1. A nurse is caring for a client who has Parkinson’s disease (PD).

Question Answered step-by-step 1. A nurse is caring for a client who has Parkinson’s disease (PD).The nurse should anticipate a treatment for which of the following? a. Thymectomy b. Plasmapheresis c. Dopamine agonist d. Interferon 2. A nurse is caring for a client who is experiencing autonomic dysreflexia. Which of the following actions should the nurse take? a. Place the client in a flat position b. Administer IV diuretics stat c. Check the client’s vital signs d. Insert a nasogastric tube (NGT) e. Check for bladder distension 3. A nurse is documenting the cardiac rhythm (ventricular tachycardia) of a male client who was admitted to the cardiac unit due to severe chest pain. Which of the following entries should the nurse document in the client’s chart to describe the rhythm? a. The client is having trigeminy b. The client has several episodes of widened QRS complexes c. The client has prolonged PR interval with missed beats d. The client has short bursts of asystole 4. A nurse is reviewing the laboratory reports for a client who has been admitted due to acute kidney injury. Which of the following electrolytes and arterial blood gas (ABG) findings should the nurse expect? a. Hypercalcemia, hyperkalemia, and respiratory alkalosis b. Hypernatremia, hyperkalemia, and respiratory acidosis c. Hypochloremia, hypernatremia, and metabolic alkalosis d. Hyperkalemia, hypermagnesemia and metabolic acidosis 5. A nurse is performing home care for a client who has been recovering from a bleeding episode related to…… a. Referring the client to a spiritual-counselor b. Elevating the legs of the client at all times during sleep c. Maintaining a normal heart rate and blood pressure d. Assisting in performing routine exercises 6. The nurse is caring for a client who has been taking phenytoin for the last couple of years the nurse should notify the provider immediately for which…. a. “I feel very lightheaded and dizzy” b. “I love to drink grapefruit juice.” c. “I want to get married and have kids.” d. “I need to join a motorcycling race.” 7. A nurse is caring for a group of trauma clients who had just arrived due to a massive fire injury. Which of the following clients’ needs to be seen first?] a. A client with a third degree burn on his upper right posterior arm b. A client with second degree burns on the facial and neck area c. A client with second degree burn on the perineal area lower extremities d. A client with a first degree burn on his entire back including his buttocks 8. A nurse is caring for a client with Parkinson’s disease (PD) experiencing pill-rolling tremors. The nurse should anticipate a prescription for which of the following? a. Tolterodine b. Gabapentin c. Baclofen d. Benztropine 9. A nurse is caring for a client with systemic lupus erythematous (SLE). Which is an expected long-term complication of this illness? a. Abdominal distention b. Otitis media c. Renal failure d. Increased bone density 10. A nurse is caring for a client who is having a packed red blood cell (PRBC) transfusion. The reports inten…………… administer medication for this client about which of the following? a. Epinephrine and trihexyphenidyl b. Diphenhydramine and methylprednisolone c. Furosemide and oral ferrous sulfate d. Dexamethasone and sodium bicarbonate 11. A nurse is providing medication teaching to a client who has prescription for levodopa/carbidopa. Which of the following medications? Select all that apply a. Refrain from eating any form protein-rich foods b. Expect dark urine discoloration c. Avoid exposure to cold weather and sunny weather d. Call the provider for any unusual skin lesion e. Change position fast when standing 12. A nurse is providing dietary teaching to a client who has a recent episode of transient ischemic attack (TIA). Which of the following client food selections indicates an understanding of the teaching? a. Low potassium diet b. Low protein diet c. Low sodium diet d. Low calcium diet 13. A nurse is discussing multiple sclerosis (MS) to a group of student nurses. Which statement best describes the……. a. Autoimmune disorder affecting the myelin sheaths b. Autoimmune disorder leading to decreases level of acetylcholine (Ach) receptors c. Dopamine deficiency leading to movement disorder d. Post-infectious autoimmune disorder that results in ascending muscle weakness 14. A nurse is caring for several patients in the critical area unit. Which client should the nurse assess first? a. A 58-year-old client with septic shock with a WBC count of 19,000/ul and respiratory rate of 14 b. A 67-year-old client with cardiogenic shock with a MAP of 45 mm Hg and ventricular dysrhythmias c. A 59-year-old client with hypovolemic shock with a heart rate of 122 and a hemoglobin level of 6.1 g/dL d. A 66-year-old client with neurogenic shock who has a blood pressure reading of 98/56 mm Hg 15. A nurse is conducting a