Nurse Reviewing Laboratory Explained for Students (Easy Guide)
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Original Question
1.A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide. For which of the following results should the nurse notify the provider? Potassium 2.3 mEq/L Calcium 10 mg/dL Magnesium 1.4 mEq/L Sodium 136 mEq/L 2. A nurse at a community center is assisting with a presentation about sun protection to a group of residents. Which of the following responses by the residents indicates an understanding of the teaching? I can expose my 3-month-old infant to the sun if I apply sunscreen A sunscreen is a better choice for my toddle than a sunblock Sunscreen does not need to be applied on a cloudy day I should apply a sunscreen with an SPF of 30 3. A nurse is collecting data from a client who has diabetes and is overweight. The client tells the nurse that she wants to start an exercise program. Which of the following actions should the nurse take first? Determine the client’s usual pattern of activity Encourage the client to join a support group Provide the client with a list of signs of symptoms to report to the provider Assist he client to develop a healthy eating plan 4. A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take? Count the apical pulsations for a cull minute Press the stethoscope firmly against the client skin Check the apical pulse with a doppler device Use the diaphragm of the stethoscope to listen the apical pulsations 5. A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings? Enzyme-linked immunosorbent assay (ELISA) Prostate specific antigen Venereal disease research laboratory (VDRL) Western blot test 6.A nurse is preparing an in-service presentation about preventing healthcare-associated infections (HAIs). The nurse should include which of the following as a common cause of these infections? Multiple caregivers Urinary Catheterization Ghorter/he washes 7. A nurse is assisting with planning interventions for an influenza outbreak in a long term care facility. Which of the following interventions should the nurse include in the plan? Implement airborne preauction for clients who have influenza Provide prophylactic antibiotics for clients who have been expose to influenza Place restriction on visitation Assig health care personnel to nondirected care activities for 24 hr after developing influenza symptoms 8. A nurse is preparing to administer an enema when the client state, “My doctor didn’t tell me I was supposed to receive an enema.” Which of the following actions should the nurse take? Inform the charge nurse that the client refused the enema Check the client’s medical record for the provider’s prescription Assure the client that enemas help relieve constipation Explain to the client that the provider prescribed the procedure 9. A nurse is reinforcing dietary teaching with a client about low-fat food choices. Which of the following foods should the nurse recommend at the best choice when including potatoes in her diet? Mashed potatoes ½ cup Homemade hash browns ½ cup Potato salad ½ cup Ten trench fries 10. A nurse is assisting with the development of an education program about skin cancer. Which of the following information should the nurse include in the presentation? Individual who have light skin are at grater risk for developing skin cancer Tanning bed use should be limited to once per week Basal cell carcinoma has a high of metastasis A family history of squamous cell carcinoma is a risk factor for developing skin cancer 11. A charge nurse is planning to admit several client to the medical unit. Which of the following clients should the nurse assign to a private room? A client who is admitted with thrombocytopenia A client who has neutropenia A client who is newly diagnosed as HIV positive A client who has a total hip arthroplasty 12. A nurse is reinforcing teaching to a female client who has risk factors for stork. Which of the following statements by the client indicates understanding of the teaching? Using oral contraceptives provides me with protection from a stork My blood pressure needs to stay a little elevated for good blood flow to my brain I can safely have up to 3 alcoholic drinks a day Managing my cholesterol will reduce my chances of having a stroke 13. A nurse is assisting a charge nurse with room assignments. There is one private room available on the unit to accommodate a client who needs airborne precautions. Which of the following clients should be assigned to this room? A client who has Guillain-Barre syndrome and is on ventilator A client who has bronchitis and tracheostomy A client who has community-acquired pneumonia with copious respiratory secretions A client who has AIDS and is coughing up blood 14. A nurse is an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all the apply). Needle tracks Alopecia Skeletal deformities Numbness Ecchymosis 15. A nurse is collecting data about a client’s skin turgor. Which of the following actions should the nurse take? Observe for nonbleaching, pinpoint-size, red or purple spots on the skin of the abdomen Press the skin over the client’s ankle bone Grasp a fold of skin on the client’s forearm or near the sternum Lightly palpate the skin using the fingertips 16. A charge nurse in a long-term care facility checks with other nursing personnel on the unit through the day to determine if they are completing task. Which of the following rights of delegation is the nurse demonstrating? Right communication Right supervision Right person Right circumstances 17. A nurse at an outpatient surgery center is reinforcing discharge teaching with a client’s partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching? The client should remain in bed for 3 days Position the client on the affected side to rest The client should wear dark glasses while outdoors Feed the client soft food for several days 18. A nurse is talking with a client who is beginning a program of moderate