6. A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?

A. Ask the patient to lie down on the exam table.

B. Draw blood for chemistry panel and arterial blood gas (ABG).

C. Send the patient for a chest x-ray.

D. Check blood pressure.

Show Answer

7. A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?

A. “Stop taking the nitroglycerin and see if the headaches improve.”

B. “Go to the emergency department to be checked because nitroglycerin can cause bleeding in the brain.”

C. “Headaches are a frequent side effect of nitroglycerine because it causes vasodilation.”

D. “The headaches are unlikely to be related to the nitroglycerin, so you should see your doctor for further investigation.”

Show Answer

8. A patient received surgery and chemotherapy for colon cancer, completing therapy three (3) months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations would account for her symptoms?

A. The symptoms may be the result of anemia caused by chemotherapy.

B. The patient may be immunosuppressed.

C. The patient may be depressed.

D. The patient may be dehydrated.

Show Answer

9. A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the following nutritional advice is appropriate?

A. The diet is providing adequate sources of iron and requires no changes.

B. The patient should add meat to her diet; a vegetarian diet is not advised.

C. The patient should use iron cookware to prepare foods, such as dark-green, leafy vegetables, and legumes, which are high in iron.

D. A cup of coffee or tea should be added to every meal

Show Answer

10. A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?

A. Transfusion reaction is most likely immediately after the infusion is completed.

B. PRBCs are best infused slowly through a 20g. IV catheter.

C. PRBCs should be flushed with a 5% dextrose solution.

D. A nurse should remain in the room during the first 15 minutes of infusion.

Show Answer