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NURSING 1015C NCLEX
Module 10 Exam
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1. Module 10 Exam
1. 1.
The nurse is assigned to care for four clients on the medical-surgical unit. Which client
should the nurse see first on the shift assessment?
A. A client admitted with pneumonia with a fever of 100° F (37.8°C)
and some diaphoresis
B. A client with congestive heart failure with clear lung sounds on the
previous shift
C. A client with new-onset of shortness of breath (SOB) and a history
of pulmonary edema (PE)
D. A client undergoing long-term corticosteroid therapy with mild
bruising on the anterior surfaces of the arms
2. 2.
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the
hospital with a diagnosis of dehydration. For which clinical manifestations that correlate
with this fluid imbalance would the nurse assess the client? Select all that apply.
A. Decreased pulse
B. Decreased urine output
C. Increased blood pressure
D. Increased respiratory rate
E. Decreased respiratory depth
3. 3.
The nurse is reviewing medical records to assigned clients on the 7 am to 7 pm shift.
Which client will the nurse monitor most closely for excessive fluid volume?
A. A 48-year-old client receiving diuretics to treat hypertension
B. A 35-year old client who is vomiting undigested food after eating
C. An 85-year-old client receiving intravenous (IV) therapy at a rate of
100 mL/hr
D. A 65-year-old client with a nasogastric tube attached to low suction
following partial gastrectomy
4. 4.
The nurse is caring for a client who is being treated for congestive heart failure related
to excessive fluid volume. Which assessment finding causes the nurse to determine that
the client’s condition has improved?
A. Dyspnea
B. 1+ edema in the legs
C. Moist crackles in the lower lobes of the lungs
D. Weight loss of 4 lb (1.8 kg) in 24 hours
5. 5.
The nurse notes that a client has ST-segment depression on the electrocardiogram
(ECG) monitor. With which serum potassium reading does the nurse associate this
finding?
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A. 3.1 mEq/L (3.1 mmol/L)
B. 4.2 mEq/L (4.2 mmol/L)
C. 4.5 mEq/L (4.5 mmol/L)
D. 5.4 mEq/L (5.4 mmol/L)
6. 6.
The primary health care provider writes a prescription for the administration of
intravenous (IV) potassium chloride to a client with hypokalemia. What does the nurse
plan to do when preparing and administering this medication?
A. Insert a Foley catheter in the client
B. Prepare the client for insertion of a central IV line
C. Administer the medication with the use of a macrodrip IV tubing
set
D. Ensure that the medication is diluted in an appropriate amount of
normal saline solution
7. 7.
The nurse notes that a client’s serum potassium level is 5.8 mEq/L(5.8 mmol/L). What
does the nurse interpret this expected finding to be related to?
A. Diarrhea
B. Wound drainage
C. Addison disease
D. Heart failure being treated with loop diuretics
8. 8.
The nurse is caring for a client experiencing hyponatremia who was admitted to the
medical-surgical unit with fluid-volume overload. For which clinical manifestations of this
electrolyte imbalance does the nurse monitor this client? Select all that apply.
A. Slow pulse
B. Decreased urine output
C. Skeletal muscle weakness
D. Hyperactive bowel sounds
E. Hyperactive deep tendon reflexes
9. 9.
The nurse is monitoring a client with hyperparathyroidism for signs/symptoms of
hypercalcemia. For which clinical manifestations, associated with this electrolyte
imbalance, does the nurse assess the client? Select all that apply.
A. Paresthesias
B. Muscle weakness
C. Increased urine output
D. Chvostek sign
E. Hyperactive deep tendon reflexes
10. 10.
The nurse is caring for a client with Crohn’s disease whose magnesium level is 1.0
mEq/L (0.5 mmol/L). Which assessment findings does the nurse expect to note? Select
all that apply.
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NURSING 1015C NCLEX
Module 10 Exam
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
1. Module 10 Exam
1. 1.
The nurse is assigned to care for four clients on the medical-surgical unit. Which client
should the nurse see first on the shift assessment?
A. A client admitted with pneumonia with a fever of 100° F (37.8°C)
and some diaphoresis
B. A client with congestive heart failure with clear lung sounds on the
previous shift
C. A client with new-onset of shortness of breath (SOB) and a history
of pulmonary edema (PE)
D. A client undergoing long-term corticosteroid therapy with mild
bruising on the anterior surfaces of the arms
2. 2.
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the
hospital with a diagnosis of dehydration. For which clinical manifestations that correlate
with this fluid imbalance would the nurse assess the client? Select all that apply.
A. Decreased pulse
B. Decreased urine output
C. Increased blood pressure
D. Increased respiratory rate
E. Decreased respiratory depth
3. 3.
The nurse is reviewing medical records to assigned clients on the 7 am to 7 pm shift.
Which client will the nurse monitor most closely for excessive fluid volume?
A. A 48-year-old client receiving diuretics to treat hypertension
B. A 35-year old client who is vomiting undigested food after eating
C. An 85-year-old client receiving intravenous (IV) therapy at a rate of
100 mL/hr
D. A 65-year-old client with a nasogastric tube attached to low suction
following partial gastrectomy
4. 4.
The nurse is caring for a client who is being treated for congestive heart failure related
to excessive fluid volume. Which assessment finding causes the nurse to determine that
the client’s condition has improved?
A. Dyspnea
B. 1+ edema in the legs
C. Moist crackles in the lower lobes of the lungs
D. Weight loss of 4 lb (1.8 kg) in 24 hours
5. 5.
The nurse notes that a client has ST-segment depression on the electrocardiogram
(ECG) monitor. With which serum potassium reading does the nurse associate this
finding?
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A. 3.1 mEq/L (3.1 mmol/L)
B. 4.2 mEq/L (4.2 mmol/L)
C. 4.5 mEq/L (4.5 mmol/L)
D. 5.4 mEq/L (5.4 mmol/L)
6. 6.
The primary health care provider writes a prescription for the administration of
intravenous (IV) potassium chloride to a client with hypokalemia. What does the nurse
plan to do when preparing and administering this medication?
A. Insert a Foley catheter in the client
B. Prepare the client for insertion of a central IV line
C. Administer the medication with the use of a macrodrip IV tubing
set
D. Ensure that the medication is diluted in an appropriate amount of
normal saline solution
7. 7.
The nurse notes that a client’s serum potassium level is 5.8 mEq/L(5.8 mmol/L). What
does the nurse interpret this expected finding to be related to?
A. Diarrhea
B. Wound drainage
C. Addison disease
D. Heart failure being treated with loop diuretics
8. 8.
The nurse is caring for a client experiencing hyponatremia who was admitted to the
medical-surgical unit with fluid-volume overload. For which clinical manifestations of this
electrolyte imbalance does the nurse monitor this client? Select all that apply.
A. Slow pulse
B. Decreased urine output
C. Skeletal muscle weakness
D. Hyperactive bowel sounds
E. Hyperactive deep tendon reflexes
9. 9.
The nurse is monitoring a client with hyperparathyroidism for signs/symptoms of
hypercalcemia. For which clinical manifestations, associated with this electrolyte
imbalance, does the nurse assess the client? Select all that apply.
A. Paresthesias
B. Muscle weakness
C. Increased urine output
D. Chvostek sign
E. Hyperactive deep tendon reflexes
10. 10.
The nurse is caring for a client with Crohn’s disease whose magnesium level is 1.0
mEq/L (0.5 mmol/L). Which assessment findings does the nurse expect to note? Select
all that apply.
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