1. Which information is a priority for the RN to reinforce to an older client after

intravenous pylegraphy?

A) Eat a light diet for the rest of the day

B) Rest for the next 24 hours since the preparation and the test is tiring.

C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2

days

D) Measure the urine output for the next day and immediately notify the health care

provider if it should decrease.

The correct answer is D: Measure the urine output for the next day and immediately

notify the health care provider if it should decrease.

2. A client has altered renal function and is being treated at home. The nurse recognizes

that the most accurate indicator of fluid balance during the weekly visits is

A) difference in the intake and output

B) changes in the mucous membranes

C) skin turgor

D) weekly weight

The correct answer is D: weekly weight

3. A client has been diagnosed with Zollinger-Ellison syndrome.Which information is

most important for the nurse to reinforce with the client?

A)It is a condition in which one or more tumors called gastrinomas form in the pancreas

or in the upper part of the small intestine (duodenum)

B)It is critical to report promptly to your health care provider any findings of peptic

ulcers

c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if

possible, surgery to remove any tumors

D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual

areas of the stomach or intestine

The correct answer is B: It is critical to report promptly to your health care provider any

findings of peptic ulcers .

4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse

determines that the client’s blood pressure is increasing. Which action should the nurse

take first?

A) Check the protein level in urine

B) Have the client turn to the left side

C) Take the temperature

D) Monitor the urine output

The correct answer is B: Have the client turn to the left side

5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the

ventricular rate is controlled at 75. Which of the following findings is cause for the most

concern?

A) Diminished bowel sounds

B) Loss of appetite

C) A cold, pale lower leg

D) Tachypnea

The correct answer is C: A cold, pale lower leg

6. The client with infective endocarditis must be assessed frequently by the home health

nurse. Which finding suggests that antibiotic therapy is not effective, and must be

reported by the nurse immediately to the healthcare provider?

A) Nausea and vomiting

B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)

C) Diffuse macular rash

D) Muscle tenderness

The correct answer is B: Fever of 103 degrees F (39.5 degrees C)