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Question 1 of 5

The nurse is caring for a man who has recently been diagnosed with angina. Which statement he makes indicates understanding of his condition?

Correct Answer: B

Rationale: Taking nitroglycerin for chest pain reflects proper angina management. Avoiding exercise, fearing heart attacks, or calling for all pain are misconceptions.

Question 2 of 5

The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?

Correct Answer: C

Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.

Question 3 of 5

The nurse in the pediatric clinic is planning to reinforce postoperative teaching to parents. The nurse should talk with the parent of which child first?

Correct Answer: A

Rationale: A foreign object in the ear (
A) poses an immediate risk of injury or infection, requiring urgent attention. Ear pain post-adenotonsillectomy (
B) is common and less urgent. School clearance (
C) and returning to sports (
D) are non-emergent.

Question 4 of 5

The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Which assessment finding would cause the nurse to call the provider immediately?

Correct Answer: B

Rationale: Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. Sudden cessation of wheezing is an ominous sign that indicates an emergency -- the small airways are now collapsed.

Question 5 of 5

The home health nurse is reinforcing teaching for a client with atrial fibrillation who is prescribed digoxin 0.25 mg orally on even-numbered days. Which client statement will require further teaching about digoxin?

Correct Answer: D

Rationale: Taking blood pressure (
D) is unrelated to digoxin monitoring. Anorexia (A Anorexia (
A), dizziness (
B), and visual changes (
C) are signs of digoxin toxicity, requiring provider notification.

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