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93. A 32 years old female client complained painful urination, flank pain, low back pain, nausea and vomiting. The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis? A. Low WBC count C. Ketonuria B. Myoglobinuria D. Pyuria 94. The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal? A. Specific gravity of 1.025 C. Absence of protein B. Urine PH of 3.0 D. Absence of glucose 95. A patient who has been diagnosed with benign prostatic hyperplasia is being treated with 5 alpha reductase inhibitors . Which of the following is the side effect of 5 alpha reductase inhibitor? A. Ejaculatory dysfunction C. Fatigue B. Postural hypotension D. Dizziness, and headache

93. A 32 years old female client complained painful urination, flank pain, low back pain, nausea and vomiting. The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis? A. Low WBC count C. Ketonuria B. Myoglobinuria D. Pyuria 94. The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal? A. Specific gravity of 1.025 C. Absence of protein B. Urine PH of 3.0 D. Absence of glucose 95. A patient who has been diagnosed with benign prostatic hyperplasia is being treated with 5 alpha reductase inhibitors . Which of the following is the side effect of 5 alpha reductase inhibitor? A. Ejaculatory dysfunction C. Fatigue B. Postural hypotension D. Dizziness, and headache 96. A 35 years old female patient with chronic renal failure is admitted in the hospital for treatment. The nurse who is caring for the patient knows that this disorder increases the client's risk of: A. A decreased serum phosphate level secondary to kidney failure B. An increased serum calcium level secondary to kidney failure C. Water and sodium retention secondary to a severe decrease in the GFR D. Metabolic alkalosis secondary to retention of hydrogen ions due to CRF 97. The nurse is caring for a patient with acute glomerulonephritis. She is reviewing a client's fluid intake and output record. Fluid intake and urine output should relate in which way? A. Fluid intake should be approximately equal to the urine output B. Fluid intake should be inversely proportional to the urine output C. Fluid intake should be double the urine output D. Fluid intake should be half the urine output 98. You need to auscultate the posterior lung sounds in adult male patient. Which position is best to place the patient for this type of assessment? A. Semi-Fowler s position C. Dorsal recumbent position B. Sims' position D. High-Fowler's position

85. Ms. X is diagnosed with cervical cancer and started to take chemotherapy.Which of the following delayed side effect of the treatment is expected to occur? A. Nausea and vomiting B. Bone marrow suppression C. Allergic reaction D.Arrhythmias 86. Which of the following is the correct reason for using combination chemotherapy regimens? A. To hit tumor cells in different phases of cell cycle B. To hit tumor cells with various degree of chemo sensitivity C. To achieve maximum cytotoxicity D. All of th e above 87. Which of the following is the expected side effect of radiotheraps given around abdominal area? A. Alopecia B. Vomiting C. Mucositis D. Xerostomia 88 . Corticosteroid medications are associated with the development of peptic ulcers because of which pathophysiologic mechanism? A. The enzyme urease is produced C. The synthesis prostaglandins is inhibited B. Secretion of HCL is increased D. The rate of mucous cell renewal is decreased 89. A 22-year-old patient calls the outpatient clinic reporting nausea and vomiting and right lower abdominal pain . What should the nurse advise the patient to do? A. Use a heating pad to relax the muscles at the site of the pain B. Drink at least 2 quarts of juice to replace the fluid lost in vomiting C. Take a laxative to empty the bowel before examination at the clinic D. Have the symptoms evaluated right away by a health care provider at a hospital's emergency department 90. The patient asks the nurse why she needs to have surgery for a femoral strangulated hernia. What is the best explanation the nurse can give the patient? A. "The surgery will relieve your 'constipation" B. "The abnormal hernia must be replaced into the abdomen" C. "The surgery is needed to allow intestinal flow and prevent necrosis" D. "The hernia is because the umbilical opening did not close after birth as it should have" 91. A patient is admitted to the emergency room with the following findings: heart rate of 115,75/60 blood pressure oliguria, and Sodium level of 160mEq/L . What interventions should be ordered for this patient? A. Restrict fluid intake and monitor daily weights and urinary output B. Administer 5% Dextrose or 0.3% sodium chloride and monitor urinary output C. Administer hypotonic IV fluid and administer sodium tablets. D. No intervention is needed

D. 90 mm Hg 83. A client admitted for a lower extremity deep vein thrombosis is experiencing dyspnea , chest pain, and diminished breath sounds The nurse suspects this client may be developing which condition? A. Pneumothorax B. Pulmonary hypertension C. Pulmonary embolism D. Hemothorax 84. A client is experiencing acute pulmonary edema. What is the best position for the nurse to place the client in? A. Lying flat in bed B. Left side-lying C. High Fowler's position

78. A client is admitted for treatment of pulmonary edema. During the admission interview , she states she has a 6-year history of congestive heart failure (CHF). The nurse performs an initial assessment. When the nurse auscultates the breath sounds, the nurse should expect to hear which of the following? A. Crackling C. Whistling B. Absent breath sounds D. Wheezing 79. The nurse evaluates her teaching by asking the student nurse which term is used to describe the amount of stretch on the cardiac muscle fibers at the end of diastole. Which is the most accurate response? A. After load B. Pre load C. Stroke volume D. Cardiac output 80. An 18-year-old client who recently had an upper respiratory infection is admitted with suspected rheumatic fever. Which assessment findings confirm this diagnosis? A. Dyspnea, cough, and palpitations B. Dyspnea, fatigue, and syncope C. Tachycardia, finger clubbing, and a loud second heart sound (S2) D. Erythema marginatum subcutaneous nodules, and fever 81.The nurse knows that a 45-year-old client with severe hypertension will experience increased workload of the heart due to which of the following? A. Increased cardiac output B. Increased afterload C. Increased preload D. Overload of the heart 82. After cardiac surgery,a client's blood pressure measures 126/80 mm Hg The nurse determines that mean arterial pressure (MAP) is: A. 80 mm Hg B. 95 mm Hg C. 46 mm Hg D. 90 mm Hg 83. A client admitted for a lower extremity deep vein thrombosis is experiencing dyspnea , chest pain, and diminished breath sounds The nurse suspects this client may be developing which condition? A. Pneumothorax B. Pulmonary hypertension C. Pulmonary embolism D. Hemothorax