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WorksheetsNUR 114 Study Quizizz
Total questions: 66
Worksheet time: 2hrs 12mins
The lab value that should alert the nurse to an increased risk for coronary artery disease due to atherosclerosis in a male adult client is:
Elevated LDL cholesterol
Low HDL cholesterol
Normal triglycerides
Low total cholesterol
Assessment findings that would lead a nurse to suspect autonomic neuropathy in a client with type 2 diabetes mellitus include:
Orthostatic hypotension, gastroparesis, and decreased sweating
Increased deep tendon reflexes and muscle spasms
Sudden weight gain and increased appetite
Frequent urination and excessive thirst
Which client statement demonstrates understanding of how to reduce the risk of coronary artery disease?
I will exercise regularly and eat a diet low in saturated fats.
I will increase my salt intake to maintain blood pressure.
I will avoid all fruits and vegetables to reduce sugar intake.
I will only visit my doctor if I feel chest pain.
Which of the following client statements reflects accurate understanding of how to take sublingual nitroglycerin for angina?
"I will place the tablet under my tongue and let it dissolve completely before swallowing."
"I will swallow the tablet whole with a glass of water."
"I will chew the tablet for faster relief."
"I will place the tablet on top of my tongue and swallow it immediately."
For a client with hyperlipidemia and elevated liver function tests, which medication order should the nurse prioritize for follow-up with the provider?
Statin
Aspirin
Beta-blocker
Calcium channel blocker
The nurse should respond to a patient with arteriosclerosis asking about the importance of quitting smoking by explaining that:
Quitting smoking reduces the risk of further damage to blood vessels.
Quitting smoking has no effect on arteriosclerosis.
Quitting smoking only benefits lung health, not blood vessels.
Quitting smoking is only necessary if the patient has high blood pressure.
The nurse should emphasize which key lifestyle change when educating a client with atherosclerosis?
Decrease physical activity
Decrease saturated fat intake
Reduce fiber consumption
Limit water intake
The nurse should include which intervention in the care plan for a client with deep vein thrombosis receiving anticoagulation therapy?
Encourage early ambulation and monitor for signs of bleeding
Apply cold compresses to the affected limb
Massage the affected leg to improve circulation
Restrict all fluid intake to prevent swelling
Which of the following are signs and symptoms a nurse should expect in a client with congestive heart failure?
Shortness of breath, edema, and fatigue
Fever, rash, and joint pain
Increased appetite, weight loss, and insomnia
Jaundice, itching, and dark urine
The nurse would anticipate which of the following findings in a client diagnosed with left-sided heart failure?
Crackles in the lungs
Peripheral edema
Jugular vein distention
Hepatomegaly
Which client statement during discharge teaching indicates effective understanding of heart failure management?
I should slow down if I experience chest pain or dyspnea
I can stop taking my medications once I feel better.
I should drink as much fluid as possible to stay hydrated.
I do not need to monitor my salt intake.
Which statement by the client indicates the need for further teaching about the DASH diet?
"I cannot eat any nonfat dairy foods when on the DASH diet."
"I should include more fruits and vegetables in my meals."
"Low-fat dairy products are recommended on the DASH diet."
"The DASH diet helps to lower blood pressure."
Which admission order should raise concern for the nurse when reviewing orders for a client with a deep vein thrombosis in the left leg?
Apply sequential compression device (SCD) to the lower legs
Apply compression stockings to the lower legs
Elevate the left leg on pillows
Administer anticoagulant therapy as prescribed
The following laboratory findings support the diagnosis of atherosclerosis:
Elevated LDL cholesterol levels
Low blood glucose levels
Decreased triglyceride levels
High HDL cholesterol levels
The nurse should provide which dietary guidance to a client with chronic cholecystitis and recurrent biliary colic?
Follow a low-fat diet to reduce biliary colic episodes.
Increase intake of high-fat foods to promote bile flow.
Consume large, infrequent meals to rest the gallbladder.
