Practice Exam 1 STUDY MODE

Practice Exam 1 (STUDY MODE)

• The nurse is caring for a client scheduled for removal of a pituitary

tumor using the transsphenoidal approach. The nurse should be

particularly alert for:

• Nasal congestion
• Abdominal tenderness
• Muscle tetany
• Oliguria Answer
• A client with cancer is admitted to the oncology unit. Stat lab values

reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?

• Hypernatremia
• Hypokalemia
• Myelosuppression
• Leukocytosis
• A 24-year-old female client is scheduled for surgery in the morning.

Which of the following is the primary responsibility of the nurse?

• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work

• The nurse is working in the emergency room when a client arrives

with severe burns of the left arm, hands, face, and neck. Which action should receive priority?

• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the client for pain
• The nurse is visiting a home health client with osteoporosis. The

client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?

• Rest in bed after taking the medication for at least 30 minutes

• Avoid rapid movements after taking the medication
• Take the medication with water only
• Allow at least 1 hour between taking the medicine and taking other

medications

• The nurse is making initial rounds on a client with a C5 fracture and

crutchfield tongs. Which equipment should be kept at the bedside?

• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver

• An infant weighs 7 pounds at birth. The expected weight by 1 year

should be:

• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
• A client is admitted with a Ewing’s sarcoma. Which symptoms would

be ex- pected due to this tumor’s location?

• Hemiplegia
• Aphasia
• Nausea
• Bone pain

• The nurse is caring for a client with epilepsy who is being treated with

carba- mazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter

• A 6-month-old client is admitted with possible intussuception. Which

question during the nursing history is least helpful in obtaining information regarding this diagnosis?

• “Tell me about his pain.”

• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• The nurse is assisting a client with diverticulosis to select appropriate

foods. Which food should be avoided?

• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls

• A client has rectal cancer and is scheduled for an abdominal perineal

resection. What should be the priority nursing care during the post-op period?

• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
• Facilitating perineal wound drainage

• The nurse is performing discharge teaching on a client with

diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?

• Roasted chicken
• Noodles
• Cooked broccoli
• Custard
• The nurse is caring for a new mother. The mother asks why her baby

has lost weight since he was born. The best explanation of the weight

loss is:

• The baby is dehydrated due to polyuria.
• The baby is hypoglycemic due to lack of glucose.
• The baby is allergic to the formula the mother is giving him.
• The baby can lose up to 10% of weight due to meconium stool, loss

of extra- cellular fluid, and initiation of breast-feeding.

• The nurse is caring for a client with laryngeal cancer. Which finding

ascertained in the health history would not be common for this diagnosis?

• Foul breath
• Dysphagia
• Diarrhea
• Chronic hiccups

• A removal of the left lower lobe of the lung is performed on a client

with lung cancer. Which post-operative measure would usually be included in the plan?

• Closed chest drainage
• A tracheostomy
• A mediastinal tube
• Percussion vibration and drainage
• Six hours after birth, the infant is found to have an area of swelling

over the right parietal area that does not cross the suture line. The nurse

should chart this finding as:

• A cephalohematoma
• Molding
• Subdural hematoma
• Caput succedaneum
• The nurse is assisting the RN with discharge instructions for a client

with an implantable defibrillator. What discharge instruction is essen- tial?

• “You cannot eat food prepared in a microwave.”
• “You should avoid moving the shoulder on the side of the pacemaker

site for 6 weeks.”

• “You should use your cellphone on your right side.”
• “You will not be able to fly on a commercial airliner with the

defibrillator in place.”

• A client in the cardiac step-down unit requires suctioning for excess

mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure?