Practice Questions

139. A patient with a cervical spinal cord injury is at risk for respiratory compromise due to paralysis of the:

A. Diaphragm ✓

B. Intercostal muscles

C. Abdominal muscles

D. Accessory muscles

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138. A nurse is teaching a patient with epilepsy about potential triggers for seizures. Which should be included?

A. Adequate sleep

B. Stress ✓

C. Regular medication use

D. Balanced diet

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137. A patient with hypothyroidism is experiencing myxedema coma. The nurse should anticipate which immediate intervention?

A. Rapid warming measures

B. IV thyroid hormone replacement ✓

C. Oral levothyroxine

D. Administering sedatives

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136. A nurse is caring for a patient with Cushing’s syndrome. The nurse should prioritize monitoring for:

A. Hypoglycemia and hypokalemia

B. Hyperglycemia and hypokalemia ✓

C. Hypernatremia and hypercalcemia

D. Hypokalemia and hyponatremia

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135. A patient with diabetic neuropathy reports numbness and tingling in their feet. The nurse should emphasize the importance of:

A. Daily foot inspections ✓

B. Avoiding walking barefoot

C. Wearing ill-fitting shoes

D. Using heating pads for warmth

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134. A nurse is providing care for a patient with an ileal conduit. The nurse should assess the stoma for:

A. Pale color and dryness

B. Redness and bleeding

C. Pink, moist, and beefy red color ✓

D. Peristomal skin breakdown

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133. A patient with acute kidney injury (AKI) in the oliguric phase is experiencing fluid volume excess. The nurse should implement:

A. Increased fluid intake

B. Administration of diuretics as ordered ✓

C. High-sodium diet

D. Restricting protein intake

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132. A nurse is assessing a patient with a suspected abdominal aortic aneurysm (AAA). The nurse should avoid:

A. Palpating the abdomen vigorously ✓

B. Auscultating for a bruit

C. Assessing peripheral pulses

D. Monitoring blood pressure

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131. A patient with valvular heart disease reports increasing fatigue and shortness of breath. The nurse identifies these as early signs of:

A. Myocardial infarction

B. Heart failure ✓

C. Pulmonary embolism

D. Hypertension

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130. A patient with sepsis is receiving broad-spectrum antibiotics. The nurse should also monitor for which complication related to antibiotic therapy?

A. Hypertension

B. Superinfection (e.g., C. difficile) ✓

C. Hypoglycemia

D. Increased WBC count

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