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Question 1 of 5
A nurse is about to administer a client's morning dosage of insulin. The client's order is for 5 U of regular and 10 U of NPH given as a basal dose. He also is to receive an
amount prescribed from his medium-dose sliding scale (shown below), based on his morning blood glucose level. The nurse performs a bedside blood glucose
measurement and the result is 264 mg/dl. How many total units of insulin should the nurse administer to the client?
Plasma Low dose Medium dose High dose Very high dose
glucose (Regular (Regular (Regular (Regular
(mg/dl) insulin) insulin) insulin) insulin)
< 70 Call Call physician Call Call physician
physician physician
71-140 0U 0U 0U 0U
141-180 1U 2U 4U 10 U
181-240 2U 4U 8U 15 U
241-300 4U 6U 12 U 20 U
301-400 6U 9U 16 U 25 U
> 400 8 U and call 12 U and call 20 U and call 30 U and call
physician physician physician physician
Answer:
4u
The nurse is feeding an average-size client when the client suddenly begins choking on his food. According to the American Heart Association, the
nurse should intervene using the actions listed below. List the actions in the sequence in which the nurse should perform them.
020168 4 2 0.39 1
Question 4 of 5
The nurse is interpreting a client's telemetry strip. If the QT interval is 0.52 second and the R-R interval is 1.72 seconds, how many seconds is the QTc interval (the QT
interval corrected for the heart rate)?
Answer:
50
The QTc should be less than 0.44 seconds in men, and less than 0.46 seconds in women.
028149 1 3 180,36;190,45 0
025049 12 0 4 11
Question 12 of 75
When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:
3. bradycardia.
029004 14 0 4 13
Question 14 of 75
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
RATIONALES: Vesicles are elevated, sharply defined lesions that are usually less than 1 cm in diameter and contain serous fluid. Common examples
of vesicles include blisters and the lesions caused by chickenpox and herpes simplex. Bullae are elevated, fluid-filled lesions greater than 1 cm in
diameter; an example is a second-degree burn wound. Cysts, such as sebaceous cysts, are elevated, thick-walled lesions containing fluid or semisolid
matter. Pustules are elevated lesions less than 1 cm in diameter, and containing purulent material; examples include impetigo and acne lesions.
Question 16 of 75
The nurse is developing a care plan for marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone
marrow suppression become noticeable?
1. 24 hours
2. 2 to 4 days
3. 7 to 14 days
4. 21 to 28 days
022134 21 3 206,257;216,271 20
Question 21 of 75
Indicate the location of an ostomy for which the client could eventually not need to wear an ostomy bag?
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Question 22 of 75
A client comes to the clinic for a routine checkup. To assess the client's gag reflex, the nurse should use which method?
1. Place a tongue blade on the front of the tongue and ask the client to say "ah."
3. Place a tongue blade on the middle of the tongue and ask the client to cough.
003105 24 0 4 23
Question 24 of 75
A client begins taking haloperidol (Haldol). After a few days, he experiences severe tonic contractures of muscles in the neck, mouth, and tongue. The nurse should
recognize this as:
1. psychotic symptoms.
2. parkinsonism.
3. akathisia.
4. dystonia.
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Question 25 of 75
The nurse-manager of a home health facility includes which item in the capital budget?
3. Office supplies
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Question 26 of 75
A client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone
secretion from which gland?
1. Adrenal cortex
2. Pancreas
3. Adrenal medulla
4. Parathyroid
014056 27 0 4 26
Question 27 of 75
Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to prevent which adverse reaction?
1. Hypertension
2. Respiratory arrest
3. Tourette syndrome
4. Retinal pigmentation
028005 29 0 4 28
Question 29 of 75
A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
1. Nausea or vomiting
3. Hallucinations or tinnitus
4. Light-headedness or paresthesia
003143 30 2 8 29
Question 30 of 75
The physician prescribes heparin 25,000 U in 250 ml of normal saline solution to infuse at 600 U/hour for a client who suffered an acute myocardial infarction. After 6 hours
of heparin therapy, the client's partial thromboplastin time is subtherapeutic. The physician orders an increase in the infusion to 800 U/hour. The nurse should set the infusion
pump to deliver how many milliliters per hour?
