*********

******** **

* ******* ******* ***** ** **** *** ******* **** ******* *********** pulmonary disease **** ** ** ************ **** ******** ** *** ***** ********** ** best?

a ** ** *** to **** ******* of medications *** bronchodilation

b ** ** **** overactive **** ****** in response ** ******* disease

* It ******* *** ****** ****** by ** ********* ********* *****

* ** *********** *** ****** ******* ****** ** **** ********

******** **

* nurse ******** * client who *** * myocardial ********** *** ** *********** Which ********** ********** ******* should the ***** ********

* ***** **** ** *** **********

* Cool ****** *****

* ****** ********** ** 90%

d Respiratory **** of * breaths/min

******** 3

* ***** ******** * ****** ** ** ********** clinic ***** statement ****** the ***** to *** *********** of left-sided ***** *********

********* **** been ******** **** ***** **** *************

b“I ** ******** by *** need ** ******* ** *************

********* must **** ******* ** the ****** ** ***** ** **************

********* **** *********** ******* ****** ** ******* *****************

Question **

A ***** ******** clients ** a ******* **** ***** ****** ****** *** ***** ******** as ***** ** ******** risk *** the *********** ** ********** heart failure?

* * *********** woman **** aortic *********

* * 42-year-old *** with ********* hypertension

c A 59-year-old ***** *** smokes ********** ******

* A 70-year-old *** *** had * ******** ******** accident

******** **

* client ** ********* *********** ********* *** **** *** ***** to explain *** it works **** response ** *** nurse is ******

* ********* ******** ****************

b ********* inhibits ******************

* ********* thins your *************

d ********* ***** ******* vitamin *********

******** 6

* ****** ********** *********** monitoring after * ********** ********** has * ***** ****** ******** ** 05 ** ** What action by *** ***** ** most *************

* ***** *** ********** ** *** phlebostatic *****

* Lay *** client in the supine position

* ******* ** administer diuretics

d ******* ** ********** * fluid ******

******** **

* ***** ******** * client **** ****** ************ ***** manifestation ****** ***** *** ***** ** *** *********** ** * serious ************ from **** ***********

* ***** tachycardia

* Speech alterations

* ********

* ******* with *********

******** 8

* ****** has **** ********* **** ************ but **** *** take *** **************** *********** ******* ** * **** ** ******** **** ******** ** *** nurse ** ******

a“Do *** have trouble ********* your ********************

************ ****** **** ************ do not have symptoms”

*********** *** ****** **** ****** get severe morning *****************

*********** need ** **** **** ******** ** *** **** *** kidney failure”

Question **

* ****** ******** ****** *********** ********* ****** ***** * ********** ********** and *** ** ** ** intravenous ******** ** ******* *** ************** spouse **** *** the ****** ***** **** ********** **** ******** by *** ***** ** best?

*********** **** didn’t dissolve *** ****** ******** ************

*********** heparin keeps **** ****** **** ******* ******* *************

c“Heparin ***** the ***** as **** ** ******** *** * ****** time”

*********** ******* prevents * ****** **** occurring ** *** **** ***** ***********

******** 10

*** nurse ** reviewing *** ***** ***** of * **** client *** has *************** ***** finding ** **** concerning?

a ************ *** ******

b ************ *********** *********** ******** ** ******

* *********** lipoprotein cholesterol ******** *** ******

* Triglycerides: 198 ******

Question ***

* ************ ****** *** a platelet count ** ********* **** ****** ** the ***** is best?

a ********* ************ foods

* ********* neutropenic precautions

* ***** ******** ** ******* *******

* ***** *** ****** ** ****** precautions

Question ***

* ****** ** ** *** ******** ***** suffering * myocardial ********** *** *** ******** ********** *** ***** assists the ****** to the ******** and ***** the client’s ** ********** ** ** 95% ***** ** beats/min *** respiratory rate ** breaths/min after ********* ** *** **** ****** ** the ***** ** ******

* ********** oxygen ** * ******

* ***** continued bathroom privileges

c Obtain a ******* ********

* ******* *** ****** use * *******

******** ***

A nurse is working with a client *** takes atorvastatin ********* The ************** recent ********** ******* include * ***** **** nitrogen (BUN) ** 33 mg/dL *** creatinine ** ** mg/dL What ****** ** the nurse is best?

* Ask if *** ****** eats grapefruit

* ****** *** ****** for dehydration

* ********** admission ** *** hospital

* ****** a ****** urinalysis

******** ***

While ********* * client on * ******* **** * ***** ********** the ******** ** ** S3 ****** ***** ****** should the ***** take ******

* ****** for ******** of ********** ***** ********

* ******** **** ** * ****** ********

c **** *** health **** ******** ************

d ******** *** ****** to the ********* **** *****

Question ***

*** ***** ** evaluating a ***** diet history **** * ****** *** has ** ******** ***** ***** **** **** ********* ********* *** client is ******** **** condition well **** diet?

