The pathological process causing esophageal varices is/are: A. Ascites and edema B. Systemic hypertension C. Portal hypertension D. Dilated veins and varicosities Correct Answer: C. Portal hypertension Esophageal varices result from increased portal hypertension. In portal hypertension, the liver cannot accept all of the fluid from the… Read More »
A stroke client who was initially on NGT feeding was able to tolerate a soft diet so the physician ordered the removal of it. The nurse would instruct the client to do which of the following before he removes the tube? A. Inhale and exhale simultaneously. B. Take a long breath and hold… Read More »
Which factor is least significant during assessment when gathering information about cultural practices? A. Language, timing B. Touch, eye contact C. Biocultural needs D. Pain perception, management expectations Correct Answer: C. Biocultural needs Cultural practices do not influence biocultural needs because they are inborn risks that are related to… Read More »
Which of the following planes divides the body longitudinally into anterior and posterior regions? A. Frontal plane B. Sagittal plane C. Midsagittal plane D. Transverse plane Correct Answer: A. Frontal plane Frontal or coronal plane runs longitudinally at a right angle to a sagittal plane dividing the… Read More »
Which of the following behaviors indicates that the client on a bladder training program has met the expected outcomes? Select all that apply. A. Voids each time there is an urge. B. Practices slow, deep breathing until the urge decreases. C. Uses adult diapers, for “just in case”. D. Drinks citrus juices… Read More »
A female client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse’s assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distension, it’s typically due to: A. A neck tumor B. An electrolyte imbalance C. Dehydration D.… Read More »
After routine patient contact, handwashing should last at least: A. 30 seconds B. 1 minute C. 2 minutes D. 3 minutes Correct Answer: A. 30 seconds Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. After routine patient… Read More »
The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to: A. Turn off the infusion. B. Turn the client to the left. C. Change the fluid to Ringer’s Lactate. D. Increase… Read More »
A physical assessment is being performed on patient Geoff by Nurse Tine. During the abdominal examination, Nurse Tine should perform the four physical examination techniques in which sequence? A. Auscultation immediately after the inspection and then percussion and palpation. B. Percussion, followed by inspection, auscultation, and palpation. C. Palpation of tender areas… Read More »
The nurse is reviewing the laboratory result of a client receiving digoxin (Lanoxin) and notes that the result is 2.5 ng/mL. The nurse plans to do which of the following? A. Give the next dose. B. Notify the physician. C. Check the client’s pulse rate. D. Increase the next dose as… Read More »