Answer:
Cross-multiply to solve for X and divide each side of the equation by 25,000 U
X = 8 ml/hour.
001065 31 0 4 30
Question 31 of 75
What is an appropriate nursing intervention for a client with an arm restraint?
020107 32 0 3 31
Question 32 of 75
After coronary artery bypass graft surgery, a client is admitted to the surgical intensive care unit and connected to a cardiac monitor. The nurse can't detect a pulse or blood
pressure and observes the following pattern on the electrocardiogram (ECG) monitor. What does this pattern show?
1. Artifact
2. Ventricular tachycardia
3. Ventricular fibrillation
4. Electromechanical dissociation
001015 33 0 3 32
Question 33 of 75
To follow standard precautions, the nurse should carry out which measure?
004012 39 0 2 38
Question 39 of 75
A client reports abdominal pain. Which action would aid the nurse's investigation of this complaint?
024082 40 1 4,5 39
Question 40 of 75
The nurse is planning care for a client with human immunodeficiency virus (HIV). She's being assisted by a licensed practical nurse
(LPN). Which statements by the LPN indicate her understanding of HIV transmission?
1. "I'll wear a gown, mask, and gloves for all client contact."
2. "I don't need to wear any personal protective equipment because nurses have a low risk of occupational exposure."
3. "I'll wear a mask if the client has a cough caused by an upper respiratory infection."
4. "I'll wear a mask, gown, and gloves when splashing of body fluids is likely."
020136 41 0 3 40
Question 41 of 75
The nurse is teaching a client who receives nitrates for the relief of chest pain. Which instruction should the nurse emphasize?
1. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
3. Lie down or sit in a chair for 5 to 10 minutes after taking the drug.
022051 48 0 4 47
Question 48 of 75
When caring for a client with hepatitis B, the nurse should monitor closely for the development of which finding associated with a decrease in hepatic function?
1. Jaundice
018106 49 1 1,3,5 48
Question 49 of 75
A mother with a past history of varicose veins has just delivered her first baby. The nurse suspects that the mother has developed a pulmonary embolus. Which data below
would lead to this nursing judgment?
1. Sudden dyspnea
2. Chills, fever
3. Diaphoresis
4. Hypertension
5. Confusion
016023 50 0 1 49
Question 50 of 75
During routine preconception counseling, a client asks how early a pregnancy can be diagnosed. What is the nurse's best response?
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Question 56 of 75
Following a transsphenoidal hypophysectomy, the nurse should assess the client carefully for which condition?
1. Hypocortisolis
m
2. Hypoglycemia
3. Hyperglycemi
a
4. Hypercalcemi
a
001178 57 0 1 56
Question 57 of 75
A client's attorney must prove which elements for a professional negligence action?
017006 58 0 1 57
Question 58 of 75
A client in labor is attached to an electronic fetal monitor (EFM). Which of the following data provided by an EFM most reliably indicates adequate uteroplacental and fetal
perfusion?
3. Late decelerations
015092 60 1 1,2,3,4 59
Question 60 of 75
The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan?
5. Have the client introduce himself slowly to people from his former lifestyle.
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Question 64 of 75
When planning care for a client with a small-bowel obstruction, the nurse should consider the primary goal to
be:
1. reporting pain
relief.
3. maintaining fluid
balance.
024014 68 0 1 67
Question 68 of 75
A client with a myocardial infarction is admitted to an acute care facility. During the admission history, the nurse learns that the client also has hypertension and progressive
systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis?
2. Constipatio
n
3. Ineffective
thermoregulation
028150 70 3 208,130;220,150 69
Question 70 of 75
The nurse is performing a respiratory assessment on a client with left lower lobe atelectasis. Identify the area where the nurse may hear fine crackles associated with this
condition.
026100 71 0 4 70
Question 71 of 75
A home care nurse visits a client with muscular dystrophy. Which comment by the client indicates the he needs more information about an advance directive?
3. "My dog is my best friend. I really don't have anyone who can make decisions for me when I no longer can."
4. "I love apple pie. I don't ever want a feeding tube when the time comes that I can't eat."
025169 73 0 1 72
Question 73 of 75
After being sick for 3 days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse should evaluate which diagnostic
test results to prevent arrhythmias.
2. Serum calcium
level