1. A nurse is collecting data from a client who has emphysema. Which of the following findings should the

nurse expect? (Select all that apply.)

1) Dyspnea

2) Barrel chest

3) Clubbing of the fingers

4) Shallow respirations

5) Bradycardia

2. A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care,

the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the

following actions should the nurse take first?

1) Take the client's temperature.

2) Place a dressing under the client's nose.

3) Notify the charge nurse.

4) Test the drainage for glucose.

3. A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client

is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent

autonomic dysreflexia?

1) Monitor for elevated blood pressure.

2) Provide analgesia for headaches.

3) Prevent bladder distention.

4) Elevate the client's head.

4. A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following

findings should the nurse expect the client to report?

1) Hot flashes

2) Recurrent urinary tract infections

3) Blood in the stool

4) Abnormal vaginal bleeding

5. A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which

of the following findings is the nurse's priority?

1) Altered level of consciousness

2) Oral temperature of 37.7° C (100° C)

3) Muscle spasms

4) Headache

6. A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the

left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should

report to the provider?

1) Abdomen is distended