Demonstrate the steps to MCI development by revising/updating a basic question to a critical thinking
question using the Quick Reference Guide
Revise these questions to a higher cognitive level
Enter your revised questions directly below the question and submit in the assignment area
1. The nurse recognizes which of the following as a side effect of beta-adrenergic blockers?
a. Bradycardia
b. Hypertension
c. Hyperglycemia
d. Hyperkalemia
Revision: A nurse is planning care for a client who is taking a beta-adrenergic blocker. Which of
these measures should the nurse include in the client’s care plan? Select all that apply.
a. Monitoring the client’s BUN and creatinine levels*
b. Assessing the client for orthostatic hypotension*
c. Monitoring the client for signs of edema*
d. Measuring the client’s urinary output
e. Assessing the client’s lung sounds for rales and ronchi*
2. Which diagnostic test is best for a client who has gallbladder disease?
a. Computerized tomography of the abdomen and pelvis
b. Upper gastrointestinal series
c. Hydroxy iminodiacetic acid (HIDA) scan
d. Colonoscopy
Revision: A nurse is preparing a client who has gallbladder disease for diagnostic testing. Which
test can identify blocked ducts, acute inflammation, and estimate the ejection fraction of the
gallbladder?
a. Computerized tomography of the abdomen
b. Upper gastrointestinal series
c. Hydroxy iminodiacetic acid (HIDA) scan*
d. Abdominal ultrasound
3. Decreased cardiac output, a complication of congestive heart failure, can produce episodes of:
a. Flushed, warm skin
b. Bradypnea
c. Tachycardia
d. Hypertension
NURS 5328 Fall 14 BD
Revision: A nurse is planning care for a client with congestive heart failure. Which of these
measures should the nurse include in the client’s care plan?
a.
4. A client is recovering from peritonitis following a ruptured appendix. A nurse should continue to
carefully monitor the client for which of these complications?
a. Respiratory arrest
b. Umbilical hernia
c. Abscess formation
d. Urinary tract infection
Revision: A nurse is developing a plan of care for a client who is recovering from peritonitis
following a ruptured appendix. Which of these measures should the nurse include in the client’s
care plan?
a. Maintaining the client in a low Fowler’s position
b. Assessing the client for an elevated pulse rate
c. Checking the client for a positive Homan sign
d. Monitoring the client’s white blood cell count*
5. Your client is receiving furosemide (Lasix) 40 mg BID. A nurse…
a. Knows that this drug is classified as an osmotic diuretic
b. Is surprised when the client experiences polyuria
c. Is especially concerned that the client will develop hyernatremia
d. Weighs the client daily
Revision: A teaching plan for a client who is taking furosemide (Lasix) should include which of
these instructions?
a. Instructing the client to take the medication at bedtime
b. Explaining the importance of laboratory tests to ensure safe treatment*
c. Instructing the client to avoid excessive sun exposure
d. Explaining that common side effects include nausea and vomiting
6. Which of these findings should a nurse expect to find when a client is dehydrated?
a. Bradycardia
b. Hypotension
c. Decreased hematocrit
d. Increased urine output
Revision: A nurse assesses a client who reports a history of vomiting and diarrhea during the last
24 hours. Which of these client laboratory findings should the nurse expect to identify?
a. Decreased creatinine
b. Increased urine specific gravity*
NURS 5328 Fall 14 BD
c. Decreased hematocrit
d. Increased glucose
7. Which of these assessment findings would be an example of objective data?
a. Anxiety
b. Tachycardia
c. Orthopnea
d. Dizziness
Revision: Which of these findings in a client’s medical history is an example of objective data?
a. The client states, “I feel my heart pounding in my chest.”
b. The client is shaking and crying.*
c. The client states, “I’ve had dizzy spells for the last two days.”
d. The client reports a “Feeling of impending doom.”
NURS 5328 Fall 14 BD