Which of the following findings is the best indication that fluid replacement for the client with hypovolemic shock is adequate? A. Urine output greater than 30ml/hr B. Respiratory rate of 21 breaths/minute C. Diastolic blood pressure greater than 90 mmHg D. Systolic blood pressure greater than 110 mmHg Correct… Read More »
A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome? A. Simian crease B. Brachycephaly C. Oily skin D. Hypotonicity Correct Answer: C. Oily… Read More »
The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate? A. Unequal leg length B. Limited adduction C. Diminished femoral pulses D. Symmetrical gluteal folds Correct Answer: A. Unequal leg length Shortening of a leg is a sign of… Read More »
Which of the following symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm? A. Abdominal pain B. Absent pedal pulses C. Angina D. Lower back pain Correct Answer: D. Lower back pain Lower back pain results from the expansion of an aneurysm. The… Read More »
Nurse Tristan is caring for a male client with acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat: A. Hypernatremia. B. Hypokalemia. C. Hyperkalemia. D. Hypercalcemia. Correct Answer: C. Hyperkalemia. Hyperkalemia is a common complication of acute… Read More »
A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions? A. Asthma attack B. Atelectasis C. Bronchitis D. Fat embolism Correct Answer: D. Fat embolism Long bone fractures are correlated with fat… Read More »
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? A. Bulging anterior fontanel. B. Repeated vomiting. C. Signs of sleepiness at 10… Read More »
Which of the following signs and symptoms would Nurse Maureen include in her teaching plan as an early manifestation of laryngeal cancer? A. Stomatitis B. Airway obstruction C. Hoarseness D. Dysphagia Correct Answer: C. Hoarseness Early warning signs of laryngeal cancer can vary depending on tumor location.… Read More »
During routine care, Francis asks the nurse, “How can I be anemic if this disease causes increased white blood cell production?” The nurse in-charge best response would be that the increased number of white blood cells (WBC) is: A. Crowded red blood cells B. Is not responsible for the anemia C. Uses… Read More »
Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually. B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7… Read More »