I
You are caring for a client who is a sprinter on her high school track team. You should especially encourage her to consume which of the following nutrients to provide plenty of energy before running?
a) Protein
b) Carbohydrate
c) Lipid
d) Water
What is A?
Rationale: Carbohydrates, which are more easily and quickly digested than proteins and lipids, fuel strenuous short-term skeleton muscle activity and provide nearly all the energy for the brain.
Foot drop is preventable by
A. supporting the foot in dorsiflexion.
B. supporting the foot in plantar flexion.
C. repositioning the patient every two hours.
D. including prone positioning in the turning routine.
A. supporting the foot in dorsiflexion.
The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. The nurse gives the patient a diuretic. What electrolyte imbalance is the nurse most concerned about?
A. Potassium
B. Sodium
C. Phosphorus
D. Calcium
A. Potassium
The nurse knows that Staphylococcus aureus found normally on the skin of a client who has had surgery poses a particular risk for that client developing:
A. Wound Infection
B. Urinary Tract Infection
C. Cold Sore
D. Gastroenteritis
A. Wound Infection
Which of the following is a good dietary choice for calcium?
A. Spinach
B. Squash
C. Coffee
D. White bread
A. Spinach
The primary purpose of a nursing diagnosis, according to the nurses, is to:
A. Support the medical plan of care
B. Provide a standardized approach for all clients
C. Recognize the client’s response to an illness or situation
D. Offer the nurse’s subjective view of the client’s behaviors
C. Recognize the client’s response to an illness or situation
1. Which of the following fluid and electrolyte transport systems involves movement of water across a membrane from an area of a less concentrated solution to an area of more concentrated solution?
a. Active transport
b. Osmosis
c. Diffusion
d. Filtration
What is b:
Rationale: Osmosis involves movement of water (or other pure solute) across a membrane from an area of a less concentrated solution to an area of more concentrated solution. Water moves across the membrane to dilute the higher concentration of solutes.
The nurse would expect a patient with respiratory acidosis to have an excessive amount of
A. Carbon Dioxide
B. Bicarbonate
C. Oxygen
D. Phosphate
A. Carbon Dioxide
Standards of caution do not apply to..
Sweat
A nurse is concerned about urinary stasis on a bedridden patient. Which nursing action will be effective in reducing the complications of urinary stasis?
A. Encouraging at least 1400 cc to 2000 cc of fluid per day
B. Assisting the patient to a normal position to void
C. Straining the urine
D. Pouring warm water over the symphysis pubis
A. Encouraging at least 1400 cc to 2000 cc of fluid per day
Which laxative irritates the mucosa to increase motility?
A. Bulk
B. Lubricant
C. Stimulant
D. Emmolient
Stimulant
Which classification of drugs is commonly used as analgesics when a patient experiences neuropathic pain?
A. Anesthetics
B. Corticosteroids
C. Antidepressants
D. Antihistamines
C. Antidepressants
The excretion of hydrogen and bicarbonate ions is controlled by
Kidneys
Which portion of the chain of infection is broken when the nurse washes her hands?
A. Mode of Transmission
B. Reservoir
C. Portal of Entry
D. Susceptible Host
A. Mode of Transmission
What signs and symptoms would the nurse expect to observe in a patient with excessive white blood cells present in the urine?
A. Fever and chills
B. Difficulty holding in urine
C. Increased blood pressure
D. Abnormal blood sugar
A. Fever and chills
Greater trochanter, thumb pointing to groin, and anterior superior iliac spine are parts of the landmarks for which type of injection?
A. intradermal
B. deltoid
C. ventrogluteal
D. subcutaneous
C. ventrogluteal
The nurse just admitted a patient. What part of the nursing process will she begin?
What is assessment?
Rationale: The order of the Nursing Process is assessment, diagnosis, planning outcomes, implementation and evaluation.
The edematous patient has a low serum albumin. The administration of albumin will
A. shift fluid back into the intravascular space
B. shift fluid back into the intracellular space
C. shift fluid back into the interstitial space
D. have no effect
A. shift fluid back into the intravascular space
A construction worker is seen in the emergency department with low blood pressure, normal pulse rate, diaphoresis, and weakness. These are clinical signs of:
A. Heat Stroke
B. Heat Stress
C. Hypothermia
D. Heat exhaustion
D. Heat exhaustion
The client is exhibiting signs of heat exhaustion (e.g., symptoms of fluid volume deficit). If the client were experiencing heatstroke, the client would have an increased pulse rate and would not be sweating. Muscle cramps are related to heatstroke. The client is not exhibiting signs consistent with heatstroke. The client is not exhibiting signs of hypothermia such as shivering, loss of memory, or cyanosis.
Which color of stool is associated with localized rectal bleeding or colon and rectal cancers?
A. Black
B. Red
C. Clay
D. Yellow
B. Red
The nurse is preparing an insulin injection in which both regular and modified insulin will be mixed. Into which vial should the nurse inject air first?
A. The vial of regular insulin
B. The vial of modified insulin
C. Either vial, as long as modified insulin is drawn up first.
D. Neither vial, it is not necessary to put air into vials before withdrawing medication.
B. The vial of modified insulin
Indirect fist percussion over the costovertebral angle produces a sharp pain. This indicates
A. Striking too hard
B. peritoneal inflammation
C. paranephretic (kidney) inflammation
D. Splenic tenderness
C. paranephretic (kidney) inflammation
Which chronic illness is most likely to cause a rise in blood urea nitrogen and creatinine?
A. Cancer
B. Cardiovascular
C. Renal
D. Gastrointestinal
C. Renal
When a patient is experience an metabolic acidosis this system tries to compensate.
What is respiratory system?
Rationale: In a metabolic problem, the respiratory system compensates.
The nurse is caring for a patient who was involved in an automobile accident 2 weeks ago. The patient sustained a head injury and is unconscious. The nurse is able to identify that the major element involved in the development of a decubitus ulcer is
A. Pressure
B. Stress
C. Resistance
D. Weight
A. Pressure