1. A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
- Intracerebral hemorrhage
- Rocky mountain spotted fever
- Cerebrovascular accident (CVA)
- Meningococcal meningitis
2. A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Intracerebral hemorrhage
Rocky mountain spotted fever
Cerebrovascular accident (CVA)
Meningococcal meningitis
3. An older client with cirrhosis of the liver and hepatic failure is place on a low sodium diet and is receiving periodic albumin infusions. Which assessment finding indicates progress toward the desired effect?
Prothrombin time within normal limit
Decrease abdominal grith
Improved level of consciousness
Clear, dark amber colored urine
4. a client with benign prostatic hyperplasia is preparing for discharge following a transurethral needle ablation (TUNA). Which information include in discharge instruction
Report when hematuria become pink tinged
Monitor urinary stream for decrease in output
Restrict physical activities
Use incentive spirometer
5. a client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse tech the client to use for the skin condition
Topical corticosteroids
Topical antifungal
Topical analgesics
Colloidal oatmeal-based lotion
6. when admitting a client with diagnosis of transient ischemic attach (TIA). Which intervention is most important for the nurse to include in this client’s plan of care?
Assess bilateral breath sounds
Palpate suprapubic region for urinary retention
Initiate neurological monitoring p2 hrs
Review client daily meds
7. the mother of an adolescent female tells the clinic nurse that after every meal her daughter goes to the bathroom, locks the door, and vomits. Which physical assessment should the nurse implement if bulimia is suspected?
Skin of palms of the hand
Condition of tooth enamel
Length of the last menses
Current height and weight
8. the nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child experiencing increased intracranial pressure (ICP).
Blood pressure fluctuation and syncope
Sluggish and unequal pupillary responses
Tachycardia and tachypnea
Increased head circumference bulging fontanels