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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

A client is being treated with I.V. fluids for hypovolemic shock. Which of the following values is the best indicator that fluid resuscitation has been effective?

A. Urine output of 30 mL/hour.
B. Systolic blood pressure of 90 mm Hg.
C. Respiratory rate of 22 breaths/minute.
D. Pulse rate of 110 bpm.

Expert Explanatory Rationale

Correct Answer: Urine output of 30 mL/hour.

Question 2 of 10

A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium (Atrovent). The nurse should instruct the client to:

A. Rinse the mouth after inhalation.
B. Take the medication with meals.
C. Avoid using the inhaler during an acute attack.
D. Stop the medication if dizziness occurs.

Expert Explanatory Rationale

Correct Answer: Rinse the mouth after inhalation.

Question 3 of 10

A 6-year-old child is admitted to the hospital for heart surgery to repair tetralogy of Fallot. The child asks the nurse if the cardiac catheterization will hurt. Which of the following statements offers the nurse the best guide for responding to the child's question?

A. The medication used to numb the insertion site will sting
B. Momentary sharp pain usually occurs when the catheter enters the heart
C. It is usual for a 6-year-old to feel discomfort during the procedure
D. It is a painless procedure, although a tingling sensation may be felt in the extremities

Expert Explanatory Rationale

Correct Answer: The medication used to numb the insertion site will sting

Question 4 of 10

The nurse observes an 18-month-old who has been admitted with a respiratory tract infection (see figure). The nurse should first:

A. Position the child supine
B. Call the rapid response team
C. Offer the child a carbonated drink
D. Place the child in a croup tent

Expert Explanatory Rationale

Correct Answer: Call the rapid response team

Question 5 of 10

The nurse is caring for a client with a history of osteoarthritis. Which of the following interventions should be included in the plan of care?

A. Encourage weight-bearing exercises.
B. Apply cold packs to affected joints.
C. Recommend a high-protein diet.
D. Restrict physical activity.

Expert Explanatory Rationale

Correct Answer: Recommend a high-protein diet.

Question 6 of 10

A client has been receiving radiation therapy for 3 weeks to treat his cancer. He is complaining of fatigue. Which of the following should be considered while the nurse plans interventions to help the client with the fatigue?

A. Fatigue is a temporary problem that requires no active intervention
B. The client should be closely examined to determine the cause of fatigue
C. Fatigue indicates that the client's cancer is not under control
D. The client should be encouraged to maintain activity to combat the fatigue

Expert Explanatory Rationale

Correct Answer: The client should be closely examined to determine the cause of fatigue

Question 7 of 10

A primary health care provider has written a prescription for a client diagnosed with diabetic gastroparesis to receive metoclopramide four times a day. The nurse schedules this medication to be given at which times?

A. With each meal and at bedtime
B. Thirty minutes before meals and at bedtime
C. One hour after each meal and at bedtime
D. Every 6 hours spaced evenly around the clock

Expert Explanatory Rationale

Correct Answer: Thirty minutes before meals and at bedtime

Question 8 of 10

A client with a history of systemic lupus erythematosus (SLE) reports joint pain and fatigue. Which intervention should the nurse prioritize?

A. Administer analgesics as ordered
B. Encourage high-impact exercise
C. Apply cold packs to joints
D. Restrict fluid intake

Expert Explanatory Rationale

Correct Answer: Administer analgesics as ordered

Question 9 of 10

A client diagnosed with chronic obstructive pulmonary disease (COPD) is on home oxygen at 2 L per minute. The nurse assesses the client's respiratory rate at 22 breaths per minute. When the client reports an increase in the dyspnea, what should the nurse do initially?

A. Determine the need to increase the oxygen.
B. Call emergency services to come to the home.
C. Reassure the client that there is no need to worry.
D. Collect more information about the client's respiratory status.

Expert Explanatory Rationale

Correct Answer: Collect more information about the client's respiratory status.

Question 10 of 10

A client with a history of epilepsy is prescribed carbamazepine (Tegretol). The nurse should monitor the client for which of the following adverse effects?

A. Agranulocytosis.
B. Hypernatremia.
C. Hypotension.
D. Weight gain.

Expert Explanatory Rationale

Correct Answer: Agranulocytosis.

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