What is the priority nursing assessment in the first 24 hours after admission of the client with thrombotic CVA? A. Pupil size and pupillary response B. Cholesterol level C. Echocardiogram D. Bowel sounds Correct Answer: A. Pupil size and papillary response It is crucial to monitor the… Read More »
The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: A. Determine lung maturity B. Measure the fetal activity C. Show the effect of contractions on fetal heart rate D. Measure the wellbeing of… Read More »
A male client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis? A. Stool Hematest B. Carcinoembryonic antigen (CEA) C. Sigmoidoscopy D. Abdominal computed tomography (CT) scan Correct Answer: C. Sigmoidoscopy Used to visualize the lower GI tract, sigmoidoscopy and proctoscopy aid… Read More »
A male client has jugular distention. In what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention? A. High Fowler’s B. Raised 10 degrees C. Raised 30 degrees D. Supine position Correct Answer: C. Raised 30… Read More »
A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the: A. Head of the pancreas B. Proximal third section of the small intestines C. Stomach and duodenum D. Esophagus and jejunum … Read More »
Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Liza’s highest priority would be… A. Hourly urine output B. Temperature C. Able to turn side to side D. Able to sips clear liquid Correct Answer: A.… Read More »
Which of the following tests should be performed before beginning a prescription of Accutane? A. Check the calcium level B. Perform a pregnancy test C. Monitor apical pulse D. Obtain a creatinine level Correct Answer: B. Perform a pregnancy test Accutane is contraindicated for use by pregnant… Read More »
A fragile 87-year-old female has recently been admitted to the hospital with increased confusion and falls over the last two (2) weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed? A. CBC (Complete blood count) B. ECG (electrocardiogram) C. Thyroid function… Read More »
Nurse Mandy is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client? A. The client lies still B. The client asks questions C. The client hears thumping sounds … Read More »
During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to: A. Elevate the client’s bed at 45°. B. Instruct the client to cough and deep breathe every 2 hours. C. Frequently monitor the client’s apical pulse and blood pressure. D. Monitor client’s temperature every hour.… Read More »