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Nurse Practice 2
University of Iloilo- College of Nursing
Refresher Drills

1. A physiologic response to moderate pain is
a. Increased blood pressure
b. Restlessness
c. Decrease pulse rate
d. Protection of the painful area

2. Mr. Chan is recovering from abdominal
surgery. When the nurse assists him to
ambulate, she observes that he grimaces,
moves stiffly and becomes pale. She is aware
that he has consistently refused his pain
medication. A priority nursing diagnosis would
be?
a. Acute postoperative pain related to fear of
taking prescribed medications
b. Impaired physical mobility related to surgical
procedure
c. Anxiety related to outcome of surgery
d. High risk for infection related to surgical
incision

3. Which of the following is a element of the
planning step of the nursing process?
a. Gathering objective data
b. Selecting nursing measures
c. Writing nursing diagnosis
d. Giving patient care

4. Anthropometric measurements that indicate
muscle stores include all of the following
except?
a. Height and weight
b. Triceps skin folds measurements
c. Mid arm muscle circumference
d. Intake and output

5. Your patient is receiving tube feeding every 4
hours by way of nasogastric tube. You check the
tube placement each time because?
a. The physician ordered need to be done
b. The tube should be in the esophagus for
feeding
c. The tube could be misplaced in the ileum
d. The tube can be dislodges and enter the
trachea

6. The nurse correctly performs oropharyngeal
suctioning on a client by
a. Using clean technique
b. Flushing catheter w/ saline between catheter
insertions
c. Applying suction as catheter is introduced
d. Limiting suctioning 25-30 minutes intervals at
one time

7. Your patient is in the hospital with a medical
diagnosis of viral pneumonia. He is getting
oxygen by way of simple face mask. It is
important that the mask fit snugly over the
patients face because it
a. Prevent mask movement and consequent
skin breakdown
b. Maintain carbon dioxide retention
c. Help the client feel secure
d. Aids in maintaining expected oxygen delivery

8. When leaving an isolation room, the nurse
correctly removes her equipment in the following
sequence.
a. Mask, gown, and gloves
b. Gloves, mask, and gown
c. Gown, gloves, mask
d. Gown and mask inside room and gloves
outside room

9. A nurse is caring for a 2 year-old obese client
with arthritis who has developed an open
reddened area over his sacrum. A priority
nursing diagnosis is
a. Altered nutrition more than body requirement
related to immobility
b. Impaired physical mobility related to pain and
discomfort
c. Chronic pain related to immobility
d. High risk for infection related to altered skin
integrity

10. Your client is experiencing flatulence. It
would help if he is placed on which of the
following positions?
a. Trendelenburg position
b. Knee-chest position
c. Semi-fowlers position
d. Fowlers position

11. In addition to checking the clients
identification bracelet, the nurse correctly
verifies his identity by?
a. Asking Mr. Enriquez his name
b. Reading his name over the sign of the bed
c. Asking his roommate
d. Asking, Are you Mr. Enriquez?

12. The head nurse on your unit prepared
medications for MR. Gomez. She is called on
the phone and asked you to give the client his
medications. Which of the following response is
best to his request?
a. Give Mr. Gomez his medication and record it
on his chart
b. Tell the head nurse that you have no time and
ask her to get someone else
c. Tell the head nurse that you did not pour the
medication, you cannot administer it.
d. Give the medication to Mr. Gomez and let the
head nurse record it.

13. The intravenous method of medication is the
most dangerous route of administration because
a. The vein can only take a small amount of fluid
at a time
b. The vein may harden and becomes
dysfunctional
c. Blood clots may become serious problem
d. The drug is placed directly into the blood
stream and its action is immediate

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14. A client refuses to take her noon medication,
saying that she does not need it. Which of the
following would be the best response?
a. Tell her to take the medication because the
doctor ordered it.
b. Tell her that you went through a lot of
preparations to get her medications ready and
its the least she can do.
c. Tell her that you will return the medications to
the cart but you would like to discuss reasons
for refusing the medication
d. Tell her that you dont care whether she takes
the medication or not