exercise. When the nurse reminds the client of the importance of doing warm-up exercises, the client asks why. Which of the following reason should the nurse give? Stabilizes body temperature Readjust to baseline function Reduces the risk of injury Enhances relaxation 19. A nurse is caring for a client who present to an urgent care with a laceration on his forearm. Which of the following activities is an example of primary prevention? Teaching the client about follow-up care Administering a tetanus immunization Suturing the client’s wound Appling a sterile dressing 20. A nurse reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all the apply). I will make sure to feel for changes in my underarm area Since I no longer have periods, I can do the exam at any time of the month It is important to press my breast firmly to detect any lumps I will use my fingertips to check my breast I can stand in the shower to perform the examination 21. A nurse is caring for a client who is postoperative following an abdominal hysterectomy and has an indwelling urinary catheter in place. An assistive personnel (AP) reports to the nurse that the client’s abdominal dressing is saturated with blood. Which of the following tasks should be delegated to the AP? Observing the incisional sit Obtaining vital signs Emptying the urinary collection bag Changing the abdominal dressing 22. A nurse on a pediatric unit has received change of shift report. Which of the following clients should the nurse plan to see first? 23. A nurse is reinforcing nutrition teaching with a client who has osteoporosis. Which of the following food selection should the nurse recommend to increase calcium in the client’s diet? 1 tbsp of cream cheese 3 oz of lean beef 1 medium apple 1 cup of kale 25. A nurse is collecting data about a client carinal nerve. Which of the following methods should the nurse use to identify a problem with cranial nerve II? Ask the client to her clench teeth Use a Snellen chart Present the client with mildly scented aromas Determine if the client’s speech is hoarse 26. A nurse is assisting with teaching a community group about the early detected of colorectal cancer. Which of the following screening recommendations should the nurse include for adults 50 years of age and older? Flexible sigmoidoscopy every 8 years Flexible sigmoidoscopy every 8 years Fecal occult blood test every 5 years Fecal occult blood test every 2 years 27. A nurse is assisting with the admission of a client to an inpatient unit. Which of the following sources of information should the nurse use as primary source of accurate data about the client? Family information progress note Progress note Medical history Client concerns 28. A nurse is reinforcing teaching with an adolescent regarding administration of the Gardasil vaccine. The provides immunity against which the of sexually transmitted infections? Human papillomavirus (HPV) Chlamydia trachomatis Gonorrhea Herpes simplex virus (HSV-2) 29. A nurse is reinforcing teaching with a middle-age client about hypertension. Which of the following information should the nurse include in the teaching? Set you goal body weight within 25% of ideal body weight Limit alcohol consumption to 3 drinks day when hypertensive Plan to lower sodium intake to 3,000 mg each day Plan to have potassium blood level checked when taking a thiazide diuretics 30. A nurse has received report from an RN on a group of newly assigned clients. Which of the following statements by the RN during report indicates that the nurse should assume total care for the client, rather than assigning task to the assistive personnel (AP)? The client discussed having prior thought of suicide The client’s blood pressure and pulse have been unusable The client has had colostomy for several years The client’s family members have been present most of the day 31. A nurse is reinforcing teaching about dietary measures with a client who is at risk for developing osteoporosis. Which of the following food choices should the nurse recommend to increase the client’s calcium level? One baked potato Two medium carrots Once cup cooked spinach One cup boiled cabbage 32. A young adult tells the nurse in the provider’s office that he is concerned about the amount of sleep he is getting. The nurse should explain that which of the following durations is the average recommendation for sleep for a young adult? 8 hr 11 hr 12 hr 14 hr 33. A nurse is reinforcing teaching about sigs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include? You will experience a surge of energy You will have a wight gain of 0.5 to 1.5 kilograms You will experience urinary retention You will have a decrease in vaginal discharge 34. A nurse is collecting data from a client who has a hip fracture. Which of the following findings should the nurse expect when checking the extremity? Muscle spasms Hip pallor Leg lengthening Leg abduction 35. The nurse is caring for a client who has developed a Clostridium difficile infection following therapy. Which of the following actions should the nurse take? Monitor the client for manifestations of fluid overload Implement neutropenia isolation Disinfect equipment with bleach solution Use alcohol hand sanitizer following client care 36. A nurse is preparing to administer medication to client. Which of the following client identifiers should the nurse use prior to administering medication to the client? Home address Medical record Phone number Room number 37. A nurse is reinforcing teaching with a 40-year-old female client about the preventive health screenings. Which of the following statements by the client indicates an understanding of the teaching? I will need to have a mammogram every year now I should h have my first colonoscopy when I turn 65 I will be checked for uterine cancer every 2 years I should have my skin checked every 5 years for cancer 38. A nurse is reinforcing dietary teaching with a client who has iron deficiency