Font size
WorksheetsNCM 112 RLE Quiz - Group 2
Total questions: 40
Worksheet time: 1hrs 1mins
A nurse assesses clients at a community health center. Which client is at higher risk for the development of colorectal cancer?
a 37-year-old who drinks eight cups of coffee daily
a 44-year-old with irritable bowel syndrome (IBS)
a 60-year-old lawyer who works 65 hours per week
a 72-year-old who eats fast food frequently
The nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach this client?
eat low-fiber and low residual foods
white rice and bread are easier to digest
add vegetables such as broccoli and cauliflower to your new diet
foods high in animal fat help to protect the intestinal mucosa
The nurse is assigned to care for a client with systemic lupus erythematosus (SLE). The nurse plans care knowing that this disorder is:
a local rash that occurs as a result of allergy
a disease caused by exposure to sunlight
an inflammatory disease of collagen contained in connected tissue
a disease caused by the continuous release of histamine in the body
A patient with systemic lupus erythematosus (SLE) who has facial rash and alopecia tells the nurse, "I hate the way I look! I never go any place except here to the health clinic." An appropriate nursing diagnosis for the patient is:
activity intolerance related to fatigue and inactivity
impaired skin integrity related to itching and skin sloughing
social isolation related to embarrassment about the effect of SLE
impaired social interaction related to lack of social skills
A client has a pulmonary embolism and is started on oxygen. The student nurse asks why the client's O2Sat has not significantly improved. What response by the nurse is best?
breathing so rapidly interferes with oxygenation
maybe the client has respiratory distress syndrome
the blood clot interferes with perfusion in the lungs
the client needs immediate intubation and mechanical ventilation
A nurse is caring for five clients. For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? Select all that apply.
client who had a reaction to contrast dye yesterday
client with a new spinal cord injury on a rotating bed
middle-aged man with an exacerbation of asthma
older client who is 1-day post op hip replacement surgery
young obese client with a fractured femur
Which statements are INCORRECT regarding the anatomy and physiology of the liver?
the liver has 3 lobes and 8 segments
the liver produces bile which is released into small intestine to help digest fats
the liver turns urea, a by-product of protein breakdown, into ammonia
the liver plays an important role in the coagulation process
Which patients below are at risk for developing complications related to a chronic hepatitis infection, such as cirrhosis, liver cancer and liver failure? Select all that apply:
a 55-year-old male with hepatitis A
an infant who contracted hepatitis B at birth
a 32-year-old female with hepatitis C who reports using IV drugs
a 50-year-old male with alcoholism and hepatitis d
a 30-year-old who contracted hepatitis E
What are the criteria for diagnosing rheumatoid arthritis? Select all that apply.
simultaneous symmetric swelling of joints
soft-tissue swelling of at least three joints
subcutaneous rheumatoid nodules
swelling of at least one wrist joint
morning stiffness in joints
Which statement is TRUE regarding rheumatoid arthritis?
It is localized disease
Its prevalence is affected by climate
It affects men three times more than women
The majority of the patients test positive
Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?
polyuria
polydipsia
polyphagia
extreme thirst
Diabetes insipidus, Diabetes mellitus (DM) and SIADH share which of the following assessment manifestations?
polyuria
edema
vomiting and abdominal cramping
polydipsia
polyuria and polydipsia
Which of the following is a common cause of diarrhea
contaminated food or water
viral infection
imbalance of good and bad bacteria in the GUT
all of the above
Which of these fluids is best to drink to prevent dehydration due to diarrhea?
fruit juice
broth
water
b and c
Which assessment finding is commonly found in the oliguric phase of the acute kidney injury (AKI)?
hypovolemia
hyperkalemia
hypernatremia
thrombocytopenia
For the patient with AKI, which laboratory result would cause you the greatest concern?
potassium level of 5.9 meq/L
BUN level of 25mg/dL
sodium level of 144meq/L
pH of 7.5
Which of the following factors is believed to cause ulcerative colitis?
acidic diet
altered immunity
chronic constipation
emotional stress
Which of the following associated disorders may a client with ulcerative colitis exhibit?
gallstones
hydronephrosis
nephrolithiasis
toxic megacolon
A client has active TB. Which of the following symptoms will he exhibit?
chest and lower back pain
chills, fever, night sweats and hemoptysis
fever of more than 104 degrees Fahrenheit and nausea
headache and photophobia
Which of the following diagnostic tests is definitive for TB?
chest x-ray
Mantoux test
sputum culture
tuberculin test
The physician’s order reads “Administer 1 g ceftriaxone in 150 ml of normal saline solution in 60 minutes.” What is the flow rate if the drop factor is 15 gtt = 1 ml?
