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WorksheetsFinal Exam Practice Questions
Total questions: 42
Worksheet time: 24mins
The nurse is teaching the client newly diagnosed with systemic lupus erythematosus (SLE) about the condition. Which statement by the client indicates teaching was effective?
A. “My energy level will gradually increase over time.”
B. “I do not need to make any changes in my diet.”
C. “My medications will ultimately correct my problem.”
D. “I should avoid prolonged sun exposure.”
The nurse is reviewing the medical record of a client who is positive for human immunodeficiency virus (HIV). The nurse notes that the client is classified as HIV asymptomatic based on which CD4+ T lymphocyte count?
Less than 200/mm3
Between 200 to 350/mm3
Between 350 to 499/mm3
Greater than 500/mm3
The nurse is providing education for a client with a new diagnosis of rheumatoid arthritis (RA). Which statement will the nurse include in the discussion with the client? Select all that apply.
A. "A rash of the joints is common with rheumatoid arthritis."
B. "Swelling of the joints will occur, causing pain."
C. "You can expect warmth in your joints."
D. "Redness can occur in the skin at the joints."
E. "A symptom of RA will be joint pain on both sides."
A client with acquired immune deficiency syndrome (AIDS) is brought to the clinic by a family member. The family member tells the nurse the client has become forgetful, with a limited attention span, decreased ability to concentrate, and delusional thinking. What condition is represented by these symptoms?
Distal sensory polyneuropathy (DSP)
Candidiasis
AIDS dementia complex (ADC)
Cytomegalovirus (CMV)
A nurse is creating a teaching plan for a client recently diagnosed with HIV and beginning antiretroviral therapy (ART). Which statements should be included in the teaching? Select all that apply.
"Taking your medication consistently as prescribed is essential to control the virus and prevent drug resistance."
"You will need regular follow-up appointments and lab tests to monitor your viral load and immune function."
"Once your viral load is undetectable, you no longer need to use protection during sexual activity."
"ART can have side effects, but do not stop taking your medication without speaking to your healthcare provider."
"A healthy diet and lifestyle can help support your immune system and overall well-being."
A client with rheumatoid arthritis has experienced increasing pain and progressing inflammation of the hands and feet. What would be the expected goal of the likely prescribed treatment regimen?
promoting sleep
eliminating deformities
eliminating pain
minimizing damage
The patient is scheduled for an endovascular repair of an abdominal aortic aneurysm. What should the nurse implement before the procedure?
Maintain the patient in a supine position
Verify informed consent from patient
Assess vital signs every hour
Report an hourly urine output of 54 ml
The nurse provides discharge instructions to a client who is taking warfarin (coumadin). Which statement indicates the need for further teaching?
I will avoid alcohol consumption.
I will take my pills every day at the same time.
I will report any bleeding to my doctor.
I will take coated aspirin for stomach upset.
A pt. has just received a diagnosis of hypertension. What can the pt. do to decrease the consequences of hypertension? Select all that apply.
Lose weight
Manage stress effectively
Get plenty of rest
Decrease salt intake
What intervention can the nurse provide to promote arterial flow to the lower extremities?
Administer a diuretic to decrease the edema in the lower extremities
Provide warm blankets to the patient’s lower extremities
Apply cool compresses to the patient’s lower extremities
Check dosalis pedis pulse bilaterally every shift
The nurse is educating a pt. on complication prevention of chronic venous insufficiency. What should be included? Select all that apply
Avoid constricting garments
Elevate the legs above the heart level 20 minutes four times daily
Sit on the side of the bed and dangle the feet
Sleep with the foot of the bed elevated about 6 inches
A nurse is caring for a pt. with unstable angina receiving IV heparin. Which bleeding precaution should be implemented?
Avoid continuous BP monitoring
Avoid subcutaneous injections
Use an electric toothbrush
Avoid the use of nail clippers
The nurse is teaching a pt. with heart failure about digoxin. What statement by the client indicates effective teaching?
"Digoxin will increase my appetite, so I should weigh myself daily."
"The medication will increase my heart rate and my blood pressure."
"Digoxin therapy requires monthly drug levels."
“I need to call my physician if I experience nausea and vomiting.”
A nurse teaches a pt. nitroglycerin self-administration. The nurse should instruct the pt. to do which of the following? Select all that apply.
Put the tablets in the pillbox and carry it at all times.
Let the tablet dissolve under the tongue.
Renew the supply every 6 months.
It may cause headache.
The nurse is taking care of a pt. who reports an increase in dyspnea. Which intervention should the nurse perform first?
Check pulse oximeter
Administer a nebulizer treatment
Begin oxygen at 2L via nasal cannula
Notify the health care provider
A patient with COPD is being evaluated for a lung transplant. What assessment data would the nurse anticipate? Select all that apply
Decreased respiratory rate
Barrel chest
Dyspnea on exertion
Prolonged expiratory phase
The nurse is caring for a pt. receiving albuterol via nebulizer. What side effects are expected after administration? Select all that apply
Increased tachypnea
Tachycardia
Irritability and nervousness
Anxiety
The nurse is caring for a pt. who recently started advair for COPD. Which statement supports symptom improvement? Select all that apply
"I can now push my granddaughter on the swing when she visits."
"I have noted an increase in sputum production."
"I have begun walking up the stairs to use the bathroom."
"The nurse aide no longer comes to the house to help me bathe."
A client with a seizure disorder is being admitted to the hospital. Which should the nurse plan to implement? Select all that apply
Place an airway at the bedside
Place oxygen equipment at bedside
Place restraints are at bedside
Place suction equipment at bedside
What should the nurse focus on when obtaining a health history and physical assessment for a client with possible multiple sclerosis?
