Nurse Ron is assessing a client admitted with second and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem? A. Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg. B. Urine output of 20 ml/hour. C. White pulmonary secretions. D. Rectal temperature of 100.6°… Read More »
A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? A. Decreased HR B. Paresthesias C. Muscle weakness of the extremities D. Migraines Correct Answer: D. Migraines Migraines are not a symptom of… Read More »
Which of the following types of cardiomyopathy can be associated with childbirth? A. Dilated B. Hypertrophic C. Myocarditis D. Restrictive Correct Answer: A. Dilated Although the cause isn’t entirely known, cardiac dilation and heart failure may develop during the last month of pregnancy of the first few… Read More »
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment? A. Palpate the spleen B. Take the blood pressure C. Examine the feet for petechiae D. Examine the tongue Correct Answer:… Read More »
A 22-year-old client suffered from his first tonic-clonic seizure. Upon awakening, the client asks the nurse, “What caused me to have a seizure? Which of the following would the nurse include in the primary cause of tonic-clonic seizures in adults more than 20 years? A. Electrolyte imbalance B. Head trauma C. Epilepsy… Read More »
A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute? A. Vomiting B. Extreme Thirst C. Weight gain D. Acetone breath smell Correct Answer: C. Weight gain Rapid weight loss occurs in patients… Read More »
Septal involvement occurs in which type of cardiomyopathy? A. Congestive B. Dilated C. Hypertrophic D. Restrictive Correct Answer: C. Hypertrophic In hypertrophic cardiomyopathy, hypertrophy of the ventricular septum – not the ventricle chambers – is apparent. Hypertrophic cardiomyopathy (HCM) is a genetic cardiovascular disease. It is defined… Read More »
During the second day of hospitalization of the client after a Myocardial Infarction. Which of the following is an expected outcome? A. Able to perform self-care activities without pain B. Severe chest pain C. Can recognize the risk factors of Myocardial Infarction D. Can Participate in cardiac rehabilitation walking program … Read More »
Instructions for a client with systemic lupus erythematosus (SLE) would include information about which of the following blood dyscrasias? A. Dressler’s syndrome B. Polycythemia C. Essential thrombocytopenia D. Von Willebrand’s disease Correct Answer: C. Essential thrombocytopenia Essential thrombocytopenia is linked to immunologic disorders, such as SLE and… Read More »
The nurse performs an initial abdominal assessment on a patient newly admitted for abdominal pain. The nurse hears what she describes as “clicks and gurgles in all four quadrants” as well as “swishing or buzzing sound heard in one or two quadrants.” Which of the following statements is correct? A. The frequency and intensity… Read More »