Nurse Mandy is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client? A. The client lies still B. The client asks questions C. The client hears thumping sounds … Read More »
During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to: A. Elevate the client’s bed at 45°. B. Instruct the client to cough and deep breathe every 2 hours. C. Frequently monitor the client’s apical pulse and blood pressure. D. Monitor client’s temperature every hour.… Read More »
An 85-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? A. CBC (complete blood count) B. ECG (electrocardiogram)… Read More »
The nurse is assisting the physician with the removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to: A. Perform the Valsalva maneuver as the catheter is advanced B. Turn his head to the left side and hyperextend the neck C. Take slow, deep breaths as… Read More »
A client is admitted for an MRI. The nurse should question the client regarding: A. Pregnancy B. A titanium hip replacement C. Allergies to antibiotics D. Inability to move his feet Correct Answer: A. Pregnancy Although there is no evidence to suggest MRI scans can pose a… Read More »
A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first? A. Blood sugar check B. CT scan C. Blood cultures D. Arterial… Read More »
Before Jacob undergoes arthroscopy, the nurse reviews the assessment findings for contraindications for this procedure. Which finding is a contraindication? A. Joint pain B. Joint deformity C. Joint flexion of less than 50% D. Joint stiffness Correct Answer: C. Joint flexion of less than 50% Arthroscopy is… Read More »
Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia? A. Oral mucous membrane, altered related to chemotherapy B. Risk for injury related to thrombocytopenia C. Fatigue related to the disease process D. Interrupted family processes related to life-threatening illness of a family member … Read More »
The nurse is aware that the following symptom is most commonly an early indication of stage 1 Hodgkin’s disease? A. Pericarditis B. Night sweat C. Splenomegaly D. Persistent hypothermia Correct Answer: B. Night sweat In stage 1, symptoms include a single enlarged lymph node (usually), unexplained fever, night sweats,… Read More »
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? A. Bowel perforation B. Viral Gastroenteritis C. Colon cancer D. Diverticulitis Correct Answer:… Read More »