1. A client with atrial fibrillation who is receiving maintenance therapy
of warfarin sodium (Coumadin) has aprothrombin time (PT) of 35
seconds. On the basis of the prothrombin time, the nurse anticipates
which prescription
1. Adding a dose of heparin sodium
2. Holding the next dose of warfarin
3. Increasing the next dose of warfarin
4. Administering the next dose of warfarin
2. Holding the next dose of warfarin
2. The nurse checks the laboratory result for a serum digoxinlevel that
was prescribed for a client earlier in the day andnotes that the result
is 2.4 ng/mL. The nurse should take which immediate action?
1. Check the client's last pulse rate.
2. Notify the health care provider (HCP).
3. Record the normal value on the client's flow sheet.
4. Administer the next dose of the medication as scheduled.
2. Notify the health care provider (HCP).
3. A client has been admitted to the hospital for urinary tractinfection
and dehydration. The nurse determines that the client has received
adequate volume replacement if the blood urea nitrogen level drops
to which value?
1. 3 mg/dL
2. 15 mg/dL
3. 29 mg/dL
4. 35 mg/dL
, 2
2. 15 mg/dL
4. A client arrives in the emergency department complaining of chest
pain that began 4 hours ago. A troponin T blood specimen is obtained,
and the results indicate a level of 0.6ng/mL. The nurse determines
that this result indicates which finding?
1. A normal level
2. A low value that indicates possible gastritis
3. A level that indicates a myocardial infarction
4. A level that indicates the presence of possible angina
3. A level that indicates a myocardial infarction
5. A client is receiving a continuous intravenous infusion of heparin
sodium to treat deep vein thrombosis. The client's activated partial
thromboplastin (aPTT) time is 65 seconds.The nurse anticipates that
which action is needed?
1. Discontinuing the heparin infusion
2. Increasing the rate of the heparin infusion
3. Decreasing the rate of the heparin infusion
4. Leaving the rate of the heparin infusion as is
4. Leaving the rate of the heparin infusion as is
6. A client with a history of cardiac disease is due for a morning dose
of furosemide (Lasix). Which serum potassium level, if noted in the
client's laboratory report,should be reported before administering
the dose of furosemide?
1. 3.2 mEq/L
2. 3.8 mEq/L
, 3
3. 4.2 mEq/L4
.4.8 mEq/L
1. 3.2 mEq/L
7. Several laboratory tests are prescribed for a client, and thenurse
reviews the results of the tests. Which abnormal laboratory test
results should the nurse report? Select all that apply.
1. Calcium, 7 mg/dL
2. Magnesium, 1 mg/dL
3. Phosphorus, 3.6 mg/dL
4. Neutrophils, 1000 cells/mm 3
o 1. Calcium, 7 mg/dL
o 2. Magnesium, 1 mg/dL
o 4. Neutrophils, 1000 cells/mm3
o 6. White blood cells, 3000 cells/mm3
8. An adult client with cirrhosis has been prescribed a diet with optimal
amounts of protein. The nurse evaluates the client's status as being
most satisfactory if the total proteinis which value?
1. 0.4 g/dL
2. 3.7 g/dL
3. 6.4 g/dL
4. 9.8 g/dL
3. 6.4 g/dL
9. A client with diabetes mellitus has a glycosylated hemoglobin A1c
level of 9%. On the basis of this test result, the nurse plans to teach
the client about the need forwhich measure?
, 4
1. Avoiding infection
2. Taking in adequate fluids
3. Preventing and recognizing hypoglycemia
4. Preventing and recognizing hyperglycemia
4. Preventing and recognizing hyperglycemia
10. The nurse is caring for a client with a diagnosis ofcancer
who is immunosuppressed. The nurse would consider
implementing neutropenic precautions if the client's white blood
cell count was which value?
1. 2000 cells/mm 3
2. 5800 cells/mm 3
3. 8400 cells/mm 3 4.
11,500 cells/mm3
1. 2000 cells/mm3
11. A client brought to the emergency department states that he
has accidentally been taking two times his prescribed dose of
warfarin (Coumadin) for the past week.After noting that the client has
no evidence of obvious bleeding, the nurse plans to take which
action?
1. Prepare to administer an antidote.
2. Draw a sample for type and crossmatch and transfuse theclient.
3. Draw a sample for an activated partial thromboplastintime
(aPTT) level.
4. Draw a sample for prothrombin time (PT) and
international normalized ratio (INR).
4. Draw a sample for prothrombin time (PT) and international normalized
ratio(INR).
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