Question 1

1. Question 1 Which of statement indicates the client with Type 2 DM understands the diabetic teaching? • “I should check my feet at weekly.” • “I will walk for 30 minutes 3 X a week.” • “I need to carry a source of complex carbohydrate when I walk.” • “I should have my hemoglobin A1C checked every month.”

2. Question 2 The charge nurse is making client assignments. Which client should be assigned to the most experienced nurse? a. The client with Type 2 diabetes who has a blood glucose level of 278 mg/dL. b. The client diagnosed with CHF who has jugular vein distention and 3+ pitting edema. c. The client who is postopthyroidectomy who is having difficulty swallowing. d. The client with lung cancer receiving chemotherapy who is immunosuppressed.

3. Question 3 Which client should the nurse assess first? • The client with Type 1 DM who has a glycoslated hemoglobin of 9%. • The client diagnosed with hypertension who has a severe headache. • The client with hyperthyroidism who has exopthalmus. • The client receiving a blood transfusion who has flank pain and dyspnea.

4. Question 4 The nurse is administering 24 units of NPH, intermediate acting insulin, at 4:30 pm. Which intervention should the nurse implement? • Check the blood glucose level at 5:30 pm. • Ensure the client eats the evening meal. • Give the client the HS snack at 8:30 pm. • Notify the HCP for clarification of the order.

5. Question 5 Which medication should the nurse question administering? • The synthroid to the client who has a low temperature. • The metformin (Glucophage) to the client who is scheduled for a intravenous pyelogram (IVP). • The beta-blocker to the client with hypertension who has a B/P of 160/96. • The NSAID to the client diagnosed with rheumatoid arthritis.

6. Question 6 Which task should not be delegated to the UAP? a. Ask the UAP to weigh the client who is receiving a loop-diuretic. b. Instruct the UAP to give the client with Type 1 DM the HS snack. c. Request the UAP to assist with a STAT portable chest x-ray. d. Tell the UAP to take the vital signs on a client with chest pain.

7. Question 7 The client has hypothyroidism. Which data indicates the medication is ineffective? • The client is complaining of the room being too cold. • The client had 4 episodes of diarrhea. • The client has a urine output of 480 mL for the shift. • The client’s apical pulse is 94.

8. Question 8 Which client should the nurse assess first? a. The client diagnosed with angina is complaining of chest pain. b. The client diagnosed with acute pancreatitis who has left upper quadrant pain. c. The client with systemic lupus who has hematuria. d. The client diagnosed with iron deficiency anemia who is short of breath.

9. Question 9 The client is one (1) day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first? a. Medicate the client with intravenous morphine. b. Assess the client’s chest dressing and vital signs. c. Encourage the client to turn from side to side. d. Check the client’s telemetry monitor.

10. Question 10 The client receiving chemotherapy has thrombocytopenia. Which action by UAP requires intervention by the nurse? • The UAP is escorting the client to the shower. • The UAP is shaving the client with an electric razor. • The UAP is assisting the client to brush their teeth. • The UAP is applying sequential compression devices on the client.

11. Question 11 Which client should the nurse assess first? • The client with mitral valve prolapse who is complaining of being dizzy. • The client with pernicious anemia who is pale. • The client with iron-deficiency anemia who has melana. • The client diagnosed with AIDS who has a low CD 4 count.

12. Question 12 Which client requires the nurse to notify the health care provider? • The client scheduled for a thyroidectomy who has a PT/PTT of 18/60. • The client diagnosed with myocardial infarction who has normal sinus rhythm. • The client in a sickle cell crisis who is complaining of pain. • The client with cancer receiving chemotherapy who is nauseated.