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Question 1 of 5

During a change of shift, the oncoming nurse notes a discrepancy in the narcotic count. The nurse’s first action should be to:

Correct Answer: B

Rationale: A discrepancy in the narcotic count requires immediate investigation to ensure patient safety and compliance. Notifying the nursing supervisor is the first step, as they can initiate an internal review. The pharmacist, board, or director are notified later if needed.

Question 2 of 5

The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?

Correct Answer: B

Rationale: Pernicious anemia, caused by vitamin B12 deficiency, leads to neurological symptoms like numbness and tingling due to nerve demyelination. The other symptoms are common in various anemias.

Question 3 of 5

The client will be more comfortable and the results more accurate when the nurse prepares the client for Leopold's maneuvers by having her:

Correct Answer: A

Rationale: A full bladder would cause discomfort and possible urinary incontinence during the exam. The left side-lying position would not accommodate the exam. The head of the exam table or bed can be slightly elevated to prevent supine hypotension. Arms extended over the head would cause the abdomen to be tighter and less easily palpable. Forcing fluids would encourage a full bladder, which is not desired for the exam.

Question 4 of 5

A laboratory technique specific for diagnosing Lyme disease is:

Correct Answer: A

Rationale: Polymerase chain reaction is the laboratory technique specific for Lyme disease. Heterophil antibody test is used to diagnose mononucleosis. Lyme disease does not decrease the serum calcium level. Lyme disease does not increase the serum potassium level.

Question 5 of 5

A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:

Correct Answer: D

Rationale: Keeping the leg straight for 8-12 hours minimizes bleeding risk at the arterial puncture site after coronary arteriography.

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