25gtt/min
37gtt/min
50gtt/min
60gtt/min
Scrub nurse Leah which responsibility in the operating room?
positioning the patient
assisting with gowning and gloving
handling surgical instruments to the surgeon
applying surgical drapes
Nurse Eli is correct in collecting a sputum specimen for culture and sensitivity testing if he:
let the patient place the specimen in a container and enclose the container in a plastic bag.
let the patient expectorate the sputum while the nurse holds the container.
let the patient expectorate the sputum into a sterile container.
Offers the patient an antiseptic mouthwash just before he expectorate the sputum.
What should a nurse do FIRST when a patient has just received 30 mg of codeine by mouth for pain and five minutes later he vomits?
Call the physician
readminister the medication
Observe the vomitus
do nothing
Nurse Sammy is assessing a postoperative adult patient. Which of the following should she document as subjective data?
Vital signs
Laboratory test result
incision pain
ECG waveforms
Helena, an non- English patient, has had emergency gallbladder surgery. What is the BEST action of in determining patient understanding of wound care during discharge preparation?
Asking frequently if he understands the instruction.
Asking an interpreter to replay the instructions to him
Writing out the instructions and having a family member read them to him
Demonstrating the procedure and let him return demonstrate.
The physician orders Benzathine Pen G 15,000 million units, to be administered IM every month. The vial reads 20,000 million units per 2 ml. The nurse should anticipate giving how much heparin for each dose?
1.0ml
1.25ml
1.5ml
1.75ml
The patient’s temperature is 102 degrees F. What is the equivalent Centigrade temperature?
39 degrees C
47 degrees C
38.9 degrees C
40.1 degrees C
The patient has hypoxia, the physician is most likely to order which laboratory test?
Red blood cell count
Sputum culture
Total hemoglobin
Arterial blood gas (ABG) analysis
The nurse will infuse dextrose 5% in water, 1,000 ml over 8 hours. The I.V. tubing delivers 15 drops per milliliter. She should run the I.V. infusion at a rate of:
15 drop per minute
21 drop per minute
32 drop per minute
125 drops per minute
A female patient undergone a exploratory laparotomy. When assessing the patient 10 hours later, the nurse identifies which finding as an early sign of shock?
Restlessness
pale, warm, dry skin
Heart rate of 110 beats/minute
Urine output of 30 ml/hour
Which nursing diagnosis is/are most applicable to a client with fecal incontinence? Select all that apply.
Bowel incontinence
Risk for deficient fluid volume
Disturbed body image
Social isolation
Risk for impaired skin integrity
Pedro, 58 years old, diagnosed with chronic pulmonary disease has a bluish tinge around the lips. The nurse charts which term to most accurately describe the client’s condition?
Hypoxia
Hypoxemia
Dyspnea
cyanosis
Rudy, 57 years old, is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. His temperature is 100.8 degrees Fahrenheit. The priority nursing goal for Rudy is:
Maintain fluid and electrolyte balance
Control nausea
Manage pain
Prevent urinary tract infection
Nurse Lily teaches a client with coronary artery disease about nutrition. She should emphasize:
Eating three (3) balanced meals a day
Adding complex carbohydrates
Avoiding very heavy meals
Limiting sodium to 7 gms per dayy meals
Nurse Honey is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
Narrowed QRS complex
Shortened “PR” interval
Tall peaked "T" waves
Prominent “U” waves
Nurse Jean is administering blood to a patient who has a low hemoglobin count. The patient asks how long do red blood cells live in my body? The correct response is:
The life span of RBC is 45 days
The life span of RBC is 60 days
The life span of RBC is 90 days
The life span of RBC is 120 days
Alexia, a 20-year old young adult has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in?
Trust vs. mistrust
Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation
Nurse Nikki is taking vital signs early in the morning. Which of the following is abnormal?
18-year-old male: 90 BPM, 22 RPM, 100/70 mmHg
23-year-old female: 105 BPM, 22 RPM, 90/60 mmHg
50-year-old male: 80 BPM, 20 RPM, 90/65 mmHg
76-year-old female: 80 BPM, 20 RPM, 90/70 mmHg
When examining a patient with abdominal pain due to suspected appendicitis, the nurse expects localization of pain at:
Any quadrant
RUQ
LUQ
RLQ
LLQ