Avoid all carbohydrates to prevent gallbladder irritation.
Assessment findings the nurse would expect in a client with a common bile duct obstruction from chronic cholecystitis include:
Jaundice and clay-colored stools
Bradycardia and hypertension
Polyuria and polydipsia
Hyperactive bowel sounds and diarrhea
Which client statement indicates appropriate understanding of an upcoming Endoscopic Retrograde Cholangiopancreatography (ERCP) procedure for cholelithiasis?
I understand that an ERCP procedure involves looking in my bile ducts and if there is a stone, it will be removed.
I can eat a light meal right before the ERCP procedure.
I will be able to drive myself home immediately after the ERCP procedure.
I do not need to stop taking my blood thinners before the ERCP procedure.
An appropriate nursing intervention for a client following a laparoscopic cholecystectomy is:
Encouraging early ambulation to prevent complications
Restricting fluid intake for 24 hours
Keeping the client on strict bed rest for 48 hours
Applying heat packs to the abdomen continuously
The nurse should expect which assessment findings in a client with acute right-sided heart failure?
Increased central venous pressure (CVP)
Crackles in the lungs and frothy sputum
Bradycardia and hypotension
Polyuria and weight loss
Which assessment finding in a client taking Ursodiol for cholelithiasis might indicate pancreatic involvement?
Increased lab levels of amylase and lipase
Yellowing of the skin and eyes
Dark-colored urine
Increased appetite
A client presents with RUQ pain (8/10), fever, and green emesis. Which provider order should the nurse question?
IV Morphine 10mg for pain
Order for NPO status
Order for IV fluids
Order for pain medication
A client with a T-tube placed post-cholecystectomy shows which symptom that would require the nurse to notify the provider?
Nausea and vomiting
Mild discomfort at the insertion site
Clear yellow drainage from the tube
Slight redness around the tube site
The medical condition that carries the greatest risk of causing metabolic acidosis is:
Anorexia Nervosa abusing laxatives
Bulimia
Anorexia Nervosa with purging
Glomerulonephritis
The client most at risk for developing acute glomerulonephritis is:
A child who recently had a streptococcal throat infection
An adult with a history of hypertension
A teenager with type 1 diabetes mellitus
An elderly client with chronic heart failure
An 8-year-old with acute glomerulonephritis on high-dose glucocorticoids should be monitored closely for which complication?
Infection
Hypoglycemia
Hypercalcemia
Bradycardia
Information that should be included when educating new nurses about personality disorders includes:
Adverse Childhood Events (ACEs) often precede personality disorders
Only the pharmacological treatments for personality disorders
Details about unrelated medical conditions
Focus solely on the legal aspects of nursing care
The priority teaching point for the family of a client newly diagnosed with borderline personality disorder is:
Self-injurious behavior (SIB) is more common than homicide with Borderline Personality Disorder
Encouraging complete independence from the client
Focusing on medication management only
Avoiding discussions about the client's feelings
The defense mechanism often seen in clients with borderline personality disorder that may lead to conflict among healthcare team members is:
Splitting
Projection
Denial
Rationalization
Clinical signs consistent with a diagnosis of anorexia nervosa include:
Fine, downy hair (lanugo) on the face, back and arms
Hypertension, weight gain, and hirsutism
Polyuria, hyperpigmentation, and tachycardia
Jaundice, edema, and polyphagia
The nurse should respond to a client with anorexia nervosa who is anxious about a weight restoration program by:
Acknowledging the client's feelings and providing reassurance about the process.
Ignoring the client's anxiety and focusing on the meal plan.
Telling the client that anxiety is not justified and to trust the program.
Encouraging the client to avoid discussing their feelings about weight gain.
An appropriate initial nursing intervention during the first week of hospitalization for a client with bulimia nervosa is:
Someone should monitor the client while eating and for a while after
Allowing the client to eat alone
Permitting unrestricted bathroom access after meals
Focusing on weight loss goals
Which statement would a nurse expect to hear from a client diagnosed with binge-eating disorder?
