Prometric QR7 2
Prometric QR7 2
Prometric QR7 2
Jannen
Level:
1. Following surgery, Mario complains of mild incisional pain while performing deep-
breathing and coughing exercises. The nurse’s best response would be:
2. The nurse needs to carefully assess the complaint of pain of the elderly because older
people
5. Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the
creation of an ileal conduit in the morning. He is wringing his hands and pacing the
floor when the nurse enters his room. What is the best approach?
6. An agitated, confused female client arrives in the emergency department. Her history
includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals
pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures
42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery,
nurse Lily teaches the client to treat hypoglycemia by ingesting:
a. 2 to 5 g of a simple carbohydrate.
b. 10 to 15 g of a simple carbohydrate.
c. 18 to 20 g of a simple carbohydrate.
d. 25 to 30 g of a simple carbohydrate.
8. Nurse John is assigned to care for a postoperative male client who has diabetes
mellitus. During the assessment interview, the client reports that he’s impotent and says
he’s concerned about its effect on his marriage. In planning this client’s care, the most
appropriate intervention would be to:
a. Encourage the client to ask questions about personal sexuality.
b. Provide time for privacy.
c. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional.
9. During a class on exercise for diabetic clients, a female client asks the nurse educator
how often to exercise. The nurse educator advises the clients to exercise how often to
meet the goals of planned exercise?
10. Nurse Oliver should expect a client with hypothyroidism to report which health
concerns?
a. 45 units/L
b. 100 units/L
c. 300 units/L
d. 500 units/L
12. A male client who is recovering from surgery has been advanced from a clear liquid
diet to a full liquid diet. The client is looking forward to the diet change because he has
been “bored” with the clear liquid diet. The nurse would offer which full liquid item to
the client?
a. Tea
b. Gelatin
c. Custard
d. Popsicle
13. Nurse Juvy is caring for a client with cirrhosis of the liver. To minimize the effects of
the disorder, the nurse teaches the client about foods that are high in thiamine. The
nurse determines that the client has the best understanding of the dietary measures to
follow if the client states an intension to increase the intake of:
a. Pork
b. Milk
c. Chicken
d. Broccoli
14. Nurse Oliver checks for residual before administering a bolus tube feeding to a client
with a nasogastric tube and obtains a residual amount of 150 mL. What is appropriate
action for the nurse to take?
15. A nurse is inserting a nasogastrictube in an adult male client. During the procedure,
the client begins to cough and has difficulty breathing. Which of the following is the
appropriate nursing action?
17. In a female client with burns on the legs, which nursing intervention helps prevent
contractures?
18. A male client comes to the physician’s office for treatment of severe sunburn. The
nurse takes this opportunity to discuss the importance of protecting the skin from the
sun’s damaging rays. Which instruction would best prevent skin damage?
19. A female client is brought to the emergency department with second- and third-
degree burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of
Nines, what is the total body surface area that has been burned?
a. 18%
b. 27%
c. 30%
d. 36%
20. Which nursing intervention can help a client maintain healthy skin?
22. A female client admitted to an acute care facility after a car accident develops signs
and symptoms of increased intracranial pressure (ICP). The client is intubated and
placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP
caused by suctioning, the nurse anticipates administering which drug endotracheally
before suctioning?
a. phenytoin (Dilantin)
b. mannitol (Osmitrol)
c. lidocaine (Xylocaine)
d. furosemide (Lasix)
23. After striking his head on a tree while falling from a ladder, a young man age 18 is
admitted to the emergency department. He’s unconscious and his pupils are
nonreactive. Which intervention would be the most dangerous for the client?
24. When obtaining the health history from a male client with retinal detachment, the
nurse expects the client to report:
25. Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis?
27. A male elderly client is admitted to an acute care facility with influenza. The nurse
monitors the client closely for complications. What is the most common complication of
influenza?
a. Septicemia
b. Pneumonia
c. Meningitis
d. Pulmonary edema
28. A female client has a tracheostomy but doesn’t require continuous mechanical
ventilation. When weaning the client from the tracheostomy tube, the nurse initially
should plug the opening in the tube for:
a. 15 to 60 seconds.
b. 5 to 20 minutes.
c. 30 to 40 minutes.
d. 45 to 60 minutes.