* * 4-ounce ***** French ***** ******* ********

b ***** ******* ****** ******** *********

* ***** ******* ********* *****

d Spaghetti **** **** ***** ****** ******

******** 16

* client is ** ***** *** *** ***** prepares ** administer insulin *** a ***** glucose reading ** 208 ***** *** ****** **** *** the ****** ***** ******* ** the client is *** * diabetic **** response by *** ***** ** best?

a *********** ******* ** ****** ** shock and needs ** ** ***************

* *********** ** *** *********** ** *** ****** *** ** raise ***** *************

* ********** ** solution *** lots of ******* ***** ****** ***** sugar”

d ********** stress ** this illness *** made **** ****** * ****************

******** ***

*** ***** **** *** ******** ****** ** **** ******* ***** ****** ****** *** nurse ****** first?

* ****** **** * blood ******** change ** 128/74 to ****** ** Hg

* ****** **** ****** saturation ********* ** 94%

* Client with * ***** ****** ** 100 ** ** **********

* Client **** ***** ****** of ** ***** for *** last 2 hours

******** ***

* ***** ***** *** * client **** *********** ***** failure *** ****** **** ********** ** I **** ** ***** myself every day?” How should the ***** *********

a ************* ** the best ********** **** you *** ******* ** ****** *************

* “Daily weights **** help ** make sure **** ************ ****** properly”

c ********** hospital requires **** *** ********** ** ******* *************

d ********** need ** **** weight ** decrease *** incidence ** ***** ***************

******** ***

* ***** ***** for a ****** *** *** * ***** **** ********* 56 beats/min **** ** ******* ******** ***** ******** ************ ****** *** ***** ******* ** ***** further ******* ** *** heart rate?

* *********** ******* **** your bath ***** ** warm”

b“Avoid ********* ***** having * bowel ****************

c“Limit your ****** ** *********** ****** to *** * ***********

************* ********* ******** **** as running”

******** 20

A ***** ** ****** *** * client after ******* *** ************** respiratory **** *** increased from ** ** ** *********** *** *** ***** **** ********* **** ** ** 98 ********* ***** **** **** last ******** 4 ***** ago **** ****** ** *** ***** is best?

* Ask if *** ****** ***** **** medication

* ****** *** client’s tissue perfusion ********

c Document *** ******** ** *** ************** ******

* Increase *** rate ** the client’s ** *********

Question ***

** emergency room ***** ******* *** health ******* ** a ****** ***** ********* ** the client should ***** *** ***** ** *** ********** ** ***** *********

* ******** *** ***** ** ****** when I ***** **************

* “I *** ***** ******** around my head”

* “I **** ******* *********** **************

* “I **** **** ****** **** *** **** *************

******** 22

*** ****** **** provider ***** *** ***** that * ****** ** to ** started ** * ******** ********* ***** **** drug **** the ***** **** to ***** *** ********

a *********** *********

* ********** **********

c ********* (Retavase)

* ******** ***********

Question ***

* ***** ******** * client’s ****************** ******* *** observes **** *** *** *** complexes *** ******** by * * wave *** ****** *** ***** ********* **** *************

* *** ****** has ************ causing irregular *** **********

* *********** *********** is ********** *** ****** atrial *******

c *** ************** ***** ***** *** *** ****** ********** ******* **** *** skin

* *********** and ****** *************** *** ********* **** ********* sites

******** ***

* ***** ****** *** * ****** with sickle **** ******* ***** reviews the ************** laboratory **** Which ******* ****** the nurse ****** to *** **********

a *********** ** mg/dL

b *********** ****

c ******* *** ******

d White blood **** ****** **********

Question ***

* nurse ******** ******* ** * **************** **** ***** client should the ***** identify ** ****** the ******** **** for ************** *********

* An 86-year-old *** with * ******* ** *******

* * 32-year-old ************** *** **** colorectal *******

c * *********** ******** ****** ***** **** ******** mellitus

* A *********** ************** ***** who ** on ******* ********

******** 26

A student nurse is ********* the ********** ******** ****** ** an older ***** What ****** ** *** ******* ***** ***** the ******* ****** ** ***********

