The nurse is caring for a client with an asthma exacerbation who has b

1.A nurse in the emergency department is titrating a continuous infusion of nitroglycerin to a client admitted for acute coronary syndrome. The client's vital signs, including blood pressure (BP), heart rate (HR), and pain level, are beingmonitored frequently. Which assessment findings indicate that the current rate of administration should be maintained? 选项： A:

BP 80/50 mm Hg, HR 110/min; client reports pain is 0 out of 10

B:

BP 100/60 mm Hg, HR 90/min; client reports pain is 3 out of 10

C:

BP 110/70 mm Hg, HR 80/min; client reports pain is 0 out of 10

D:

BP 120/80 mm Hg, HR 70/min; client reports pain is 5 out of 10

2.The nurse is caring for a client who recently returned from the operating room . On data collection, the nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 81 beats/min; and respirations, 16 breaths/min . Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min . Which action would the nurse plan to take first?None 选项： A:Call the surgeon immediately . B:Shake the client gently to arouse . C:Cover the client with a warm blanket . D:Recheck the vital signs in 15 minutes .

3.The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which uterine assessment finding requires an intervention by the nurse? 选项： A:

Contraction duration of 95 seconds

B:

Contraction frequency of every 3 minutes

C:

Contraction intensity of 45 mm Hg

D:

Uterine resting tone of 10 mm Hg

4.The nurse is caring for a client after percutaneous placement of a coronary stent for a myocardial infarction. The client rates lower back pain as 5 on a scale of 0-10 and has blood pressure of 140/92 mm Hg. The cardiac monitor shows normal sinus rhythm with occasional premature ventricular contractions. Which prescription should the nurse administer first? Click on the exhibit button for additional information. 选项： A:

Captopril PO every 8 hours

B:

Morphine IV PRN for pain

C:

Potassium chloride IVPB once

D:

Regular insulin subcutaneous with meals

5.Cardiac muscle occurs only in the wall of the heart and cardiac muscle contraction accounts for the ( ) , which creates blood pressure, the force that propels blood in the arteries and arterioles. 选项： A:

stability

B:

urination

C:

heartbeat

D:

concentration

6.A client with type 2 diabetes, coronary artery disease, and peripheral arterial disease developed hospital-acquired pneumonia (HAP) and has been receiving intravenous (IV) antibiotics for 4 days. Which parameter monitored by the nurse best indicates the effectiveness of treatment? 选项： A:

Color of sputum

B:

Lung sounds

C:

Saturation level

D:

White blood cell count (WBC)

7.Eating too much fat can（）heart disease and cause high blood pressure. 选项： A:

contribute to

B:

attribute to

C:

attend to

D:

devote to

8.A woman has 32 weeks of pregnancy . Findings on examination are : edema increased last week , urine output decreased , unable to lie supine , headache , blood pressure 180/120mmHg, urine protein (+), heart rate 140 beats / min , breathing 22 times / min , ascites sign , normal fetal heart and position . What treatment should not be used at this time ? A . Pressure reduction

9.A 37-year-old woman is referred to your office for treatment of stage 2 hypertension. Which of the following best describes the criteria for moderate or stage 2 hypertension? 选项： A、A systolic blood pressure reading of 155 mm Hg B、A systolic blood pressure reading of 190 mm Hg C、A diastolic blood pressure reading of 105 mm Hg D、A diastolic blood pressure reading of 95 mm Hg E、A diastolic blood pressure reading of 115 mm Hg

10.A client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse would explain that the medication is prescribed for which of the following reason 选项： A、Lower the blood pressure by increasing peripheral vasoconstriction. B、Lower the heart rate by slowing the conduetion system. C、Block the conversion of angiotensin Ⅰ to angiotensin Ⅱ. D、Increase myocardial contractility, thereby improving cardiac output.

