Show:
Renal, fluid & electrolyte, acid/base
Genomics, cancer, GI
Pulmonary/Cardiac
Shock & Neuro
Misc.
100
A nurse is examining a client who has a nursing diagnosis of fluid volume excess due to renal insufficiency.  Which of the following clinical signs is most associated with fluid volume excess in the client with renal insufficiency?

1. decreased urine output

2. bradycardia

3. weak, thready pulse

4. painful, swollen joints


1. decreased urine output

100

A client presents to the emergency department with active bleeding from esophageal varices.  Which of the following actions by the nurse is appropriate?

1. maintain NPO status

2. Elevate the head of the bed to greater than 30 degrees

3. instruct the client to perform the vagal maneuver

4. lower the head of the bed

1. maintain NPO status

100

A nurse is caring for a client with stable angina.  The nurse understands that stable angina is which of the following?

1. stable angina can occur when the client exercises or is under emotional stress.

2. stable angina is constantly present

3. stable angina steadily increases in severity over time

4. stable angina is also called preinfarction angina



1. stable angina can occur when the client exercises or is under emotional stress

100

A nurse in the ICU is caring for a client who is experiencing cardiogenic shock secondary to endocarditis.  The provider has just left new orders for the care of this client.  Which of the following orders would the nurse most likely see in this client's chart?

1. administer dopamine 10 mcg/kg/min IV to keep systolic BP > 100 mmHg

2. ambulate client TID

3. administer metoprolol mg po

4. titrate O2 to keep saturations between 85 and 90%

1. administer dopamine 10 mcg/kg/min IV to keep systolic BP > 100 mmHg

100

The nurse is caring for a client whose chest x-ray shows pneumonia.  The provider has placed the following orders:  Vancomycin IV, piperacillin/tazobactum IV, blood and sputum cultures, vitals now and every 4 hours.  Which order needs to be completed first, then second?

1. blood and sputum cultures

2. Vancomycin

3. Piperacillin/tazobactam

4. vitals

4. vitals

1. blood and sputum cultures

200

A client with end-stage renal disease is getting ready to undergo hemodialysis.  Which factors would the nurse assess before the client starts the dialysis session? Select all that apply

1. Weight

2. heart rate and rhythm

3. AV fistula site

4. skin turgor

5. urine pH

1. weight

2. hear rate and rhythm

3. AV fistula site

200
The nurse is caring for a client who has cirrhosis of the liver.  Which assessment finding is NOT consistent with this diagnosis?

1. malaise

2. ascites

3. splenomegaly

4. pale urine


4. pale urine

200

A 67-year-old client is brought into the ER for treatment of a possible MI.  The nurse places the ECG leads on to check his cardiac rhythm.  Initially, the ECG shows sinus tachycardia but quickly changes to ventricular fibrillation.  Which best describes the heart rate associated with V-Fib?

1. Rapid and irregular

2. rapid and regular with a rate of 300bpm

3. uncoordinated heartbeats with no regular rhythm

4. there is not rate because the client has a flat line

3.  uncoordinated heartbeats with no regular rhythm

200

A nurse is assessing a client.  Which of the following signs and symptoms would indicate the client is in septic shock? (select all that apply)

1. hives

2. fever

3. hypotension

4. decreased mentation

5. bradycardia

2. fever

3. hypotension

4. decreased mentation

200

Who has won the most total Academy Awards?

Walt Disney

300

A client has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH).  Which of the following is NOT a priority?

1. Use normal saline instead of sterile water to flush any enteral feedings or medications.

2. Increase fluid intake to 2L/day

3. Administer supplemental sodium tablets and encourage increased dietary intake of sodium, as ordered.

4. Initiate seizure precautions

2. increase fluid intake to 2L/day

300

The nurse is caring for a client diagnosed with Crohn's  disease.  Which statement indicates more teaching is needed?

1. "I will have periods of remission and periods of exacerbation"

2. "A high-calorie, high-protein diet is best"

3. "I will deal with chronic constipation"

4. "I am at risk for anemia and electrolyte disturbances"

3.  "I will deal with chronic constipation"

300

The nursing caring for a client who is suffering from frequent premature ventricular contractions.  Which of the following is true of this condition?

