurse take? Select all that apply.
Report a client allergy to dipyridamole
Ensure informed consent is obtained
Measure orthostatic blood pressures
Report a client allergy to shellfish
Discontinue all intravenous (IV) fluids
A client scheduled for the next dose of atenolol has a blood pressure (BP) of 94/60 mm Hg. Which action should the nurse take next?
Administer the medication, as prescribed
Notify the health-care provider
Obtain an electrocardiogram (ECG)
Administer oxygen at 2L per minute
The nurse is reviewing a client’s laboratory results. Because the client is taking digoxin, which electrolyte imbalance most concerns the nurse?
Hypermagnesemia
Hypocalcemia
Hypokalemia
Hypernatremia
The nurse is reinforcing discharge teaching for a client being prescribed metoprolol succinate. Which client statement indicates teaching is effective?
“I will move slowly when I get out of bed each morning.”
“I will have to stop the medication if I develop glaucoma.”
“The medication will affect my blood pressure but not my heart rate.”
“I may bruise and bleed easily while taking this medication.”
The nurse is caring for a client with diabetes who has a blood glucose level of 400 mg/dL. The client insists they follow the prescribed treatment plan. Which test will the nurse anticipate being ordered to determine blood glucose results over 3 months?
Fasting blood glucose (FBG)
Oral glucose tolerance test (OGTT)
Random blood glucose (RBG)
Glycosylated hemoglobin
A client with diabetes is talking to the nurse about nutrition. Which statement made by the client requires correction by the nurse?
“I count 15 g of carbohydrates to equal 1 exchange.”
"I check my blood sugar before and after I eat.”
“I eat more carbohydrates and cover it with more insulin.”
“I read the label carefully, because some sugar-free food has more carbohydrates.”
A client with type 2 diabetes asks the nurse what long-term complications can occur. The nurse will include which of the following complications in the response? Select all that apply.
Diabetic retinopathy
Nephropathy
Hepatitis
Neuropathy
Foot problems
The nurse is teaching a diabetic client about prevention of complications involving the eyes. Which of the following statements made by the client indicates an understanding of the teaching?
“If I take my insulin like I am supposed to, it can reduce the risk of eye problems”
“I should have an eye exam every other year.”
"High blood pressure can reduce the risk of eye disease.”
“There is no surgery available to improve my vision after a hemorrhage occurs.”
The nurse is teaching a client about foot care. Which statement made by the client indicates the need for further education?
“I will cut my toenail like the natural shape of the nail.”
“I should not go barefoot to avoid stepping on a nail.”
“I should not put lotion in between my toes.”
“I need to look at my feet once a week to see if I have sores.”
Which of the following accurately describe type I diabetes? Select all that apply.
Onset is slow
Onset younger than age 40
Obese individuals at high risk
Can cause hyperosmolar hyperglycemic state
Must have insulin to survive
The nurse is caring for a client who is receiving metformin. Which intervention should the nurse implement?
Administer the medication after each meal
Monitor potassium level
Notify the health-care provider (HCP) of symptoms of lactic acidosis
Inform the client that the medication may cause weight gain
The nurse is assessing a client who is being treated for fluid volume excess. Which of the following situations warrants notifying the health-care provider (HCP)?
Lung sounds clear bilaterally
Neck veins nondistended
Urine output 10 mL/hr
Weight loss of 1 pound
The nurse is taking a medication history on a client admitted with hypokalemia. Which of the following medications would be of most concern to the nurse?
Spironolactone
Furosemide
Triamterene
Amiloride
The nurse is caring for a client with a potassium level of 2.4 mEq/L. Which statement made by the client warrants a telephone call to the health-care provider (HCP)?
“I feel like my heart is skipping a beat.”
“I woke up this morning feeling nauseated.”
“My leg was cramping during the night.”
“I feel a little sleepy today.”
The nurse is caring for a client with fluid volume excess who has begun to feel short of breath. Which of the following interventions should the nurse implement?
Elevate the head of the bed
Instruct the client to lie on their left side
Apply oxygen at 4 L via nasal cannula
Teach the client to cough and deep breathe
Which of the following are clinical manifestations related to a decrease in oxygenation? Select all that apply.
Fatigue
Dyspnea
Jaundice
Sleepiness
Confusion
The nurse is assessing a client with heart failure. What should the nurse expect to hear upon auscultating lung sounds?
Wheezing
Pleural friction rub
Rhonchi
Crackles
Which disease process causes an accelerated destruction of red blood cells?
