1. A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism
caused by an adenoma. Which of the following findings should the nurse report
to the provider?
A. Tachycardia and hypertension.
A. Respiratory rate 16/min.
B. Negative Chvostek’s sign.
B. Laryngeal stridor and hoarseness.
C. Positive Trousseau’s sign.
2. A nurse is conducting a home visit for an older adult client who has diabetes mellitus and takes regular insulin subcutaneously before each meal. The client appears
disoriented and weak and has slurred speech. Which of the following conditions
should the nurse consider first when responding to these manifestations?
A. Dementia
A. Hypoglycemia
B. Infection
C. Transient ischemic attack
3. A nurse is assessing a client who has an abdominal aortic aneurysm (AAA). Which
of the following findings indicates that the AAA is expanding?
A. Increased BP and decreased pulse rate
D. Jugular vein distention and peripheral edema
B. Report of sudden, severe back pain
E. Report of retrosternal chest pain radiating to the left arm
4. A nurse is caring for a client who has celiac disease. Which of the following foods
should the nurse remove from the client's meal tray?
89% of exam takers got this question correct.
A. Wheat toast
F. Tapioca pudding
G. Hard-boiled egg
H. Mashed potatoes
5. A nurse is assessing a client who is receiving continuous ambulatory peritoneal
dialysis. Which of the following findings should the nurse report to the provider?
A. WBC 6,000/mm^3
C. Potassium 3.0 mEq/L
I. Clear, pale yellow drainage
J. Report of abdominal fullness
6. A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a
client who has had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the bedside for this client?
A. Cardiac monitor
K. Defibrillator
L. Thoracotomy tray
D. Tracheostomy tray
7. A nurse is caring for a client who has a hearing impairment. Which of the following actions should the nurse take when communicating with the client?
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