1. Tachycardia is present in which type of fluid

1. Tachycardia is present in which type of fluid


a. Fluid volume deficit

b. No change in fluid

c. Fluid volume excess

d. Both fluid volume excess and fluid volume deficit

2. The nurse is conducting a health history interview. which Symptoms should the nurse recognize as classic manifestation of type one diabetes mellitus. Select all that apply

a. Excessive thirst

b. Excessive hunger

c. Fatigue

d. Obesity

3. The caregiver of a patient with chronic illness experiencing grief after the death of the patient. The caregiver giver recalls positive memories of the deceased patient, the nurse noticed that the caregiver is excepting the reality of the death of the patient what type of grief does the nurse Identify the caregiver

a. Complicated grief

b. Prolonged grief disorder

c. Adaptive grief

d. Anticipatory grief

4. When caring for a patient who is receiving potassium supplements the nurse recognizes the need to do which of the following action

a. Give potassium as a slow IV push medication over 1-2 minute

b. Monitor Sp02 levels (oxygen situation) when administering via the IV route

c. Encouraging the patient to use salt substitute week meals

d. Give oral potassium by diluting it in fruit juice or cold water

5. Despite the nurse best effort the patient’s wife Continuously ask the nurse to reassess her husband pain and to give him additional medication is the best rationale for using the concept of self report

a. the concern of the wife Make accurate pain assessment very difficult

b. the wife behavior indicates that she is overly anxious

c. the patient relationships with his wife is interfering with the plan of care

d. The patient is the only one who can describe his Experience of pain

6. A nursing student has been assigned to the hospital’s rapid respond Team (RRT) which statement by student indicates a correct understanding of the RRT member’s purpose?

a. I will be caring for client in the hospital

b. I will be admitting Client to the hospital

c. I will be observing code “blue resuscitation

d. I will be riding along in the patient’s ambulance

7. Mr. Smith is a Patient Who has been admitted in the nursing unit with a diagnosis of heart failure resulting fluid volume excess upon entering his room mr. Smith complains of difficulty breathing. What should be the nurse first action

a. Contact the primary care provider

b. Elevates the head of the bed and obtaining an oxygen situation level

c. Assess his fluid status by obtaining a daily weights

d. Administer a diuretic to help correct is his diagnosis of a fluid volume excess

8. A nurse has recently been assigned to a medical surgical clinical rotation according to the scope of medical surgical nursing what type of client assignment does the nurse expect to see

a. Hospitalized children with acute and chronic illnesses

b. Hospitalized adults with acute and chronic illnesses

c. Older adults in a nursing home

d. Working adults in a corporate setting

9. The nurse should be alert for signs of

After admitting insulin to the patient

a. Hyponatremia

b. Hypernatremia

c. Hyperglycemia

d. Hypoglycemia

10. A Patient developed acute renal failure Which acid-base imbalances should the nurse anticipates

a. Respiratory alkalosis

b. Metabolic alkalosis.

c. Respiratory acidosis

d. Metabolic acidosis.