The nurse is caring for a 10-year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is: A. Urinary output of 30 ml per hour B. No complaints of thirst C. Increased hematocrit D. Good skin turgor around burn … Read More »
Which of the following recurring conditions most commonly occurs in clients with cardiomyopathy? A. Heart failure B. DM C. MI D. Pericardial effusion Correct Answer: A. Heart failure Because the structure and function of the heart muscle is affected, heart failure most commonly occurs in clients with cardiomyopathy. Heart… Read More »
A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates an understanding of phantom limb pain? A. “The pain will go away in a few days.” B. “The pain is due to peripheral nervous system interruptions. I will get… Read More »
The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia? A. BP 146/88 B. Respirations 28 shallow C. Weight gain of 10 pounds in 6 months D. Pink complexion Correct Answer: B. Respirations 28… Read More »
Damage to the VII cranial nerve results in: A. Facial pain B. Absence of ability to smell C. Absence of eye movement D. Tinnitus Correct Answer: A. Facial pain The facial nerve is cranial nerve VII. If damage occurs, the client will experience facial pain. The sensory… Read More »
A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition? A. Yersinia pestis B. Helicobacter pylori C. Vibrio cholerae D. Haemophilus aegyptius Correct Answer: D. Haemophilus aegyptius Haemophilus influenzae biogroup aegyptius (Hae)… Read More »
What is the priority nursing diagnosis for a patient experiencing a migraine headache? A. Acute pain related to biologic and chemical factors B. Anxiety related to change in or threat to health status C. Hopelessness related to deteriorating physiological condition D. Risk for Side effects related to medical therapy … Read More »
What is the term used to describe an enlargement of the heart muscle? A. Cardiomegaly B. Cardiomyopathy C. Myocarditis D. Pericarditis Correct Answer: A. Cardiomegaly Cardiomegaly denotes an enlarged heart muscle. The most critical pathophysiological changes leading to cardiomegaly include dilated hypertrophy, fibrosis, and contractile malfunction. Contractile… Read More »
During a breast examination, which finding most strongly suggests that the Luz has breast cancer? A. Slight asymmetry of the breasts B. A fixed nodular mass with dimpling of the overlying skin C. Bloody discharge from the nipple D. Multiple firm, round, freely movable masses that change with the menstrual cycle… Read More »
A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate? A. The child has a poor chance of recovery without joint deformity. B. Most children progress to adult rheumatoid arthritis. … Read More »