1 >>The nurse is caring for a client with an ileostomy. The nurse should pay careful attention to care around the stoma because: ?
- (A) Digestive enzymes cause skin breakdown.
- (B) Stools are less watery and contain more solid matter.
- (C) The stoma will heal more slowly than expected.
- (D) It is difficult to fit the appliance to the stoma site.
2 >>The physician has ordered aspirin therapy for a client with severe rheumatoid arthritis. A sign of acute aspirin toxicity is: ?
- (A) Anorexia
- (B) Diarrhea
- (C) Tinnitus
- (D) Pruritis
3 >>A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to: ?
- (A) Obtain a history of his alcohol use
- (B) Provide seizure precautions
- (C) Keep the room cool and dark
- (D) Administer thiamine and zinc
4 >>The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? ?
- (A) Broiled liver, macaroni and cheese, spinach
- (B) Stuffed crab, steamed rice, peas
- (C) Baked chicken, pasta salad, asparagus casserole
- (D) Steak, baked potato, tossed salad
5 >>A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn: ?
- (A) Prone
- (B) Supine
- (C) On either side
- (D) With the head elevated
6 >>The mother of a 3-month-old with esophageal reflux asks the nurse what she can do to lessen the baby’s reflux. The nurse should tell the mother to: ?
- (A) Feed the baby only when he is hungry
- (B) Burp the baby after the feeding is completed
- (C) Place the baby supine with head elevated
- (D) Burp the baby frequently throughout the feeding
7 >>A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because: ?
- (A) Bone marrow is lost through the fracture site.
- (B) Normal bone growth is affected.
- (C) Blood supply to the bone is obliterated.
- (D) Callus formation prevents bone healing.
8 >>Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should: ?
- (A) Replace the aspirate and administer the feeding
- (B) Discard the aspirate and withhold the feeding
- (C) Discard the aspirate and begin the feeding
- (D) Replace the aspirate and withhold the feeding
9 >>A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer: ?
- (A) 1 capsule
- (B) 2 capsules
- (C) 3 capsules
- (D) 4 capsules
10 >>The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that: ?
- (A) The client has impaired renal function.
- (B) The client has a normal specific gravity.
- (C) The client has mild to moderate dehydration.
- (D) The client has diluted urine from fluid overload.
11 >>A client with acute pancreatitis has requested pain medication. Which pain medication is indicated for the client with acute pancreatitis? ?
- (A) Demerol (meperidine)
- (B) Toradol (ketorolac)
- (C) Morphine (morphine sulfate)
- (D) Codeine (codeine)
12 >>A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have: ?
- (A) Constipation
- (B) Weight gain
- (C) Anorexia
- (D) Diarrhea
13 >>When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn? ?
- (A) The head and chest circumference are the same.
- (B) The head is 2cm larger than the chest.
- (C) The head is 3cm smaller than the chest.
- (D) The head is 4cm larger than the chest.
14 >>A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? ?
- (A) Calcium gluconate
- (B) Aquamephyton
- (C) Methergine
- (D) Protamine sulfate
15 >>The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span? ?
- (A) Taking part in a reality-orientation group
- (B) Participating in unit community goal setting
- (C) Going on a field trip with a group of clients
- (D) Meeting with an assertiveness training group
16 >>The mother of a child with hemophilia asks the nurse which overthe- counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase: ?
- (A) Advil (ibuprofen)
- (B) Tylenol (acetaminophen)
- (C) Aspirin (acetylsalicytic acid)
- (D) Naproxen (naprosyn)
17 >>Which home remedy is suitable to relieve the itching associated with varicella? ?
- (A) Dusting the lesions with baby powder
- (B) Applying gauze saturated in hydrogen peroxide
- (C) Using cool compresses of normal saline
- (D) Applying a paste of baking soda and water
18 >>The nurse is caring for a newborn with hypospadias. Which statement describes hypospadias? ?
- (A) The urinary meatus is located on the underside of the penis rather than the tip.
- (B) The ureters allow a reflux of urine into the kidneys.
- (C) The urinary meatus is located on the topside of the penis rather than the tip.
- (D) The bladder lies outside the abdominal cavity.
19 >>The recommended time for daily administration of Tagamet (cimetidine) is: ?
- (A) Before breakfast
- (B) Mid-afternoon
- (C) After dinner
- (D) At bedtime
20 >>Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? ?
- (A) Pain associated with angina is relieved by rest.
- (B) Pain associated with myocardial infarction is always more severe.
- (C) Pain associated with angina is confined to the chest area.
- (D) Pain associated with myocardial infarction is referred to the left arm.