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: ?
16 >>The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of: ?
(B) Decreased respirations
(C) Increased blood pressure
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.