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WorksheetsWeeks 4-7 Concept Recap
Total questions: 37
Worksheet time: 55mins
Jackson, who was recently diagnosed with melanoma, is about to begin immunotherapy. Which statement by the nurse best explains the purpose of this treatment?
It replaces damaged immune cells with healthy donor cells.
It kills all rapidly dividing cells to shrink the tumor.
It helps your immune system specifically target and destroy cancer cells.
It exposes cancer cells to external radiation to prevent them from multiplying.
Priya is receiving chemotherapy and develops painful mouth sores. Which nursing action will best support her oral intake?
Offer salted crackers between meals.
Provide soft, bland foods and encourage frequent oral rinses with non-irritating solutions.
Administer ondansetron 30 minutes before meals.
Recommend rinsing the mouth with alcohol-based mouthwash after eating.
Oliver, a client with Huntington’s disease, is under your care and is experiencing progressive chorea movements. Which intervention is most appropriate to support his nutritional needs?
Restrict fluids to reduce aspiration risk.
Provide a low-calorie, high-fiber diet to prevent weight gain.
Offer frequent, high-calorie meals and snacks throughout the day.
Teach the client about curative surgical treatment options.
Emma, a nurse, is meeting with a client recently diagnosed with Huntington’s disease to discuss long-term care planning. Which nursing approach is most appropriate?
Postpone sensitive conversations about future care until the client becomes symptomatic.
Focus education on medication options that reverse disease progression.
Initiate open discussions about end-of-life preferences while the client is cognitively able.
Recommend fluid restrictions to reduce metabolic workload.
Evelyn, a nurse, is caring for a client who recently began taking anti-seizure medication. During a follow-up evaluation, which finding would indicate to Evelyn that the medication is achieving its intended therapeutic effect?
The client reports feeling more alert and focused.
The client experiences improved muscle coordination during physical therapy.
The client denies experiencing any adverse side effects.
The client has not experienced a seizure in the past two weeks.
Avery, an elderly client, is admitted to the hospital with acute confusion due to a urinary tract infection. As a nurse, which environment would be most appropriate for Avery?
A dim room at the end of the hallway to reduce stimulation
A room near the nurses’ station with minimal noise and clutter
A private room with frequent TV use to distract the client
A shared room with another client who is oriented and verbal
Isla, a client admitted with delirium secondary to sepsis, is disoriented and attempting to get out of bed. Which nursing interventions are most appropriate? (Select all that apply.)
Keep the bed in the lowest position with wheels locked
Place a fall-risk bracelet on the client’s wrist
Use bright overhead lights to help with orientation
Administer prescribed IV fluids and antibiotics
Maya, a nurse, is caring for a client who has developed delirium due to dehydration. What intervention is most important to support the client's recovery?
Provide frequent reorientation using calendars and clocks
Correct the underlying cause by administering IV fluids as prescribed
Encourage independence by limiting assistance with ADLs
Provide continuous mental stimulation with puzzles and games
Noah, a nurse, is evaluating a client who has been receiving treatment for endometriosis. During a follow-up visit, the client shares some updates about her condition. Which client statement indicates the treatment has been successful?
I've noticed I’m losing weight more easily now.
My menstrual cycle has become more regular.
The cramping, pain and pressure in my pelvis have decreased.
My blood pressure has improved since starting treatment.
Evelyn is brought to the emergency department with sudden weakness and difficulty speaking. The healthcare provider suspects an ischemic stroke due to her history of atrial fibrillation. Before administering alteplase, which diagnostic test must be completed?
Electrocardiogram (ECG)
Chest X-ray
Head computed tomography (CT) scan
Transthoracic echocardiogram (TTE)
Lily, a nurse in the emergency department, is reviewing the provider's orders for William, who has just been diagnosed with an acute ischemic stroke. Which order should Lily question?
Head CT without contrast
Intravenous alteplase
Continuous cardiac monitoring
Intravenous heparin bolus
Ava, a client, arrives at the emergency department with slurred speech and unilateral weakness. Her ECG reveals atrial fibrillation. Which action should the nurse take first in preparation for thrombolytic therapy?
