The client went to the emergency room with a sudden onset of chest pain and difficulty of breathing. Which of the following results is indicative that the client is experiencing a myocardial infarction? A. Myoglobin level of 98 mcg/L. B. Troponin T of 0.09 ng/mL. C. Troponin I 0.5 ng/mL. D.… Read More »
A client who had a “Do Not Resuscitate” order passed away. After verifying there is no pulse or respirations, the nurse should next: A. Have family members say goodbye to the deceased. B. Call the transplant team to retrieve vital organs. C. Remove all tubes and equipment (unless organ donation is to… Read More »
Nurse Clarisse is teaching a patient about a newly prescribed drug. What could cause a geriatric patient to have difficulty retaining knowledge about prescribed medications? A. Decreased plasma drug levels B. Sensory deficits C. Lack of family support D. History of Tourette syndrome Correct Answer: B. Sensory… Read More »
A male client blood test results are as follows: white blood cell (WBC) count, 100ul; hemoglobin (Hb) level, 14 g/dl; hematocrit (HCT), 40%. Which goal would be most important for this client? A. Promote fluid balance B. Prevent infection C. Promote rest D. Prevent injury Correct Answer: B. Prevent… Read More »
During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate? A. Stress urinary incontinence B. Reflex urinary incontinence C. Functional urinary incontinence D. Urge urinary… Read More »
Which element in the circular chain of infection can be eliminated by preserving skin integrity? A. Host B. Reservoir C. Mode of transmission D. Portal of entry Correct Answer: D. Portal of entry In the circular chain of infection, pathogens must be able to leave their reservoir… Read More »
What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment? A. A cotton ball B. A penlight C. An ophthalmoscope D. A tongue depressor and flashlight Correct Answer: D. A tongue depressor and flashlight Cranial nerves 9 and… Read More »
During an otoscopic examination, which action should be avoided to prevent the client from discomfort and injury? A. Tipping the client’s head away from the examiner and pulling the ear up and back. B. Inserting the otoscope inferiorly into the distal portion of the external canal. C. Inserting the otoscope superiorly into… Read More »
A nurse is caring for a client with diarrhea and dehydration. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to: A. 36 mg/dL. B. 27 mg/dL. C. 18 mg/dL. D. 6 mg/dL. Correct Answer: C. 18 mg/dL. The… Read More »
A client’s family member says to the nurse, “The doctor said he will provide palliative care. What does that mean?” The nurse’s best response is: A. “Palliative care is given to those who have less than 6 months to live.” B. “Palliative care aims to relieve or reduce the symptoms of a disease.” C.… Read More »