A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply. A. Weight loss B. Increased clotting time C. Hypertension D. Headaches E. Tinnitus Correct Answer: B, C, D & E Polycythemia vera is a… Read More »
A 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first? A. Prepare the child for X-ray of upper airways B. Examine the… Read More »
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? A. Infusing I.V. fluids rapidly as ordered. B. Encouraging increased oral intake. C. Restricting fluids. D. Administering glucose-containing I.V. fluids as ordered. Correct Answer: C. Restricting fluids. To reduce… Read More »
A female client is experiencing a painful and rigid abdomen and is diagnosed with a perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in A. Sims position B. Supine position C. Semi-fowlers position D. Dorsal recumbent position… Read More »
In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-age child for evaluation? A. Polyphagia B. Dehydration C. Bedwetting D. Weight loss Correct Answer: C. Bedwetting One of the first symptoms of type… Read More »
The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time? A. Administer an acetaminophen suppository B. Notify… Read More »
Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis? A. Influenza B. Sickle cell anemia C. Leukemia D. Hodgkin’s disease … Read More »
Which nursing intervention ensures adequate ventilating exchange after surgery? A. Remove the airway only when the client is fully conscious B. Assess for hypoventilation by auscultating the lungs C. Position client laterally with the neck extended D. Maintain humidified oxygen via nasal cannula Correct Answer: C. Position… Read More »
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection? A. Trichomoniasis B. Chlamydia C. Staphylococcus D. Streptococcus Correct Answer: B. Chlamydia Option B: Chlamydial infections are one of the most frequent causes of… Read More »
A male client with a gunshot wound requires an emergency blood transfusion. His blood type is AB negative. Which blood type would be the safest for him to receive? A. AB Rh-positive B. A Rh-positive C. A Rh-negative D. O Rh-positive Correct Answer: C. A Rh-negative Human… Read More »