Administer aspirin 325 mg orally
Ensure the client is sent for an immediate head CT scan
Prepare to administer Alteplase
Notify radiology to perform a chest X-ray
A client arrives at the emergency department with sudden weakness and slurred speech that started about 5 hours ago. The provider is considering alteplase therapy. What should the nurse do next?
Inform the provider that the client is outside the recommended treatment window for alteplase
Prepare to administer the medication as ordered
Place the client on seizure precautions
Position the client in a high Fowler’s position
Sophia, a nurse in the emergency department, is caring for a client who has just received alteplase for an acute ischemic stroke. As she evaluates the client, which outcome would indicate to Sophia that the medication is working as intended?
Return of normal cardiac rhythm
Lowered blood pressure
Improved neurological function and perfusion
Stabilized respiratory rate
Charlotte, a nurse, is monitoring a client in the hospital who has just received an alteplase infusion for a suspected stroke. During her assessment, she observes the following findings. Which assessment finding requires immediate intervention?
Sudden decrease in level of consciousness
Blood pressure of 142/88 mmHg
Facial drooping present at admission
Mild nausea after medication administration
Charlotte, a nurse, is caring for a client with a traumatic brain injury who is showing signs of increased intracranial pressure. Which intervention should Charlotte implement to promote cerebral perfusion?
Position the client flat in bed to encourage circulation
Elevate the head of bed to approximately 30 degrees
Encourage the client to cough and deep breathe every hour
Place the client in the Trendelenburg position
Scarlett, a nurse, is caring for a client with cirrhosis and esophageal varices. Which type of medication should Scarlett anticipate administering to reduce portal hypertension and the risk of variceal bleeding?
Calcium channel blocker
Nonselective beta-blocker ending in LOL
Angiotensin-converting enzyme (ACE) inhibitor
Thiazide diuretic
Aria, a nurse, is caring for a client with advanced liver failure and is reviewing their laboratory results. Which finding should Aria expect?
Increased hemoglobin level
Decreased bilirubin level
Prolonged prothrombin time (PT)
Increased Leukocytes
Ava, who has recently been diagnosed with cholecystitis, is meeting with a nurse for dietary guidance. Which statement by Ava indicates a correct understanding of the appropriate diet?
I will increase my intake of fried foods to help my gallbladder function better.
I can continue eating creamy sauces and high-fat dairy products.
I will avoid greasy, spicy, and high-fat foods to prevent flare-ups.
I should eat larger meals to reduce gallbladder contractions.
Aiden, a nurse in the emergency department, is assessing a client who sustained a head injury in a motor vehicle accident. Which of the following findings should Aiden recognize as expected signs of a basilar skull fracture? (Select all that apply.)
Bruising behind the ears (Battle’s sign)
Positive Kernig’s sign (Neck stiffness)
Periorbital ecchymosis (raccoon eyes)
Bradycardia and hypertension
Lily, a nurse in the neuro ICU, is caring for a client with increased intracranial pressure (ICP) due to cerebral edema. The provider has written several orders. Which order should Lily question?
0.45% sodium chloride IV at 100 mL/hr
Elevate the head of the bed to 30 degrees
Monitor serum sodium and osmolality levels
Monitor elecrolytes
Carl, who has a history of angina, visits the clinic and tells the nurse she is interested in treatment for erectile dysfunction (ED). The nurse reviews Aria's current medications. Which statement by Carl indicates a need for further evaluation before prescribing an ED medication?
I take nitroglycerin when I have chest pain.
I use a beta-blocker every day for my blood pressure.
I occasionally take over-the-counter antacids after meals.
I stopped smoking about two months ago.
Isla arrives in the emergency department with signs of a possible stroke. Which question should the nurse prioritize during the initial assessment?
Does Isla have a history of high blood pressure?
When was Isla last seen without these symptoms?
Has Isla ever experienced a stroke before?
What medications is Isla currently taking?
Mia, a client, is admitted to the hospital with severe abdominal pain and is diagnosed with acute pancreatitis. Which of the following provider orders should the nurse anticipate to manage Mia’s condition?
Keep the client NPO
Restrict IV fluids
Administer a high-protein, low-fat diet
Insert a nasogastric tube to high continuous suction
Which of the following is an emergent finding in clients with cholecystitis caused by choledocolithiasis?
Nausea and vomiting after meals
Complaints of bloating and flatulence
Slight increase in appetite and energy.
