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C. 1:30 pm to 3:30 pm D. 3:30 pm to 5:30 pm 30. Nurse Kate provides teaching to the client about proper insulin administration. Which of the following client statements indicates a need for further teaching? A. “I can store my unused or unopened insulin in the refrigerator” B. “There’s no need for me to aspirate the needle before injecting the insulin” C. “I should aspirate the needle first before injecting the insulin to ensure proper placement to subcutaneous” D. “I can inject my insulin into my abdomen” Situation: Nurse Clara is assigned to care for clients with thyroid disorders in a medical-surgical unit. 31. Dos is diagnosed with hypothyroidism. Which signs/symptoms should Nurse Clara expect the client to exhibit, except? A. Weight gain B. dry, sparse hair C. slow speech D. diarrhea 32. As the nurse, you should anticipate to administer which of the following medications to Dos who is diagnosed to be suffering from hypothyroidism? A. Levothyroxine B. Lidocaine C. Propylthiouracil D. Methimazole 33. The client is diagnosed with hyperthyroidism. Which signs/symptoms should the nurse expect the client to exhibit? 1. bradycardia 2. moist hair 3. heat intolerance 4. constipation 5. hyperlipidemia 6. hypertension A. 1,3,5 B. 2,3,6 C. 1,2,5 D. 4,5,6 34. Which laboratory finding is most indicative of hyperthyroidism? A. Elevated TSH levels B. Low T3 and T4 levels C. Elevated T3 and T4 levels D. Normal T3 and T4 levels 35. Tapazole (Methimazole) is prescribed to a client with hyperthyroidism to inhibit the synthesis of thyroid hormones. Which of the following health teachings should the nurse include? A. “Report sore throat or fever immediately.” B. “You may stop the medication once symptoms improve.” C. “Administer the medication without meals for better absorption” D. “Weight loss indicates effectiveness of the medication” Situation: Shine is a graduating student nurse who aspires to top the boards. As a preparation, she decided to go over her notes on Fundamentals of Nursing and review the most salient concepts. 36. The nurse uses a stethoscope to auscultate a male patient’s chest. Which stamen about stethoscope with a bell and diaphragm is true? A. The bell detects high pitched sound best B. The diaphragm detects high pitched sounds best C. The bell detects thrills best D. The diaphragm detects low pitched sounds best 37. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? A. 4,500/mm3 B. 7,000/mm3 C. 10,000/mm3 D. 25,000/mm3 38. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing: A. Hypokalemia B. Hyperkalemia C. Anorexia D. Dysphagia 39. Which of the following statements about chest X-ray is false? A. No contradictions exist for this test B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist C. A signed consent is not required D. Eating, drinking, and medications are allowed before this test 40. The nurse wants to test the skin temperature of her client. Which part of the hand is best to be use by the nurse? A. Finger pads B. Ulnar part of the hand C. Dorsal part of the hand D. palm of the hand 41. The four main concepts to nursing that appear in each of the current conceptual models are: A. Person, nursing environment, medicine B. Person, health, nursing, support systems C. Person, health, psychology, nursing D. Person, environment, health, nursing 42. An emergency department nurse prepares to plan care for a child diagnosed with acetaminophen overdose. The nurse reviews the primary health care provider’ s prescriptions and prepares to administer which medication? A. Succimer B. Vitamin K C. Acetylcysteine D. Protamine sulfate 43. What action should the nurse take to assess the pharyngeal reflex on a child? A. Ask the client to swallow . B. Pull down on the lower eyelid. C. Shine a light toward the bridge of the nose. D. Stimulate the back of the throat with a tongue depressor. 44. A low dose of ondansetron is prescribed for a client receiving chemotherapy. The nurse anticipates that the primary health care provider will prescribe the medication by which route? A. Oral B. Intranasal C. Intravenous D. Subcutaneous 45. When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on percussion is most commonly heard over which organ? A. thigh B. liver C. intestine D. lung 46. A nurse is assigned to perform postmortem care. Upon touching the client's body, she notes that it feels cool to the touch. The physician declared the time of death 2 hours ago. Which postmortem change is the nurse observing? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 47. During a forensic case, the nurse observes purplish discoloration on the dependent areas of a deceased client. What is the most likely stage of mortis present? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 48. A client was pronounced dead at 6:00 AM. At 11:00 AM, the nurse notes that the body is stiff and hard to manipulate during postmortem care. Which stage of mortis is most likely being observed? A. Rigor mortis 3 | Page

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