Revision

1.

The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig's sign. These are two classic signs of which of the following disorders:

• a.

  Cerebral vascular accident (CVA)

• b.

  Meningitis

• c.

  Seizure disorder

• d.

  Parkinson's disease

2.

To improve the oxygenation of a client with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation, the nurse should place the client in which position?

• a.

  Supine

• b.

  Semi-Fowler's

• c.

  Lateral side

• d.

  Prone

3.

A client admitted to the hospital for chest pain is diagnosed with angina. The nurse should teach the client that the most common characteristic of anginal pain is that it is:

• a.

  Relieved by rest

• b.

  Precipitated by light activity

• c.

  Described by sharp or knifelike

• d.

  Unaffected by the administration of vasodilators

4.

A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44 breaths/min, and he is in acute respiratory distress. What is nurse’s priority action?

• a.

  Take a full medical history

• b.

  Give a bronchodilator by nebulizer

• c.

  Apply a cardiac monitor to the client

• d.

  Provide psychosocial support to the client

5.

While awaiting the diagnostic test results for a client with possible meningitis, which transmission-based precautions are best to implement?

• a.

  Droplet precautions

• b.

  Airborne precautions

• c.

  Contact precautions

• d.

  Standard precautions

6.

A nursing assessment confirms that a client, being evaluated for a cardiac-related diagnosis is experiencing weight gain, nausea and decreased urine output. The nurse suspects that this client may be experiencing:

• a.

  Angina pectoris

• b.

  Cardiomyopathy

• c.

  Left-sided heart failure

• d.

  Right-sided heart failure

7.

The nurse is obtaining a client’s pulse oximetry reading. The nurse understands that pulse oximetry measures:

• a.

  Carbon dioxide level in the blood

• b.

  Oxygen level in the blood

• c.

  The % of oxygen saturation in the blood

• d.

  The % of carbon dioxide saturation in the blood

8.

The nurse suspects stable angina rather than MI pain in a patient who reports that his chest pain

• a.

  Is relieved by administering NTG

• b.

  Is a sensation of tightness or squeezing?

• c.

  Does not radiate to the neck, back or arms

• d.

  Is precipitated by physical or emotional exertion

9.

Which of the following is a late sign of heart failure?

• a.

  Shortness of breath

• b.

  Orthopnea

• c.

  Edema

• d.

  Frothy-blood-tinged sputum

10.

A client recently experienced a common cold and a subsequent asthma attack. Based on the client’s history, what type of asthma would the nurse suspect?

• a.

  Emotional asthma

• b.

  Allergic asthma

• c.

  Nonallergic asthma

• d.

  Mediated asthma