1. Nurse is preparing to administer thrombolytic therapy to a client with ischemic

stroke. which is an appropriate nursing action?

- • Elevate HOB between 25-30 degrees

2. Nurse is teaching about the use of an incentive spirometer. Which of the

following instructions should the nurse include in the teaching?

- • Holds breaths about 305 seconds before exhaling

3. Nurse is assessing a client who is 12 hr post op following a colon resection.

Which of the following findings should the nurse report to the surgeon

- • Absent Bowel Sounds

4. Nurse is caring for a client who has diabetes insipidus. Which of the following

meds should the nurse plan to administer?

- Desmopressin

5. Nurse is admitting a client who has arthritic pain and reports taking ibuprofen

several times daily for 3 years. Which of the following tests should the nurse

monitor?

- Stool for occult blood

6. A nurse in the ED is assessing a client. Which of the following actions should the

nurse take first?

- Initiate Airborne Precautions

7. A nurse is contacting the provider of a client who has cancer and is experiencing

breakthrough pain. Which of the following prescriptions should the nurse

anticipate?

- Fentanyl

8. Nurse is admitting a client who reports chest pain and has been places on a

telemetry monitor. Which of the following should the nurse analyze to determine

whether the client is experiencing a MI

- ST segment

9. Nurse is teaching a client who has ovarian cancer about skin care following

radiation treatment. Which of the following should the nurse include

- • Pat the skin on the radiation site to dry it

10.A nurse is caring for a client receiving blood transfusion. Nurse observes client

has bounding peripheral pulse, HTN, distended jugular veins. The nurse should

anticipate admin which of the following meds?

- Furosemide