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1. A nurse reviewing laboratory results notes that a client’s serum sodium level is 150 mEq/L. The nurse reports the serum sodium level
to the physician, and the physician prescribes dietary instructions based on the sodium level. Which food item does the nurse instruct
the client to avoid?
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2. A client’s excessive use of oral antacids containing bicarbonate can result in which acid-base disturbances?
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3. A client receives a continuous IV infusion of heparin in the treatment of deep vein thrombosis. The client’s activated partial
thromboplastin time (aPTT) level is 65 seconds. The client’s baseline before the initiation of therapy was 30 seconds. A nurse expects
which action is needed?
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4. A morning dose of furosemide (Lasix) is due to a client with a history of cardiac disease. Which serum potassium level should a
nurse plan on noting before administering the dose of furosemide?
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5. A client who has developed atrial fibrillation and is not responding to medication therapy has been placed on warfarin sodium
(Coumadin). A nurse does discharge dietary teaching with the client. The nurse plans to teach the client to avoid which of the following
foods while taking this medication?
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6. A nurse changing the central line dressing of a client receiving total parenteral nutrition (TPN) notes that the catheter insertion site
appears reddened. The nurse next would evaluate which of the following items?
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7. A nurse has an order to hang an IV bag of 1000 ml 5% dextrose in water with 20 mEq potassium chloride (KCl). What should the
nurse plan to do immediately after injecting the KCl into the port of the IV bag?
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8. A nurse is preparing a continuous intravenous (IV) infusion at the medication table. While trying to attach the distal end of the IV tubing
to a needleless devise, the nurse drops the tubing and the tubing hits the top of the medication table. Which of the following is the
appropriate action by the nurse?
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9. After acquiring a unit of blood for a client from the blood bank, a nurse plans to look for which of the following members of the health
care team to assist in checking the unit of blood before the client’s transfusion?
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10. A nurse conducting a surgical dressing change of a client’s abdominal dressing observes increase in the amount of drainage and
separation of the incision line (leaving underlying tissue visible). The nurse should plan to do which of the following in the initial care of
this wound?
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11. After obtaining a unit of blood from the blood bank and properly checking the blood bag with another nurse, the nurse assesses
which of the following items before the transfusion begins?
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12. After obtaining a unit of packed red blood cells, a nurse plans client assignments. The nurse asks if another nurse will be available
to check on other assigned clients for how long which the unit of blood is hung?
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13. While inserting an indwelling urinary catheter into the urethra of a male client, the client complains of discomfort when the nurse
inflates the balloon. The most appropriate nursing action is to:
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14. While watching a 3-year-old child hospitalized for continuous vomiting, a nurse monitors the child for:
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15. While teaching a group of adolescents about the causes of acne, a nurse is asked “what is the cause of acne?”. Which of the
following is an appropriate answer to the question?
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16. A burn client is given treatments of topical mafenide (Sulfamylon) to the site of injury. A nurse watches the client, understanding that
which of the following suggests that a systemic effect has occurred?
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17. A client prescribed minoxidil (Rogaine) for hair loss asks a nurse if the hair will continue to grow once medication use is
discontinued. The most suitable nursing answer is:
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18. A nurse would decide that the white blood cell (WBC) count is normal for a client getting ready to receive chemotherapy if which of the
following laboratory results were present?
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19. A nurse evaluating the laboratory results of a client diagnosed with multiple myeloma would specifically document what in
conjunction with this disorder?
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20. A nurse teaching a client with peptic ulcer disease (PUD) about medications, would suggest avoiding which of the following
medications because of the irritating effects it can have on the lining of the gastrointestinal (GI) tract?
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