FB Review Q&A #1 for NLE - A client is

diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The

nurse should anticipate which laboratory test result?

a. Decreased serum sodium level

b. Decreased serum creatinine level
c. Increased hematocrit
d. Increased blood urea nitrogen (BUN)
level

FB Q & A #2 for NLE - When

instructing the client diagnosed with hyperparathyroidism about diet, the nurse
should stress the importance of which of the following?
a. Restricting fluids
b. Restricting sodium
c. Forcing fluids
d. Restricting potassium

FB Q & A #3 for NLE - Whenmonitoring a client's central venous pressure (CVP), the nurse knows that
anormal CVP measurement is:
a. 2 cm water
b. 1 mm Hg
c. 10 mm Hg 
d. 5 cm water

FB Q & A #4 for NLE - A client

hospitalized with pneumonia has thick, tenacious secretions. To help liquefy
these secretions, the nurse should:
a. turn the client every 2 hours
b. elevate the head of the bed 30
degrees
c. encourage increased fluid intake
d. maintain a cool room temperature

FB Q & A #5 for NLE - To evaluate a client's chief complaint, the nurse performs deep palpation. The
purpose of deep palpation is to assess which of the following? 

a. skin turgor
b. hydration
c. organs
d. temperature

FB Q & A #6 for NLE - An elderly client with tuberculosis has difficulty coughing up secretions for a
sputum specimen. Which nursing action is appropriate? 
a. spray the oropharynx with saline 
b. ask the client to drink a warm liquid 
c. force fluids for the next 8 hours 
d. raise the head of the bed to at least 45 degrees

FB Q & A #7 for NLE - The nurse is removing a fecal impaction on a75 year-old client. It is most
important that the nurse remember that:
a. the procedure be done prior to the bath 
b. family members should be taught the procedure 
c. cardiac dysrhythmias can result during the process 
d. increased dietary fiber can minimize such problems

FB Q & A #8 for NLE - The nurse is caring for a client who requires intracranial pressure (ICP)
monitoring. The nurse should be alert for what major complication of ICP monitoring?
a. coma
b. infection
c. high blood pressure
d. apnea

FB Q & A #9 for NLE - A client complains of vertigo. The nurse anticipates that the client may have a
problem with which portion of the ear?
a. external ear
b. middle ear
c. inner ear
d. tympanic membrane

FB Q & A #10 for NLE - For a

client with a head injury whose neck has been stabilized, the preferred bed
position is:
a. trendelenburg's
b. 30-degree head elevation
c. flat
d. side-lying

FB Q & A #4 for NLE - A client hospitalized with pneumonia has thick, tenacious secretions. To help
liquefy these secretions, the nurse should:
a. turn the client every 2 hours
b. elevate the head of the bed 30... degrees
c. encourage increased fluid intake
d. maintain a cool room temperature

 FBQ & A #11 for NLE - A client has been admitted for meningitis. Inreviewing the laboratory analysis of
cerebrospinal fluid (CSF), the nurse would expect to note 
a. high protein
b. clear color
c. elevated sedimentation rate
d. increased glucose
FB Q & A #12 for NLE - The nurse would teach a client with Raynaud's phenomenon that it is most
important to:
a. stop smoking 
b. keep feet dry 
c. reduce stress 
d. avoid caffeine

FB Q & A #13 for NLE - The nurseshould be prepared to manage complications after abdominal aortic
aneurysm resection. Which of the following complications is most common postoperatively? 
a. renal failure
b. hemorrhage and shock
c. graft occlusion
d. enteric fistula

FB Q & A #14 for NLE - The nurse administers furosemide (Lasix) to treat a client with heart failure.
Which adverse effect must the nurse watch for most carefully?
a. increase in blood pressure
b. increase in blood volume
c. low serum potassium level
d. high serum sodium level

FB Q & A #15 for NLE - The nurseis teaching a client who will be discharged soon how to change a sterile
dressing on the right leg. During the teaching session, the nurse noticesredness, swelling, and induration
at the wound site. What do these signs suggest? a. infection
b. dehiscence
c. hemorrhage
d. evisceration

FB
Q & A #16 for NLE - The client is admitted with cerebrovascular
accident (CVA) and has facial paralysis. Nursing care should be planned
to prevent which of the following complications?
a. inability to talk.
b. Inability to swallow caused by loss of the gag reflex.
c. Inability to open the affected eye.
d. Corneal abrasion.

FB Q & A #17 for NLE - The nurse recognizes which of the following as early signs of lithium toxicity?
a. restlessness, shuffling gait,involuntary muscle movements
b. ataxia, confusion, seizures.
c. fine tremors, nausea, vomiting,diarrhea.
d. elevated white blood cell count, orthostatic hypotension.

 FB Q & A #18 for NLE - Which nursing observation would suggest that a client has developed an
Addisonian crisis?
a. Muscular weakness and fatigue. 
b. Restlessness and rapid, weak pulse. 
c. Dark pigmentation of the skin. 
d. Gastrointestinal disturbances and anorexia.