anemia. Which of the following foods should the nurse record as good source? Cooked oatmeal Pineapple Maple syrup Carrots 39. A nurse is planning care for a client who has been placed in wrist restrains for self-destructive behavior. Which of the following actions should the nurse take first? Document the client’s behavior in the medical record Observe the client’s behavior Secure the restraint to a movable part of the client’s bed Release he restraints and perform bilateral range of motion 40. A nurse makes a medication error. She immediately collects data from the client and finds no adverse effects from the error. The nurse decides not to report the error because no harm came to the client. Which of the following ethical principles did the nurse violate? Beneficence Veracity Autonomy Confidentiality 41. A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? Exercising regularly will bring down my HDL cholesterol levels Adding food containing omga-3 fatty acids to my diet will lower my risk of heart disease A weigh loss program will increase my LDL cholesterol levels Increasing the intake of food containing trans-fatty acids in my diet can lower my risk of hear disease 43. A nurse is caring for client who has diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider? Hematuria Pedal edema Blood pressure 162/90 mm Hg Urinary output of 280 mL during previous 8 hr 44. A nurse is planning to assign care activities to the assistive personnel (AP). Which of the following activities are appropriate for assignment to the AP? (Select all that apply.) Checking the position of a client who is in soft wrist restraints Determining the level of exhaustion in a client who has hypomania Accompanying a client who has depression to occupational therapy Sitting with ac client who has alcohol use disorder whose last drink weeks 4 day ago Setting limits with client who has mania 45. A provider prescribes isometric exercise for a client who has a knee injury. The nurse should instruct the client to expect which of the following results from completing these exercises regularly? 46. A nurse is reviewing contraception option for four clients. The nurse should identify which of the following as having a contraindication to the oral contraceptives? A 15-year-old client who has acne A client who has a blood pressure of 140/90 mm Hg A client who has a menstrual cycle every 14 days A client who has a hematocrit of 39% 47. A nurse is receiving a provider’s prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.) Question any part of the prescription that is unclear or inappropriate Accept a voice mall prescription if the nurse can hear and understand it well Repeat the prescription back to the provider Obtain the provider’s signature within 48 hr Transcribe the prescription onto the client’s medical record 48. A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal change. Which of the following alterations is appropriate for the nurse to include? Increased force of isometric contractions Thickened vertebral disks Decreased chest width Decreased muscle mass 49. A nurse is collecting data from a client who has a suspected cataract. The nurse should collect data from which of the following areas to confirm the diagnosis? The client’s tongue The lens of the client’s eyes The client’s eyelid The posterior pharynx of the client’s throat 50. A 46-year-old African-American man is in an outpatient clinic for a physical examination. His BP is 126/84 mm Hg, his BMI is 24, and he reports no previous medical problems. Which of the following actions should the nurse take? Schedule his next appointment for 1 year form now Provide information about how to reduce risk factors of hypertension Schedule an appointment for a prostate-specific antigen (PSA) test Provide information for a weight loss plan that include increasing physical activity 51. A nurse is collecting data for a client who has malnutrition resulting form a chronic illness. Which of the following should the nurse expect to find? Slightly moist skin Depigmented hair Presence of surface papillae on tongue Non-palpable spleen 52. A nurse is contributing to the development of pamphlet about breast cancer awareness for a local health fair. Which of the following information provided by the nurse needs to be corrected? You can examine your breasts in the shower with soapy hands Check you breasts in a mirror for any change in size, contour, or dimpling Perform your breast self-examination each month 2 or 3 days after menstruation Use the palm of your hand to feel for lumps using a patting motion 53. A nurse is reinforcing teaching about foods that contain water by weight to a client who has a prescription for increased fluid intake. Which of the following food should the nurse recommend that contains the most water by weight? Honey Milk Lettuce Carrots 54. A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include in the teaching? Avoid snacking between meals Use a straw to consume liquids Avoid wearing constricting clothing Elevate the head of your bed by 18 inches 55. A nurse is reviewing a client’s medication administration record. For which of the following medications should the nurse place that client on fall precautions? Penicillin G Diazepam Salmeterol Misoprostol 56. A nurse is assisting in preparing a presentation at community center about systemic lupus erythematosus (SLE). The nurse should identify which of following groups as having highest risk for developing this disorder? African American women Native American men Asian men Caucasian women 57. A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching? As long as I change my gloves between client, it is not necessary to wash my hands I should wash my hands when they are visibly dirty It is acceptable to use alcohol-based hands products after most contact with clients I will not wear artificial nails when providing client care 58. A nurse is reinforcing teaching with a client who is postpartum