Question 1
Question
A patient is prescribed furosemide (Lasix), a loop diuretic, for treatment of congestive heart failure. The patient is at risk for which electrolyte imbalance associated with use of this drug?
Answer
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Hypomagnesemia
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Hypocalcemia
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Hypokalemia
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Hypophosphatemia
Question 2
Question
Which nutritional goal is appropriate for a patient newly diagnosed with hypertension? The patient will:
Answer
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Limit his intake of protein
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Restrict his use of sodium
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Limit his intake of potassium-rich foods
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Avoid foods containing gluten
Question 3
Question
Patients may be deficient in which vitamin during the winter months?
Question 4
Question
Which nutrient deficiency increases the risk for pressure ulcers?
Answer
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Protein
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Vitamin K
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Fat
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Carbohydrates
Question 5
Question
A patient who was prescribed furosemide (Lasix) is deficient in potassium. Which of the following is an appropriate goal for this patient? The patient will increase his consumption of:
Answer
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Egg yolks, nuts, and sardines
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Eggs, baking soda, and baking powder
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Bananas, peaches, molasses, and potatoes
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Wheat bran, chocolate, eggs, and sardines
Question 6
Question
The nurse identifies the nursing diagnosis Urinary Incontinence (Total) in an older adult patient admitted after a stroke. Urinary Incontinence places the patient at risk for which complication?
Answer
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Renal calculi
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Bowel incontinence
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Skin breakdown
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UTI
Question 7
Question
Which organ relies almost exclusively on glucose for energy?
Answer
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Heart
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Brain
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Liver
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Pancreas
Question 8
Question
A patient complains that she passes urine whenever she sneezes or coughs. How should the nurse document this complaint in the patient’s healthcare record?
Answer
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Stress incontinence
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Urge incontinence
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Overflow incontinence
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Transient incontinence
Question 9
Question
The nurse assesses a patient’s abdomen 4 days after abdominal surgery and notes that bowel sounds are absent. This finding most likely suggest which postoperative complication?
Answer
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Paralytic ileus
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Small bowel obstruction
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Constipation
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Diarrhea
Question 10
Question
A patient who underwent surgery 24 hours ago is prescribed a clear liquid diet. The patient asks for something to drink. Which item may the nurse provide for the patient?
Question 11
Question
Which of the following goals is appropriate for a patient with a nursing diagnosis of Constipation? The patient increases the intake of:
Answer
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Lean meats
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Milk and cheese
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Bread and pasta
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Fruits and vegetables
Question 12
Question
The nurse is assessing a patient who underwent bowel resection 2 days ago. As she auscultates the patient’s abdomen, she notes low-pitched, infrequent bowel sounds. How should she document this finding?
Answer
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Hyperactive bowel sounds
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Hypoactive bowel sounds
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Abdominal bruit sounds
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Normal bowel sounds
Question 13
Question
A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?
Answer
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Yogurt
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Broccoli
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Pasta
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Oatmeal
Question 14
Question
Which intervention should the nurse take first to promote micturition in a patient who is having difficulty voiding?
Answer
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Insert an indwelling urinary catheter
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Pour warm water over the patient's perineum
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Notify the provider immediately
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Insert an intermittent, straight catheter
Question 15
Question
Which is a key treatment intervention for the patient admitted with diverticulitis?
Question 16
Question
The student nurse asks the provider if she will prescribe an indwelling urinary catheter for a hospitalized patient who is incontinent. The provider explains that catheters should be utilized only when absolutely necessary because:
Answer
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Insertion is painful for most patients
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They are the leading cause of nosocomial infection
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They are too expensive for routine use
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They contain latex, increasing the risk for allergies
Question 17
Question
The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following statements indicates that the patient correctly understands the procedure?
Answer
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“I will wipe my genital area from front to back before I collect the specimen midstream.”
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“I will be sure to urinate into the ‘hat’ you placed on the toilet seat.”
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“I will collect my urine each time I urinate for the next 24 hours.”
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“I will need to lie still while you put in a urinary catheter to obtain the specimen.”
Question 18
Question
The nurse is instructing a patient about performing home testing for fecal occult blood. The nurse should explain that ingestion of which substance may cause a false-negative fecal occult blood test?
Answer
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Vitamin D
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Vitamin C
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Iron
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Thalidomide
Question 19
Question
A patient has anemia. An appropriate goal for that the patient would be for him to increase his intake of which nutrient?
Answer
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Calcium
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Iron
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Potassium
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Magnesium