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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

The nurse is conducting a physical assessment on a client with mild anemia. Which of the following would the nurse expect to observe?

A. Heart murmur
B. Increased respiratory rate
C. Activity intolerance
D. Frequent respiratory infections

Expert Explanatory Rationale

Correct Answer: Activity intolerance

Question 2 of 10

A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?

A. Place him on NPO restriction for 4 hours.
B. Monitor the catheterization site every 15 minutes.
C. Place him in a high Fowler position.
D. Ambulate him to the bathroom to void.

Expert Explanatory Rationale

Correct Answer: Monitor the catheterization site every 15 minutes.

Question 3 of 10

A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is using a microdrip tubing set. How many drops per minute should the nurse administer?

A. 1 gtt/min
B. 5 gtt/min
C. 50 gtt/min
D. 100 gtt/min

Expert Explanatory Rationale

Correct Answer: 50 gtt/min

Question 4 of 10

A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:

A. Notify the physician immediately
B. Slow the intravenous infusion
C. Auscultate the lungs for rales
D. Administer a diuretic

Expert Explanatory Rationale

Correct Answer: Notify the physician immediately

Question 5 of 10

A client with a history of seizures is prescribed levetiracetam (Keppra). Which statement by the client indicates a need for further teaching?

A. "I will take this medication at the same time each day."
B. "I can stop taking this medication if I feel better."
C. "I will report any unusual mood changes to my doctor."
D. "I should avoid alcohol while taking this medication."

Expert Explanatory Rationale

Correct Answer: "I can stop taking this medication if I feel better."

Question 6 of 10

A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?

A. Low-protein diet
B. Low-sodium diet
C. Increased fluid intake
D. High-cholesterol diet

Expert Explanatory Rationale

Correct Answer: Low-sodium diet

Question 7 of 10

The nurse is preparing to administer both regular and NPH insulin to a client with diabetes. Place in sequence the correct method for completing this task.

A. Withdraw the NPH insulin.
B. Withdraw the regular insulin.
C. Inject air into the vial of regular insulin.
D. Inject air into the vial of NPH insulin

Expert Explanatory Rationale

Correct Answer:

Question 8 of 10

A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His family states that he has not slept, eaten, or taken fluids for the past 24 hours. The planning of nursing care for a delirious client is based on which of the following premises?

A. The delirious client is capable of returning to his previous level of functioning.
B. The delirious client is incapable of returning to his previous level of functioning.
C. Delirium entails progressive intellectual and behavioral deterioration.
D. Delirium is an insidious process.

Expert Explanatory Rationale

Correct Answer: The delirious client is capable of returning to his previous level of functioning.

Question 9 of 10

The nurse is performing an assessment on a client with a history of a thyroidectomy. Which finding suggests the client is experiencing hypocalcemia?

A. Muscle twitching
B. Nausea and vomiting
C. Chest pain
D. Fever

Expert Explanatory Rationale

Correct Answer: Muscle twitching

Question 10 of 10

The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:

A. There is a 25% chance that his children will have cystic fibrosis.
B. Most of the males with cystic fibrosis are sterile.
C. There is a 50% chance that his children will be carriers.
D. Most males with cystic fibrosis are capable of having children, so genetic counseling is advised.

Expert Explanatory Rationale

Correct Answer: Most of the males with cystic fibrosis are sterile.

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