Renal failure
Sickle cell anemia
Lung cancer
Crohn disease
The nurse is caring for a client with a white blood cell count of 21,000/mm3. In which client will the nurse expect this finding?
A client with anemia
A client with thrombocytopenia
A client with neutropenia
A client with an infection
The nurse is caring for a client receiving a blood transfusion who suddenly develops a fever, chills, headache, and back pain. The nurse recognizes this as which type of reaction?
Febrile nonhemolytic
Urticarial
Hemolytic
Anaphylactic
The nurse is assessing a client with a cold. Which lymph nodes will the nurse expect to find enlarged?
Femoral
Mediastinal
Popliteal
Cervical
The nurse is caring for a client with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the client to exhibit?
Glossitis
Palpitations
Exertional dyspnea
Petechiae
The nurse is reviewing laboratory values for a client and notes a CD4 count of 76 cells/microL. In which condition is this a typical finding?
Acquired immunodeficiency syndrome (AIDS)
Myasthenia gravis
Hemochromatosis
Multiple sclerosis
The nurse is caring for a client with human immunodeficiency virus (HIV) who reports yellow-white patches in the mouth. The nurse knows this is a common finding in which condition?
Cytomegalovirus
Mycobacterium Avium Complex
Candida albicans
Pneumocystis pneumonia
The nurse is monitoring a client’s pulse and notes there are fewer radial beats than apical beats. Which action by the nurse is best?
Document the finding as normal
Continue to monitor the pulses more frequently
Notify the health-care provider
Instruct the client to stand, and recheck
Which internal factor may contribute to hypertension?
Decreased blood viscosity
Decreased fluid volume
Decreased peripheral vascular resistance
Decreased elasticity of blood vessels
The nurse is caring for a client with hypertension. The client is at risk for which of the following? Select all that apply.
Stroke
Liver failure
Heart failure
Pulmonary edema
Hypothyroidism
A client presents to the emergency department with chest pain. Which blood study is most important to monitor to rule out a myocardial infarction (MI)?
Complete blood count (CBC)
Cardiac troponin
Kidney function tests
Potassium level
The nurse is caring for a group of clients. Which client should the nurse see first?
A client waiting to be taken for cardiac catheterization
A client with a manual blood pressure of 224/114
A client awaiting discharge following a cardiac catheterization 8 hours ago
A client who takes lisinopril and who reports a cough
The nurse is caring for a client admitted with urticaria. Which clinical manifestations will the nurse expect to see during assessment?
Raised, pruritic, nontender, erythematous wheals on the skin
Pruritis, edema, and extremely dry skin
Sneezing, itching, rhinorrhea, and itchy eyes
Fever, malaise, muscle soreness, arthralgia, and splenomegaly
The nurse is evaluating if teaching was effective for a client with a prescription of diphenhydramine for itching. Which statement made by the client indicates an understanding?
“I should be careful when driving while taking this medication.”
“I can still take my loratadine while taking this medication."
“I must take this medication with food.”
“I can drink alcohol in moderation.”
The nurse is reviewing risk factors for systemic lupus erythematosus (SLE). Which of the following clients is at the highest risk for SLE?
A Caucasian male
An African American male
A Caucasian female
An African American female
The nurse is identifying individuals at risk for infection. Which of the following individuals does the nurse identify at being of highest risk? Select all that apply.
An individual with HIV
An individual currently taking corticosteroids for asthma
An individual who runs marathons twice per year
An individual admitted for aspiration pneumonia
An individual who has vomited twice at home
The nurse is reinforcing teaching for a client who is being discharged home on antibiotics. Which of the following statements indicates an understanding of the teaching?
“My wife has the same antibiotics left over from when she was sick. I can take those.”
“I will take the antibiotics until they are all gone, even if I feel better.”
“I can take these every other day so they will last me longer.”
“I can save some of these to take when I get the flu.”
The nurse is caring for a client with tuberculosis (TB). Which personal protective equipment (PPE) specific to TB is required for the nurse to use when caring for this client?
Surgical mask
N95 respirator
Shoe covers
Gown
The nurse is caring for a client with suspected pneumonia. Which clinical manifestations can the nurse expect to see? Select all that apply.
Fever
Chills
Chest pain
Dyspnea
Fatigue
The nurse is caring for a client who has hemoptysis. Which action by the nurse is a priority?
