Which individual is at the greatest risk for developing hypertension? A. 45-year-old African-American attorney B. 60-year-old Asian-American shop owner C. 40-year-old Caucasian nurse D. 55-year-old Hispanic teacher Correct Answer: A: 45-year-old African American attorney Option A: African-Americans develop high blood pressure at younger ages than other groups in the US.… Read More »
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? A. Bowel perforation B. Viral gastroenteritis C. Colon cancer D. Diverticulitis Correct Answer:… Read More »
A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome? A. Elevated blood glucose B. Elevated platelet count C. Elevated creatinine clearance D. Elevated hepatic enzymes Correct Answer: D. Elevated hepatic enzymes The criteria for HELLP is… Read More »
Randy has undergone a kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection? A. Sudden weight loss B. Polyuria C. Hypertension D. Shock Correct Answer: C. Hypertension Hypertension, along with fever, and tenderness over the grafted kidney, reflects acute rejection. Option A: A BMI greater… Read More »
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex? A. The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer. B. The nurse loosely suspends the client’s arm… Read More »
A client has undergone a penile implant. After 24 hrs of surgery, the client’s scrotum was edematous and painful. The nurse should: A. Assist the client with sitz bath B. Apply warm soaks in the scrotum C. Elevate the scrotum using a soft support D. Prepare for a possible incision and… Read More »
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidylglycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is: A. The infant is at low risk for congenital anomalies. B. The infant is… Read More »
A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock? A. Hypertension B. Bradycardia C. Bounding pulse D. Confusion Correct Answer: D. Confusion Cardiogenic shock… Read More »
A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be: A. Ineffective health maintenance B. Impaired skin integrity C. Deficient fluid volume D. Pain Correct Answer: A. Ineffective health maintenance Managing hypertension is the priority for the client with hypertension. Clients with hypertension… Read More »
A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the A. Surgical repair of a diseased coronary artery. B. Placement of an automatic internal cardiac defibrillator. C. Procedure that compresses plaque against the wall of the diseased coronary artery to improve blood flow.… Read More »