A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first? A. Take a full medical history. B. Give a bronchodilator by nebulizer. C. Apply a cardiac monitor to the… Read More »
Which of the following landmarks is the correct one for obtaining an apical pulse? A. Left intercostal space, midaxillary line B. Left fifth intercostal space, midclavicular line C. Left second intercostal space, midclavicular line D. Left seventh intercostal space, midclavicular line Correct Answer: B. Left fifth intercostal… Read More »
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited? A. Chest and lower back pain B. Chills, fever, night sweats, and hemoptysis C. Fever of more than 104°F (40°C) and nausea D. Headache and photophobia Correct Answer: B. Chills, fever, night… Read More »
A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He developed severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed? A. Atelectasis B. Pneumonia C. Bronchitis D. Acute respiratory distress syndrome (ARDS) … Read More »
A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? A. A history of hepatitis C five years previously. B. Cholecystitis requiring cholecystectomy one year previously. C. Asymptomatic diverticulosis. D. Crohn’s disease in remission. … Read More »
The client asks Nurse Annie the causes of peptic ulcer. Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following: A. Genetic defect in gastric mucosa B. Stress C. Diet high in fat D. Helicobacter pylori infection Correct Answer:… Read More »
A nurse prepares to care for a 4-year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body? A. All striated muscles B. The cerebellum C. The kidneys D. The leg bones Correct Answer:… 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 »
Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration? A. Cardiac B. Gastrointestinal C. Musculoskeletal D. Pulmonary Correct Answer: D. Pulmonary Pulmonary pain is generally described by these symptoms. Pain may originate from… Read More »
Mark, a 7-year-old client, is brought to the emergency department. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He recently had a cold. Form this history; the client may have which of the following conditions? A. Acute asthma B. Bronchial pneumonia C. Chronic… Read More »