1.) A nurse is assessing a client who is receiving intravenous therapy.

The nurse should identifywhich of the following findings as a

manifestation of fluid volume excess?

a. Decreased bowel sounds

b. Distended neck veins

c. Bilateral muscle weakness

d. Thread pulse

2.) A nurse is caring for a client who has hyponatremia and is receiving

an infusion of a prescribedhypertonic solution. Which of the following

findings should indicate to the nurse that the treatment is effective?

a. Absent Chvostek’s sign

b. Improved cognition

c. Decreased vomiting

d. Cardiac arrhythmias absent

3.) A nurse is teaching a client who has a new prescription for a nitroglycerin

transdermal patch.

Which of the following instructions should the nurse include?

a. “Discontinue the patch if you experience a headache.”

b. “Apply a new patch if you have chest pain.”

c. “Cover the patch with dry gauze when taking a shower.”

d. “Remove the patch prior to going to bed.”

4.) A nurse is reviewing he laboratory results of a client who has a

prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.

which of the following should the nurse report tothe provider?

a. Creatinine 0.72 mg/dL

b. Sodium 138 mEq/L

c. Magnesium 2 mEq/L

d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level

greater than 5.0 mEq/L) increases the client risk for fatal

cardiac dysrhythmias. Kayexalate is used to decrease the

serum potassium level, so the PN should monitor the client's

serum potassium level

5.) A nurse is caring for a client who has tuberculosis and is taking

isoniazid and rifampin. Which of the following outcomes indicates that

the client is adhering to the medication regimen?

a. The client has a negative sputum culture

b. The client tests negative for HIV

c. The client has a positive purified protein derivative test

d. The client’s liver function test results are within the expected

reference range

6.) A client is caring for a client who develops an anaphylactic reaction to

IV administration. Afterassessing the client’s respiratory status and