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Question 1 of 5

A client with a history of glaucoma is prescribed timolol (Timoptic) eye drops. Which instruction should the nurse include in the teaching?

Correct Answer: B

Rationale: Pressing the inner corner (nasolacrimal occlusion) after instilling timolol prevents systemic absorption. Direct corneal application (
A) is incorrect, pain-based use (
C) is wrong, and refrigeration (
D) is unnecessary.

Question 2 of 5

The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:

Correct Answer: D

Rationale: Inspiration is normally longer in vesicular areas. High-pitched sounds are normal in bronchial area. Muffled sounds are considered abnormal. Inspiration and expiration are equal normally in this area, and sounds are medium pitched.

Question 3 of 5

The client is admitted with a diagnosis of gestational hypertension. Which assessment finding requires immediate notification of the physician?

Correct Answer: C

Rationale: Headache and visual disturbances in gestational hypertension suggest severe preeclampsia or impending eclampsia requiring immediate physician notification. BP of 140/90 proteinuria and edema are concerning but less urgent unless severe.

Question 4 of 5

The physician has ordered a liver panel for a client with suspected hepatitis. Which laboratory result is most indicative of liver damage?

Correct Answer: A

Rationale: Elevated alanine aminotransferase (ALT) is specific to liver damage, as it is released when hepatocytes are injured, common in hepatitis. Hemoglobin, sodium, and potassium are not directly indicative of liver function.

Question 5 of 5

A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client?

Correct Answer: D

Rationale: A low potassium diet is essential for clients with renal failure to prevent hyperkalemia. Among the options, 1 cup of rice has the lowest potassium content (approximately 50–100 mg per cup), making it the best choice. Beef broth contains moderate potassium (around 200 mg per cup), a baked potato with skin is high in potassium (about 900 mg), and raisins are also high (around 500 mg per half cup).

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