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This chapter is from the book

This chapter is from the book

Exam Prep Questions

  • 1. The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?

    • A. Report muscle weakness to the physician.

    • B. Allow six months for the drug to take effect.

    • C. Take the medication with fruit juice.

    • D. Ask the doctor to perform a complete blood count prior to starting the medication.

  • 2. The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:

    • A. Utilize an infusion pump.

    • B. Check the blood glucose level.

    • C. Place the client in Trendelenburg position.

    • D. Cover the solution with foil.

  • 3. A six-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?

    • A. A blood pressure of 126/80

    • B. A blood glucose of 110 mg/dL

    • C. A heart rate of 60 bpm

    • D. A respiratory rate of 30 per minute

  • 4. The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    • A. Replenish her supply every three months.

    • B. Take one every 15 minutes if pain occurs.

    • C. Leave the medication in the brown bottle.

    • D. Crush the medication and take it with water.

  • 5. A 54-year-old male is admitted to the cardiac unit with chest pain radiating to the jaw and left arm. Which enzyme would be most specific in the diagnosis of a myocardial infarction?

    • A. Aspartate aminotransferase

    • B. Lactic acid dehydrogenase

    • C. Hydroxybutyric dehydrogenase

    • D. Creatine phosphokinase

  • 6. The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    • A. Macaroni and cheese

    • B. Shrimp with rice

    • C. Turkey breast

    • D. Spaghetti and meatballs

  • 7. The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    • A. Feet

    • B. Neck

    • C. Hands

    • D. Sacrum

  • 8. The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    • A. Phlebostatic axis

    • B. Point of maximum impulse (PMI)

    • C. Erb’s point

    • D. Tail of Spence

  • 9. The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    • A. Question the order.

    • B. Administer the medications.

    • C. Administer them separately.

    • D. Contact the pharmacy.

  • 10. The best method of evaluating the amount of peripheral edema is:

    • A. Weighing the client daily

    • B. Measuring the extremity

    • C. Measuring the intake and output

    • D. Checking for pitting

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