seminar of hypovolemic shock to a group of new nurses. Which of the following should the nurse recognize as increasing the risk for developing hypovolemic shock? Select all that apply. a. 3rd degree burn b. Increased BMI c. Frequent sex d. Early menstruation e. Prolonged/difficult vaginal delivery f. Disseminated intravascular coagulation (DIC) 16. A nurse is caring for a client who is having a packed red blood cell (PRBC) transfusion. The client reports intense itchiness and presence of urticaria (hives) all over his upper extremity. The nurse should anticipate the need to administer medication for this client about which of the following? a. Epinephrine and trihexyphenidyl b. Diphenhydramine and methylprednisolone c. Furosemide and oral ferrous sulfate d. Dexamethasone and sodium bicarbonate 17. A nurse is caring for client presenting with signs and symptoms of anaphylactic shock. Which action should the nurse do first? a. Inject IV steroids b. Educate the client on avoiding allergens c. Infuse a large amount of crystalloids d. Maintain a patient airway 18. A nurse is conducting an assessment to a group of clients in. a neuroscience unit. Which of the following should the nurse recognize as increasing the risk for developing diabetes (DI)? a. A presence of tumor in the thymus gland b. Post-craniotomy after a head injury c. African American and family history d. Exposure to the herpes simplex virus 19. A nurse is caring for a client with suspected brain infection who is scheduled for lumbar puncture (LP). What will be the plan of care before the procedure? a. Help the client to a side-lying position b. Administer sedative and muscle relaxant c. Inform the client not to eat or drink 8 hours after the test d. Strictly implement contact and airborne precautions 20. A nurse is caring for a client presenting with signs and symptoms of bacterial meningitis. After placing the client in a private room in assisting the provider in doing the lumbar puncture, which of the following action should the nurse take next? a. Administer IV antibiotics as per health care provider’s order b. Obtain a 24-hour urine collection, sealed in a tight container c. Prepare the client for emergency craniotomy d. Elevate the head of the bed to 60 degrees and raise the side rails 21. A nurse is monitoring the cardiac rhythm of a young male client in a critical care area following a motor vehicular accident. The cardiac monitor shows that the client is having short bursts of ventricular tachycardia. Which of the following action should the nurse take first? a. Place a high-flow oxygen device on the client b. Start a cardiopulmonary resuscitation (CPR) c. Administer a 5000-unit bolus of heparin IV as per order d. Defibrillate the client starting at 200 joules 22. A nurse is monitoring the cardiac rhythm of a young client who was admitted to the telemetry unit following an episode of syncope. The client has been on warfarin for the last two weeks. Which of the following assessment findings should be reported immediately to the health care provider? a. No bowel movement for the last 72 hours b. Blood pressure (BP) of 182/98 mm Hg c. Presence of facial rash on both cheeks d. Bilateral knee pain when walking fast 23. A nurse is monitoring a client who has a mean arterial pressure (MAP) of 50 mm Hg. Which blood pressure (BP) would most likely correlate with the client’s current MAP reading? a. BP of 120/90 mm Hg b. BP of 70/40 mm Hg c. BP of 100/60 mm Hg d. BP of 55/20 mm Hg 24. A nurse is caring for a client with myasthenia gravis (MG) who has been prescribed neostigmine. Which of the following are the expected effects of this medication? a. Palpitations b. Bradycardia c. Constipation d. Xerostomia 25. A nurse is caring for a client who has hemorrhagic stroke. Which of the following diagnostic tests should the nurse expect the provider to prescribe? a. Computed tomography (CT) of the brain b. Xray of the skull and spine c. Continuous electroencephalogram (EEG) d. Carotid artery duplex scan 26. The nurse in an urgent care clinic is reviewing the laboratory results from four clients. Which of the following clients should the nurse recommend for treatment first? a. A client with a serum magnesium level of 2.1 mEq/L b. A client with a serum phosphorus level of 5.9 mg/dL c. A client with a serum calcium level of 10.2 mg/dL d. A client with a serum potassium level of 4.6 mEq/L 27. A nurse is caring for a client who tested positive for cholinergic crisis following the Tensilon test. Which of the following actions should the nurse take first? a. Send the client for CT scan of the chest b. Increase the dose of edrophonium IV c. Administer atropine sulfate IV stat d. Assess the client’s gait pattern 28. A nurse is caring for a post-stroke client with right-sided unilateral neglect. Which of the following actions is the most appropriate for the nurse to take? a. Refer the client to spiritual counselor b. Provide