A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? A. The tumor is less than 3 cm. in size and requires no chemotherapy. B. The tumor did not extend beyond the kidney and was completely resected. C. The… Read More »
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply. A. Urine specific gravity of 1.040. B. Urine output of 350 ml in 24 hours. C. Brown (“tea-colored”) urine. D.… Read More »
A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition? A. Packed red blood cells B. 0.9% sodium chloride solution C. Lactated… Read More »
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test: A. Because it is a state law B. To detect cardiovascular defects C. Because of her age D. To detect neurological defects … Read More »
A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct? A. Scarlet fever is caused by infection with group A Streptococcus bacteria. B. “Strawberry tongue” is a characteristic sign. C. Petechiae occur on the soft palate. D. The pharynx is red… Read More »
Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease? A. Decrease anxiety B. Enhance myocardial oxygenation C. Administer sublingual nitroglycerin D. Educate the client about his symptoms Correct Answer: B. Enhance myocardial oxygenation Enhancing myocardial oxygenation is… Read More »
A client underwent ileostomy, when should the drainage appliance be applied to the stoma? A. 24 hours later, when edema has subsided B. In the operating room C. After the ileostomy begins to function D. When the client is able to begin self-care procedures Correct Answer: B.… Read More »
Norma has started a new drug for hypertension. Thirty minutes after she takes the drug, she develops chest tightness and becomes short of breath and tachypnea. She has a decreased level of consciousness. These signs indicate which of the following conditions? A. Asthma attack B. Pulmonary embolism C. Respiratory failure D.… Read More »
Which of the following conditions most commonly causes acute glomerulonephritis? A. A congenital condition leading to renal dysfunction. B. Prior infection with group A Streptococcus within the past 10-14 days. C. Viral infection of the glomeruli. D. Nephrotic syndrome. Correct Answer: B. Prior infection with group A Streptococcus within… Read More »
Medical treatment of coronary artery disease includes which of the following procedures? A. Cardiac catheterization B. Coronary artery bypass surgery C. Oral medication administration D. Percutaneous transluminal coronary angioplasty Correct Answer: C. Oral medication administration Oral medication administration is a noninvasive, medical treatment for coronary artery disease.… Read More »