Place a surgical mask on the client
Encourage family to visit to make the client feel at ease
Instruct the client to get plenty of rest
Place the client in respiratory isolation as ordered
The nurse is caring for a client with a pneumothorax. Which clinical manifestation can the nurse expect to find?
Bradypnea
Bradycardia
Sleepiness
Dyspnea
The nurse is providing teaching regarding nutrition for a client with chronic obstructive pulmonary disease (COPD). Which statement made by the client indicates a need for further teaching?
“I need to limit the sodium in my diet.”
“I should eat large meals, less often throughout the day.”
“I need to drink a lot of fluids.”
“I should not eat too many simple carbohydrates."
The nurse is caring for a group of clients. Which client should the nurse see first?
A client with cystic fibrosis who just received chest physiotherapy
A client with a pneumothorax who had a chest tube placed yesterday
A client with chronic obstructive pulmonary disease (COPD) receiving a nebulizer treatment
A client with a deep vein thrombosis (DVT) reporting sudden dyspnea
The nurse has administered three doses of nitroglycerin (Nitrostat) to a client with angina who still reports chest pain. Which action should the nurse take?
Administer an aspirin.
Notify the health-care provider (HCP).
Perform an electrocardiogram (ECG).
Administer oxygen at 6 liters via nasal cannula.
The nurse is caring for a client with a myocardial infarction (MI). Which of the following are used as treatments for an MI? Select all that apply.
Morphine
Hydrocodone
Oxygen
Nitroglycerin
Aspirin
The nurse is caring for a client with an abdominal aortic aneurysm (AAA). Which finding should the nurse report to the health-care provider immediately?
A mild headache
Bounding pulses
Sudden back pain
A dry cough
The nurse is assessing a client’s vision and notes deviation of the eye toward the nose. Which condition will the nurse document?
Exotropia
Hypotropia
Esotropia
Tropia
The nurse is caring for an older adult client. Which letter is commonly difficult to hear as a result of aging?
D
G
S
T
A client has a positive Romberg’s test. Which of the following does the nurse suspect?
A middle ear infection
A problem with the outer ear
An inner ear problem
A problem with the tragus
The nurse is caring for a client with Meniere’s disease. Which intervention will the nurse implement?
Encourage frequent ambulation
Remind client to increase sodium intake
Place the client in a brightly lit room
Keep the client in a calm environment
The nurse is caring for a client with vision loss. Which assistive devices will the nurse suggest to the client? Select all that apply.
Large print items
Talking watch
Handheld magnifying glass
Cochlear implant
Television magnifiers
The nurse is assessing a client’s wound. Which tissue color should be of most concern to the nurse?
Black
Beefy red
Yellow
Pink
The nurse is caring for a client with burns. Which of the following interventions should the nurse implement during the emergent stage? Select all that apply.
Remove clothing
Cool the wound with tepid water
Provide nutritional support
Return the patient to optimal level of physical function
Refer the patient to a counselor for psychosocial needs
The nurse is caring for a client with chemical burns. Which of the following interventions should the nurse implement?
Tepid water lavage for 20 minutes
Neutralize the chemical
Apply ice to the area
Leave the client in their clothing
The nurse is providing teaching for a client with tinea pedis. Which of the following statements made by the client indicates a need for further teaching?
“I need to wear cotton socks.”
“I should wear water shoes in the shower.”
“I will be sure to keep my feet moist.”
“I am going to apply powder to my feet.”
The nurse is caring for a client with a suspected pulmonary embolism (PE). The nurse should prepare the client for which test?
Bronchoscopy
Chest x-ray
Computed tomography (CT) scan
Ventilation-perfusion (VQ) scan
The nurse is caring for a client with lung disease of the left lung. The nurse should instruct the client to lie in which position?
High Fowler’s position
Right side-lying position
Semi-Fowler’s position
Left side-lying position
Which of the following describes the benefit of pursed-lip breathing?
Strengthen intercostal muscles
Strengthen the diaphragm
Promote an increase in oxygen intake
Promote elimination of carbon dioxide
The nurse is caring for a client with suspected sleep apnea. For which test should the nurse prepare the client?
Nocturnal polysomnography
A computed tomography (CT) scan
X-ray examination
Magnetic resonance imaging (MRI)
The nurse is caring for a client with pharyngitis. Which intervention should the nurse implement?
Administer cough syrup
Instruct the client on saltwater gargles
Apply warm, moist packs to the sinuses
Instruct to avoid fluids
What is the term for a normal heartbeat?
