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Question 1 of 5

The nurse is preparing a client with type 2 diabetes for a CT with contrast to evaluate diverticulitis with a possible mass. Which of the following medications on the client's medication list would be of concern to the nurse?

Correct Answer: D

Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.

Question 2 of 5

The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?

Correct Answer: A

Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.

Question 3 of 5

The nurse is caring for a client receiving IV heparin therapy for a pulmonary embolism. Which lab values would the nurse expect to order on this client?

Correct Answer: C

Rationale: PT, PTT, and INR are monitored to assess the therapeutic effect and safety of heparin, which affects blood clotting.

Question 4 of 5

An 82-year-old female complains of generalized fatigue and has new onset of urinary incontinence as well as anorexia, hyperventilation, and low-grade fever. The nurse anticipates that the client will be evaluated for which of the following?

Correct Answer: C

Rationale: Symptoms of fatigue, urinary incontinence, anorexia, and low-grade fever in an elderly female are classic for a urinary tract infection (
C). Diabetes (
A), bladder cancer (
B), and influenza (
D) are less likely to present with this combination of symptoms.

Question 5 of 5

A client with prostate cancer has been given the option of various treatments and asks the nurse for advice. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Discussing options and feelings (
A) supports the client's decision-making without giving direct advice. Other responses (B, C,
D) dismiss the client's request or overstep the nurse's role.

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