diversionary and relaxation activities for the client c. When talking to the client, approach him on the right side d. Place the client’s food tray on his left side 29. A nurse is monitoring a client who is receiving dopamine (vasopressor). Which of the following indicates to the nurse that the medication is having the desired therapeutic effect? a. Blood pressure (BP) is 79/46 mm Hg b. Urine output of 45 mL/hr. c. IV site is warm and dry d. Hemoglobin (Hgb) level is 11.3 g/dL 30. A nurse is caring for a hypovolemic shock after a major abdominal surgery which of the following arterial blood gas (ABG) results would indicate that the client is progressing to respiratory failure? a. Ph of 7.36. partial pressure of arterial oxygen is 64 mm Hg and bicarbonate level of 26 mEq/L b. Ph of 7.32. partial pressure of arterial oxygen is 49 mm Hg and bicarbonate level of 22 mEq/L c. Ph of 7.45. partial pressure of arterial oxygen is 75 mm Hg and bicarbonate level of 22 mEq/L d. Ph of 7.48. partial pressure of arterial oxygen is 64 mm Hg and bicarbonate level of 25 mEq/L 31. A nurse is caring for a male client who has acute pancreatitis. Which of the following findings should be of greatest concern to the nurse? a. Pain score level of 9/10 b. ___ loss after a week of admission c. Serum calcium level of 5.9 mg/dL d. Hemoglobin level of 5.1 mg/dL 32. A nurse is collecting a health history from a female client who is undergoing screening for cancer. Which of the following findings is the highest risk factor for the client developing lymphoma? a. Hepatitis B b. Multiple pregnancy c. Alcohol abuse d. Radiation exposure 33. A nurse is caring for a client who has exacerbation of multiple sclerosis (MS). Which of the following clinical manifestations should the nurse anticipate? a. Visual disturbance b. Postural instability c. Generalized rashes d. Sleep apnea 34. A nurse is caring for a client who is presenting with signs and symptoms of shock in the emergency department (ED). How should the nurse prioritize his interventions for this patient? Place the following nursing interventions in proper order. a. Do patient family teaching b. Administer oxygen (O2) as needed c. Insert at least 2 large bore IV catheter d. Administer antibiotics as per order 35. The charge nurse is reviewing the client assignment for the upcoming shift. Which of the following clients should the nurse reassign to the most experienced registered nurse (RN)? a. A client admitted for possible cervical neck injury after a bicycle accident b. A client admitted for severe headache who wants to throw up c. A client admitted for chronic seizure who needs antiseizure medications d. A client admitted for trigeminal neuralgia with a pain level of 9/10 36. A nurse is admitting a client with intracranial hypertension. Which of the following action should the nurse take to decrease the clients intracranial pressure (ICP)? a. Administer antidiarrheal daily b. Insert a rectal two for Constipation c. Avoid overstimulating the client d. Maintain and above normal temperature 37. A nurse is preparing a client for edrophonium (Tensilon) test. Which action by the nurse is the most important? a. Having a dialysis machine on standby b. Administering 1 liter of normal saline c. Sedating the client d. Obtaining atropine sulfate 38. A nurse is reviewing the laboratory values of a client with disseminated intravascular coagulation (DIC). The results shows that the client has a platelet level of 20,000/uL. Which of the following action should the nurse take to prevent further bleeding? Select all that apply a. Avoid all forms of parenteral medications b. Administer filgrastim c. Prepare the client for platelet transfusion d. Use a soft-bristled toothbrush e. Avoid suppositories f. Avoid all heparin products 39. A nurse is assessing a group of clients who arrived in the emergency room. Which assessment finding requires immediate action? a. Profuse bleeding in three different sites b. Pulse oximetry reading of 95% c. Sudden onset of fecal incontinence d. No urine output for the last four hours 40. A nurse is caring for a client with Parkinson’s disease who is receiving benztropine daily. Which of the following findings indicates the client is experiencing an adverse reaction to the medication? Select all that apply a. Moist skin b. Less bowel movement c. Dry mouth d. Decreased movement e. Increased drooling f. Increased heart rate 41. A nurse is doing the admission of a client who has purulent urethral discharge and tested positive for HIV. Which of the following infection control precautions should the nurse plan to initiate for this client? a. Droplet precaution b. Standard precaution c. Neutropenic precaution d. Contact precaution 42. A nurse is caring for a client who has a traumatic spinal cord injury (SCI) three hours ago. Which of the following findings would be essential for the nurse to follow-up immediately? a. Heart rate of 48 