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Nursingsmith’s Trial Quiz MC
5 January 2024
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Welcome to your Nursingsmith's Trial Quiz MC
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1.
A patient reports experiencing sudden onset of shortness of breath, chest pain, and palpitations. The nurse should recognize these symptoms as indicative of which condition?
Myocardial infarction
Asthma
Pulmonary embolism
Gastroesophageal reflux disease
None
2.
A client with a history of type 1 diabetes mellitus comes to the emergency department with fruity breath odor, deep rapid breathing, and dry skin. Which condition should the nurse suspect?
Diabetic ketoacidosis
Hyperglycemic hyperosmolar state
Hypoglycemia
Chronic kidney disease
None
3.
A nurse is caring for a client who had a stroke and now has difficulty swallowing. Which nursing intervention is most appropriate to prevent aspiration?
Encourage the client to drink fluids quickly.
Have the client lie down flat for 30 minutes after eating.
Thicken the client’s liquids and instruct to tuck chin when swallowing.
Offer the client small pieces of dry, solid food.
None
4.
A nurse is assessing a client with a suspected case of appendicitis. Which of the following symptoms would most likely be present?
Pain in the left lower quadrant.
Pain relieved by eating food.
Nausea, fever, and pain in the right lower quadrant.
Bloody diarrhea.
None
5.
During a health screening, a client mentions occasional fatigue and dizziness upon standing. The nurse knows these symptoms could be suggestive of:
Dehydration
Hypertension
Orthostatic hypotension
Peripheral neuropathy
None
6.
A pediatric nurse is speaking with the parent of a child who has a persistent cough and low-grade fever. The child also has a history of asthma. What question should the nurse ask to differentiate between an asthma exacerbation and a respiratory infection?
“Has the child been wheezing or experiencing chest tightness?”
“Is the cough productive or associated with any sputum?”
“Has the child been exposed to any known allergens or irritants recently?”
“Have there been any recent changes in the child’s asthma medications?”
None
7.
A nurse is evaluating a client with chronic obstructive pulmonary disease (COPD) who reports increased shortness of breath. Which question by the nurse would best assess the severity of the client's current condition?
“Are you using your inhaler more frequently than usual?”
“Have you had any changes in your sputum, such as color or amount?”
“Can you describe the activities that are making you short of breath?”
“How long have you been experiencing an increase in shortness of breath?”
None
8.
A nurse is assessing a client with joint pain and notices that the client has limited range of motion in multiple joints, without notable inflammation or injury. Which condition should the nurse suspect?
Rheumatoid arthritis
Osteoarthritis
Systemic lupus erythematosus
Gout
None
9.
During an assessment, a nurse notes that a client has heavy menstrual bleeding and easy bruising. The client's mother and sister have similar symptoms. Which condition might the nurse suspect based on this hereditary pattern?
Hemophilia A
Iron-deficiency anemia.
Von Willebrand’s disease
Thrombocytopenia
None
10.
A nurse is evaluating a client who reports frequent nosebleeds and has petechiae on the lower extremities. Laboratory tests reveal a platelet count of 50,000/mm^3. Which condition is most likely responsible for these findings?
Aplastic anemia
Chronic immune thrombocytopenia
Leukemia
Vitamin K deficiency
None
11.
The client diagnosed with congestive heart failure is prescribed furosemide. Which assessment data indicate the medication has been effective?
The client reports no change in shortness of breath.
The client has a 2-pound weight gain in 24 hours.
The client’s edema has decreased.
The client’s potassium level is 3.2 mEq/L.
None
12.
The client diagnosed with angina has been prescribed nitroglycerin. Which assessment data indicate the medication has been effective?
The client has been experiencing headaches after taking the medication.
The client reports chest pain relief within 5 minutes after taking the medication.
The client’s blood pressure has decreased by 10 mmHg from baseline.
The client shows an increase in exercise tolerance without chest pain.
None
13.
The client diagnosed with chronic renal failure is advised to follow a low-potassium diet. Which meal selection indicates the client understands the diet teaching?
Baked potato with spinach salad.
Sliced turkey with white bread and apple slices.
Banana smoothie with orange juice.
Avocado toast with a side of cantaloupe.
None
14.
The nurse is caring for a 25-year-old client who reports frequent episodes of constipation alternating with diarrhea. Which diagnostic test should the nurse prepare the client to undergo to help determine the diagnosis?
A colonoscopy
A stool culture
A barium enema
An abdominal ultrasound
None
15.
The client, post-operative day one after a coronary artery bypass graft, has a chest tube in place and an IV infusion of normal saline at 125 mL/hr. Which data should be reported to the HCP?
The chest tube drainage is 75 mL of serosanguineous fluid in the past hour.
The client’s blood pressure is 110/70 mmHg.
The client has jugular vein distention and crackles at the lung bases.
The client’s IV site is slightly red but without swelling or warmth.
None
16.
The client, after a thyroidectomy, has a calcium gluconate IV infusion and is on telemetry. Which data should be reported to the HCP?
The client reports a tingling sensation around the mouth and in the fingertips.
The telemetry shows a regular sinus rhythm at a rate of 78 bpm.
The client’s serum calcium level is 9.0 mg/dL.
The client is able to speak in a clear voice.
None
17.
The nurse is developing a care plan for a client diagnosed with type 2 diabetes mellitus who has been noncompliant with the prescribed medication regimen. Which intervention should be included in the plan of care?
Educate the client on the action and timing of the prescribed medications.
Arrange for a home health nurse to administer the medication.
Explain the complications of poorly managed diabetes.
Ask client reasons for not taking the medication as prescribed.
None
18.
The nurse is planning care for a client with hypertension who does not adhere to the prescribed exercise regimen. Which intervention should be included in the plan of care?
Create a graduated exercise plan with the client.
Provide a list of local gyms and exercise facilities.
Inform the client of the benefits of regular exercise on blood pressure.
Identify the barriers to exercise the client experiences.
None
19.
The client with HIV presents with complaints of fever and a persistent dry cough. Upon examination, the nurse observes slight breathlessness and auscultates crackles at the lung bases. Which interventions should the nurse implement?
Initiate contact isolation precautions and notify the HCP for a possible opportunistic lung infection.
Teach the client coughing and deep-breathing exercises to clear the airways.
Obtain a sputum sample for analysis and possible culture.
Instruct the client to increase fluid intake to stay hydrated.
None
20.
A client reports severe lower abdominal pain and irregular menstrual cycles. On examination, the nurse notes an enlarged, irregularly shaped uterus. Which interventions should the nurse implement?
Prepare the client for an ultrasound to investigate possible uterine fibroids.
Teach the client to track menstrual cycle patterns and associated symptoms.
Advise the client to use nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management.
Schedule the client for a consult with a gynecologist for further evaluation.
None
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Hypertension