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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

The nurse is assessing elderly clients at a community center. Which of the following findings would be the most cause for concern?

A. Complaint of dry mouth
B. Loss of 1 inch of height in the last year
C. Stiffened joints
D. Rales bilaterally on chest auscultation

Expert Explanatory Rationale

Correct Answer: Rales bilaterally on chest auscultation

Question 2 of 10

A client with cancer is to undergo a bone scan. The nurse should:

A. Force fluids 24 hours before the procedure
B. Ask the client to void immediately before the study
C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
D. Cover the client's reproductive organs with an x-ray shield

Expert Explanatory Rationale

Correct Answer: Ask the client to void immediately before the study

Question 3 of 10

A client is taking nebulizer treatments for asthma, and the nurse is instructing the client in the correct method for measuring peak expiratory flow rates (PEFR) after treatment. The nurse prepares the meter with the indicator at the base of the scale. Place the following steps (Roman numerals) in the correct order from first to last.

A. Client sits upright or stands.
B. Client places the meter in the mouth and seals lips.
C. Client expels air through the meter as forcefully as possible.
D. Client takes a deep breath.

Expert Explanatory Rationale

Correct Answer:

Question 4 of 10

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

A. Estrogen levels are low.
B. Lutenizing hormone is high.
C. The endometrial lining is thin.
D. The progesterone level is low.

Expert Explanatory Rationale

Correct Answer: Lutenizing hormone is high.

Question 5 of 10

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

A. Uric acid of 5 mg/dL
B. Hematocrit of 33%
C. WBC 2000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter

Expert Explanatory Rationale

Correct Answer: WBC 2000 per cubic millimeter

Question 6 of 10

The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:

A. Negligence
B. Tort
C. Assault
D. Malpractice

Expert Explanatory Rationale

Correct Answer: Malpractice

Question 7 of 10

The nurse is assisting the physician with removalCus of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

A. Perform the Valsalva maneuver as the catheter is advanced
B. Turn his head to the left side and hyperextend the neck
C. Take slow, deep breaths as the catheter is removed
D. Turn his head to the right while maintaining a sniffing position

Expert Explanatory Rationale

Correct Answer: Take slow, deep breaths as the catheter is removed

Question 8 of 10

The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

A. Withholding oral intake after midnight
B. Telling the client that no special preparation is needed
C. Explaining that a small dose of radioactive isotope will be used
D. Giving an oral suspension of glucose 1 hour before the test

Expert Explanatory Rationale

Correct Answer: Telling the client that no special preparation is needed

Question 9 of 10

A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?

A. Notify the physician of readings less than 3 cm or more than 8 cm of water
B. Use the clean technique to change the dressing at the insertion site
C. Elevate the head of the bed to 90° to obtain CVP readings
D. The 0 mark on the manometer should align with the client's right clavicle for the readings

Expert Explanatory Rationale

Correct Answer: Notify the physician of readings less than 3 cm or more than 8 cm of water

Question 10 of 10

The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?

A. aspirates and checks the residual
B. places client in the semi-Fowler's position
C. verifies that the medications may be given via NG tube
D. stops the tube feeding before medication administration
E. flushes tubing with 15-30 cc of water after administering meds
F. None
G. all the above

Expert Explanatory Rationale

Correct Answer: None

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