Inspect the skin for rashes or discoloration
Inquire about urinary tract problems
Assess for the presence of chest pain
Ask the patient about any increase in libido
Which statement by the pt. indicates an understanding of the instructions when taking Phenytoin for seizure control?
“I will use a soft toothbrush to brush my teeth.”
“If I forget to take my medication, I can wait until the next dose”
“It’s okay to break the capsules to make it easier for me to swallow them.”
“If my throat becomes sore, it’s normal and nothing to be concerned about."
Which nursing intervention should be included to prevent renal failure for a patient with multiple myeloma?
Provide frequent oral care
Monitoring the red blood cell count
Coughing and deep breathing
Monitoring serum calcium and uric acid levels
The nurse reviews the lab results of a pt. who is receiving chemotherapy. Which lab result is most important to report?
Hematocrit 30%
Hemoglobin 10 g/L
White blood cells (WBC) 2700/µL
Platelets 95,000/µL
Which info about a colorectal cancer pt. alerts the nurse to discuss a possible change in therapy with the provider?
Nausea and vomiting
Frequent loose stools
Elevated white blood count (WBC)
Increased carcinoembryonic antigen (CEA)
A client is scheduled for intravenous pyelography. Which priority nursing action should the nurse take?
Determine if there is a history of allergies
Restrict fluids
Administer a sedative
Administer oral radiopaque die
The nurse is reviewing the EHR of a client with renal disorder. Which lab results indicate decreased renal function? Select all that apply.
Elevated serum creatinine level
Decreased red blood cell count
Decreased white blood cell count
Elevated blood urea nitrogen level
A pt. with CKD is receiving epoetin alfa (EPO). Which lab result would indicate a therapeutic effect of the medication?
Hematocrit of 33%
Platelet count of 400,000 mm3
WBC count of 6000 mm3
BUN level of 15 mg/dL
Pt. diagnosed with liver failure & ascites is scheduled for a paracentesis. What pt. education should the nurse discuss?
The procedure will be in the operating room
A foley catheter will need to be inserted
Vital signs will be taken frequently after the procedure
NPO must be maintained six hours before the procedure
What instruction should the nurse provide for a patient recently diagnosed with Hepatitis C?
Decrease alcohol intake
Take frequent rest breaks
Eat a large evening meal
Drink diet drinks and juices
A patient is 2 hrs postoperative laparoscopic cholecystectomy. Which task could the nurse delegate to the UAP?
Check the dressing for bleeding
Ambulate the patient to the bathroom
Increase the IV fluid for low blood pressure
Instruct on cough and deep breathing
Which patient below is at most risk for a hemorrhagic stroke?
A 65 year old male patient with carotid stenosis
A 88 year old male with uncontrolled hypertension
A 89 year old female with atherosclerosis
A 55 year old female with atrial flutter
When should IV tPA be administered to ensure maximum effectiveness in treating TIA or stroke?
Within 6 hours after the onset of stroke symptoms
Within 3 hours before the onset of stroke symptoms
Within 12 hours before the onset of stroke symptoms
Within 3 hours after the onset of stroke symptoms
The nurse is educating a client with urolithiasis about preventive measures to avoid another occurrence. What should the client be encouraged to do?
Increase fluid intake so that the client can excrete 2,500 to 4,000 mL every day, which will help prevent additional stone formation.
Participate in strenuous exercises so that the tone of smooth muscle in the urinary tract can be strengthened to help propel calculi.
Add calcium supplements to the diet to replace losses to renal calculi.
Limit voiding to every 6 to 8 hours so that increased volume can increase hydrostatic pressure, which will help push stones along the urinary system.
A client comes to the emergency department reports a sudden onset of sharp, severe flank pain. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region. They state, “I can even feel the pain at the tip of my penis.” Which of the following would the nurse suspect?
Acute Pyelonephritis
Acute Kidney Injury
Urinary Calculi
Cystitis
A client diagnosed with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which will the nurse include in the client's postprocedure care? Select all that apply.
Strain the client's urine following the procedure.
Monitor pain levels closely.
Administer a bolus of 500 mL normal saline following the procedure.
Monitor the client for fluid overload following the procedure.
Insert a urinary catheter for 24 to 48 hours after the procedure.
During the diuresis period of acute kidney injury (AKI), the nurse should observe the client closely for what complication?
Dehydration
Hyperkalemia
Oliguria
Renal calculi
A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition?
Muscle atrophy
Lymphedema
IV infusion Infiltration
Extravasation
A nurse is teaching a client who is receiving radiation treatment for left lower lobe lung cancer. Which client statement indicates a need for further teaching?
"I'll use hats to protect my head from the sun when my hair falls out."
"If I get nauseous, I'll try to eat several small, bland meals each day."
"I'll allow myself plenty of time to rest between activities."
"Most of the adverse effects should go away shortly after my last radiation treatment."
One of the roles of the nurse in caring for clients with chronic kidney disease is to help them learn to minimize and manage potential complications. This would include:
restricting sources of potassium.
allowing liberal use of sodium.
limiting iron and folic acid intake.
eating protein liberally.
A client is in end-stage chronic renal failure and is being added to the transplant list. The nurse explains to the client how donors are found for clients needing kidneys. Which statement is accurate?
The client is placed on a transplant list at the local hospital.
Donors with hypertension may qualify.
Donors must be relatives.
Donors are selected from compatible living or deceased donors.
The nurse is caring for a client with acute kidney injury (AKI) in the oliguric phase. Which is a priority for the nurse to monitor indicating fluid overload? Select all that apply.
Jugular vein distention
Hypertension
Tenting skin turgor
Hypertension
Weight loss
The nurse is talking with a group of clients who are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their health care provider?
Change in bowel habits
Excess gas
Daily bowel movements
Abdominal cramping with bowel movements
