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PREBOARD 5 ASSESSMENT

Class notes Dec 19, 2025 ★★★★★ (5.0/5)
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PREBOARD 5 ASSESSMENT

May 29 & 30, 2021

  • A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar
  • hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated primary health care provider’s prescription?

  • Endotracheal intubation
  • 100 units of NPH insulin
  • Intravenous infusion of normal saline
  • Intravenous infusion of sodium bicarbonate
  • The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and
  • ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptoms develop? Select all that apply.

  • Polyuria
  • Shakiness
  • Palpitations
  • Blurred vision
  • Lightheadedness
  • Fruity breath odor
  • A client with type 1 diabetes mellitus who takes NPH daily in the morning calls the nurse to report recurrent
  • episodes of hypoglycemia with exercising. Which statement by the client indicates an adequate understanding of the peak action of NPH insulin and exercise?

  • “I should not exercise since I am taking insulin.”
  • “The best time for me to exercise is after breakfast.”
  • “The best time for me to exercise is mid- to late afternoon.”
  • “NPH is a basal insulin, so I should exercise in the evening.”
  • The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client’s nostril.
  • The nurse should take which initial action?

  • Lower the head of the bed.
  • Test the drainage for glucose.
  • Obtain a culture of the drainage.
  • Continue to observe the drainage.
  • The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary
  • hyperparathyroidism. Which client complaints would be characteristic of this disorder? Select all that apply.

  • Polyuria
  • Headache
  • Bone pain
  • Nervousness
  • Weight gain
  • The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone
  • secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which primary health care provider prescriptions should the nurse anticipate receiving? Select all that apply.

  • Initiate an infusion of 3% NaCl.
  • Administer intravenous furosemide.
  • Restrict fluids to 800 mL over 24 hours.
  • Elevate the head of the bed to high-Fowler’s.
  • Administer a vasopressin antagonist as prescribed
  • A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which findings will
  • the interprofessional health care team focus on? Select all that apply.

  • Hypotension
  • Leukocytosis
  • Hyperkalemia
  • Hypercalcemia
  • Hypernatremia
  • The nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal
  • hypophysectomy and is recovering in the intensive care unit. Which findings should alert the nurse to the presence of a possible postoperative complication? Select all that apply.

  • Anxiety
  • Leukocytosis
  • Chvostek’s sign
  • Urinary output of 800 mL/hr
  • Clear drainage on nasal dripper pad
  • The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines
  • that the client understands discharge instructions if the client states that which signs and symptoms are associated with this diagnosis? Select all that apply.

  • Tremors
  • Weight loss
  • Feeling cold
  • Loss of body hair
  • Persistent lethargy
  • Puffiness of the face
  • The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of acute
  • pancreatitis. Which interventions would the nurse expect to be prescribed for the client? Select all that apply.

  • Maintain NPO (nothing by mouth) status.
  • Encourage coughing and deep breathing.
  • Give small, frequent high-calorie feedings.
  • Maintain the client in a supine and flat position.
  • Give hydromorphone intravenously as prescribed for pain.
  • Maintain intravenous fluids at 10 mL/hr to keep the vein open.
  • The nurse is providing discharge teaching for a client with newly diagnosed Crohn’s disease about dietary
  • measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction?

  • “I should increase the fiber in my diet.”
  • “I will need to avoid caffeinated beverages.”
  • “I’m going to learn some stress reduction techniques.”
  • “I can have exacerbations and remissions with Crohn’s disease.”
  • The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there is
  • documentation of the presence of asterixis. How should the nurse assess for its presence?

  • Dorsiflex the client’s foot.
  • Measure the abdominal girth.
  • Ask the client to extend the arms.
  • Instruct the client to lean forward.
  • The nurse provides instructions to a client about measures to treat inflammatory bowel syndrome (IBS).
  • Which statement by the client indicates a need for further teaching?