Dark urine and clay-colored stools
Olivia, a nurse at a busy clinic, is reviewing a new prescription for a client recently diagnosed with benign prostatic hyperplasia (BPH). Which medication would Olivia expect to see prescribed to manage this condition? Select all that apply
Finasteride
Furosemide
Fosamax
Tamsulosin
Jackson recently completed chest radiation therapy and is experiencing skin desquamation. During a follow-up visit, the nurse provides instructions on how to care for his skin. Which statement by Jackson shows he understood the instructions?
I will use harsh soaps to clean my skin.
I will expose my skin to sunlight to promote healing.
I will avoid moisturizing my skin completely.
I will cleanse the area gently with mild soap and pat it dry.
Michael is a nurse caring for a client who is undergoing internal radiation therapy (brachytherapy) for prostate cancer. Which nursing action reflects appropriate radiation safety practice?
Encourage the client to ambulate frequently to prevent complications.
Place the client in a negative pressure isolation room
Limit the duration of direct care and wear a dosimeter badge while in the room.
Do not let patient inside of the hospital, must be treated outside to limit exposure
Harper is recovering from hepatitis A and is about to be discharged from the hospital. The nurse provides instructions on how to support liver healing at home. Which statement by Harper indicates an understanding of these instructions?
"I should restrict how much water I drink each day."
"I’ll take acetaminophen if I have any pain or fever."
"I will take breaks between activities so I don’t get too tired."
"I expect to be on antiviral medications for the next few months."
Olivia, a nurse, is caring for a client with Parkinson’s disease who has been prescribed carbidopa/levodopa. During her assessment, which finding should Olivia monitor for as a potential adverse effect of the medication?
Decreased heart rate
Involuntary movements of the face or limbs
Increased urine output
Excessive salivation and tearing
Lily, a nurse on a neurology unit, is caring for a client with Parkinson’s disease who has been prescribed benztropine. During her assessment, which findings should Lily recognize as potential adverse effects of this medication? Select all that apply
Constipation
Decreased Salivation
Increased Salivation
Urinary retention
A client with a spinal cord injury at the T3 level suddenly becomes flushed and reports a pounding headache. What clinical manifestation should alert the nurse to possible autonomic dysreflexia?
BP 194/100 HR 45
BP 89/60 HR 150
BP 120/80 HR70
BP 188/99 HR 140
Kai, who was recently diagnosed with late-stage syphilis, is meeting with his healthcare provider to learn about his treatment plan. During the discussion, which statement by Kai indicates a need for further teaching?
"My recent sexual partners should be informed and treated as well."
"I understand that I’ll need follow-up testing to make sure the infection is gone."
"The antibiotics will repair any damage that has already occurred."
"I will avoid sexual contact until my treatment is completed."
Grace, a nurse, is assessing a client who presents with right upper quadrant abdominal pain and nausea. She suspects cholecystitis. Which physical exam finding supports this diagnosis?
Rebound tenderness
Pain with deep palpation under the right costal margin during inhalation (MURPHYS SIGN)
Hyperactive bowel sounds in all four quadrants
Palpable mass in the suprapubic region
Oliver has been diagnosed with a chronic terminal illness. During a family meeting, a nurse is teaching Oliver and his family about care options. Which statement by Oliver demonstrates an accurate understanding of the difference between palliative care and hospice care?
"Hospice care can begin at any stage of illness, even during aggressive treatment."
"Palliative care can be provided at any stage of the illness, even alongside curative treatment."
"Palliative care is only available once life expectancy is less than six months."
"Hospice care includes treatments aimed at curing the disease."
Lucas, a nurse, is caring for a client with suspected increased intracranial pressure (ICP). Which assessment finding should prompt Lucas to notify the provider immediately?
Sudden onset of vomiting without nausea
Pupils equal and reactive to light
Blood pressure of 120/80 mmHg
Oriented to person, place, and time
James, a nurse, is providing education to a client newly diagnosed with Huntington’s disease. Which statement by the client indicates a correct understanding of the disease process?
"There are medications that can cure Huntington’s disease."
"The disease only affects my memory, not my movement."
"This condition is inherited and will gradually worsen over time."
"My symptoms will likely improve as I get older."
