Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). The nurse prepares which of the following medications as an initial treatment for this problem? A. Regular insulin B. Potassium C. Sodium bicarbonate D. Calcium gluconate Correct Answer: A. Regular insulin Metabolic… Read More »
The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs two (2) hours ago. The nurse should A. Place a call to the client’s health care provider for instructions B. Send him to the emergency room… Read More »
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? A. Bulging anterior fontanel B. Repeated vomiting C. Signs of sleepiness at 10… Read More »
Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should: A. Plan care so the client can receive 8 hours of uninterrupted sleep each night. B. Monitor vital signs every 2 hours. C. Make sure that the client takes food and medications at prescribed intervals. D. Provide… Read More »
Nurse Marie is caring for a 32-year-old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client? A. Pallor, bradycardia, and reduced pulse pressure B. Pallor, tachycardia, and a sore tongue C. Sore tongue, dyspnea, and weight gain D. Angina, double vision, and anorexia… Read More »
Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders? A. An affected newborn has unaffected parents. B. An affected newborn has one affected parent. C. Affected parents have a one in four chance of passing on the defective gene. D. Affected parents have unaffected children who… Read More »
A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? A. The tumor is less than 3 cm. in size and requires no chemotherapy. B. The tumor did not extend beyond the kidney and was completely resected. C. The… Read More »
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply. A. Urine specific gravity of 1.040. B. Urine output of 350 ml in 24 hours. C. Brown (“tea-colored”) urine. D.… Read More »
A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition? A. Packed red blood cells B. 0.9% sodium chloride solution C. Lactated… Read More »
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test: A. Because it is a state law B. To detect cardiovascular defects C. Because of her age D. To detect neurological defects … Read More »