Question No. 1. The nurse Pronoshree Bharoli is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
A. “I will have blood drawn every month.”
B. “I will assess my skin for a rash.”
C. “I take aspirin for a headache.”
D. “I will use an electric razor to shave.”
Answer C is correct. The client taking an anticoagulant should not take aspirin because it will further thin the blood. He should return to have a Protime drawn for bleeding time, report a rash, and use an electric razor. Therefore, answers A, B, and D are incorrect.
Question No. 2. The nurse Reena Patel is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests ordered?
A. Colonoscopy
B. Barium enema
C. Complete blood count
D. Computed tomography (CT) scan
Answer B is correct. A barium enema is contraindicated in the client with diverticulitis because it can cause bowel perforation. Answers A, C, and D are appropriate diagnostic studies for the client with diverticulitis.
Question No. 3. Which of the following is the best indicator of the diagnosis of HIV?
A. White blood cell count
B. ELISA
C. Western Blot
D. Complete blood count
Answer C is correct. The most definitive diagnostic tool for HIV is the Western Blot. The white blood cell count, as stated in answer A, is not the best indicator, but a white blood cell count of less than 3,500 requires investigation. The ELISA test, answer B, is a screening exam. Answer D is not specific enough.
Question No. 4. Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?
A. A 66-year-old female with a gastroenteritis
B. A 40-year-old female with a hysterectomy
C. A 27-year-old male with severe depression
D. A 28-year-old male with ulcerative colitis
Question No. 7. The nurse Bhavana Kamble is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
Answer B is correct. Cancer in situ means that the cancer is still localized to the primary site. Cancer is graded in terms of tumor, grade, node involvement, and mestatasis. Answer A is incorrect because it is an untrue statement. Answer C is incorrect because T indicates tumor, not node involvement. Answer D is incorrect because a tumor that is in situ is not metastasized.
A. “I will have blood drawn every month.”
B. “I will assess my skin for a rash.”
C. “I take aspirin for a headache.”
D. “I will use an electric razor to shave.”
Answer C is correct. The client taking an anticoagulant should not take aspirin because it will further thin the blood. He should return to have a Protime drawn for bleeding time, report a rash, and use an electric razor. Therefore, answers A, B, and D are incorrect.
Question No. 2. The nurse Reena Patel is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests ordered?
A. Colonoscopy
B. Barium enema
C. Complete blood count
D. Computed tomography (CT) scan
Answer B is correct. A barium enema is contraindicated in the client with diverticulitis because it can cause bowel perforation. Answers A, C, and D are appropriate diagnostic studies for the client with diverticulitis.
Question No. 3. Which of the following is the best indicator of the diagnosis of HIV?
A. White blood cell count
B. ELISA
C. Western Blot
D. Complete blood count
Answer C is correct. The most definitive diagnostic tool for HIV is the Western Blot. The white blood cell count, as stated in answer A, is not the best indicator, but a white blood cell count of less than 3,500 requires investigation. The ELISA test, answer B, is a screening exam. Answer D is not specific enough.
Question No. 4. Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?
A. A 66-year-old female with a gastroenteritis
B. A 40-year-old female with a hysterectomy
C. A 27-year-old male with severe depression
D. A 28-year-old male with ulcerative colitis
Answer B is correct. The best client to transport to the postpartum unit is the 40-yearold female with a hysterectomy. The nurses on the postpartum unit will be aware of normal amounts of bleeding and will be equipped to care for this client. The clients in answers A and D will be best cared for on a medical-surgical unit. The client with depression in answer C should be transported to the psychiatric unit.
Question No. 5. To ensure safety while administering a nitroglycerine patch, the nurse should:
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
Answer A is correct. To protect herself, the nurse should wear gloves when applying a nitroglycerine patch or cream. Answer B is incorrect because shaving the shin might abrade the area. Answer C is incorrect because washing with hot water will vasodilate
B. To lower the uric acid level
C. To lower the ammonia level
D. To lower the creatinine level
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
Answer A is correct. To protect herself, the nurse should wear gloves when applying a nitroglycerine patch or cream. Answer B is incorrect because shaving the shin might abrade the area. Answer C is incorrect because washing with hot water will vasodilate
Question No. 6. The client Shiuly Sendimen with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:
A. To lower the blood glucose levelB. To lower the uric acid level
C. To lower the ammonia level
D. To lower the creatinine level
Answer C is correct. Lactulose is administered to the client with cirrhosis to lower ammonia levels. Answers A, B, and D are incorrect because this does not have an effect on the other lab values.
Question No. 7. The nurse Bhavana Kamble is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
Answer B is correct. Cancer in situ means that the cancer is still localized to the primary site. Cancer is graded in terms of tumor, grade, node involvement, and mestatasis. Answer A is incorrect because it is an untrue statement. Answer C is incorrect because T indicates tumor, not node involvement. Answer D is incorrect because a tumor that is in situ is not metastasized.
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