1. Your client is suspected of having a pulmonary embolus. The nurse assesses the client,
knowing that which of the following is a common clinical manifestation of pulmonary
embolism?
A. Dyspnea and chest pain
B. Bradycardia
C. Bradypnea
D. Decreased respirations
2. A 75 year old client is recovering from bilateral hip replacement. Because the client is
extremely weak and can’t produce an effective cough, the nurse should monitor closely for:
A. Atelectasis
B. Pleural Effusion
C. Pulmonary edema
D. DVTs
3. A dark skinned client with asthma seeks emergency care for acute respiratory distress. Because
of this client’s dark skin, the nurse should assess for cyanosis by inspecting the.....
A. Soft palate
B. Sclera and hard palate
C. Mucous membranes
D. Nail beds
4. A male patient is admitted to the health care facility for treatment of chronic obstructive
pulmonary disease. Which nursing diagnosis is most important for this patient?
A. Activity intolerance related to fatigue
B. Impaired gas exchanges r/t airflow obstruction
C. Anxiety r/t inability to catch her breath
D. Fatigue r/t poor perfusion
5. An 80 year old client presents with periorbital edema and crackles; the nurse would assess the
client for. ?
A. Facial and eye trauma
B. Congestive heart failure
C. Presbyopia
D. Allergies to newly prescribed medications
6. The nurse finds a patient in bed unable to sleep due to shortness of breath. Which action by the
nurse is most appropriate?
, A. Assure the patient that this is normal and will probably resolve within the next week
B. Tell the patient to sleep on his or her right side to facilitate ease of respirations
C. Obtain a detailed history of the patient’s allergies and history of asthma.
D. Assess for other signs and symptoms of paroxysmal nocturnal dyspnea
7. The nurse is performing an assessment of the client's head and neck. The client requests
information about the assessment of her lymph nodes. Which is the best response?
A. "When one lymph node is identified as being enlarged, this is always an abnormal finding."
B. "The lymph system makes antibiotics to treat infection."
C. “All of your lymph nodes should be easily palpable."
D. "Sometimes, enlarged lymph nodes indicate an infection."
8. What test is being performed by the nurse?
A. Phelan’s test for Carpal Tunnel Syndrome
B. Modified Allen Test
C. Percussion of ulnar nerve
D. Palpation of arteries
9. The nurse assesses the vision of an older adult client and finds he has no central vision but has
peripheral vision. The nurse concludes that this is consistent with which disorder?
A. Blepharitis
B. Hypertensive retinopathy
C. Diabetic retinopathy
D. Macular degeneration
10. The following are classic sign/symptom of hypothyroidism.
A. Increased heart rate and hair on scalp and body
B. Increased energy, Tachycardia and increased metabolism
C. Weight gain, bradycardia and slow metabolism
D. Increased weight loss of 10 lbs
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