15. The nurse discovers that she made a
medication error. Which of the following would
be the first response?
a. Record the error on the medication sheet.
b. Notify the physician regarding the course of
action
c. Check the clients condition to note any
possible effect or error
d. Complete and incident report; explaining how
the mistake was made

16. The nurse takes an 8 am medication to the
client and properly identifies her. The client asks
the nurse to leave the medication on the bedside
table and states that she will take it with
breakfast when it comes. What is the best
response to this request?
a. Leave the medication and return later to make
sure that is was taken
b. Tell her that it is against the rules and take the
medication with you
c. Tell her that you cannot leave the medication
but will return when breakfast arrives
d. Take the drug from the room and record it as
refused

17. Tomas, 6 year old, was admitted for severe
diarrhea, febrile state of 38.5 C and dehydration.
Which nursing assessment would be most
important upon admission?
a. Weight
b. Skin care
c. Environmental condition
d. Apical heart rate

18. One of the simplest method of objectively
assessing fluid balance is to
a. Ask about her daily diet
b. Ask patient to describe daily elimination
pattern
c. Measure the amount of fluid intake and output
d. Ask the patient about her weight loss

19. The primary level of prevention focuses on
those persons who are?
a. Experiencing symptoms
b. Symptom free
c. Hospitalized
d. Adapting to artificial limb

20. In taking care of the patients, the nurse
assumes various roles and values. Ethnicity,
ethical and legal components have affected the
practice of nursing particularly in performing
ones role and function.Which of the following
statements about health promotions and
assisting the client to attain a higher level of
health is correct?
a. They are unrealistic given the large client
population
b. Their roles and functions purely by the public
health agencies
c. They are integral parts of the nursing process
d. These are reserved for advance practitioners

21. Clinitest is used in testing the urine of a
client for glucose. Which of the following, If
committed by a nurse indicates error?
A. Specimen is collected after meals
B. The nurse puts 1 clinitest tablet into a test
tube
C. She added 5 drops of urine and 10 drops of
water
D. If the color becomes orange or red, It is
considered postitive

22. Which of the following nursing intervention is
important for a client scheduled to have a
Guaiac Test?
A. Avoid turnips, radish and horseradish 3
days before procedure
B. Continue iron preparation to prevent further
loss of Iron
C. Do not eat read meat 12 hours before
procedure
D. Encourage caffeine and dark colored foods to
produce accurate results

23. In collecting a routine specimen for fecalysis,
Which of the following, if done by a nurse,
indicates inadequate knowledge and skills about
the procedure?
A. The nurse scoop the specimen specifically at
the site with blood and mucus
B. She took around 1 inch of specimen or a
teaspoonful
C. Ask the client to call her for the specimen
after the client wiped off his anus with a
tissue
D. Ask the client to defecate in a bedpan,
Secure a sterile container

24. In a routine sputum analysis, Which of the
following indicates proper nursing action before
sputum collection?
A. Secure a clean container
B. Discard the container if the outside becomes
contaminated with the sputum
C. Rinse the clients mouth with Listerine
after collection
D. Tell the client that 4 tablespoon of sputum is
needed for each specimen for a routine sputum
analysis

25. Who collects Blood specimen?
A. The nurse
B. Medical technologist
C. Physician
D. Physical therapist

26. David, 68 year old male client is scheduled
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for Serum Lipid analysis. Which of the following
health teaching is important to ensure accurate
reading?
A. Tell the patient to eat fatty meals 3 days prior
to the procedure
B. NPO for 12 hours pre procedure
C. Ask the client to drink 1 glass of water 1 hour
prior to the procedure
D. Tell the client that the normal serum lipase
level is 50 to 140 U/L

27. The primary factor responsible for body heat
production is the
A. Metabolism
B. Release of thyroxin
C. Muscle activity
D. Stress

28. The heat regulating center is found in the
A. Medulla oblongata
B. Thalamus
C. Hypothalamus
D. Pons

29. A process of heat loss which involves the
transfer of heat from one surface to another is
A. Radiation
B. Conduction
C. Convection
D. Evaporation

30. Which of the following is a primary factor that
affects the BP?
A. Obesity
B. Age
C. Stress
D. Gender

31. The following are social data about the client
except
A. Patients lifestyle
B. Religious practices
C. Family home situation
D. Usual health status

