Cardio
Integumentary
GI/GU
Reproductive
Endocrine
100

Which patient has a blood pressure (BP) within acceptable range for age, drug therapy, and health condition, according to the 2014 Joint Commission Hypertension Management Guidelines?


56-year-old Black American who has diabetes mellitus and takes a thiazide diuretic: BP of 130/80 mm Hg

100

Which information does the nurse provide the patient with diabetes mellitus to prevent fungal infections?


Avoid the use of artificial nails.

100

A patient with esophageal reflux is having an esophageal functioning test. Which patient statement demonstrates that teaching by the nurse was effective?


"I will have to swallow several small tubes to measure the pressure in my esophagus."

100

Which intervention would be included in the plan of care for a patient diagnosed with bartholinitis?


Sexually transmitted infection (STI) screening

100

Which serum laboratory value will the nurse monitor for in a patient diagnosed with diabetes insipidus?


Sodium

200

Which action would the nurse take for a patient who started an antihypertensive medication 10 days ago and is now experiencing depression?


Contact the health care provider for an alternate medication.

200

Which information would the nurse provide the patient related to the use of topical 5-fluorouracil for the treatment of actinic keratosis?


Avoid direct sun exposure.

200

A patient with a peptic ulcer has vital signs of pulse 130 beats per minute, respirations 28 breaths per minute, labored breathing, and blood pressure of 88/50 mm Hg. The health care provider gives the following orders. Which would the nurse implement first?


Hang intravenous fluids of normal saline.

200

Which aspect would be included in postoperative teaching regarding resuming sexual relations after recovery from a total abdominal hysterectomy with bilateral salpingo-oophorectomy?


Explain that vaginal numbness could occur for a short period of time.

200

Which discharge information will the nurse teach a patient prescribed desmopressin for diabetes insipidus (DI) after complete hypophysectomy?


Nasal spray administration technique

300

Which age-related change is a primary cause of an increase in blood pressure?


Decreased elasticity of the arteries

300

Which interpretation would the nurse, who works in a small rural hospital, make for a patient who sustained major burn injuries and has a calculated Baux score of 140?


Condition is nonsurvivable.

300

A patient is diagnosed with a respiratory tract infection caused by group A–negative hemolytic streptococcus. Which finding would the nurse expect because of this infection?

Inflammation of the capillary loops in the glomeruli

300

Which term would be used to describe a uterus that is tilted backward with the cervix pointed downward toward the anterior vaginal wall?

Retroversion

300

Which finding indicates levothyroxine is effective?


The patient's heart rate is 75 beats/min and regular.

400

Which prescription drug might be causing frequent hypoglycemia for a patient who has diabetes and hypertension?


Atenolol

400

Which is the medical term for dandruff?


Seborrheic dermatitis

400

Which patient goal would not be appropriate for a patient diagnosed with pyelonephritis?


Fluid intake of 1 L daily

400

A patient is receiving continuous irrigation after a transurethral resection of the prostate. The nurse observes that catheter output is less than the irrigating fluid delivered, and drainage cannot be restored. Which intervention is priority?


Notify the health care provider immediately.

400

Which are the target goals for glycosylated hemoglobin (HgbA1c), lipid, and blood pressure values for a patient with diabetes?


HgbA1c less than 7%, blood pressure less than 140/80 mm Hg, total cholesterol less than 200 mg/dL

500

Which interpretation would the nurse make for a patient who has taken methyldopa for the past 2 weeks and reports drowsiness, weakness, and a dry mouth?


Patient is having side effects of the methyldopa.

500

Which type of burn injury occurs on the layers of subcutaneous fat, muscle, or deeper structures?


Full-thickness burn

500

A patient diagnosed with acute kidney injury has a total urine output of 380 mL in 24 hours; an increase in serum creatinine, potassium, and phosphorus levels; and a decrease in serum calcium and bicarbonate levels. Which stage would best describe these symptoms?


Oliguric

500

When a nurse is caring for a patient with benign prostatic hypertrophy, which intervention would the nurse expect to increase this patient's risk for developing a urinary tract infection (UTI)?

Decreasing fluid intake

500

The nurse is caring for a 27-year-old male patient with diabetes. The patient takes 6 units of insulin aspart with each meal, along with glipizide 5 mg twice a day. Which type of diabetes is indicated by these medications?

Type 2 diabetes

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