1. It may decrease the efficiency of the heart's pumping action

2. the client may experience an irregular heartbeat

3. it is commonly caused by a myocardial infarction

4. it arises from one or more atrial ectopic foci

5. the client is usually hypertensive

1. it may decrease the efficiency of the heart's pumping action

2. the client may experience an irregular heartbeat

3. it is commonly caused by a myocardial infarction

300

A nurse is scaring for a client with bipolar disorder who is frequently manic.  What describes the most appropriate psychotherapy for a client with this condition? (select all that apply)

1. cognitive behavior therapy

2. family-focused therapy

3. 12-step program

4. electroconvulsive therapy

5. intrapersonal and social rhythm therapy

1. cognitive behavior therapy

2. family-focused therapy

5. intrapersonal and social rhythm therapy
300

What company was originally called "Cadabra"

Amazon

400

The provider has ordered a hypotonic IV solution to manage a client's condition.  Based on the nurse's knowledge of fluid and electrolytes, hypotonic IV solutions are given in what type of situation?

 1. diabetic ketoacidosis

2. hypotonic dehydration

3. hyponatremia

4. blood transfusions

1. diabetic ketoacidosis

400

A client is preparing to have chemotherapy for the treatment of bone cancer.  Which information would the nurse most likely include during client education?

1. The client should contact the provider if he or she develops a fever prior to undergoing chemotherapy.

2. There is a direct relationship between how chemotherapy makes the client feel and the amount of benefit received.

3. the client will experience hair loss, as well as nausea and vomiting.

4. chemotherapy will most likely lower red blood cell counts and cause decreased tissue perfusion

1. The client should contact the provider if he or she develops a fever prior to undergoing chemotherapy

400

The nurse is caring for a client who has developed a tension pneumothorax.  The provider asks the nurse to gather the necessary supplies.  Which of the following will the nurse obtain?

1. sequential compression devices

2. chest tube insertion kit

3. central line dressing change kit

4. primary IV tubing, pump, and diltiazam

2. chest tube insertion kit

400

A client is complaining of some symptoms that started when they began taking an antidepressant.  The nurse notes that the client is on an SSRI.  Which of the following side effects would the nurse associate with SSRIs?

1. increased heart rate

2. blurred vision

3. sexual dysfunction

4. confusion

3. sexual dysfunction

400

How many ghosts chase Pac-Man at the start of each game?

4

500
The client needs an IV solution but has both kidney and liver disease.  Which IV solution is contraindicated in renal and liver insufficiency?

1. normal saline

2. D5W and half normal saline

3. lactated ringer's solution

4. 10 percent dextrose


Lactated Ringers

500
The nurse is caring for a client with watery diarrhea following a course of clindamycin.  The nurse suspects clostridium difficile.  Which of the following isolation precautions are are necessary for this client? (select all that apply)

1. educate the client and family members to use soap and water for handwashing instead of hand sanitizer

2. place the client in a negative airflow room

3. obtain personal protective equipment outside the door for staff and family members.

4. obtain a door sign indicating the level of precaution and necessary personal protective equipment (PPE)

5. place the client in a private room


1. educate the client and family members to use soap and water for handwashing instead of hand sanitizer

3. obtain personal protective equipment outside the door for staff and family members

4. obtain a door sign indicating the level of precaution and necessary personal protective equipment (PPE)

5. place in a private room


500

While caring for a client who has a chest tube, the nurse takes measures to prevent tension pneumothorax.  Which of the following interventions would the nurse most likely employ?

1. avoid clamping the chest tube

2. milk or strip the drainage tube when clots appear in the line.

3. elevate the chest drainage container to the same level as the client's chest

4. routinely clean the insertion site with providone-iodine

1. avoid clamping the chest tube

500

A client presented to the emergency department with status epilepticus.  The client was given an intravenous anticonvulsant.  After stabilization, which medication does the nurse anticipate will most likely be prescribed for maintenance of seizures?

1. levetiracetam

2. diazepam

3. phenobarbital

4. fosphenytoin

2. diazepam

500

What company was initially known as "Blue Ribbon Sports?"

Nike