WorksheetsMDC2 exam 1 quiz
Total questions: 29
Worksheet time: 30mins
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Chvostek's sign
Babinski's sign
Brudzinski's sign
Kernig's sign
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?
The client who has a tracheostomy tube attached to humidified oxygen
The client who has an indwelling urinary catheter to gravity drainage
The client who has a chest tube to water seal
The client who has a nasogastric (NG) tube to suction
A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?
Bananas
Cooked carrots
2% milk
Cheddar cheese
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?
Give the medication as directed
Omit the medication and document why
Notify the provider & inform them of the potassium
Call the lab to verify the results
A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?
Lactulose
Sevelamer
Sodium polystyrene
Darbepoetin alfa
A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?
Hypervolemia
Hypertension
Hypokalemia
Hypoglycemia
A nurse is providing discharge instructions to a client who has rheumatoid arthritis and a prescription for oral betamethasone. Which of the following statements should the nurse make about how to take this medication?
"Take the medication between meals."
"Take the medication with orange juice."
"Take the medication with milk."
"Take the medication on an empty stomach."
A nurse is assessing a lesion on a client who has basal cell carcinoma. The nurse should expect which of the following findings?
A pearly, shiny nodule
A pigmented papule
A rough, scaly tumor
A weeping vesicle
A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?
"Most clients do not experience nausea."
"Hair loss is common and includes eyebrows and eyelashes."
"Most clients start to gain weight during their treatment."
"Clients lose their hair, but it usually grows back nice and thick."
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
"Eating a high fiber diet will reduce my risk for developing skin cancer."
"I should check my skin monthly for any changes."
"I should avoid the use of tanning booths."
"I should use sunscreen even on cloudy days."
A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?
Pain
Pruritis
Purplish in color
Purulent drainage
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?
Explain to the client that this is an expected adverse effect.
Check the value of the client's current platelet count.
Instruct the client to use an electric toothbrush.
Have the client make an appointment to see the dentist.
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?
Check the results of the client's most recent CBC.
Assess the client for a hypersensitivity reaction.
Evaluate the client for hypercalcemia.
Examine the client for hepatomegaly.
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?
Headache
Dependent edema
Polyuria
Photosensitivity
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the following prescriptions should the nurse expect? (Select all that apply.)
Provide skin care with a moisture barrier cream
Administer artificial tears PRN
Obtain vital signs every 2 hr
Perform mouth care every hour
Administer oxygen 2 L/min via nasal cannula
A nurse is setting goals for a client who has AIDS and is at the end of life. Which of the following are realistic goals?
The client will verbalize an understanding of the mode of disease transmission
The client will experience a weight gain of one to two pounds per week
The client will increase attendance at community social activities
The client will receive medication to minimize episodes of breakthrough pain
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight
A client who has terminal cancer and needs assistance with pain management
A client who is recovering from a stroke and needs someone to provide care while his spouse is at work
A client who has dementia and needs help with activities of daily living
A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
(a)
A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
Urine specific gravity 1.035
Hematocrit 44%
BUN 19 mg/dL
Sodium 155 mEq/L
A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?
Shallow respirations
Hypertensive crisis
Diarrhea
Hyperreflexia
A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?
Lethargy
Hyperactive deep tendon reflexes
Prolonged ST segment
Hyperactive bowel sounds
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Nausea and vomiting
Extreme thirst
Flushed skin
Fever
A nurse is reviewing a client’s lab results. Which of the following lab values should the nurse report to the provider?
Sodium 126 mEq/L
Potassium 3.6 mEq/L
Magnesium 1.9 mEq/L
Chloride 99 mEq/L
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
Buttoning her blouse
Eating her breakfast
Combing her hair
Brushing her teeth
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
WBC 2300/mm3
RBC 5 million/mm3
Hemoglobin 12 g/dL
Platelets 155,000/mm3
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
Tell the client to expect dark stools following chemotherapy.
Have the client floss 4 times daily.
Have the client swish with commercial mouthwash before therapy.
Administer an antiemetic prior to the procedure.
A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)
A nonhealing sore
Bloating
Change in bowel pattern
Change in moles
Nagging cough
A nurse is providing teaching to a client who has a new diagnosis of testicular cancer. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Close male relatives are at an increased risk of developing testicular cancer.
Testicular cancer typically occurs between ages 15 and 35.
Testicular cancer occurs in both testicles equally.
Sperm are no longer viable after diagnosis
An early manifestation is a painful scrotal lump.
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Increased heart rate
Increased blood pressure
Increased respiratory rate
Increased hematocrit
Increased temperature
