WorksheetsWeek 16
Total questions: 25
Worksheet time: 13mins
A nurse assesses a client’s laboratory values before surgery. Which of the following results should the nurse report to the provider?
Potassium of 3.5
Creatinine of 2.8
Blood glucose of 100
WBC of 11,000
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?
proteinuria
oliguria
polyuria
glycosuria
A nurse is teaching a client with Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching?
Sliced bananas
Baked potato
Turkey and cheese sandiwiches
Plain yogurt with peaches
A nurse in the ER is assessing a client who has pancreatitis. In which of the following lab results should the nurse expect to see an elevation?
Amylase
Potassium
Calcium
Hematoctit
A nurse is teaching a client with type 1 diabetes mellitus about hypoglycemia. Which of the following manifestation should the nurse include in the teaching?
Shakiness
Urinary frequency
Dry mucous membranes
Excess thirst
A nurse is assessing a client with Addison's disease. Which of the following findings should the nurse expect?
Hypotension
Weight gain
Sugar craving
Pale skin tone
A nurse in the ER is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications?
Calcium
Potassium
Iodine
Hydrocortisone
A nurse is planning care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan?
Encourage client to control weight
Inspect the clients feets once a week
Restrict the clients activity
Apply moisturizer between the clients toes
A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client?
Lying flat on the affected side
Prone with arms raised over the head
Supine with the head of the bed elevated
Sitting while learning forward over the bedside table.
A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports nausea, which of the following actions should the nurse take?
Irrigate the tube with normal saline solution
Provide oral hygiene
Clamp the tube for 30 minutes
Increase the amount of suction
A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching?
I can drink up to 2 quarts of fluid a day
I will need to use insulin to control my blood glucose levels
I should expect to gain weight druign this illness
I might experience confusion or balance problems
A nurse in a provider’s office is reviewing the health record of a client who is being evaluated for Graves’ disease. The nurse should identify that which of the following laboratory results is an expected finding?
Decreased thyrotropin receptor antibodies
Decreased thyroid stimulating hormone (TSH)
Decreased free thyroxine index
Decreased triiodothyronine
A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis?
dyspnea
bradycardia
hypothermia
blurred vision
A nurse in a provider’s office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected?
Elevated T4
Decreased T3
Elevated thyroid stimulating hormone
Decreased cholesterol
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching?
Weight gain is expected when taking this medication.
Take the medication on an empty stomach.
Use fiber laxatives for constipation.
Annual TSH levels should be monitored after starting this medication.
At the beginning of a shift, a nurse is assessing a client who has Cushing’s disease. Which of the following findings is the priority?
weight gain
fatigue
fragile skin
joint pain
A nurse is caring for a client who has blood glucose 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first?
Recheck blood glucose in 15 minutes
Provide a carbohydrate and protein food
Provide a 15g simple carbohydrate
Report findings to the provider
A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who has a blood glucose 278 mg/dL. Which of the following actions should the nurse take?
Draw up the regular insulin and then the glargine insulin in the same syringe
Draw up the glargine insulin then the regular insulin in the same syringe.
Draw up and administer regular and glargine insulin in separate syringes.
Administer the regular insulin, wait 1 hr, and then administer the glargine insulin.
A nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?
Check blood glucose immediately after breakfast.
Administer insulin when breakfast arrives.
Hold breakfast for 1 hr after insulin administration.
Clarify the prescription because insulin should not be administered at this time.
The nurse is preparing a client for surgery. Which intervention should the nurse implement first?
check the permit for the spouses signature
take and document intake and output
administer the on call sedative
complete the preoperative checklist
The nurse is completing a preoperative assessment on a male client who states, "I am allergic to codeine." Which intervention should the nurse implement first?
Apply an allergy bracelet on the clients wrist
Label the clients allergies on the front of the chart
Ask the client what happens when he takes the codeine.
Document the allergy on the medication administration record.
Which laboratory result would require immediate intervention by the nurse for the client scheduled for surgery?
Calcium 9.2mg/dL
Bleeding time 2 minutes
Hemoglobin 15g/dL
Potassium 2.4mEq/L
The PACU nurse is receiving the client from the OR. Which intervention should the nurse implement first?
Assess the client's breath sounds.
Apply oxygen via nasal cannula.
Take the client's blood pressure.
Monitor the pulse oxieter reading.
The surgical client's vital signs are T98F, P 106, R24, BP 88/40. The client is awake and oriented times 3 and the skin is pale and damp. Which intervention should the nurse implement first?
Call the surgeon and report the vital signs.
Start an IV of D5LR with 20mEq KCL at 125ml/hr
Elevate the feet and lower the head.
Monitor the vital signs q15 minutes.
The charge nurse is making shift assignments. Which postoperative client should be assigned to the most experienced nurse?
The 4 year old who had a tonsillectomy and is able to swallow fluids.
The 74 y/o who had a repair of the left hip and is unable to ambulate.
The 24 y/o who had an uncompliated appendetomy the previous day.
The 80y/o client with a small bowel obstruction and congestive heart failure.
