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Question 1: The nurse knows that which of the following foods or fluids should be restricted for this client (Graves' disease)? A. Ice cream B. Tea CORRECT ANSWER C. Orange Juice D. Pasta Tea is a stimulant and should not be given to the client with hyperthyroidism
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Question 1 : The nurse knows that which of the following foods or fluids should be restricted for this client (Graves' disease)? A. Ice cream B. Tea CORRECT ANSWER C. Orange Juice D. Pasta Tea is a stimulant and should not be given to the client with hyperthyroidism. Question 2 : Who should the nurse assess first? A. A client who has a pulse of 76 bpm B. The client who has saturated one perineal pad in two hours C. The client who reports swelling in her left calf CORRECT ANSWER D. The client who asks about the circumcision procedure Swelling in the calf postpartum may indicate DVT—a life-threatening condition. Question 3 : Stroke caused by clot—what ECG finding expected? A. V Tach B. Normal sinus rhythm C. A fib CORRECT ANSWER D. V Fib A fib increases the risk of embolic stroke. Question 4 : Parenteral nutrition—bag running low. What fluid to have on hand? A. 10% dextrose CORRECT ANSWER B. 5% dextrose C. 0.9 NS with dextrose D. 45% glucose and water
Question 5 : Best response to patient fearful after traumatic injury A. You always have medication available B. I understand that pain can be a frightening experience CORRECT ANSWER C. Why did you think you were going to die? D. Please take the medication before you upset yourself more Question 6 : Wife asks why depression med isn't working after 4 days A. Check chart for drug interactions B. It takes 2–4 weeks for the medication to reach full effect CORRECT ANSWER C. Depends on depression severity D. Doctor will speak with you Question 7 : Which clinic client to see first?
Question 16 : Lyme disease education—correct statement? A. Amoxicillin preferred in children CORRECT ANSWER B. Caused by cat feces C. Spread by skin contact D. Inhalation of bird droppings Question 17 : Acrocyanotic heart defect expected finding? A. Poor sucking reflex B. Epistaxis C. Tachycardia CORRECT ANSWER D. Bradycardia Question 18 : Tension pneumothorax—first action? A. Sedative B. Prepare for CT C. Cough and deep breathe D. Prepare to insert chest tube CORRECT ANSWER Question 19 : Suspected drug diversion—best report statement? A. After shift, patients need repeated meds; coworker slept on job CORRECT ANSWER B. Coworker acted strange downtown C. She always looks high D. Saw tracks, think she hangs in drug houses Question 20 : Position post liver biopsy? A. Supine B. Semi-fowlers C. Left side-lying D. Right side-lying CORRECT ANSWER Question 21 : Urine specific gravity indicating fluid overload? A. 1.003 CORRECT ANSWER B. 1. C. 1. D. 1.
Question 22 : Best position for delayed gastric emptying, G-tube? A. Right side-lying with HOB elevated CORRECT ANSWER Question 23 : Post-bronchoscopy—report immediately? A. Blood-streaked sputum B. Laryngeal stridor CORRECT ANSWER C. Dry cough D. Green sputum Question 24 : False restraint statement? A. PRN orders allowed CORRECT ANSWER: FALSE Question 25 : Jehovah’s Witness refuses blood. What to do? A. Give plasma anyway B. Explain plasma vs PRBC C. Stabilize with IV fluids CORRECT ANSWER D. Notify ethics committee Question 26 : ER—who to see first? A. 2nd-degree burn + broken wrist B. Severe abdominal pain C. Dilated pupils + laceration D. Confused client with ankle sprain CORRECT ANSWER Question 27 : Adverse effect of clindamycin? A. Tinnitus CORRECT ANSWER Question 28 : Which report patient to see first? A. TB patient with 102.4 fever B. PAD with low pedal pulse
Question 35 : “Black tar in veins” is an example of: A. Illusion B. Hallucination C. Delusion CORRECT ANSWER D. Paranoia A 27-year-old male is admitted to the emergency room after a severe motor vehicle accident. The client's Glasgow Coma Scale score is 8. He is showing signs of severe trauma and the doctor would like to place an intracranial pressure catheter. Which of the following actions should the nurse take first?
The nurse is caring for a client with active tuberculosis. Which of the following precautions should the nurse implement?