Test Mock Exam 15

A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. All of the following findings is consistent with this diagnosis. Except:

A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage?

A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms:

A mother calls the clinic to report that her son has recently started medication to treat attention deficit/hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medicine. All of the following side effects are typically related to medications used for ADHD. Except:

A patient is brought to the emergency department after a bee sting. The family reports a history of severe allergic reaction, and the patient appears to have some oral swelling. Which of the following is the most urgent nursing action?

A nurse is counseling patients at a health clinic on the importance of immunizations. Which of the following information is the most accurate regarding immunizations?

A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?

A nurse in the emergency department assesses a patient who has been taking long- term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.

A community health nurse assesses a68 year-old patient who lives in a group home. During physical assessment nurse notice that patient skin and mucus membrane are dry and and pale. What type of data is the nurse collecting from the above information?

A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation.

A patient on the cardiac telemetry unit unexpectedly goes into ventricular fibrillation. The advanced cardiac life support team prepares to defibrillate. Which of the following choices indicates the correct placement of the conductive gel pads?

A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?

A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?

A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?

A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms?

A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?

The follow lab results are received for a patient. Which of the following results are abnormal?

A patient is admitted to the hospital for routine elective surgery. Included in the list of current medications is Coumadin (warfarin) at a high dose. Concerned about the possible effects of the drug, particularly in a patient scheduled for surgery, the nurse anticipates which of the following actions?

A nurse cares for a patient who has a nasogastric tube attached to low suction because of a suspected bowel obstruction. Which of the following arterial blood gas results might be expected in this patient?

Which one of the following nursing actions is appropriate when applied suctioning to an unconscious child ?

Patients with recurrent cystitis must be taught to schedule their voiding ?

When removing a gown after caring for a client, the contaminated side should be folded toward the:

Nursing care during the acute phase following an MI ( myocardial infarction) includes:

A child with asthma has an order for albuterol, before administration of the medication the nurse MUST ?

A 67 year-old man is admitted to the Post-anesthesia Recovery unit following chest surgery. The patient has a right chest tube that is attached to low suction. Three hours after admission to the unit, the nurse observes the drainage output from the chest tube is 300 milliliters. What is the most appropriate initial intervention?

An elderly patient with severe degenerative joint comes to the clinic for routine follow up of management. The patient reports that over the month, the pain has begun to increase in severity patient requests an increase in dosage of the medication. The nurse recognizes that this is most likely due to?

A community health nurse visits a patient who has suffered a stroke. The patient's spouse explains to the nurse that the patient chokes while eating some times. Which of the following referral orders would the nurse anticipate needing for this patient?

A patient who underwent a right knee arthroplasty two days ago has a nursing diagnosis of impaired mobile. The patient refuses to get out of bed and ambulate due chest pain. Which of the following action would the nurse MOST likely implement?

The nurse is inserting a nasogastric (NG) tube into patient as prescribed. The nurse has advanced the into the patient's posterior pharynx. The nurse show now ask the patient to?

What would be the long-term management goal for a patient with diabetes mellitus, type II?

A patient is 90-minutes post-abdominal hysterectomy and complains of pain in the post anesthesia care unit (PACU). The nurse administers the prescribed dose unit intravenous morphine. Five minutes later, the patient is difficult to arouse, with the following vital signs. What should the nurse do NEXT? Respiratory rate 6/min Saturation 86% on room air

A 42 year- old patient is in a lower body cast following a motor vehicle accident. In order to minimize muscle strength loss while in the cast, the nurse will instruct the patient in the performance of.

A patient who has a diagnosis of multiple sclerosis speaks slowly with long pauses between syllables. The patient is MOST likely in what stage of multiple sclerosis?

In evaluating a patient after a cerebrovascular accident (eVA), which of the following is an expected outcome of the nursing diagnosis of impaired physical mobility related to motor deficits?

An 83 year-old woman lives in a long term care facility. During the past two weeks, she has suffered two falls that resulted in minor injuries and now complains of pain in the left shoulder. On auscultation, bowel sounds are diminished in all four quadrants. On palpation, she has tenderness and guarding over the upper left quadrant and complain of a feeling of fullness. What could be the most likely underlying cause of the finding?

During the immediate postoperative period, a patient reveals an oxygen saturation level of 91 %. The nurse should

The nurse is caring for a 4 year-old patient with a diagnosis of cystic fibrosis and pneumonia. The child is feeling better on the 3rd day of the hospitalization and "wants to play" What would be the BEST choice of entertainment?

A 24 year-old man was admitted to the hospital after receiving a closed head injury in a motor vehicle accident. He had a Glasgow Coma Score of 6 on admission and was being mechanically ventilated. The nurse observes the intracranial pressure has slowly and steadily increased over the past hour. What is the most appropriate initial nursing action?

A 32 year-old man is brought to the Emergency Department by a friend with whom he had been playing football with earlier that evening. His symptoms came on after twenty minutes of the football match. He appears anxious and restless. Auscultation of the lungs reveals wheezing on exhalation. The patient states that he is unable to get a full breath of air. He had this problem as a child a couple of times after exercising in cold weather.Blood pressure 126/72 mmHg Heart rate 90/min Respiratory rate 28/mm Temperature 37.0°C Oxygen Saturation 94 % on room air Which position is best for this patient?

When performing tracheal suctioning for a client with a tracheotomy the nurse should

A nine year-old child has been diagnosed with external otitis. In addition to assessing severity of symptoms and need for pain relief, the nurse should assess.

A 27 year-old woman presents with stomach cramping with alternating constipation and diarrhea. She had been diagnosed with irritable bowel syndrome two years before and has so far managed the illness with lifestyle changes, including diet and exercise. What is the most appropriate advice?

A nurse is communicating with a moderately autistic child during a developmental and behavioral assessment. The nurse uses non-verbal techniques to engage the child's cooperation. She uses facial expressions when responding and simple body language to communicate commends. What is the most likely age of the child?

A patient is being prepared for a right breast biopsy under general anesthesia. The patient asks the nurse about the surgical scar and possible postoperative complications. Which of the following actions would be appropriate for the nurse to take?

A child is treated for superficial (first-degree) thermal burns to the thigh. The child is in great discomfort and does not eat. Which of the following diagnoses should receive PRIORITY?

Upon assessment of an obese patient's back, the nurse observes a forward curvature of the lumbar spine. These findings are indicative of.

A patient is transferred to the Intensive Care Unit following a craniotomy. The patient is difficult to arouse and the pupils are pinpoint and non-reactive. Blood pressure 118/70 mmHg Heart rate 58/min Respiratory rate 11/mm Temperature 37.2°C Which medication should the nurse prepare to administer?

A 20 year- old woman takes cyclosporine 100 mg by mouth twice per day. She had a heart transplant two months ago and complains of dizziness, shortness of breath, light headedness and fatigue. Capillary refill >3. Blood pressure 90/50 mmHg Heart rate, irregular 100/min Respiratory rate 28/mm Temperature 38.0°C What is the most likely underlying cause of the patient's problem?

A six year-old patient has been diagnosed with acute rheumatic fever. The nurse knows that the antibiotic of choice for this illness is ?

A patient has a history of severe, uncontrolled epistaxis. The patient's blood pressure and platelet count are normal. To minimize the occurrence of bleeding episodes the nurse should teach the patient to.