1 >>A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms? ?
(A) Zyprexa (olanzapine)
(B) Cogentin (benzatropine mesylate)
(C) Benadryl (diphenhydramine)
(D) Depakote (divalproex sodium)
2 >>Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis? ?
(A) Playing video games
(C) Working crossword puzzles
(D) Playing slow-pitch softball
3 >>The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that: ?
(A) The client can have a higher-calorie diet.
(B) The client has good control of her diabetes.
(C) The client requires adjustment in her insulin dose.
(D) The client has poor control of her diabetes.
4 >>The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is having its intended effect if the client: ?
(A) Is asleep 30 minutes after the injection
(B) Asks for extra servings on his meal tray
(C) Has an increased urinary output
(D) States that he is feeling less nauseated
5 >>The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have: ?
(A) Choanal atresia
(B) Nasal polyps
(C) Septal deviations
(D) Enlarged adenoids
6 >>A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness? ?
(A) Prilosec (omeprazole)
(B) Synthroid (levothyroxine)
(C) Premarin (conjugated estrogens)
(D) Lipitor (atorvastatin)
7 >>The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet? ?
(A) Cornflakes, whole milk, banana, and coffee
(B) Scrambled eggs, bacon, toast, and coffee
(C) Oatmeal, apple juice, dry toast, and coffee
(D) Pancakes, ham, tomato juice, and coffee
8 >>An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching? ?
(A) The child should not play on his rocking horse.
(B) Applying warm compresses to decrease pain.
(C) Diapering should be avoided for 1-2 weeks.
(D) The child will need a special diet to promote healing.
9 >>An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: ?
(A) Keep crackers at the bedside for eating before she arises
(B) Drink a glass of whole milk before going to sleep at night
(C) Skip breakfast but eat a larger lunch and dinner
(D) Drink a glass of orange juice after adding a couple of teaspoons of sugar
10 >>The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA? ?
(A) The nurse leaves the stethoscope in the client’s room for future use.
(B) The nurse cleans the stethoscope with alcohol and returns it to the exam room.
(C) The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
(D) The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.
11 >>The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that: ?
(A) The medication will be needed only during times of rapid growth.
(B) The medication will be needed throughout the child’s lifetime.
(C) The medication schedule can be arranged to allow for drug holidays.
(D) The medication is given one time daily every other day.
12 >>A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication: ?
(A) At bedtime
(B) With breakfast
(C) Before lunch
(D) After dinner
13 >>The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis? ?
(A) Visual disturbances, including diplopia
(B) Ascending paralysis and loss of motor function
(C) Cogwheel rigidity and loss of coordination
(D) Progressive weakness that is worse at the day’s end
14 >>The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents: ?
(A) That the infant will need daily calcium supplements
(B) To lift the infant by the buttocks when diapering
(C) That the condition is a temporary one
(D) That only the bones are affected by the disease
15 >>Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will: ?
(A) Reduce the secretion of pancreatic enzymes
(B) Decrease the client’s need for insulin
(C) Prevent secretion of gastric acid
(D) Eliminate the need for analgesia
16 >>A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis? ?
(A) Pain in the left lower quadrant
(B) Boardlike abdomen
(C) Low-grade fever
(D) Abdominal distention
17 >>The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is: ?
(A) Prostigmin (neostigmine)
(B) Atropine (atropine sulfate)
(C) Didronel (etidronate)
(D) Tensilon (edrophonium)
18 >>A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS? ?
(A) High calorie, high protein, high fat
(B) High calorie, high carbohydrate, low protein
(C) High calorie, low carbohydrate, high fat
(D) High calorie, high protein, low fat
19 >>The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services? ?
(A) Patching one of the eyes to strengthen the muscles
(B) Providing suckers and pinwheels to help strengthen tongue movement
(C) Providing musical tapes to provide auditory training
(D) Encouraging play with a video game to improve muscle coordination
20 >>At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age: ?