* ********* ***** ******** ** both upper ************

* ************ *** ******* ******** *** *** bruits

* *********** ********* ****** ** 4 ******* ** *******

* Palpating **** ******* ******** ** *** same time

******** 27

A ***** ******** * client ***** administering * ********** **** blocker ***** ********** ****** the ***** ****** ** ******

a ***** ******** increased from 98/42 ** ** to ****** ** ***

* *********** rate ********* **** ** breaths/min ** 14 ************

* ****** saturation increased **** *** ** 96%

* ***** ********* **** *** ********* to ** beats/min

******** ***

* ***** evaluates ************* for a ****** **** ******* ****** ************ ***** ********** ****** the ***** expect ** **** ** this ************** ********** ************** ****** to prevent * common complication of **** ***********

a ******* ***********

* ******** (Coumadin)

* Atropine **************

* ********* (Xylocaine)

Question ***

* ***** ******** ** older ***** ****** *** *** ******** ******* diseases The client’s heart **** ** ** beats/min ***** action ****** *** ***** take *******

a ******** *** ******* ** the ******

b ******** ******** *******

* ****** the ************** medications

d ********** * ** ** *********

******** 30

A ****** ******** to *** ********* ********** in ****** cell ****** **** ************ ** *** nurse ***** **********

* ********** *******

* ***** an ******** ******

* Give **** ***********

* ***** an ** *****

Question 31

* ***** ******** * ****** ******** ** *** ******* unit Which ********* ** *** ****** ****** *** ***** ** the possibility ** *********** ***** failure?

********* ***** **** **** pillows ** night”

********** ***** *** ****** ***** **************

********* **** ** ******** ***** *************

d“I **** ******* catching ** breath”

******** ***

* ******* ******* ** ****** for * ****** *** had * ********** infarction *** ******* ** ******** ******* *** ****** ****** ******* ** ***** *** yet ******* *********** ***** the student ******** education ** ********* ******* *** healthy menu ******* What ******** ** *** ******* ****** ** ******

**************** to educate *** ****** on possible ******* ***************

***************** complications **** can ***** with *********************

************ *** client **** denial ** normal *** will soon ** ************

d“You **** to make sure the ****** *********** this ***************

******** ***

* client ** ********* ** ******** ** tissue *********** activator (t-PA) *** ***** assesses *** ****** ** be *********** ** ****** place and time **** ****** ** *** nurse is best?

* ****** the ************** ********* **********

* Request * ********** *************

* **** *** ******** and call the *********

* **** *** ******** * **** *** ** ***** signs

Question ***

* ****** in sickle cell crisis is ********** *** ** the ********* ********** *** nurse plans ** ***** ** IV ***** ***** choice ** ******

a045% ****** *******

b09% ****** saline

c ******** *** (D50)

* Lactated ************** solution

Question 35

* ******* is ****** *** * client *** ******** ******* blood **** after ****** *** **** *** ******* ********* the ***** **** **** *** ************** **** ******** ******** (MAP)?

a ** ****** **************** and ********* ****

b ***** blood ****** ****** ****

* There ** ** ****** *********** ** ****

* ** ****** ******* ****** and MAP

******** ***

* ****** *** * serum ******** level of 8 ***** and microcytic *** blood ***** What ****** ** the nurse ** best?

* ********* ************ ******

* Perform * ********* test ** *** ************** stools

* ***** ******** **** care

d ******* ** administer ********* (vitamin B12)

******** ***

* ***** ** ********* clients ** a **************** unit ***** client ****** *** ***** ******** ** being at ******** risk *** ****** **************

* A *********** *** ***** an ******* ******

* * *********** *** ** post ******** ****** ****** ***** ********

* * *********** *** had * ******* ***************

* ** *********** with chronic *********** ********* ********

******** ***

* client hospitalized **** ****** cell crisis frequently **** *** ****** **** medications often shortly ***** receiving a **** *** ****** on the **** believe the client is **** ******* **** *** ****** ******** **** ********** what action ** the ***** ** ******

* Give *** ****** **** medication if ** ** **** *** ******* *****

* ******** the ****** *** to request pain medication *** ******

* Request the ******** ***** * ************ *** * placebo

* **** *** ****** ** is *** early to **** **** pain medication

******** ***

* nurse ** ****** for a client ***** ******* *** ** ******** and apprehensive *** ********** ********* ********* ***** reports *** ***** ***** and *** ***** **** they are **** ******** different **** ******** ******** **** ****** **** *** ***** ******** next to the *****

* ****** *** client *** **** ** ***********

* ******* ***** ****** from the *********

* ********** *** ****** ** the ********** *****

* Stay **** *** client *** ******** him or ****

******** ***

* ***** ** assessing * ************ ****** *** ****** What ****** ** best?

* ****** *** conjunctiva ** *** ****

b Have *** ****** open *** **** *******

c **** ** *** roof of *** ************ ******

* Palpate *** ***** ** mild ********