1. A client with heart failure is prescribed furosemide (Lasix). Before administering the medication, the nurse should assess the client for which of the following?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypermagnesemia

2. When caring for a client with a chest tube, which finding should the nurse report immediately?
A. Continuous gentle bubbling in the water seal chamber
B. Intermittent bubbling in the suction control chamber
C. Fluctuation of the fluid level in the water seal chamber with each breath
D. Presence of subcutaneous emphysema around the chest tube insertion site

3. A nurse is teaching a group of clients about the importance of regular exercise in preventing cardiovascular disease. Which statement by a client indicates a need for further teaching?
A. “I will start a regular walking program.”
B. “I will begin a weightlifting routine at the gym.”
C. “I will swim laps at the local pool three times a week.”
D. “I will consult with a fitness trainer to develop an exercise plan.”

4. A client with depression is prescribed fluoxetine (Prozac). Which statement by the client indicates an understanding of the medication’s side effects?
A. “I may experience weight gain while taking this medication.”
B. “I should avoid foods high in tyramine while on this medication.”
C. “I may have trouble sleeping when I first start taking this medication.”
D. “I should limit my fluid intake while on this medication.”

5. A client is admitted with diabetic ketoacidosis. Which of the following findings should the nurse expect?
A. Hypoglycemia
B. Metabolic alkalosis
C. Kussmaul respirations
D. Bradycardia

6. A nurse is caring for a client with a nasogastric tube. Which action is essential for the nurse to perform?
A. Irrigate the tube every 4 hours with saline
B. Measure the pH of gastric aspirate before administering medications
C. Clamp the tube during medication administration
D. Secure the tube to the bed linens to prevent dislodgement

7. A nurse is conducting a smoking cessation class. Which intervention is most effective in helping clients quit smoking?
A. Encouraging the use of nicotine replacement therapy
B. Providing information on the health risks of smoking
C. Implementing a reward system for clients who quit smoking
D. Teaching relaxation techniques to manage stress and cravings

8. A client with schizophrenia is experiencing auditory hallucinations. Which nursing intervention is most appropriate?
A. Encouraging the client to ignore the voices
B. Providing a quiet environment to decrease stimuli
C. Confronting the client about the unreality of the voices
D. Administering an antipsychotic medication as prescribed

9. A client is receiving a blood transfusion and develops itching and hives. What is the nurse’s priority action?
A. Slow the rate of the transfusion
B. Administer diphenhydramine (Benadryl) as prescribed
C. Discontinue the transfusion and flush the line with normal saline
D. Notify the healthcare provider immediately

10. A nurse is caring for a client with a history of falls. Which intervention is most important to include in the client’s plan of care?
A. Keep the bed in the lowest position with all side rails up
B. Place the call light within the client’s reach at all times
C. Apply a vest restraint when the client is in bed
D. Encourage the client to ambulate without assistance