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Question 1 of 5

Due to his prolonged history of alcohol abuse, an alcoholic client will most likely have deficiencies of which of the following nutrients?

Correct Answer: D

Rationale: Chronic alcoholism can lead to deficiencies of B complex vitamins including thiamine and pyroxidine.

Question 2 of 5

A nurse is preparing to mix and administer chemotherapy. What equipment would be unnecessary to obtain?

Correct Answer: C

Rationale: Surgical gloves, Luer lok tubing, and long-sleeve gowns are essential for safe chemotherapy administration to prevent exposure. A surgical hat cover (
C) is not typically required unless in a sterile procedure.

Question 3 of 5

A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:

Correct Answer: A

Rationale: Because the extremity may continue to swell and the cast could constrict circulation, the nurse should elevate the limb and observe for capillary refill, warmth, mobility of toes and circulation. Although muscle tone may diminish over time in the affected limb, this is not the immediate concern. The limb has been immobilized already by the cast, and therefore immobilization is not a concern. Heated fans and dryers are discouraged because the outside cast will dry quickly, yet the area beneath the cast remains wet and could cause burns.

Question 4 of 5

The client is diagnosed with pancreatitis. Which laboratory value is most indicative of this condition?

Correct Answer: A

Rationale: Elevated amylase is a key indicator of pancreatitis, as it is released from damaged pancreatic tissue. Bilirubin, hemoglobin, and white blood cell counts are less specific, though leukocytosis may occur.

Question 5 of 5

A 40-year-old client is admitted to the coronary care unit with chest pain and shortness of breath. The physician diagnosed an anterior wall myocardial infarction. What tests should the nurse anticipate?

Correct Answer: D

Rationale: Lactic dehydrogenase and CPK are enzymes released from injured myocardial tissue.

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