NLE Practice Test 3a - Pt. 4

10 Questions | By C23lemon | Updated: Mar 20, 2022 | Attempts: 121

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1.

Halfway through the administration of a unit of blood, a client complains of lumbar pain. The nurse should:
- A.
  
  Obtain vita! signs
- B.
  
  Stop the transfusion
- C.
  
  Assess the pain further
- D.
  
  Increase the flow of normal saline
2.

A client comes to the clinic complaining of weight loss, fatigue, and a low-grade fever. Physical examination reveals a slight enlargement of the cervical lymph nodes. To assess possible causes for the fever, it would be most appropriate for the nurse to initially ask:
- A.
  
  "Have you bee sexually active lately?"
- B.
  
  "Do you have a sore throat at the present time?"
- C.
  
  "Have you been exposed recently to anyone with an infection?"
- D.
  
  "When did you first notice that your temperature had gone up?"
3.

The nursing staff has a team conference on AIDS and discusses the routes of transmission of the human immunodeficiency virus (HSV). The discussion reveals that an individual has no risk of exposure to HIV when that individual;
- A.
  
  Has intercourse with just the spouse
- B.
  
  Makes a donation of a pint of whole blood
- C.
  
  Limits sexual contact to those without HIV antibodies
- D.
  
  Uses a'condom each time there is a sexual intercourse
4.

The knows that a positive diagnosis for HIV infection is made based on;
- A.
  
  A history of high-risk sexual behaviors
- B.
  
  Positive ELISA and Western blot tests
- C.
  
  Evidence of extreme weight loss and high fever
- D.
  
  Identification of an associated opportunistic infection
5.

When taking the blood pressure of a client who has AIDS the nurse must;
- A.
  
  Wear dean gloves
- B.
  
  Use barrier techniques
- C.
  
  Wear a mask and gown
- D.
  
  Wash the hands thoroughly
6.

The nurse should plan to teach the client with pancytopenia caused by a chemotherapy to;
- A.
  
  Begin a program of aggressive, strict mouth care
- B.
  
  Avoid traumatic injuries and exposure to any infection
- C.
  
  Increase oral fluid intake to a minimum of 3000 ml daily
- D.
  
  Report any unusual muscle cramps or tingling sensations in the extremities
7.

An elderly client develops severe bone barrow depression from chemotheraphy for cancer of the prostate. The nurse should;
- A.
  
  Monitor for signs of alopecia
- B.
  
  Increase dally intake of fluids
- C.
  
  Monitor Intake and output of fluids
- D.
  
  Use a soft toothbrush for oral hygiene
8.

A tuberculin skin test with purified protein derivative (PP!) tuberculin is performed as part of a routine physical examination. The nurse should instruct the client to make an appointment so the test can be read in:
- A.
  
  3 days
- B.
  
  5 days
- C.
  
  7 days
- D.
  
  10 days
9.

A client is admitted with cellulites of the left teg a temperature of 103°F. The physician orders IV antibiotics. Before instituting this therapy, the nurse should;
- A.
  
  Determine whether the client has allergies
- B.
  
  Apply a warm, moist dressing over the area
- C.
  
  Measure the amount of swelling in the client's leg
- D.
  
  Obtain the results of the culture and sensitivity tests
10.

Following multiple bee stings, a client has an anaphylactic reaction. The nurse is aware that the symptoms the client is experiencing are caused by;
- A.
  
  Respiratory depression and cardiac standstill
- B.
  
  bronchial constriction and decreased peripheral resistance
- C.
  
  Decreased cardiac out and dilation of major biood vessels
- D.
  
  Constriction of capillaries and decreased peripheral circulation