A patient is brought to the emergency department after a bee sting. The family reports a history of severe allergic reaction, and the patient appears to have some oral swelling. Which of the following is the most urgent nursing action? A. Consult a physician. B. Maintain a patent airway. C. Administer epinephrine subcutaneously. … Read More »
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… Read More »
A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse? A. Check respiration, circulation, neurological response B. Align the spine, check pupils, and check for hemorrhage C. Check respirations, stabilize the spine, and check the circulation D. Assess level of consciousness and… Read More »
Francis with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia? A. Nights sweats, weight loss, and diarrhea B. Dyspnea, tachycardia, and pallor C. Nausea, vomiting, and anorexia D. Itching, rash, and jaundice Correct Answer: B. Dyspnea, tachycardia, and pallor… Read More »
In which of the following types of cardiomyopathy does cardiac output remain normal? A. Obliterative B. Restrictive C. Dilated D. Hypertrophic Correct Answer: D. Hypertrophic Hypertrophic cardiomyopathy (HCM) is a condition in which there is severe ventricular hypertrophy and poor diastolic filling. It is an autosomal dominant… Read More »
A primigravida, age 42, is 6 weeks pregnant. Based on the client’s age, her infant is at risk for: A. Down syndrome B. Respiratory distress syndrome C. Turner’s syndrome D. Pathological jaundice Correct Answer: A. Down syndrome The client who is age 42 is at risk for… Read More »
A client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock? A. Systolic blood pressure less than 90mm Hg B. Pupils unequally dilated C. Respiratory rate of 4 breath/min D. Pulse rate less than 60 bpm Correct Answer: A. Systolic blood pressure… Read More »
The nurse is performing a neurological assessment on a client post right cerebrovascular accident. Which finding, if observed by the nurse, would warrant immediate attention? A. Decrease in the level of consciousness B. Loss of bladder control C. Altered sensation to stimuli D. Emotional lability Correct Answer: A. Decrease… Read More »
Which of the following conditions most commonly results in CAD? A. Atherosclerosis B. DM C. MI D. Renal failure Correct Answer: A. Atherosclerosis Atherosclerosis, or plaque formation, is the leading cause of CAD. Option B: DM is a risk factor for CAD but isn’t the most common cause. Near-normal glycemic… Read More »
The term “blue bloater” refers to a male client which of the following conditions? A. Adult respiratory distress syndrome (ARDS) B. Asthma C. Chronic obstructive bronchitis D. Emphysema Correct Answer: C. Chronic obstructive bronchitis Clients with chronic obstructive bronchitis appear bloated; they have large barrel chest and… Read More »