32. The best position for any procedure that
involves vaginal and cervical examination is
A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy

33. Measure the leg circumference of a client
with bipedal edema is best done in what
position?
A. Dorsal recumbent
B. Sitting
C. Standing
D. Supine

34. In palpating the clients abdomen, Which of
the following is the best position for the client to
assume?
A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy

35. Rectal examination is done with a client in
what position?
A. Dorsal recumbent
B. Sims position
C. Supine
D. Lithotomy

36. Which of the following is a correct nursing
action when collecting urine specimen from a
client with an Indwelling catheter?
A. Collect urine specimen from the drainage bag
B. Detach catheter from the connecting tube and
draw the specimen from the port
C. Use sterile syringe to aspirate urine
specimen from the drainage port
D. Insert the syringe straight to the port to allow
self-sealing of the port

37. Which of the following is inappropriate in
collecting mid-stream clean catch urine
specimen for urine analysis?
A. Collect early in the morning, First voided
specimen
B. Do perineal care before specimen collection
C. Collect 5 to 10 ml for urine
D. Discard the first flow of the urine

38. When palpating the clients neck for
lymphadenopathy, where should the nurse
position himself?
A. At the clients back
B. At the clients right side
C. At the clients left side
D. In front of a sitting client

39. Which of the following is the best position for
the client to assume if the back is to be
examined by the nurse?
A. Standing
B. Sitting
C. Side lying
D. Prone

40. In assessing the clients chest, which
position best show chest expansion as well as
its movements?
A. Sitting
B. Prone
C. Sidelying
D. Supine
41. When preparing a teaching plan for a client
who is to receive a rubella vaccine during the
postpartum period, the nurse in charge should
include which of the following?
A. The vaccine prevents a future fetus from
developing congenital anomalies
B. Pregnancy should be avoided for 3 months
after the immunization
C. The client should avoid contact with children
diagnosed with rubella
D. The injection will provide immunity against
the 7-day measles.

42. A client with eclampsia begins to experience
a seizure. Which of the following would the
nurse in charge do first?
A. Pad the side rails
B. Place a pillow under the left buttock
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C. Insert a padded tongue blade into the mouth
D. Maintain a patent airway

43. When administering magnesium sulfate to a
client with preeclampsia, the nurse understands
that this drug is given to:
a. Prevent seizures
b. Reduce blood pressure
c. Slow the process of labor
d. Increase dieresis

44. A client makes a routine visit to the prenatal
clinic. Although shes 14 weeks pregnant, the
size of her uterus approximates that in an 18- to
20-week pregnancy. Dr. Diaz diagnoses
gestational trophoblastic disease and orders
ultrasonography. The nurse expects
ultrasonography to reveal:
A. an empty gestational sac.
B. grapelike clusters.
C. a severely malformed fetus.
D. an extrauterine pregnancy.

45. A patient with pregnancy-induced
hypertension probably exhibits which of the
following symptoms?
A. Proteinuria, headaches, vaginal bleeding
B. Headaches, double vision, vaginal bleeding
C. Proteinuria, headaches, double vision
D. Proteinuria, double vision, uterine
contractions

Situation: Raphael, a 6 years old prep pupil
is seen at the school clinic for growth and
development monitoring
46. Which of the following is characterized the
rate of growth during this period?
A. most rapid period of growth
B. a decline in growth rate
C. growth spurt
D. slow uniform growth rate

47. In assessing Raphaels growth and
development, the nurse is guided by principles
of growth and development. Which is not
included?
A. All individuals follow cephalo-caudal and
proximo-distal
B. Different parts of the body grows at different
rate
C. All individual follow standard growth rate
D. Rate and pattern of growth can be modified

48. What type of play will be ideal for Raphael at
this period?
A. Make believe
B. Hide and seek
C. Peek-a-boo
D. Building blocks

49. Which of the following information indicate
that Raphael is normal for his age?
A. Determine own sense self
B. Develop sense of whether he can trust the
world
C. Has the ability to try new things
D. Learn basic skills within his culture

50. Based on Kohlbergs theory, what is the
stage of moral development of Raphael?
A. Punishment-obedience
B. good boy-Nice girl
C. nave instrumental orientation
D. social contact

