OIIQ Practice Exam 3

Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection?

A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias?

The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

Which of the following positions would best aid breathing for a patient with acute pulmonary edema?

A 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort?

The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition?

Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube?

The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids is given first?

After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips?

A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed?

Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?

After a liver biopsy, place the patient in which of the following positions?

Which of the following potentially serious complications could occur with therapy for hypothyroidism?

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

Which of the following signs of increased intracranial pressure (ICP) would appear first after head trauma?

Which task should be assigned to the nursing assistant?

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site?

A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first?

The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication?

A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

In which of the following types of cardiomyopathy does cardiac output remain normal?

A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action?

On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest?

The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking?

A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?

During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes?

A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis?

A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?