  • “I need to limit my intake of dietary fiber.”
  • “I need to drink plenty, at least 8 to 10 cups daily.”
  • “I need to eat regular meals and chew my food well.”
  • “I will take the prescribed medications because they will regulate my bowel patterns.
  • The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which findings
  • indicate this occurrence?

  • Sweating and pallor
  • Bradycardia and indigestion
  • Double vision and chest pain
  • Abdominal cramping and pain
  • The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse should
  • expect to note which finding?

  • Slow, deep respirations
  • Rapid, deep respirations
  • Paradoxical respirations
  • Pain, especially with inspiration
  • A client with a chest injury has suffered flail chest. The nurse assesses the client for which most distinctive
  • sign of flail chest?

  • Cyanosis
  • Hypotension
  • Paradoxical chest movement
  • Dyspnea, especially on exhalation
  • The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for
  • tuberculosis. Which instructions should the nurse include on the list? Select all that apply.

  • Activities should be resumed gradually.
  • Avoid contact with other individuals, except family members, for at least 6 months.
  • A sputum culture is needed every 2 to 4 weeks once medication therapy is initiated.
  • Respiratory isolation is not necessary, because family members already have been exposed.
  • Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags.
  • When 1 sputum culture is negative, the client is no longer considered infectious and usually can
  • return to former employment.

  • The community health nurse is conducting an educational session with community members regarding the
  • signs and symptoms associated with tuberculosis. The nurse informs the participants that tuberculosis is considered as a diagnosis if which signs and symptoms are present? Select 1608all that apply.

  • Dyspnea
  • Headache
  • Night sweats
  • A bloody, productive cough
  • A cough with the expectoration of mucoid sputum
  • Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and
  • tuberculosis. The nurse should monitor for which side and adverse effects of rifabutin? Select all that apply.

  • Signs of hepatitis
  • Flu-like syndrome
  • Low neutrophil count
  • Vitamin B6 deficiency
  • Ocular pain or blurred vision
  • Tingling and numbness of the fingers
  • The nurse has just administered the first dose of omalizumab to a client. Which statement by the client alerts
  • the nurse of a life-threatening effect?

  • “I have a severe headache.”
  • “My feet are quite swollen.”
  • “I am nauseated and may vomit.”
  • “My lips and tongue are swollen.”
  • The client has developed atrial fibrillation, with a ventricular rate of 150 beats per minute. The nurse should
  • assess the client for which associated signs and/or symptoms? Select all that apply.

  • Syncope
  • Dizziness
  • Palpitations
  • Hypertension
  • Flat neck veins
  • The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme
  • dyspnea, tachycardia, and lung crackles. The nurse immediately asks another nurse to contact the primary health care provider and prepares to implement which priority interventions? Select all that apply.

  • Administering oxygen
  • Inserting a Foley catheter
  • Administering furosemide
  • Administering morphine sulfate intravenously
  • Transporting the client to the coronary care unit
  • Placing the client in a low-Fowler’s side-lying position
  • The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client
  • has an intravenous (IV) infusion at a rate of 150 mL/hr, unchanged for the last 10 hours. The client’s urine output for the last 3 hours has been 90, 50, and 28 mL (28 mL is most recent). The client’s blood urea nitrogen level is 35 mg/dL (12.6 mmol/L), and the serum creatinine level is 1.8 mg/dL (159 mcmol/L), measured this morning.Which nursing action is the priority?

  • Check the serum albumin level.
  • Check the urine specific gravity.
  • Continue monitoring urine output.
  • Call the primary health care provider (PHCP)
  • The nurse is monitoring a client with heart failure who is taking digoxin. Which findings are characteristic of
  • digoxin toxicity? Select all that apply.

  • Tremors
  • Diarrhea
  • Irritability
  • Blurred vision
  • Nausea and vomiting

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Category: Class notes
Added: Dec 19, 2025
Description:

PREBOARD 5 ASSESSMENT May 29 & 30, 2021 1. A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would ...

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