1. A nurse is providing discharge teaching for a client who has HIV. Which of the following

information is the priority for the nurse to review with the client?

a. Describe your daily medication schedule

b. Name a few things you will change about your diet

c. List some ways you can cope with the stress of your illness

d. Tell me why it’simportant to have your CD4+ count checked

2. A nurse is caring for a client who has an endotracheal tube. Which of the following actions

should the nurse take to verify tube placement?

a. Deflate the cuff to check for tube placement

b. Place the client’s head and neck in a flexed position

c. Document the tube length where it passes the chin

d. Observe for symmetry of chest expansion

3. A nurse in an emergency department is caring for a client who is receiving treatment for

excessive ingestion of antacids. The nurse should identify that this client is at risk for which of

the following acid-base imbalances?

a. Metabolic acidosis

b. Respiratory acidosis

c. Respiratory alkalosis

d. Metabolic alkalosis

4. A nurse is assessing a client for a positive Chvostek’s sign following a thyroidectomy. Which

of the following areas on the client’s head should the nurse tap to assess the client for tetany?

(You will find hot spotsto select in the artwork below. Select only the hot spot that corresponds

to your answer.)

Facial nerve in front of ear for Chvostek’s sign; look for square sign in front of man’s ear

5. A nurse is caring for a client who has advanced liver disease. Which of the following

laboratory results should the nurse monitor when assessing this client?

a. Phosphate level

b. Serum troponin

c. Serum ammonia

d. Glucose level

6. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic

stroke. Which of the following is an appropriate nursing action?

a. Start the therapy within 8 hr

b. Insert an indwelling urinary catheter after therapy begins

c. Monitor blood pressure every 30 min during the infusion