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Question 1 of 30
1. Question
Category: Physiological AdaptationMr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30?
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Question 2 of 30
2. Question
Category: Pharmacological and Parenteral TherapiesA heparin infusion at 1,500 units/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given?
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Question 3 of 30
3. Question
Category: Physiological AdaptationA 76-year-old male client had a thromboembolic right stroke; his left arm is swollen. Which of the following conditions may cause swelling after a stroke?
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Question 4 of 30
4. Question
Category: Physiological AdaptationHeberden’s nodes are a common sign of osteoarthritis. Which of the following statements is correct about this deformity?
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Question 5 of 30
5. Question
Category: Physiological AdaptationWhich of the following statements explains the main difference between rheumatoid arthritis and osteoarthritis?
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Question 6 of 30
6. Question
Category: Basic Care and ComfortMrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?
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Question 7 of 30
7. Question
Category: Pharmacological and Parenteral TherapiesA male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no 70/30 insulin available. As a substitution, the nurse may give the client:
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Question 8 of 30
8. Question
Category: Pharmacological and Parenteral TherapiesNurse Len should expect to administer which medication to a client with gout?
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Question 9 of 30
9. Question
Category: Physiological AdaptationMr. Domingo with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the following glands?
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Question 10 of 30
10. Question
Category: Health Promotion and MaintenanceFor a diabetic male client with a foot ulcer, the doctor orders bed rest, a wet to- dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
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Question 11 of 30
11. Question
Category: Reduction of Risk PotentialNurse Zeny is caring for a client in an acute Addisonian crisis. Which laboratory data would the nurse expect to find?
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Question 12 of 30
12. Question
Category: Physiological AdaptationA client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
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Question 13 of 30
13. Question
Category: Reduction of Risk PotentialA female client tells nurse Nikki that she has been working hard for the last 3 months to control her type 2 diabetes mellitus with diet and exercise. To determine the effectiveness of the client’s efforts, the nurse should check:
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Question 14 of 30
14. Question
Category: Pharmacological and Parenteral TherapiesNurse Trinity administered neutral protamine Hagedorn (NPH) insulin to a diabetic client at 7 a.m. At what time would the nurse expect the client to be most at risk for a hypoglycemic reaction?
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Question 15 of 30
15. Question
Category: Physiological AdaptationThe adrenal cortex is responsible for producing which substances?
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Question 16 of 30
16. Question
Category: Physiological AdaptationOn the third day after a partial thyroidectomy, Proserfina exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a life-threatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?
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Question 17 of 30
17. Question
Category: Reduction of Risk PotentialWhich laboratory test value is elevated in clients who smoke and can’t be used as a general indicator of cancer?
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Question 18 of 30
18. Question
Category: Physiological AdaptationFrancis with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?
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Question 19 of 30
19. Question
Category: Health Promotion and MaintenanceIn teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says:
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Question 20 of 30
20. Question
Category: Health Promotion and MaintenanceWhen preparing Judy with acquired immunodeficiency syndrome (AIDS) for discharge to the home, the nurse should be sure to include which instruction?
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Question 21 of 30
21. Question
Category: Physiological AdaptationNurse Marie is caring for a 32-year-old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?
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Question 22 of 30
22. Question
Category: Management of CareAfter receiving a dose of penicillin, a client develops dyspnea and hypotension. Nurse Celestina suspects the client is experiencing anaphylactic shock. What should the nurse do first?
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Question 23 of 30
23. Question
Category: Reduction of Risk PotentialMr. Marquez with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include:
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Question 24 of 30
24. Question
Category: Health Promotion and MaintenanceA 23-year-old client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provided by which type of white blood cell?
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Question 25 of 30
25. Question
Category: Physiological AdaptationIn an individual with Sjögren’s syndrome, nursing care should focus on:
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Question 26 of 30
26. Question
Category: Reduction of Risk PotentialDuring chemotherapy for lymphocytic leukemia, Mathew develops abdominal pain, fever, and “horse barn” smelling diarrhea. It would be most important for the nurse to advise the physician to order:
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Question 27 of 30
27. Question
Category: Reduction of Risk PotentialA male client seeks medical evaluation for fatigue, night sweats, and a 20-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order:
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Question 28 of 30
28. Question
Category: Reduction of Risk PotentialA complete blood count is commonly performed before Joe goes into surgery. What does this test seek to identify?
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Question 29 of 30
29. Question
Category: Reduction of Risk PotentialWhile monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of what assessment parameters?
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Question 30 of 30
30. Question
Category: Basic Care and ComfortWhen taking a dietary history from a newly admitted female client, Nurse Len should remember which of the following foods is a common allergen?
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