A client is experiencing spinal shock. Nurse Myrna should expect the function of the bladder to be which of the following?         A. Normal      B. Atonic      C. Spastic      D. Uncontrolled           Correct Answer: B. Atonic In spinal shock, the bladder becomes completely atonic and will continue to fill unless… Read More »

Which of the following types of cardiomyopathy does not affect cardiac output?         A. Dilated      B. Hypertrophic      C. Restrictive      D. Obliterative           Correct Answer: B. Hypertrophic Cardiac output isn’t affected by hypertrophic cardiomyopathy because the size of the ventricle remains relatively unchanged. Three explanations for the systolic anterior motion… Read More »

A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?         A. Fiber intake of 25 to 30 g daily.      B. Less than 30% of calories from fat.      C. Cholesterol intake of less than 300… Read More »

A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms?         A. Possible fracture of the tibia.      B. Bruising of the gastrocnemius… Read More »

Which of the following stages is the carcinogen irreversible?         A. Progression stage      B. Initiation stage      C. Regression stage      D. Promotion stage           Correct Answer: A. Progression stage Progression stage is the change of tumor from the preneoplastic state or low degree of malignancy to a fast-growing tumor that… Read More »

Which of the following cardiac conditions does a fourth heart sound (S4) indicate?         A. Dilated aorta      B. Normally functioning heart      C. Decreased myocardial contractility      D. Failure of the ventricle to eject all the blood during systole           Correct Answer: D. Failure of the ventricle to eject all the… Read More »

Kate, who has undergone mitral valve replacement, suddenly experiences continuous bleeding from the surgical incision during the postoperative period. Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate?         A. Protamine Sulfate      B. Quinidine Sulfate      C. Vitamin C      D. Coumadin           Correct Answer: A.… Read More »

Among the following components thorough pain assessment, which is the most significant?         A. Effect      B. Cause      C. Causing factors      D. Intensity           Correct Answer: D. Intensity Intensity is the major indicative of severity of pain and it is important for the evaluation of the treatment. Severity of pain may include… Read More »

A child has recently been diagnosed with Duchenne’s muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?         A. Duchenne’s is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.… Read More »

A 65 year old female is experiencing a flare-up of pruritus. Which of the client’s actions could aggravate the cause of flare-ups?         A. Sleeping in cool and humidified environment      B. Daily baths with fragrant soap      C. Using clothes made from 100% cotton      D. Increasing fluid intake           Correct… Read More »