Multiple Choice
Which clinical feature found on assessment should indicate to a nurse that a client has congestive heart failure? Select the one best answer.
- Fatigue and dyspnea.
- Cheyne-Stokes breathing and orthostatic hypotension.
- Liver tenderness and peripheral edema.
- Pulmonary crackles and weak pulses.
Multiple Response
A client with a history of Graves’ disease is admitted for uncontrolled hyperglycemia and a foot ulcer. This client requires close monitoring because of the increased risk of:
- Select all that apply.
- Hypotension.
- Elevated temperature.
- Hypothyroidism.
- Hypoglycemia.
- Extreme tachycardia.
Fill in the Blank
A child is to receive digoxin 0.07 mg PO twice daily. The label on the bottle of digoxin reads 0.05 mg/mL. A nurse correctly calculates that this client should receive _______ mL of digoxin. Record your answer using one decimal place.
Hot Spot
A client has mitral regurgitation. Where is the best place for a nurse to auscultate the associated murmur?
Ordered Response (Prioritization; Drag and Drop)
A nurse prepares to administer a Denver II developmental assessment on a toddler. In which order should the nurse complete the assessment? Place each action in sequential order.
- _______Ask child to name doll’s body parts.
- _______Ask caregiver if the child uses a spoon and fork.
- _______Ask the child to build a tower of 2 cubes.
- _______Advise parent that the assessment is not an IQ test.
- _______Have child kick ball forward.
Chart or Exhibit
A nurse is caring for a client with a closed chest drainage system. Which area should the nurse identify that regulates the amount of suction?
Graphic
When documenting in a client’s medical record, which symbol or abbreviation is appropriate for a nurse to use according to the Joint Commission?
- >
- @
- mL
- U