Nurse Judith obtains a specimen of clear nasal drainage from a client with a head injury. Which of the following tests differentiates mucus from cerebrospinal fluid (CSF)? A. Protein B. Specific gravity C. Glucose D. Microorganism Correct Answer: C. Glucose The constituents of CSF are similar to… Read More »
Vic asks the nurse what PSA is. The nurse should reply that it stands for: A. Prostate-specific antigen, which is used to screen for prostate cancer. B. Protein serum antigen, which is used to determine protein levels. C. Pneumococcal strep antigen, which is a bacteria that causes pneumonia. D. Papanicolaou-specific antigen,… Read More »
A nurse cares for a patient who has a nasogastric tube attached to low suction because of a suspected bowel obstruction. Which of the following arterial blood gas results might be expected in this patient? A. pH 7.52, PCO2 54 mmHg. B. pH 7.42, PCO2 40 mmHg. C. pH 7.25, PCO2 25… Read More »
Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Which of the following is the most essential nursing action? A. Monitoring urine output frequently B. Monitoring blood pressure every 4 hours C. Obtaining serum potassium levels daily D. Obtaining infusion pump for the medication … Read More »
What is the most important postoperative instruction that nurse Kate must give a client who has just returned from the operating room after receiving a subarachnoid block? A. “Avoid drinking liquids until the gag reflex returns.” B. “Avoid eating milk products for 24 hours.” C. “Notify a nurse if you experience blood in your… Read More »
A patient is admitted to the hospital for routine elective surgery. Included in the list of current medications is warfarin (Coumadin) at a high dose. Concerned about the possible effects of the drug, particularly in a patient scheduled for surgery, the nurse anticipates which of the following actions? A. Draw a blood sample for… Read More »
What is the priority nursing assessment in the first 24 hours after admission of the client with thrombotic CVA? A. Pupil size and pupillary response B. Cholesterol level C. Echocardiogram D. Bowel sounds Correct Answer: A. Pupil size and papillary response It is crucial to monitor the… Read More »
The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: A. Determine lung maturity B. Measure the fetal activity C. Show the effect of contractions on fetal heart rate D. Measure the wellbeing of… Read More »
A male client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis? A. Stool Hematest B. Carcinoembryonic antigen (CEA) C. Sigmoidoscopy D. Abdominal computed tomography (CT) scan Correct Answer: C. Sigmoidoscopy Used to visualize the lower GI tract, sigmoidoscopy and proctoscopy aid… Read More »
A male client has jugular distention. In what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention? A. High Fowler’s B. Raised 10 degrees C. Raised 30 degrees D. Supine position Correct Answer: C. Raised 30… Read More »