I feel really guilty and ashamed after binging, and I just want to hide
I avoid eating in front of others because I fear gaining weight.
I restrict my food intake to lose weight quickly.
I use laxatives or vomit after eating to control my weight.
The client at highest risk of developing an anxiety-related disorder is:
A client with a family history of anxiety disorders
A client with no history of mental health issues
A client who exercises regularly and has strong social support
A client who practices daily meditation
The nurse should expect which of the following symptoms in a client experiencing panic-level anxiety on an inpatient mental health unit?
Depersonalizatoin
Voice tremulousness
Slight muscle tension and irritability
Shaking slightly
A client with Alzheimer’s disease struggles with multitasking. The specific cognitive deficit likely responsible is:
Impaired executive function
Enhanced memory recall
Improved attention span
Increased language skills
Behavioral findings expected in a court-ordered evaluation of a client with antisocial personality disorder include:
Lack of remorse for actions
Excessive anxiety about consequences
Strong adherence to social norms
Frequent feelings of guilt
What statement should the nurse include when teaching clients about changes in vision caused by cataracts?
Vision becomes cloudy or blurry as cataracts develop.
Cataracts cause sudden, severe eye pain.
Cataracts improve night vision significantly.
Cataracts cause complete loss of peripheral vision.
Which client statement suggests the onset of cataracts?
I have trouble seeing clearly, and lights seem to have halos around them.
I feel a sharp pain in my eye when I blink.
My eyes are constantly watering and itchy.
I see flashes of light and floating spots.
A client with hypertension asks about propranolol. Which history should alert the nurse that this medication is contraindicated?
History of asthma
History of hypertension
History of hyperlipidemia
History of hypothyroidism
Teaching the nurse should provide to a client starting hydrochlorothiazide for hypertension includes:
Take HCTZ in the morning instead of at bedtime.
Weekly weights.
Stop taking the medication if blood pressure feels normal.
Avoid drinking or eating when taking HCTZ.
Key instructions the nurse should provide when teaching a client how to take nitroglycerin sublingual tablets include:
Nitroglycerin dilates cardiac blood vessels and increases oxygen to the heart.
Swallow the tablet whole with a glass of water.
Chew the tablet before swallowing for faster absorption.
Place the tablet between the cheek and gum and swallow immediately.
The nurse should include which of the following discharge instructions for a client with peripheral arterial disease (PAD)?
Keep your room warm by adjusting the temperature.
Advise the client to apply heat directly to the affected limb.
Recommend the client to elevate legs above heart level when resting.
Instruct the client to wear tight, low, dress socks while in bed.
The nurse should expect which of the following findings in a male client with advanced PAD?
Claudication, burning, and aching, even at night.
Hairy legs.
Bounding pulses in the lower extremities
Extremely thin toenails.
The symptoms that typically occur in the early stages of peripheral arterial disease include:
Intermittent claudication (leg pain when walking)
Sudden chest pain
Severe headache
Blurred vision
The nurse should explain the pathophysiology of PAD to a client as:
A narrowing of the arteries reduces blood flow to the limbs.
An infection causes inflammation in the veins.
A buildup of lymph fluid leads to swelling in the legs.
A genetic disorder causes abnormal blood clotting.
A client with bulimia nervosa has been prescribed an SSRI. Which medication should the nurse anticipate?
Prozac
Zyprexa
Narcan
Depakote
A client with a personality disorder reports recent illicit drug use. The nurse should use which screening tool?
Tox screen
PHQ-9
MMSE
MMPI
What statement reflects the transdiagnostic nature of anxiety in a client with generalized anxiety disorder?
Anxiety symptoms can occur across multiple mental health disorders, not just generalized anxiety disorder.
Anxiety is only present in generalized anxiety disorder and not in other conditions.
Transdiagnostic means anxiety is unique to each individual disorder.
Generalized anxiety disorder does not share symptoms with any other disorder.
A child avoids speaking during class and social events. The nurse should suspect which anxiety disorder?