beats per minute b. Large bruise on his right buttocks c. Inability to move his toes on both feet d. Blood pressure of 92/52 mm Hg 43. A nurse is reviewing the cardiac rhythm strip of a client admitted due to chest discomfort. The client’s heart rate is 124 beats/min. Which of the following information in the client’s history should the nurse identify as a potential reason for the client’s abnormal heart rate? Select all that apply. a. Overdose of beta-blockers b. Neurogenic shock c. Overdose of atropine d. Severe diarrhea/vomiting e. Severe panic attack f. Increased intracranial pressure 44. A nurse is caring for a client who had received large amounts of intravenous (IV) fluids. Which of the following findings should the nurse report to the charge nurse first? a. Blood pressure (BP) of 179/108 mm Hg when lying down and feelings of anxiety b. Facial puffiness and eyelid edema with a serum creatine level of 2.1 mg/dL c. Crackles heard at the lung base, with a respiratory rate of 31 breaths per minute d. Sudden decrease in the level of consciousness (LOC) followed by a seizure attack 45. A nurse is caring for a client who is on valproic acid who suddenly experiences severe abdominal pain. Which of the following is an appropriate nursing intervention? a. Notify the health care provider b. Continue to monitor the client c. Encourage the client to take ascorbic acid d. Instruct the client to drink grapefruit 46. A nurse is caring for a client with a serum potassium level of 2.4 mEq/L with a heart rate of 112 beats/min. Which of the following actions should the nurse take? a. Insert a large bore IV gauge 18 catheter b. Instruct the client to drink cranberry juice c. Engage the client in strenuous exercises d. Administer sodium polystyrene sulfonate 47. A nurse is caring for a female client who is receiving levothyroxine. Which of the following adverse reactions is the priority finding to report to the provider? a. Increased heart rate b. Yellowish discoloration of the sclera c. Low level of thyroid hormones d. Voiding difficulty 48. A nurse is caring for a client who was admitted for severe infection. Which vital signs changes were indicated that the client might be progressing to septic shock? a. Blood pressure (BP) off 99/45 mm Hg, heart rate of 81, and a respiratory rate of 34 b. Blood pressure (BP) off 78/45 mm Hg, heart rate of 51, and a respiratory rate of 11 c. Blood pressure (BP) off 99/45 mm Hg, heart rate of 101, and a respiratory rate of 19 d. Blood pressure (BP) off 99/45 mm Hg, heart rate of 111, and a respiratory rate of 26 49. A nurse is assessing a client with Bell’s palsy who is on acyclovir. Which finding should be reported immediately to the health care provider? a. The client has no appetite and just wants to sleep b. The client feels anxious and irritated c. The client complains of eye irritation d. The client has few episodes of nausea and vomiting 50. A nurse is caring for a group of clients in the neurology clinic. Which of the following findings should the nurse recognize as a sign of syndrome of inappropriate antidiuretic hormone (SIADH)? a. Weight gain b. Polydipsia c. Diaphoresis d. Nocturia 51. A nurse is caring for a client who has stage three lung cancer. Which of the following findings should alert the nurse that the client is developing syndrome of inappropriate antidiuretic hormone (SIADH)? a. Bladder incontinence b. Personality changes c. Extreme anxiety d. Flat neck veins 52. A nurse is caring for a client who was admitted for disseminated intravascular coagulations (DIC). Which of the following interventions is the priority? a. Start chemotherapy treatment b. Prepare the client for craniotomy c. Place the client in a prone position d. Replace fluid or blood losses 53. A nurse is caring for a client who suddenly fell from the floor and starts having a tonic-clonic seizure. Which of the following actions should the nurse take? a. Place the client in a side-lying position b. Restrain the client’s extremities c. Immediately leave the client to call the provider d. Try to put the client back in bed by lifting 54. A nurse is caring for a client with trigeminal neuralgia. Which of the following medications should the nurse anticipate, the provider will initially prescribe? a. Anticonvulsants b. Anticholinergics c. Dopamine agonist d. Antispasmodics 55. A nurse is monitoring the cardiac rhythm of a male client who was transferred to the neuroscience unit following a craniotomy post-op day 7 due to benign brain tumor on his frontal lobe. The cardiac monitor shows that the client heart rate is ranging from 40-45 beats slash minute. Which of the following action should the nurse take? a. Prepare the client for a carotid sinus massage b. Administer adenosine IVP stat as per order c. Administer stool softener as per provider’s order d. Document in the chart as a normal finding Health Science Science Nursing Share QuestionEmailCopy link Comments (0)