11.如下图所示曲柄滑块机构，AB=20mm，BC=30mm，曲柄转速n=60r/min，滑块的运动速度是选项： A:

20mm /min

B:

30mm /min

C:

40mm /min

D:

60mm /min

12.A woman has 32 weeks of pregnancy. Findings on examination are: edema increased last weck,urine output decreased,unable to lie supine, headache, blood pressure 180/120mmHg, urine protein(+), heart rate 140 beats/min,breathing 22 times/min,ascites sign, normal fetal heart andposition. What treatment should not be used at thistime?() 选项： A:Pressure reduction B:Spasmolysis C:Expansion D:Sedation E:Diuretic

13.Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately? 选项： A:

Difficult to arouse

B:

Muscle stiffness

C:

Pinpoint pupils

D:

Temperature 94 F (34.4 C)

14.A woman has 32 weeks of pregnancy. Findings on examination are: edema increased last week, urine output decreased, unable to lie supine, headache, blood pressure 180/120mmHg,urineprotein (+),heart rate 140 beats/min, breathing22 times/min, ascites sign, normal fetal heart and position. What treatment should not be used at this time?(　　) 选项： A:Pressure B:Spasmolysis C:Expansion D:Sedation E:Diuretic

15.The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage . Which sign, if noted, would be an early sign of excessive blood loss?None 选项： A:A temperature of 100 .4° F (38° C) B:An increase in the pulse rate from 88 to 102 beats/minute C:A blood pressure change from 130/88 to 124/80 mm Hg D:An increase in the respiratory rate from 18 to 22 breaths/minute

16.The nurse is caring for a client with mild active bleeding from placenta previa. Which of the following observations indicates that an emergency cesarean section may be necessary 选项： A、Increased maternal blood pressure of 150/90 mmHg. B、Decreased amount of vaginal bleeding. C、Fetal heart rate of 80 beats per minute. D、Maternal heart rate of 65 beats per minute.

17.The nurse receives telephone messages from the following 4 clients. Which client should the nurse call back first? 选项： A:

Client taking cyclosporine who reports swollen and bleeding gums for several days

B:

Client taking doxycycline who reports severe sunburn after sun exposure

C:

Client taking phenytoin who reports flu-like symptoms and a new painful skin rash

D:

Client taking sildenafil who reports dizziness when standing up from a seated position

18.The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage . Which sign, if noted, would be an early sign of excessive blood loss?None 选项： A:A temperature of 100 .4° F (38° C) B:An increase in the pulse rate from 88 to 102 beats per minute C:A blood pressure change from 130/88 to 124/80 mm Hg D:An increase in the respiratory rate from 18 to 22 breaths per minute

19.The nurse is caring for a client who reports severe abdominal pain and vaginal spotting. The client had a positive urine pregnancy test at home, and her last menstrual period was 8 weeks ago. Which client report to the nurse is most concerning? 选项： A:

Abdominal pain rated as 8 out of 10

B:

History of pelvic inflammatory disease

C:

Intermittent nausea and vomiting for the past 7 days

D:

Right shoulder pain and dizziness

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

">20.An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team? 选项： A:

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

"I can tell that you want me to go, so I will call in a few days to see how you are doing."

B:

"I know you are frustrated with losing control of your life."

C:

"It sounds like you are angry. Tell me what's bothering you."

D:

"Okay. I’ll just check your blood pressure and then go."

">21.The nurse is conducting a home visit to assess an elderly client with advanced heart failure who lives alone. When the nurse asks about sodium intake, the client becomes angry and says, "I'm so tired of people telling me what to do! I'm going to eat what I want, so leave me alone!" Which of the following is the most appropriate response by the nurse? 选项： A:

"I can tell that you want me to go, so I will call in a few days to see how you are doing."

B:

"I know you are frustrated with losing control of your life."

C:

"It sounds like you are angry. Tell me what's bothering you."

D:

"Okay. I’ll just check your blood pressure and then go."

22.The nurse is assessing the renal function of a client at risk for acute kidney injury. After noting the amount of urine output and urine characteristics, the nurse proceeds to assess which as the best indirect indicator of renal status?None 选项： A:Blood pressure B:Apical heart rate C:Jugular vein distention D:Level of consciousness