1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the following findings as an indication of a possible allergic reaction to the medication?

A. Bradycardia

B. Headache

C. Joint pain

D. Hypotension

2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses should the nurse make?

A. “You should plan to take this medication for a few weeks.”

B. “You will regret it if you do not take this medication.”

C. “This medication will help you respond to the voices.

D. “This medication will help you stop the voices you are hearing.”

3. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy. Which of the following conditions should the nurse identify as increasing the client’s risk for complications?

A. Hyperthyroidism

B. Renal calculi

C. Diabetes mellitus

D. Cardiac dysrhythmias

4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?

A. WBC count 8,000/mm

B. Platelets 150,000/mm

C. Aspartate aminotransferase 10 units/L

D. Erythrocyte sedimentation 75 mm/hr

5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that suctioning has been effective?

A. Presence of a productive cough

B. Decreased peak inspiratory pressure 

C. Thinning of mucous secretions

D. Flattening of the artificial airway cuff

6. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?

A. Stand within 30cm (1 ft) of the client when speaking with them.

B. Express sympathy for the client’s situation.

C. Confront the client about his behavior.

D. Speak assertively to the client.

7. A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treat Cushing’s disease. Which of the following actions is the nurse’s priority?

A. Reposition the client for comfort every 2 hours

B. Observe for any indications of infection

C. Document amount and color of the incisional drainage.

D. Monitor the client’s fluid and electrolyte status.

8. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t want to have this surgery anymore.” Which of the following responses should the nurse make?

A. “We can manage your care following the procedure without complications.”

B. “You have the right to refuse the procedure.”

C. “Your doctor thinks the surgery is necessary.”

D. “Let me review the procedure so you can understand what is going to happen.”

9. A nurse is evaluating a client who has borderline personality disorder. Which of the following behaviors indicates an improvement in the client’s condition?

A. Impulsive behaviors

B. Decreased clinging behavior

C. Liability of mood

D. Dependent behavior