about bathing her newborn. Which of the following statements by the client indicates a need for further teaching? I will use basin during bathing I will test the water on my wrist for temperature before bathing I will use mild soap Baby powder will help prevent diaper rash 59. A nurse is collecting data form a client and observes multiple aphthous ulcers in the client’s oral cavity. The nurse should use which of the following terms when documenting this finding? Candidiasis Stomatitis Otorrhea Halitosis 60. A nurse at a community health clinic is assisting with creating a brochure about testicular cancer. Which of the following should the nurse include? Perform a testicular self-examination twice per year Use one h and to palpate the testicles Gently roll the testicles to feel for abnormalities Palpate the epididymis 61. A nurse is reinforcing teaching with an older adult client. Which of the following strategies should the nurse use? Incorporate teaching needs into one daily session Begin with the most difficult learning tasks Emphasize and auditory teaching techniques Minimize distractions by closing the door to the room 62. A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take? Make sure the room temperature is cool Provide music as an environmental distraction Explain to the client what is about to happen Inform the client that the provider will examine sensitive areas first 63. A nurse is reinforcing health screening education with a group of clients. The nurse recognizes that which of the following clients has the greatest risk for hypertension? A client who is of Asian ethnicity A female client who is 44-years-old A client who is African American A male client who is 53-years-old 64. A nurse is prenatal clinic overhears a newly licensed nurse discussing concept with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse? Fertilization tasks place in the outer third of the fallopian tube Bleeding or spotting can accompany implantation Sperm remain viable in the woman’s reproductive tract for 2 to 3 days Implantation occurs between two and three weeks after conception 65. A nurse is reinforcing teaching with a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instruction should the nurse include? Bend at the knees when picking up an object Hold an object away from her body as she lefts it Twist at the waist when she moves an object one side Relax her abdominal muscles when she lifts ab object 66. A nurse receives a client care assignment that he believes is unfair. Which of the following actions should the nurse take? Talk with the charge nurse about the assignment and his concerns Refuse the assignment and leave the unit Accept the assignment and talk with the nurse manager at a later time Ask another nurse to review the equity of the assignment 67. A nurse is setting up sterile filed to perform wound irrigation on client’s leg. Which of the following should the nurse identify as contaminating the sterile field? Places sterile supplies with the 2.5 cm (1 in) border of the sterile field Positions the sterile tray on the bedside table above waist level Keep the sterile filed within sight at all times Use sterile forceps to move the sterile items on the sterile filed 68. A nurse is collecting data about a client’s pulmonary system. While auscultating the client’s lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea and bronchi. Which of the following terms should the nurse use to document this finding? Crackles Friction rub Rhonchi Wheezing 69. A nurse is reinforcing teaching to a client about skin cancer. Which of the following statements by the client indicates a need for further teaching? Eating a high fiber diet will reduce my risk for developing skin cancer I should use sunscreen even on cloudy day I should check my skin monthly for any changes I should avoid the use of tanning booths 70. A nurse is reinforcing dietary teaching with a client who tells the nurse she would like to reduce her solid fat intake and increase oil intake in her diet. Which of the following instructions should the nruse include in teaching? Choose ground beef that is at least 80% lean meat Use safflower old instead of butter when baking Consume 2% or whole milk Replace tub margarine with stick margarine 71. A nurse is collecting data from an older adult client who comes to the clinic with dry, flaky skin on her upper back. Which of the following actions should the nurse take? Use a penlight to examine the back in greater detail Pinch up a fold of skin to check for turgor Examine the back before the general inspection of the skin Note dry, flaky skin as expected finding 72. A nurse on a medical unit is reinforcing teaching with a group of assistive personnel about handling client’s bed lines safely. Which of the following instructions should the nurse include? Use double bagging to remove soiled linen form the client’s room Return any fresh linen not used for client’s to the lined supply area Fill linen bags with as much soiled lined as possible Tie linen bags securely at the top 73. A nurse is assisting an older adult client plan an exercise regimen. Which of the following activities should the nurse encourage the client to avoid? Resistance training Aerobic exercises Stretching Running 74. A nurse is caring for client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to pregnancy. Which of the following should the nurse make? It is a good idea to increase you weight-bearing exercises Be careful about exercise that include stretching Moderate exercise can help improve your circulation You should rest for 5 minutes following exercise 75. A nurse is caring for client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make? It is good idea to increase you weight-bearing exercises Be careful about exercises that include stretching Moderate exercise can help improve your circulation You should rest for 5 minutes following exercise
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