CRNE Exam Prep - Question List

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36. An emergency nurse is admitting a 32-year-old female office clerk who was rushed to the emergency department for abdominal pain. Client history reveals occasional episodes of mild abdominal pain that occur especially after eating fatty foods. A significant nursing assessment that indicates inflammation and infection of the gall bladder is:
  1. Temperature of 37.9°C.
  2. Sudden and rapidly increasing right upper abdominal pain.
  3. Pain radiating to the back and left shoulder.
  4. Palpable abdominal mass.
37. A registered nurse reviews the charts of the clients who are admitted to a nursing unit. The RN determines that one of the clients is incorrectly positioned. Which of the following clients shouldbe placed in another position and evaluated for complications caused by the wrong positioning?
  1. A post-hypophysectomy client with the head of bed elevated
  2. A client who had myelogram with a water-based dye; the head of bed elevated 30to 60degrees
  3. A client who had a cataract surgery in the left eye; right-side lying position
  4. A post-lumbar puncture client; lateral side-lying position with the knees flexed up to the abdomen and the head bent
38. John Isles, a 10-year-old client with sickle cell disease, is admitted for sickle cell crisis. Initials assessment shows a temperature of 38.2°Cand swelling in the left leg. The client complains of severe pain in the affected extremity. The nurse recognizes this as what type of sickle cell crisis?
  1. Vaso-occlusive
  2. Hypovolemic
  3. Aplastic
  4. Sequestration
39. LaShonda, a 29-year-old female, is admitted to the unit due to a possible case of hypothyroidism. The client’s history and physical assessment findings are indicative of hyposecretion of the thyroid hormones. The nurse expects to note which of the following findings in the client’s chart?
  1. Heat intolerance
  2. Edema around the eyes
  3. Diarrhea
  4. Smooth and soft skin
40. The nurse is caring for a one-month-old baby girl who has myelomeningocele. Assessment findings reveal that the infant has a temperature of 37.9°C. The initial action of the nurse is to:
  1. Report the finding to the physician.
  2. Assess the sac for feces or urine contamination.
  3. Decrease the infant’s temperature by sponge bath.
  4. Record the infant’s temperature.

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