1 >>An elderly client with anemia has a positive Schilling test. The nurse knows that the client’s anemia is due to: ?
- (A) Chronically low iron store
- (B) Abnormal shape of the red blood cells
- (C) Lack of intrinsic factor
- (D) Shortened lifespan of the red blood cells
2 >>The nurse is cleaning up a blood spill that occurred during removal of a chest tube. The nurse should clean the blood spill using: ?
- (A) Hydrogen peroxide
- (B) Weak solution of bleach
- (C) Isoprophyl alcohol
- (D) Soap and water
3 >>A 5-month-old admitted with gastroenteritis is managed with IV fluids and is to be NPO. Which nursing intervention will provide the most comfort for the 5-month-old who is NPO? ?
- (A) Offering a pacifier
- (B) Sitting next to the crib
- (C) Providing a mobile
- (D) Singing a lullaby
4 >>During the admission assessment, the nurse discovers that the client has brought her medications from home. The nurse should: ?
- (A) Tell the client that she can keep her medicines as long as she does not take them
- (B) Make a list of the medications and ask a family member to take the medications home
- (C) Allow the client to keep over-the-counter medications and herbal supplements
- (D) Use the client’s home medications because they have already been purchased
5 >>The nurse is reviewing the preoperative checklist for a client scheduled for a cholecystectomy. Which item is not required on the client’s preoperative checklist? ?
- (A) History of allergies
- (B) Most recent vital signs
- (C) Physician’s signature
- (D) Preoperative medications
6 >>The nursing staff has planned a picnic for a small group of clients from the psychiatric unit. All of the clients are taking Thorazine (chlorpromazine). The nursing staff should take extra measures to: ?
- (A) Protect the clients from sun exposure
- (B) Eliminate aged cheese from the menu
- (C) Limit the amount of fluid intake by the clients
- (D) Avoid chocolate desserts and treats on the menu
7 >>The nurse is caring for a client following a pneumonectomy. Which nursing intervention will help prevent an embolus? ?
- (A) Encouraging the client to use an incentive spirometer
- (B) Administering thrombolytic medication as ordered
- (C) Telling the client to turn, cough, and breathe deeply
- (D) Ambulating the client as soon as possible
8 >>The physician has ordered B & O (belladonna and opium) suppositories for a client following a prostatectomy. The nurse recognizes that the medication will: ?
- (A) Help relieve pain due to bladder spasms
- (B) Improve the urinary output
- (C) Reduce post-operative swelling
- (D) Treat nausea and vomiting
9 >>Post-operative orders have been left for a client with an abovethe- knee amputation. The orders include wrapping the stump with an elastic bandage. The nurse knows that the primary reason for wrapping the stump with an elastic bandage is to: ?
- (A) Decrease bleeding
- (B) Shrink the stump
- (C) Prevent phantom pain
- (D) Prevent seeing the area
10 >>A client with polycythemia vera is admitted for a phlebotomy. Assessment of the client with polycythemia vera reveals: ?
- (A) Red, sore tongue; fatigue; and paresthesia
- (B) Ruddy complexion, dyspnea, and pruritis
- (C) Pallor; thin, spoon-shape fingernails; and pica
- (D) Nocturnal dyspnea, rales, and weight gain
11 >>The nurse is assisting a client with a total hip replacement to a chair. Which type of chair is appropriate for the client following a total hip replacement? ?
- (A) A recliner
- (B) A rocking chair
- (C) A straight chair
- (D) A sofa chair
12 >>The physician has ordered Cotazyme (pancrelipase) for a child with cystic fibrosis. The nurse knows that the medication is given to: ?
- (A) Replace the fat-soluble vitamins A, D, E, and K
- (B) Decrease carbohydrate metabolism
- (C) Aid in the digestion and absorption of fats, carbohydrates, and protein
- (D) Facilitate sodium and chloride excretion
13 >>The nurse at a local daycare center observes a group of preschool-age children playing. The children are playing in an unorganized fashion, with no obvious rules to the play activity. The type of play that is typical of preschool-age children is known as: ?
- (A) Solitary play
- (B) Parallel play
- (C) Associative play
- (D) Cooperative play
14 >>Which of the following is not a part of routine cord care of the newborn? ?
- (A) Placing a petroleum gauze on the cord
- (B) Applying an antibiotic to the cord
- (C) Cleaning the cord with alcohol
- (D) Folding diapers below the cord
15 >>A client is hospitalized with a diagnosis of antisocial personality disorder. According to Freud’s psychoanalytic theory, antisocial personality disorder arises from faulty development of the: ?
- (A) Id
- (B) Ego
- (C) Superego
- (D) Preconscious
16 >>The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of: ?
- (A) Hyperthermia
- (B) Decreased respirations
- (C) Increased blood pressure
- (D) Dysuria
17 >>An elderly client is admitted with a fractured left hip. Which type of traction will be used to immobilize the client’s left extremity? ?
- (A) 90-90 traction
- (B) Buck’s traction
- (C) Bryant’s traction
- (D) Dunlop’s traction
18 >>The physician has prescribed Zoloft (sertraline) for a client who has been taking Nardil (phenelzine). The recommended length of time between discontinuing a monoamine oxidase inhibitor and beginning therapy with a selective serotonin reuptake inhibitor is: ?
- (A) 2 days
- (B) 7 days
- (C) 10 days
- (D) 14 days
19 >>A post-operative client has called the nurse’s station with complaints of pain. The first action by the nurse should be to: ?
- (A) Check to see when the client received pain medication
- (B) Administer the prescribed pain medication
- (C) Notify the charge nurse of the client’s complaints
- (D) Assess the location and character of the client’s pain
20 >>The nurse is observing a developmental assessment of an infant. Which of the following is an example of cephalocaudal development? ?
- (A) The infant is able to make rudimentary vocalizations before using language.
- (B) The infant can control arm movements before she can control finger movements.
- (C) The infant is able to raise her head before sitting.
- (D) The infant responds to pain with her whole body before she can localize pain.