FB Q & A #18 for NLE - A 78 year-old client with pneumonia has aproductive cough but is confused.
Restraints havebeen ordered for this client. How can the nurse prevent aspiration? 
a. suction the client frequently while restrained 
b. secure all 4 restraints to 1 side of bed 
c. obtain a sitter for the client while restrained 
d. request an order for a suppressant

FB Q & A #19 for NLE - On daily cleaning of a tracheostomy, theclient coughs and displaces the
tracheostomy tube. The nurse could have avoided this by:
a. placing an obturator at the client’s bedside 
b. having another nurse assist with the procedure 
c. fastening clean tracheostomy ties before removing old ties 
d. withdraw catheter in a circular motion

FB Q & A #20 for NLE - To evaluatea client's chief complaint, the nurse performs deep palpation. The
purpose of deep palpation is to assess which of the following? 
a. skin turgor
b. hydration
c. organs
d. temperature

FB Q & A #21 for NLE - When givingan I.M. injection, the nurse should insert the needle into the muscle
at an angle of: 
a. 15 degrees.
b. 30 degrees.
c. 45 degrees.
d. 90 degrees.

FB Q & A #22 for NLE - Whenassessing a client with cellulitis of the right leg, which of the following
would the nurse expect to find? 
a. painful skin that is swollen and pale in color
b. cold, red skin
c. small, localized blackened area of skin 
d. red, swollen skin with inflammation spreading to surrounding tissues

 FB Q & A #23 for NLE - The nurseis caring for a geriatric client with a pressure ulcer on the sacrum.
When teaching the client about dietary intake, which foods should the nurse plan to emphasize? 
a. legumes and cheese
b. whole grain products
c. fruits and vegetables
d. lean meats and low-fat milk
FB Q & A #24 for NLE - The nurseis developing a drug therapy regimen that won't interfere with the
client's lifestyle. When doing this, the nurse must consider the drug's: 
a. adverse effects.
b. route of excretion.
c. peak concentration time.
d. steady-state duration of action.

FB Q & A #25 for NLE - Which ofthe following is the most common source of airway obstruction in an
unconsciousvictim? 
a. a foreign object
b. saliva or mucus
c. the tongue
d. edema

FB Q & A #26 for NLE - The nurseadministers racemic epinephrine to an 8-year-old boy. Ten minutes
after administration, the nurse should be alert for:
a. respiratory distress.
b. respiratory distress.
c. signs of improved oxygenation.
d. diminished cyanosis.

 FB Q & A #27 for NLE - The nurseis preparing to help a client with weakness in his right leg get out of
bed toa chair. Where should the nurse place the chair? 
a. parallel to the bed on the right side
b. perpendicular to the bed on the right side
c. parallel to the bed on the left side

FB Q & A #28 for NLE - Whichclinical characteristic affects client compliance?

a. drug knowledge
b. psychosocial factors
c. the nurse-client relationship
d. disease duration and severity

FB Q & A #29 for NLE - The nursemust monitor a client receiving chloramphenicol for adverse drug
reactions.What is the most toxic reaction to chloramphenicol? 
a. lethal arrhythmias
b. malignant hypertension
c. status epilepticus
d. bone marrow suppression

FB Q & A #30 for NLE - Whenassessing the facial lacerations of a middle-aged client admitted to
thefacility 1 week ago, the nurse observes scabs around the lacerations. Scabsindicate which phase of
wound healing?
a. contraction
b. fibrinoplastic
c. lag
d. inflammation
 FB Q & A #31 for NLE - When should the nurse check a client for rebound tenderness?
a. near the beginning of the examination
b. before doing anything else
c. anytime during the examination
d. at the end of the examination

FB Q & A #32 for NLE - When preparing a client with a draining vertical incision for ambulation,
whereshould the nurse apply the thickest portion of a dressing?
a. at the top of the wound
b. in the middle of the wound
c. at the base of the wound
d. over the total wound

FB Q & A #33 for NLE - Whenpreparing a client for bronchoscopy, the nurse should instruct the client
notto:
a. walk.
b. cough.
c. talk.
d. eat.

FB Q & A #34 for NLE - The nurseanticipates that for a family who practices Chinese medicine the priority
goal would be to:
a. achieve harmony 
b. maintain a balance of energy 
c. respect life 
d. restore yin and yang

 FB Q & A #35 for NLE - A clienthas a Swan-Ganz catheter in place. The nurse understands that this is
intendedto measure:
a. right heart function 
b. left heart function 
c. renal tubule function 
d. carotid artery function

FB Q & A #36 for NLE - A nurseenters a client's room to discover that the client has no pulse
orrespirations. After calling for help, the firstaction the nurse should take is:
a. start a peripheral IV 
b. initiate closed-chest massage 
c. establish an airway 
d. obtain the crash cart

FB Q & A #37 for NLE - A clienthas been taking furosemide (Lasix) for the past week. The nurse
recognizeswhich finding may indicate the client is experiencing a negative side effectfrom the medication?
a. Weight gain of 5 pounds 
b. Edema of the ankles 
c. Gastric irritability 
d. Decreased appetite

FB Q & A #38 for NLE - Whichcomplication of cardiac catheterization should the nurse monitor for in
theinitial 24 hours after the procedure?
a. angina at rest 
b. thrombus formation 
c. dizziness 
d. falling blood pressure

FB Q & A #39 for NLE - A nurseprepares to care for a 4 year-old newly admitted for rhabdomyosarcoma.
The nurse should alert the staff to pay more attention to the function of whicharea of the body?
a. the muscles 
b. the cerebellum 
c. the kidneys 
d. the leg bones

FB Q & A #40 - The nurse is caring for a client with a serumpotassium level of 3.5 mEq/L. The client is
placed on a cardiac monitor andreceives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of
thefollowing EKG patterns indicates to the nurse that the infusions should bediscontinued?
a. QRS complex 
b. short "PR" interval 
c. tall peaked T waves 
d. "U" waves