Situation: Baby boy Griffin delivered at 36
weeks gestation weighs 3,400 gm and height
of 59 cm
51. Baby boy Griffins height is
A. Long
B. Short
C. Average
D. Too short

52. Growth and development in a child
progresses in the following ways EXCEPT
A. From cognitive to psychosexual
B. From trunk to the tip of the extremities
C. From head to toe
D. From general to specific

53. As described by Erikson, the major
psychosexual conflict of the above situation is
A. Autonomy vs. Shame and doubt
B. Industry vs. Inferiority
C. Trust vs. mistrust
D. Initiation vs. guilt

54. Which of the following is true about
Mongolian Spots?
A. Disappears in about a year
B. Are linked to pathologic conditions
C. Are managed by tropical steroids
D. Are indicative of parental abuse

55. Signs of cold stress that the nurse must be
alert when caring for a Newborn is:
A. Hypothermia
B. Decreased activity level
C. Shaking
D. Increased RR

Situation: Nursing care after delivery has an
important aspect in every stages of delivery
56. After the baby is delivered, the cord was cut
between two clamps using a sterile scissors and
blade, then the baby is placed at the:
A. Mothers breast
B. Mothers side
C. Give it to the grandmother
D. Babys own mat or bed

57. The babys mother is RH(-). Which of the
following laboratory tests will probably be
ordered for the newborn?
A. Direct Coombs
B. Indirect Coombs
C. Blood culture
D. Platelet count

58. During the feto-placental circulation, the
shunt between two atria is called
A. Ductus venosous
B. Foramen Magnum
C. Ductus arteriosus
D. Foramen Ovale
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59. When assessing gross motor development
in a 3 year old, which of the following activities
would the nurse expect to finds?
A. Riding a tricycle
B. Hopping on one foot
C. Catching a ball
D. Skipping on alternate foot.

60. When assessing the weight of a 5-month
old, which of the following indicates healthy
growth?
A. Doubling of birth weight
B. Tripling of birth weight
C. Quadrupling of birth weight
D. Stabilizing of birth weight


61. If after surgery the patients abdomen
becomes distended and no bowel sounds
appreciated, what would be the most suspected
complication?
A. Intussusception
B. Paralytic Ileus
C. Hemorrhage
D. Ruptured colon

62. A young man is admitted in chronic renal
failure and is placed on hemodialysis three times
a week. Which is an attainable short term goal
for this person when he is placed on
hemodialysis?
A. Understanding the treatment and its
implications
B. Independence in the care of then AV shunt
C. Self-monitoring during dialysis
D. Recording dialysate composition and
temperature

63. The nurse is teaching a clinet about the
concept of dialysis and how it works for the
body. It is the nurses understanding that dialysis
is a technique that:
A. Will move blood through a semipermeable
membrane into a dialysate that is used to
remove waste products as well as correct fluid
and electrolyte imbalances
B. Will add electrolyte and water into the blood
when passing through a semipermeable
membrane to correct electrolyte imbalances
C. Will increase potassium to the blood when
passing through a semipermeable membrane to
correct imbalances
D. Allows the nurse to choose to use either
diffusion osmosis or ultrafi;tration to correct the
clients fluid and electrolyte imbalances

64. A client with end stage renal failure receives
hemodialysis three times a week. The nurse
concludes that the dialysis is effective when:
A. The client does not have large weight gain
B. The client has no signs of infection
C. The client expresses he or she can catch up
on rest while on dialysis
D. The client is able to return to employment

65. A client with urolithiasis is scheduled for
extracorporeal shock waver lithotripsy. The
nurse assesses to ensure that which of the
following items are in placed or maintained
before sending the client for the procedure?
A. Signed informed consent and clear liquid
restriction preprocedure
B. Signed informed consent, NPO status, and an
intravenous (IV) line
C.IV line and a Foley catheter
D. NPO status and A Foley catheter

66. A home care nurse is making follow-up visits
to a client following renal transplant. The nurse
assesses the client for which sign of acute graft
rejection?
A. Hypotension, graft tenderness, and anemia
B. Hypertension, oliguria , thirst, and
hypothermia
C. Fever, vomiting, hypertension, and copious
amounts of dilute urine
D. Fever, hypertension , graft tenderness, and
malaise

