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Nursing - Diagnostic Examinations Exam 1

40 Questions  I  By Irwini
NURSING - DIAGNOSTIC EXAMINATIONS EXAM 1
This is an online interactive exam for Nursing. I got this from an online review site and do not entirely know if the answers are rightor wrong.  

This exam is timed with 60 seconds per question. Please be reminded that every set of exam does not necessarily have 100 questions in them.  

DO YOUR BEST AND HAVE FUN EVERYONE! GOD BLESS :)

  
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Question Excerpt

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1.  1.  The nurse is caring for a client receiving intravenous nitroglycerin for acute angina. What is the most important assessment during treatment?
A.
B.
C.
D.
2.  2.  The nurse is assessing a woman in early labor. While positioning for a vaginal exam, she complains of dizziness and nausea and appears pale. Her blood pressure has dropped slightly. What should be the initial nursing action?
A.
B.
C.
D.
3.  When teaching a client about an oral hypoglycemic medication, the nurse should place primary emphasis on
A.
B.
C.
D.
4.  The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?  
A.
B.
C.
D.
5.  What must be the priority consideration for nurses when communicating with children?
A.
B.
C.
D.
6.  Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include
A.
B.
C.
D.
7.  The visiting nurse makes a postpartum visit to a married female client. Upon arrival, the nurse observes that the client has a black eye and numerous bruises on her arms and legs. The initial nursing intervention would be to
A.
B.
C.
D.
8.  A client has been started on a long term corticosteroid therapy. Which of the following comments by the client indicate the need for further teaching?
A.
B.
C.
D.
9.  The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. Which of the following assessment findings requires the nurse's immediate action?
A.
B.
C.
D.
10.  The nurse is caring for a 2 month-old infant with a congenital heart defect. Which of the following is a priority nursing action?
A.
B.
C.
D.
11.  The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?
A.
B.
C.
D.
12.  .  A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is
A.
B.
C.
D.
13.  The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). Which statement is true with regards to tardive dyskinesia?
A.
B.
C.
D.
14.  A client, admitted to the unit because of severe depression and suicidal threats, is placed on suicidal precautions. The nurse should be aware that the danger of the client committing suicide is greatest
A.
B.
C.
D.
15.  A nurse is caring for a client who has just been admitted with an overdose of aspirin. The following lab data is available: PaO2 95, PaCO2 30, pH 7.5, K 3.2 mEq/l. Which should be the nurse's first action?
A.
B.
C.
D.
16.  The nurse is aware that the effect of antihypertensive drug therapy may be affected by a 75 year-old client's
A.
B.
C.
D.
17.  Which medication is more helpful in treating bulimia than anorexia?
A.
B.
C.
D.
18.  A client is admitted with severe injuries from an auto accident. The client's vital signs are BP 120/50, pulse rate 110, and respiratory rate of 28. The initial nursing intervention would be to
A.
B.
C.
D.
19.  A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate). An important nursing intervention is to teach the client to avoid which of the following foods?
A.
B.
C.
D.
20.  The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?
A.
B.
C.
D.
21.  Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?
A.
B.
C.
D.
22.  A client is treated in the emergency room for diabetic ketoacidosis and a glucose level of 650mg.D/L. In assessing the client, the nurse's review of which of the following tests suggests an understanding of this health problem?  
A.
B.
C.
D.
23.  The nurse is assessing a client's home in preparation for discharge. Which of the following should be given priority consideration?
A.
B.
C.
D.
24.  A client is receiving lithium carbonate 600 mg T.I.D. to treat bipolar disorder. Which of these indicate early signs of toxicity?  
A.
B.
C.
D.
25.  After 4 electroconvulsive treatments over 2 weeks, a client is very upset and states “I am so confused. I lose my money. I just can’t remember telephone numbers.” The most therapeutic response for the nurse to make is
A.
B.
C.
D.
26.  As a general guide for emergency management of acute alcohol intoxication, it is important for the nurse initially to obtain data regarding which of the following?  
A.
B.
C.
D.
27.  The nurse is assessing a client with chronic obstructive pulmonary disease receiving oxygen for low PaO2 levels. Which assessment is a nursing priority?
A.
B.
C.
D.
28.  A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?
A.
B.
C.
D.
29.   A woman in labor calls the nurse to assist her in the bathroom. The nurse notices a large amount of clear fluid on the bed linens. The nurse knows that fetal monitoring must now assess for what complication?
A.
B.
C.
D.
30.  Clients taking lithium must be particularly sure to maintain adequate intake of which of these elements?
A.
B.
C.
D.
31.  In response to a call for assistance by a client in labor, the nurse notes that a loop on the umbilical cord protrudes from the vagina. What is the priority nursing action?
A.
B.
C.
D.
32.   A client is taking tranylcypromine (Parnate) and has received dietary instruction. Which of the following food selections would be contraindicated for this client?
A.
B.
C.
D.
33.  The client asks the nurse how the health care provider could tell she was pregnant “just by looking inside.” What is the best explanation by the nurse?
A.
B.
C.
D.
34.  A male client is preparing for discharge following an acute myocardial infarction. He asks the nurse about his sexual activity once he is home. What would be the nurse's initial response?
A.
B.
C.
D.
35.  When teaching a client with a new prescription for lithium (Lithane) for treatment of a bi-polar disorder which of these should the nurse emphasize?
A.
B.
C.
D.
36.  The nurse is caring for a post-operative client who develops a wound evisceration. The first nursing intervention should be to
A.
B.
C.
D.
37.  The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action?
A.
B.
C.
D.
38.  After assessing a 70 year-old male client's laboratory results during a routine clinic visit, which one of the following findings would indicate an area in which teaching is needed:
A.
B.
C.
D.
39.   A client telephones the clinic to ask about a home pregnancy test she used this morning. The nurse understands that the presence of which hormone strongly suggests a woman is pregnant?
A.
B.
C.
D.
40.  A client is discharged on warfarin sulfate (Coumadin). Which statement by the client indicated a need for further teaching?  
A.
B.
C.
D.
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