- A patient is admitted to the hospital
with a diagnosis of primary
hyperparathyroidism. A nurse checking
the patient’s lab results would expect
which of the following changes in
laboratory findings?
A. Elevated serum calcium.
B. Low serum parathyroid hormone
(PTH).
C. Elevated serum vitamin D.
D. Low urine calcium. - A patient with Addison’s disease asks
a nurse for nutrition and diet advice.
Which of the following diet modifications
is NOT recommended?
A. A diet high in grains.
B. A diet with adequate caloric
intake.
C. A high protein diet.
D. A restricted sodium diet. - A patient with a history of diabetes
mellitus is in the second post-operative
day following cholecystectomy. She has
complained of nausea and isn’t able to
eat solid foods. The nurse enters the
room to find the patient confused and
shaky. Which of the following is the most
likely explanation for the patient’s
symptoms?
A. Anesthesia reaction.
B. Hyperglycemia.
C. Hypoglycemia.
D. Diabetic ketoacidosis. - A nurse assigned to the emergency
department evaluates a patient who
underwent fiberoptic colonoscopy 18
hours previously. The patient reports
increasing abdominal pain, fever, and
chills. Which of the following conditions
poses the most immediate concern?
A. Bowel perforation.
B. Viral gastroenteritis.
C. Colon cancer.
D. Diverticulitis. - A patient is admitted to the same day
surgery unit for liver biopsy. Which of
the following laboratory tests assesses
coagulation?
A. Partial thromboplastin time.
- A nurse is assessing a clinic patient
with a diagnosis of hepatitis A. Which of
the following is the most likely route of
transmission?
A. Sexual contact with an infected
partner.
B. Contaminated food.
C. Blood transfusion.
D. Illegal drug use. - A leukemia patient has a relative who
wants to donate blood for transfusion.
Which of the following donor medical
conditions would prevent this?
A. A history of hepatitis C five years
previously.
B. Cholecystitis requiring
cholecystectomy one year
previously.
C. Asymptomatic diverticulosis.
D. Crohn’s disease in remission. - A physician has diagnosed acute
gastritis in a clinic patient. Which of the
following medications would be
contraindicated for this patient?
A. Naproxen sodium (Naprosyn).
B. Calcium carbonate.
C. Clarithromycin (Biaxin).
D. Furosemide (Lasix). - The nurse is conducting nutrition
counseling for a patient with
cholecystitis. Which of the following
information is important to
communicate?
A. The patient must maintain a low
calorie diet.
B. The patient must maintain a high
protein/low carbohydrate diet.
C. The patient should limit sweets
and sugary drinks.
D. The patient should limit fatty
foods. - A patient admitted to the hospital
with myocardial infarction develops
severe pulmonary edema. Which of the
following symptoms should the nurse
expect the patient to exhibit?
A. Slow, deep respirations.
B. Stridor.
C. Bradycardia.
automatic internal cardioverterdefibrillator. Which of the following
patients is most likely to have this
procedure?
A. A patient admitted for myocardial
infarction without cardiac muscle
damage.
B. A post-operative coronary bypass
patient, recovering on schedule.
C. A patient with a history of
ventricular tachycardia and syncopal
episodes.
D. A patient with a history of atrial
tachycardia and fatigue.
- A patient is scheduled for a
magnetic resonance imaging (MRI) scan
for suspected lung cancer. Which of the
following is a contraindication to the
study for this patient?
A. The patient is allergic to shellfish.
B. The patient has a pacemaker.
C. The patient suffers from
claustrophobia.
D. The patient takes anti-psychotic
medication. - A nurse calls a physician with the
concern that a patient has developed a
pulmonary embolism. Which of the
following symptoms has the nurse most
likely observed?
A. The patient is somnolent with
decreased response to the family.
B. The patient suddenly complains of
chest pain and shortness of breath.
C. The patient has developed a wet
cough and the nurse hears crackles
on auscultation of the lungs.
D. The patient has a fever, chills, and
loss of appetite. - A patient comes to the emergency
department with abdominal pain. Workup reveals the presence of a rapidly
enlarging abdominal aortic aneurysm.
Which of the following actions should
the nurse expect?
A. The patient will be admitted to the
medicine unit for observation and
medication.
B. The patient will be admitted to the
day surgery unit for sclerotherapy.
C. The patient will be admitted to th
D. The patient will be discharged
home to follow-up with his
cardiologist in 24 hours.
- A patient with leukemia is receiving
chemotherapy that is known to depress
bone marrow. A CBC (complete blood
count) reveals a platelet count of
25,000/microliter. Which of the following
actions related specifically to the
platelet count should be included on the
nursing care plan?
A. Monitor for fever every 4 hours.
B. Require visitors to wear respiratory
masks and protective clothing.
C. Consider transfusion of packed red
blood cells.
D. Check for signs of bleeding,
including examination of urine and
stool for blood. - A nurse in the emergency
department is observing a 4-year-old
child for signs of increased intracranial
pressure after a fall from a bicycle,
resulting in head trauma. Which of the
following signs or symptoms would be
cause for concern?
A. Bulging anterior fontanel.
B. Repeated vomiting.
C. Signs of sleepiness at 10 PM.
D. Inability to read short words from a
distance of 18 inches. - A nonimmunized child appears at
the clinic with a visible rash. Which of
the following observations indicates the
child may have rubeola (measles)?
A. Small blue-white spots are visible
on the oral mucosa.
B. The rash begins on the trunk and
spreads outward.
C. There is low-grade fever.
D. The lesions have a “tear drop on a
rose petal” appearance. - A child is seen in the emergency
department for scarlet fever. Which of
the following descriptions of scarlet
fever is NOT correct?
A. Scarlet fever is caused by infection
with group A Streptococcus bacteria.
B. “Strawberry tongue” is a
characteristic sign.
C. Petechiae occur on the soft palate