Selective mutism
Social phobia
Generalized anxiety disorder
Obsessive-compulsive disorder
A client who is afraid to leave home alone is likely experiencing which type of phobia?
Agoraphobia
Social phobia
Claustrophobia
Acrophobia
A home-health client with OCD demonstrates constant cleaning. The likely purpose of this behavior is:
to reduce anxiety and distress
to improve physical strength
to seek attention from others
to avoid all social interactions
A suitable nursing action for a client with obsessive-compulsive disorder is:
Exploring what triggers anxiety in the client
Discouraging all rituals immediately
Ignoring the client's compulsive behaviors
Forcing the client to stop rituals abruptly
The nurse’s top priority for a client recently admitted after a suicide attempt with a history of depression, substance abuse, and anorexia nervosa is:
Ensuring the client’s safety and preventing self-harm
Encouraging the client to eat regular meals
Initiating substance abuse counseling immediately
Focusing on building a therapeutic relationship
The nurse should immediately hold clozapine and notify the provider for which client based on lab results?
Client with a white blood cell count of 2,000/mm³
Client with a hemoglobin of 13 g/dL
Client with a platelet count of 200,000/mm³
Client with a fasting glucose of 100 mg/dL
Select the client behaviors that indicate mania in a client with bipolar disorder.
Pressured speech, decreased need for sleep, and grandiosity
Social withdrawal, low energy, and hypersomnia
Flat affect, slow movements, and lack of interest
Excessive guilt, poor concentration, and suicidal ideation
Which assessment finding suggests suicide risk in a client with bipolar disorder in an acute care mental health setting?
Increased Impulsivity
Increased energy and activity
Improved appetite
Engaging in group activities
A client with mild depression asks about herbal treatment options. Which herb is commonly used for this purpose?
St. John's Wort
Echinacea
Ginkgo Biloba
Valerian Root
The nurse's first action when a client with dementia is agitated and unable to stay seated is to:
Use a pressure-sensitive alarm on their wheelchair
Restrain the client to prevent injury
Administer a sedative immediately
Ignore the behavior and continue with other tasks
A pregnant client should be informed that the risk of schizophrenia can be reduced.
Prevent infection during pregnancy
Schizophrenia is not influenced by genetics at all.
Only environmental factors contribute to the risk of schizophrenia.
Pregnancy itself eliminates the risk of schizophrenia.
A client presents with signs of peripheral artery disease in the right leg. Which finding supports impaired circulation?
Cool, pale skin on the right leg
Warm, flushed skin on the right leg
Bounding pulses in the right leg
Increased hair growth on the right leg
A client with OCD is repeatedly applying and removing makeup. What underlying factor is most likely responsible for this behavior?
Anxiety reduction
Desire for attention
Lack of interest in appearance
Memory loss
The appropriate nursing intervention for a client experiencing a panic attack is:
Remain with the client and speak in a calm, reassuring manner.
Encourage the client to leave the area and be alone.
Ask the client to discuss their feelings in detail immediately.
Administer sedative medication without physician's order.
Select the findings that are expected when assessing a client with generalized anxiety disorder.
Restlessness, fatigue, difficulty concentrating, irritability
Euphoria, grandiosity, pressured speech, decreased need for sleep
Hallucinations, delusions, disorganized thinking, catatonia
Memory loss, confabulation, ataxia, nystagmus
The nurse’s priority intervention for a client newly admitted with body dysmorphic disorder is:
Assess for suicidal ideation
Encourage frequent mirror checking
Promote group therapy immediately
Focus on physical appearance concerns
The nurse should report which finding to the provider for a client with schizophrenia taking aripiprazole?
Development of muscle rigidity
Mild headache and dizziness
Increased appetite and weight gain
Dry mouth and constipation
Which adverse effect should the nurse report to the provider for a client with generalized anxiety disorder taking buspirone?
Profuse perspiration
Dry mouth
Hallucinations
Decreased appetite
