A 55-year-old male client has been admitted to the hospital with a medical

diagnosis of chronic obstructive pulmonary disease (COPD). Which risk

factor is the most significant inthe development of this client's COPD?

C. The client smokes one to two packs of cigarettes per day.

A 25-year-old client was admitted yesterday after a motor vehicle collision.

Neurodiagnostic studies showed a basal skull fracture in the middle fossa.

Assessment on admission revealedboth halo and Battle signs. Which new

symptom indicates that the client is likely to be experiencing a common lifethreatening complication associated with a basal skull fracture?

B. Oral temperature of 102° F

The nurse is administering a nystatin suspension for stomatitis. Which

instruction will thenurse provide to the client when administering this

medication?

A. "Hold the medication in your mouth for a few minutes before

swallowing it."

A 62-year-old woman who lives alone tripped on a rug in her home and

fractured her hip. Which predisposing factor most likely contributed to the

fracture in the proximal end of herfemur?-

C. Osteoporosis resulting from declining hormone levels

The nurse is observing unlicensed assistive personnel (UAP) performing

morning care fora bedridden client with Huntington disease. Which care

measure is most important for thenurse to supervise?

A. Oral care

After attending a class on reducing cancer risk factors, a client selects bran

flakes with 2% milk and orange slices from a breakfast menu. In evaluating the

client's learning, the nurse affirms that the client has made good choices and

makes what additional recommendation?

A. Switch to skim milk.

Which description of symptoms is characteristic of a client diagnosed with

trigeminalneuralgia (tic douloureux)?

B. Sudden, stabbing, severe pain over the lip and chin

Based on the clinical manifestations of Cushing syndrome, which nursing

intervention wouldbe appropriate for a client who is newly diagnosed with

Cushing syndrome?

A. Monitor blood glucose levels daily.

In caring for a client with acute diverticulitis, which assessment data

warrants immediatenursing intervention?

A. The client has a rigid hard abdomen and elevated WBC.

A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of

an ulcer on theheel of the left foot that has not healed with wound care. The

nurse observes that the entire left foot is darker in color than the right foot.

Which additional symptom should the nurse expect to find?

A. Pedal pulses will be weak or absent in the left foot.

During the change of shift report, the charge nurse reviews the infusions

being received byclients on the oncology unit. The client receiving which

infusion should be assessed first?

C. Continuous epidural infusion of morphine

The nurse is assessing a 75-year-old client for symptoms of hyperglycemia.

Which symptomof hyperglycemia is an older adult most likely to exhibit?

D. Infection

The nurse is assessing a client who presents with jaundice. Which

assessment finding ismost important for the nurse to follow up?

D. Elevated serum amylase and lipase levels

A client with hypertension has been receiving ramipril (Altace), 5 mg PO,

daily for 2 weeksand is scheduled to receive a dose at 0900. At 0830, the

client's blood pressure is 120/70mm Hg. Which action should the nurse

take?

A. Administer the prescribed dose at the scheduled time.

A client diagnosed with chronic kidney disease (CKD) 2 years ago is

regularly treated at acommunity hemodialysis facility. Before his scheduled

dialysis treatment, which electrolyteimbalance should the nurse anticipate?

B. Hypocalcemia