67. A nurse has an order to obtain a 24-hour
urine collection on an client with a renal
disorder. The nurse avoids which of the
following to ensure proper collection of 24-hour
specimen?
A. Have the client void at the start time, and
place this specimen in the container
B. Discard the first voiding, and save all
subsequent voidings during the 24-hour time
period
C. Place the container on ice, or in a refrigerator
D. Have the client void at the end time, and
place this specimen in the container

68. A nurse is inserting an indwelling urinary
catheter into a male client. As the nurse inflates
the balloon with syringe , the client complaints
of discomfort. The nurse:
A. Removes the syringe from the balloon
because discomfort is normal and temporary
B. Aspirates the fluid from the balloon, advances
the catheter farther, then reinflates the balloon
C. Aspirates the fluid from the balloon, waits
until the discomforts subsides, then reinflates
the balloon
D. Aspirates the fluid from the balloon, removes
the catheter, and reinserts a new catheter

69. A nurse has given instructions on site care to
a hemodialysis client who had an implantation
of an arteriovenous (AV) fistula in the right arm.
The nurse determines that the clients needs
further instructions if the client states to:
A. Avoid carrying heavy objects on the right arm
B. Sleep on the right side
C. Report an increased temperature, redness, or
drainage at the side
D. Perform range of motion exercises routinely
at the right arm

70. A nurse is giving medication instruction to a
client receiving furosemide (Lasix).The nurse
determines that further teaching is necessary if
the clients make which of the following
statements?
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A. I need to avoid the salt substitutes because
they contain potassium.
B. I need to change position slowly.
C. I need to talk to my physician about the use
of alcohol.
D. I need to be careful not to get over heated in
warm weather.

71. A nurse provides homecare instructions to a
client hospitalized for a transurethral resection of
the prostate(TURP). Which statement by the
client indicates the need for further instructions?
A. I need to avoid strenuous activity for 4 to 6
weeks.
B. I need to maintain daily intake of 6 to 8
glasses of water daily.
C. I can lift and push objects up to 30 pounds in
weight.
D. I need to include prune juice in my diet.

72. A client has been admitted to the hospital
with a diagnostic of primary acute
glomerulonephritis. On assessment, the nurse
first asks the clients about the recent history of:
A. Bleeding ulcer
B. Hypertension
C. Fungal infection
D. Streptococcal infection

73. A nurse is assigned to care for a client with
nephritic syndrome. The nurse assesses which
most important parameter on a daily basis?
A. Albumin levels
B. Weight
C. Blood area nitrogen (BUN) level
D. Activity tolerance

74. A client is being admitted to the hospital
with a diagnosis of urolithiasis and ureteral colic.
The nurse assesses the client for pain that is:
A. Dull and aching in the costovertebral area
B. Sharp and radiating posteriorly to the spinal
column
C. Excrutiating, wavelike, and radiating toward
the genetalia
D. Aching and cramplike throughout the
abdomen

75. A client with acute renal failure is ordered to
be on a fluid restriction of 1500 ml per day. The
nurse best plans to assist the client with
maintaining the restriction by:
A. Prohibiting beverages with sugar to minimize
thirst
B. Using mouthwash with alcohol with mouth
care
C. Asking the client to calculate the IV fluids into
the total daily allotment
D. Removing the water pitcher from the bedside

76. The client with chronic renal failure who is
scheduled for hemodialysis this morning is due
to receive a daily dose of enalapril (Vasotec).
The nurse plans to administer this medication:
A. Just before dialysis
B. During dialysis
C. Upon return from dialysis
D. The day after dialysis

77. A nurse is caring for a client scheduled to
undergo a renal biopsy. To minimize the risk of
post-procedure complications, the nurse reports
which of the following laboratory results to the
physician before the procedure?
A. Blood urea nitrogen (BUN): 18 mg/dl
B. Serum creatinine 1.2 mg/dl
C. Bleeding time: 13 minutes
D. Potassium: 3.8 mEq/L