29. Gina, a home health nurse is visiting a home care client with advanced lung cancer.
Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory
rate of 10 breaths/minute. These signs are associated with which condition?
a. Hypoxia
b. Delirium
c. Hyperventilation
d. Semiconsciousness
30. A male client with Guillain-Barré syndrome develops respiratory acidosis as a result
of reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values
confirms respiratory acidosis?
a. pH, 5.0; PaCO2 30 mm Hg
b. pH, 7.40; PaCO2 35 mm Hg
c. pH, 7.35; PaCO2 40 mm Hg
d. pH, 7.25; PaCO2 50 mm Hg
31. A male client who takes theophylline for chronic obstructive pulmonary disease is
seen in the urgent care center for respiratory distress. Once the client is stabilized, the
nurse begins discharge teaching. The nurse would be especially vigilant to include
information about complying with medication therapy if the client’s baseline
theophylline level was:
a. 10 mcg/mL
b. 12 mcg/mL
c. 15 mcg/mL
d. 18mcg/mL
32. Nurse Kim is caring for a client with a pneumothorax and who has had a chest tube
inserted notes continuous gentle bubbling in the suction control chamber. What action is
appropriate?
33. A nurse has assisted a physician with the insertion of a chest tube. The nurse
monitors the adult client and notes fluctuation of the fluid level in the water seal
chamber after the tube is inserted. Based on this assessment, which action would be
appropriate?
34. The nurse caring for a male client with a chest tube turns the client to the side, and
the chest tube accidentally disconnects. The initial nursing action is to:
35. Nurse Paul is assisting a physician with the removal of a chest tube. The nurse
should instruct the client to:
a. Exhale slowly.
b. Stay very still.
c. Inhale and exhale quickly.
d. Perform the Valsalva maneuver.
38. Liza says, “Give me 10 minutes to recall the name of our college professor who failed
many students in our anatomy class.” She is operating on her:
a. Subconscious
b. Conscious
c. Unconscious
d. Ego
41. A nurse is reviewing a patient’s medication during shift change. Which of the
following medication would be contraindicated if the patient were pregnant? Note:
More than one answer may be correct.
A: Coumadin
B: Celebrex
C: Catapress
D: Habitrol
42. A nurse is reviewing a patient’s PMH. The history indicates photosensitive reactions
to medications. Which of the following drugs has not been associated with photosensitive
reactions? Note: More than one answer may be correct.
A: Cipro
B: Sulfonamide
C: Noroxin
D: Nitrodur
43. A patient tells you that her urine is starting to look discolored. If you believe this
change is due to medication, which of the following patient’s medication does not cause
urine discoloration?
A: Sulfasalazine
B: Levodopa
C: Phenolphthalein
D: Aspirin
44. You are responsible for reviewing the nursing unit’s refrigerator. If you found the
following drug in the refrigerator it should be removed from the refrigerator’s contents?
A: Corgard
B: Humulin (injection)
C: Urokinase
D: Epogen (injection)
45. A 34 year old female has recently been diagnosed with an autoimmune disease. She
has also recently discovered that she is pregnant. Which of the following is the only
immunoglobulin that will provide protection to the fetus in the womb?
A: IgA
B: IgD
C: IgE
D: IgG
46. The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed
on rosuvastatin (Crestor). Which instruction should be given to the client?
47. The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat)
is ordered. During administration, the nurse should:
48. The 6-month-old client with a ventral septal defect is receiving Digitalis for
regulation of his heart rate. Which finding should be reported to the doctor?
a. Blood pressure of 126/80
b. Blood glucose of 110mg/dL
c. Heart rate of 60bpm
d. Respiratory rate of 30 per minute
49. The client admitted with angina is given a prescription for nitroglycerine. The client
should be instructed to:
50. The client is instructed regarding foods that are low in fat and cholesterol. Which
diet selection is lowest in saturated fats?