Practice Questions

119. A patient with multiple sclerosis (MS) is experiencing bladder dysfunction. The nurse should teach the patient about:

A. Indwelling catheterization only

B. Timed voiding and self-catheterization ✓

C. Limiting fluid intake

D. Increasing caffeine intake

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118. A nurse is teaching a patient with generalized seizures about safety. Which measure should be included?

A. Driving during aura

B. Swimming alone

C. Wearing a medical alert bracelet ✓

D. Avoiding anticonvulsant medications

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117. A patient with a traumatic brain injury (TBI) is exhibiting decerebrate posturing. The nurse recognizes this as a sign of:

A. Mild brain injury

B. Brainstem dysfunction ✓

C. Spinal cord injury

D. Peripheral nerve damage

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116. A nurse is caring for a patient with a hemorrhagic stroke. The nurse should prioritize:

A. Administering thrombolytics

B. Strict blood pressure control ✓

C. Encouraging early ambulation

D. Increasing fluid intake

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115. A patient with an adrenal insufficiency (Addison’s disease) is experiencing stress. The nurse understands that the patient will require an increased dose of:

A. Insulin

B. Thyroid hormone

C. Glucocorticoids ✓

D. Antidiuretic hormone

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114. A nurse is caring for a patient in thyroid storm. The nurse should monitor for:

A. Bradycardia and hypothermia

B. Severe hypertension and tachycardia ✓

C. Hypoglycemia

D. Constipation

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113. A patient with hypothyroidism is prescribed levothyroxine. The nurse should instruct the patient to take the medication:

A. With food to prevent gastric upset

B. At bedtime

C. On an empty stomach in the morning ✓

D. When symptoms recur

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112. A nurse is caring for a patient with hyperosmolar hyperglycemic state (HHS). The nurse anticipates:

A. Kussmaul respirations

B. Profound dehydration and hyperglycemia ✓

C. Ketoacidosis

D. Bradycardia

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111. A patient with Type 2 Diabetes Mellitus is prescribed metformin. The nurse should instruct the patient to monitor for which adverse effect?

A. Hypoglycemia

B. Lactic acidosis ✓

C. Weight gain

D. Diarrhea

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110. A nurse is caring for a patient with acute cholecystitis. Which assessment finding would the nurse expect?

A. Left upper quadrant pain radiating to the back

B. Right upper quadrant pain radiating to the right shoulder ✓

C. Epigastric pain relieved by food

D. Periumbilical pain

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