1. B: An older adult's dysfunctional temperature regulator function places the client
at greatest risk for:
A) Acute dementia
B) Delayed initiation of appropriate treatment
C) Acute renal failure
D) Misdiagnosis of pathology
2. D: A client asks why his temperature is always below 98.6F. The nurse responds:
A) The best way to bring your body temperature up to normal is to live in a warmer
climate
B) Some people maintain a core body temperature of 41C and that is normal for
them
C) A person's highest point of core temperature is usually first thing in the morning
D) Normal core temperature varies between individuals within the range of 97F to
99.5F
3. A: The nurse assessing a client admitted with a diagnosis of "fever of unknown
origin" notes that the temperature is elevated, but the heart rate is within normal
range. What further assessment will the client require?
A) Test for Legionnaire disease
B) V/Q scan for pulmonary emboli
C) Thyroid scan for nodules
D) Sedimentation rate for RA
4. C: A 24-year-old woman presents with fever and painful swollen cervical lymph
nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely
has:
A) A mild viral infection
B) A mild parasitic infection
C) A severe bacterial infection
D) A severe fungal infection
5. A: A nurse is providing care for several clients on a neurological unit of a hospital.
With which of the following clients would the nurse be justified in predicting a problem
with thermoregulation?
A) A 66 year old male with damage to his thalamus secondary to a cerebral vascular
accident
B) A 22 year old male with damage to his cerebellum secondary to a motorcycle
accident
C) A 45 year old female with a T8 fracture secondary to a diving accident
D) A 68 year old male with end stage neurosyphilis
6. B: While sponging a client who has a high temperature, the nurse observes the
client begins to shiver. At this point, the priority nursing intervention would be to:
, Nurse 612-Exam 1 unit 1, 2, 3 test questions
A) Administer an extra does of aspirin
B) Stop sponging the client and retake a set of vital signs
C) Increase the room temperature by turning off the air conditioner and continue
sponging the client with warmer water
D) Place a heated electric blanket on the client's bed
7. A: A client has an increase in core body temperature. What assessment findings
does the nurse expect?
A) Flushed skin
B) Decreased skin temperature
C) Blue nail beds
D) Decreased urination
8. B: Which of the following patients is most likely to have impairments to the wound
healing process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired mobility
B) Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
D) Congenital heart defects and anemia
9. B: A two-day postoperative patient's temperature was 98.5F at 3:00 PM. At 6:00
PM, the unlicensed assistant notifies the nurse that the patient's temperature is 102F.
Which of the following actions should the nurse take?
A) Increase intravenous fluid rate
B) Notify the physician
C) Document the temperature
D) Offer the client a cold drink
10. A: A patient diagnosed with bacterial pneumonia is admitted to the hospital. The
nurse reviewing the patient's laboratory results notes an increase in the number of
bands in the white blood cell count. Which of the following is the priority action of the
nurse?
A) Continuing to monitor the client's laboratory results; this is an expected finding in
an acute infection
B) Placing the client in contact isolation immediately
C) Requesting a repeat blood draw to verify the findings
D) Notifying the physician of the abnormal lab result
11. B: The nurse is caring for a client whose temperature is increasing. The nurse
is aware that the client will also experience an increase in:
A) White blood cell count
B) Heart rate
C) Respiratory rate
D) Blood pressure
, Nurse 612-Exam 1 unit 1, 2, 3 test questions
12. B: A patient with a rising temperature is pale and has begun to shiver. The nurse
reports that the patient is in which of the following phases of fever development?
A) Prodrome
B) Chill
C) Flush
D) Defervescence
13. B: A client is said to be in the chill stage of the fever process when the nurse
does which of the following?
A) Administers an antipyretic medication
B) Observes piloerection on the skin
C) Observes the client is sweating
D) Determines the client will benefit from a cool sponge bath
14. B: What is the most common cause of drug fever?
A) Increased heat production from PTU
B) Hypersensitivity reaction to medication
C) Impaired peripheral heat dissipation by atropine
D) Serotonin syndrome
15. C: The nurse is assessing a client with diabetes and notes an area on the
client's right foot as inflamed, necrotic, and eroded. The client states he accidentally
slammed his foot in a door 2 weeks ago. The nurse would document this finding as
a(n):
A) Fungus
B) Pustule
C) Ulceration
D) Abscess
16. D: A normal response to fever is an elevated heart rate. A client with a fever who
is not exhibiting an elevated heart rate would indicate to the nurse that the cause of
the fever might be which of the following?
A) Hyperthyroidism
B) Flu
C) Pulmonary emboli
D) Legionnaires disease
17. B: The nurse is reviewing assessment documentation of a client's wound and
notes "purulent drainage". The nurse would interpret this as:
A) Exudate containing large amounts of fibrinogen
B) Exudate containing white blood cells, protein, and tissue debris
C) Exudate that is water fluid, low in protein
D) Exudate that resulted from leakage of red cells
, Nurse 612-Exam 1 unit 1, 2, 3 test questions
18. D: A client cuts herself with a sharp knife while cooking dinner. The client
describes how the wound started bleeding and had a red appearance almost
immediately. The nurse knows that in the vascular stage of acute inflammation, the
vessels:
A) Constrict as a result of "flight/flight" hormone release resulting in pale-colored
skin
B) Swell to the point of compromising circulation causing the limb to become cool
to touch
C) Bleed profusely until the body can compensate and start to send fibrinogen to
the wound
D) Vasodilate causing the area to become congested causing the red color and
warmth
19. A: A patient is experiencing anorexia, myalgia, arthralgia, headache, and fatigue.
The nurse should assess for which of the following?
A) Temperature
B) Urinary output
C) Respirations
D) Hypothermia
20. D: A client is experiencing the early stages of an inflammatory process and
develops leukocytosis. The nurse recognizes this as an:
A) Decrease in eosinophils at the tissue injury site
B) Increase in cell production
C) Decrease in blood supply to the affected area
D) Increase in circulating neutrophils
21. B: Which type of receptor binds with insulin?
A) G-protein-linked
B) Enzyme-linked
C) Ion-channel-linked
D) Intracellular
22. C: The Krebs cycle provides a common pathway for the metabolism of nutrients
by the body. The Krebs cycle forms two pyruvate molecules. Each of the two pyruvate
molecules formed in the cytoplasm from one molecule of glucose yields another
molecule of what?
A) H2O
B) NADH+ H+
C) ATP
D) FAD
23. C: A school nurse is teaching a class on immunity. Which statement contains an
accurate explanation about cellular defenses?
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