1. A nurse is assessing a client who has left sided- heart failure. Which of the following findings

should the nurse expect?

a. Frothy sputum

2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis.

Identify the area where the nurse should expect to have referred pain.

a. Pain travels downward to the inguinal area and lower back (just below the belly button.)

3. A nurse is caring for a client who isreceiving peritoneal dialysis and notes a decrease in the

dialysate flow rate. Which of the following actions should the nurse take? (SATA)

a. Monitor the access site for drainage.

b. Measure the amount of the dialysate outflow

c. Position the client to her other side.

4. A nurse is planning to insert an indwelling catheter for a female client. Which of the following

actions should the nurse plan to take?

a. Secure the catheter to the client’s inner thigh.

5. A nurse is providing teaching for a client who has age-related macular degeneration. Which ofthe

following information should the nurse include in the teaching?

a. You probably have noticed a decline in your central vision.

6. A nurse is assessing a client who has a cirrhosis. Which of the following findings is the priority for

the nurse to report?

a. Platelets 70,000/mm3- risk of bleeding normal range is 150,000-300,000- ABC’sis

compromised automatically.

7. A nurse is preparing to discontinue long-term TPN therapy for a client. The nurse should plan to

discontinue the TPN gradually to reduce the risk of which of the following adverse effects?