Questions Part 8

1. A client with pneumacystis carinii pneumonia is receiving

Methotrexate. The rationale for administering leucovorin calcium

to a client receiving Methotrexate is to:

❍ A. Treat anemia

❍ B. Create a synergistic effect

❍ C. Increase the number of white blood cells

❍ D. Reverse drug toxicity

2. A client tells the nurse that she is allergic to eggs, dogs, rabbits,

and chicken feathers. Which order should the nurse question?

❍ A. TB skin test

❍ B. Rubella vaccine

❍ C. ELISA test

❍ D. Chest x-ray

3. The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

❍ A. 30 minutes before meals

❍ B. With each meal

❍ C. In a single dose at bedtime

❍ D. 60 minutes after meals

4. A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

❍ A. Is the opening on the client’s left side

❍ B. Is the opening on the distal end on the client’s left side

❍ C. Is the opening on the client’s right side

❍ D. Is the opening on the distal right side

5. While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

❍ A. Ask the client to void.

❍ B. Assess the blood pressure for hypotension.

❍ C. Administer oxytocin.

❍ D. Check for vaginal bleeding.

6. The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

❍ A. The need for oxygen therapy

❍ B. A history of claustrophobia

❍ C. A permanent pacemaker

❍ D. Sensory deafness

7. A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

❍ A. Colorful crib mobile

❍ B. Hand-held electronic games

❍ C. Cars in a plastic container

❍ D. 30-piece jigsaw puzzle

8. The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

❍ A. Taking a hot bath will decrease stiffness and spasticity.

❍ B. A schedule of strenuous exercise will improve muscle

strength.

❍ C. Rest periods should be scheduled throughout the day.

❍ D. Visual disturbances can be corrected with prescription

glasses.

9. A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

❍ A. Dulcolax suppository

❍ B. Docusate sodium (Colace)

❍ C. Methyergonovine maleate (Methergine)

❍ D. Bromocriptine sulfate (Parlodel)

10. A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

❍ A. Total Parenteral Nutrition leads to negative nitrogen

balance and elevated glucose levels.

❍ B. Total Parenteral Nutrition cannot be managed with oral

hypoglycemics.

❍ C. Total Parenteral Nutrition is a high-glucose solution

that often elevates the blood glucose levels.

❍ D. Total Parenteral Nutrition leads to further pancreatic

disease.