78. Which symptom is consistent with primary
syphilis?
A. A painless genetal ulcer that appears about
three weeks after unprotected sex
B. Copper colored macules on the palms and
soles a brief fever
C. Patchy hair loss in red, broken skin involving
the scalp, eye brows, and beard area
D. One or more flat, wartlike papules in the
genetal area that are sensitive to touch

79. A client with pneumonia transfers to the
intensive care unit for mechanical ventilation.
His blood pressure is 70/40 mm Hg. His heart
rate 115 beats per minute and his respiratory
rate is 32 breaths per minute with accessory
muscle use. IVs are infusing at 150 ml/ hour.
Urine output is 50 ml for the past 4 hours. =this
client is most at risk for?
A. Post renal failure
B. Pre renal failure
C. Intra renal failure
D. Chronic renal failure

80. A client admitted for acute pyelonephritis is
about to start antibiotic therapy. Which symptom
would be expected in this client?
A. Hypertension
B. Flank pain on the affected side
C. Pain that radiates toward the unaffected side
D. No tenderness with deep ;palpation over the
costovertebral angle

81. A young man is admitted in chronic renal
failure and is placed on hemodialysis three times
a week. Which is an attainable short term goal
for this person when he is placed on
hemodialysis?
A. Understanding the treatment and its
implications
B. Independence in the care of then AV shunt
C. Self-monitoring during dialysis
D. Recording dialysate composition and
temperature

82. The nurse is teaching a client about the
concept of dialysis and how it works for the
body. It is the nurses understanding that dialysis
is a technique that:
A. Will move blood through a semipermeable
membrane into a dialysate that is used to
remove waste products as well as correct fluid
and electrolyte imbalances
B. Will add electrolyte and water into the blood
when passing through a semipermeable
membrane to correct electrolyte imbalances
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C. Will increase potassium to the blood when
passing through a semipermeable membrane to
correct imbalances
D. Allows the nurse to choose to use either
diffusion osmosis or ultrafiltration to correct the
clients fluid and electrolyte imbalances

83. A client with end stage renal failure receives
hemodialysis three times a week. The nurse
concludes that the dialysis is effective when:
A. The client does not have large weight gain
B. The client has no signs of infection
C. The client expresses he or she can catch up
on rest while on dialysis
D. The client is able to return to employment

84. A client with urolithiasis is scheduled for
extracorporeal shock waver lithotripsy. The
nurse assesses to ensure that which of the
following items are in placed or maintained
before sending the client for the procedure?
A. Signed informed consent and clear liquid
restriction before the procedure
B. Signed informed consent, NPO status, and an
intravenous (IV) line
C. IV line and a Foley catheter
D. NPO status and A Foley catheter

85. A home care nurse is making follow-up visits
to a client following renal transplant. The nurse
assesses the client for which sign of acute graft
rejection?
A. Hypotension, graft tenderness, and anemia
B. Hypertension, oliguria , thirst, and
hypothermia
C. Fever, vomiting, hypertension, and copious
amounts of dilute urine
D. Fever, hypertension, graft tenderness, and
malaise

86. A nurse has an order to obtain a 24-hour
urine collection on an client with a renal
disorder. The nurse avoids which of the
following to ensure proper collection of 24-hour
specimen?
A. Have the client void at the start time, and
place this specimen in the container
B. Discard the first voiding, and save all
subsequent voiding during the 24-hour time
period
C. Place the container on ice, or in a refrigerator
D. Have the client void at the end time, and
place this specimen in the container

87. A nurse is inserting an indwelling urinary
catheter into a male client. As the nurse inflates
the balloon with syringe, the client complaints of
discomfort. The nurse:
A. Removes the syringe from the balloon
because discomfort is normal and temporary
B. Aspirates the fluid from the balloon, advances
the catheter farther, then reinflates the balloon
C. Aspirates the fluid from the balloon, waits
until the discomforts subsides, then reinflates
the balloon
D. Aspirates the fluid from the balloon, removes
the catheter, and reinserts a new catheter

88. A nurse has given instructions on site care to
a hemodialysis client who had an implantation of
an arteriovenous (AV) fistula in the right arm.
The nurse determines that the client needs
further instructions if the client states to:
A. Avoid carrying heavy objects on the right arm
B. Sleep on the right side
C. Report an increased temperature, redness, or
drainage at the side
D. Perform range of motion exercises routinely
at the right arm

89. A nurse is giving medication instruction to a
client receiving furosemide (Lasix).The nurse
determines that further teaching is necessary if
the clients make which of the following
statements?
A. I need to avoid the salt substitutes because
they contain potassium.
B. I need to change position slowly.
C. I need to talk to my physician about the use
of alcohol.
D. I need to be careful not to get over heated in
warm weather.