Sinus rhythm
Bradycardia
Tachycardia
Atrial fibrillation
The nurse is assessing a client with aortic stenosis. Which of the following should concern the nurse the most?
Wet lung sounds
Dizziness
Exertional dyspnea
Activity intolerance
The nurse is caring for a client receiving tissue plasminogen activator (tPA). Which of the following orders should the nurse question?
Monitor for signs of bleeding.
Minimize blood draws for 24 hrs.
Administer acetaminophen as ordered
Administer acetylsalicylic acid (aspirin) as ordered.
The nurse is caring for a client suspected of having diabetes mellitus. Which clinical manifestation is the nurse likely to find?
Hyperpigmentation of skin
Fat deposits on neck and shoulders
Dusky lower extremities with weak peripheral pulses
Exophthalmos
A client is being discharged with Holter monitoring for 48 hours. Which client statement indicates teaching is effective?
“I will perform light activities while being monitored.”
“I will push the event button when I start having symptoms.”
“The results of the monitoring will determine if I have heart failure.”
“A shock will be sent to my heart when I have slow heartbeat.”
A client reporting palpitations has multiple premature ventricular contractions (PVCs) on an electrocardiogram (ECG) tracing. Which client statement indicates teaching is effective?
“I will drink red wine with dinner.”
“I will eat fewer potassium-rich foods.”
“I will drink decaffeinated coffee.”
“I will drink more energy drinks.”
The nurse is caring for a group of clients. Which client is at highest risk for developing type 2 diabetes?
A Caucasian client who is slightly overweight
An African American client who exercises and is slightly overweight
A Hispanic client who is obese and does not exercise
An American Indian client who is overweight and has begun exercising
Which of the following orders would the nurse question in a client with type I diabetes?
Acarbose
Insulin lispro
Insulin regular
Insulin glargine
Which of the following is an example of an electrolyte?
Neutrophil
Calcium
Hemoglobin
Glucose
A client asks the nurse what causes fluid volume excess. What is the nurse’s best response?
“You may be experiencing this because you don’t eat a diet high in sodium.”
“You were diagnosed with heart failure last year, which can cause you to retain fluid.”
“You may experience an increase in fluid if you have had diarrhea recently.”
“Since you have been dehydrated, you will notice your feet swell.”
The nurse is caring for a group of clients. Which client is at highest risk for developing respiratory acidosis?
A client with chronic obstructive pulmonary disease (COPD)
A client with anorexia
A client with anxiety disorder
A client with a nasogastric tube connected to suction
The nurse is reviewing arterial blood gas (ABG) results for a client with chronic obstructive pulmonary disease (COPD) and notes a pH of 7.23. Which of the following imbalances is the client experiencing?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
The nurse is assessing a client with anemia. The nurse will expect to document which assessment finding on the client’s skin?
Jaundice
Petechiae
Pallor
Cyanosis
The nurse is caring for a client receiving blood transfusion. The client suddenly develops chest pain, frothy sputum, distended neck veins, and crackles. Which action will the nurse take?
Administer a diuretic immediately
Stop the transfusion and administer saline
Notify the health-care provider (HCP) for orders
Call the blood bank and administer a new unit
The nurse is caring for a client with a platelet level of 10,000/mm3. Whichintervention will the nurse implement?
Initiate bleeding precautions
Inform the family that they cannot visit
Place the client in protective isolation
Administer 1 unit of platelets
Which of the following is a nonmodifiable risk factor for heart disease?
Age
Tobacco use
Obesity
Lack of exercise
The immune system can mistakenly react to itself. This is known as which of the following?
Passive immunity
Autoimmune disease
Cell-mediated immunity
Anaphylactic reaction
The nurse is reviewing vaccination records for an older adult. Which of the following vaccinations should the nurse suggest the client receive?
Varicella vaccine
Rotavirus vaccine
Hepatitis B vaccine
Pneumococcal vaccine
The nurse is caring for a client with a latex allergy. Which of the following requires correction by the nurse?
The unlicensed assistive personnel (UAP) places a cart with latex-free supplies outside the client’s room.
The UAP wears powdered latex gloves when bathing the client.
The UAP removes the avocado and banana from the lunch tray.
The UAP places a “latex allergy” sign on the client’s door.
Which of the following is a reservoir for infection?
Human
Droplets
Bacteria
Animal
Water
Which of the following precautions are recommended for the nurse caring for any hospitalized client?
Droplet
Standard
Airborne
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