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 isto 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

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