90. A nurse provides homecare instructions to a
client hospitalized for a transurethral resection of
the prostate(TURP). Which statement by the
client indicates the need for further instructions?
A. I need to avoid strenuous activity for 4 to 6
weeks.
B. I need to maintain daily intake of 6 to 8
glasses of water daily.
C. I can lift and push objects up to 30 pounds in
weight.
D. I need to include prune juice in my diet.

91. A client has been admitted to the hospital
with a diagnostic of primary acute
glomerulonephritis. On assessment, the nurse
first asks the clients about the recent history of:
A. Bleeding ulcer
B. Hypertension
C. Fungal infection
D. Streptococcal infection

92. A nurse is assigned to care for a client with
nephritic syndrome. The nurse assesses which
most important parameter on a daily basis?
A. Albumin levels
B. Weight
C. Blood area nitrogen (BUN) level
D. Activity tolerance

93. A client is being admitted to the hospital
with a diagnosis of urolithiasis and ureteral colic.
The nurse assesses the client for pain that is:
A. Dull and aching in the costovertebral area
B. Sharp and radiating posteriorly to the spinal
column
C. Excrutiating, wavelike, and radiating toward
the genetalia
D. Aching and cramplike throughout the
abdomen

94. A client with acute renal failure is ordered to
be on a fluid restriction of 1500 ml per day. The
8mtgustilo

nurse best plans to assist the client with
maintaining the restriction by:
A. Prohibiting beverages with sugar to minimize
thirst
B. Using mouthwash with alcohol with mouth
care
C. Asking the client to calculate the IV fluids into
the total daily allotment
D. Removing the water pitcher from the bedside

95. The client with chronic renal failure who is
scheduled for hemodialysis this morning is due
to receive a daily dose of enalapril (Vasotec).
The nurse plans to administer this medication:
A. Just before dialysis
B. During dialysis
C. Upon return from dialysis
D. The day after dialysis

96. A nurse is caring for a client scheduled to
undergo a renal biopsy. To minimize the risk of
post-procedure complications, the nurse reports
which of the following laboratory results to the
physician before the procedure?
A. Blood urea nitrogen (BUN): 18 mg/dl
B. Serum creatinine 1.2 mg/dl
C. Bleeding time: 13 minutes
D. Potassium: 3.8 mEq/L

97. Which symptom is consistent with primary
syphilis?
A. A painless genetal ulcer that appears about
three weeks after unprotected sex
B. Copper colored macules on the palms and
soles a brief fever
C. Patchy hair loss in red, broken skin involving
the scalp, eye brows, and beard area
D. One or more flat, wart-like papule in the
genital area that is sensitive to touch

98. A client with pneumonia transfers to the
intensive care unit for mechanical ventilation.
His blood pressure is 70/40 mm Hg. His heart
rate 115 beats per minute and his respiratory
rate is 32 breaths per minute with accessory
muscle use. IVs are infusing at 150 ml/ hour.
Urine output is 50 ml for the past 4 hours. =this
client is most at risk for?
A. Post renal failure
B. Pre renal failure
C. Intra renal failure
D. Chronic renal failure

99. A client admitted for acute pyelonephritis is
about to start antibiotic therapy. Which symptom
would be expected in this client?
A. Hypertension
B. Flank pain on the affected side
C. Pain that radiates toward the unaffected side
D. No tenderness with deep; palpation over the
costovertebral angle

100. Discharge instructions for a client treated
for acute pyelonephritis should include which
statement?
A. Avoid taking any dairy products
B. Return for follow up urine cultures
C. Stop taking the prescribed antibiotics when
the symptoms subside
D. Recurrence is unlikely because youve been
treated with antibiotics