1 >>The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: ?
- (A) Limiting fluid intake to 1000mL per day
- (B) Providing a high-roughage diet
- (C) Elevating the toilet seat for easy access
- (D) Establishing a regular schedule for toileting
2 >>The nurse is providing dietary teaching for a client with Meniere’s disease. Which statement indicates that the client understands the role of diet in triggering her symptoms? ?
- (A) “I can expect to see more problems with tinnitus if I eat a lot of dairy products.”
- (B) “I need to limit foods that taste salty or that contain a lot of sodium.”
- (C) “I can help control problems with vertigo if I avoid breads and cereals.”
- (D) “I need to eat fewer foods that are high in potassium, such as raisins and bananas.”
3 >>The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: ?
- (A) Facial swelling
- (B) Pulse deficits
- (C) Ankle edema
- (D) Diminished reflexes
4 >>An adolescent with borderline personality disorders is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client? ?
- (A) The client will remain in her room when feeling overwhelmed by sadness.
- (B) The client will request medication when feeling loss of emotional control.
- (C) The client will leave group activities to pace when feeling anxious.
- (D) The client will seek out a staff member to verbalize feelings of anger and sadness.
5 >>A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should: ?
- (A) Apply the ointment to the previous application
- (B) Obtain both a radial and an apical pulse
- (C) Remove the previously applied ointment
- (D) Tell the client he will experience pain relief in 15
6 >>The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness? ?
- (A) “I am your nurse and I will be taking care of you today.”
- (B) “Can you tell me your name and where you are?”
- (C) “I know you are confused right now, but everything will be alright.”
- (D) “You were in an accident that hurt your head. You are in the hospital.”
7 >>Following a generalized seizure, the nurse can expect the client to: ?
- (A) Be unable to move the extremities
- (B) Be drowsy and prone to sleep
- (C) Remember events before the seizure
- (D) Have a drop in blood pressure
8 >>A client with oxylate renal calculi should be taught to limit his intake of foods such as: ?
- (A) Strawberries
- (B) Oranges
- (C) Apples
- (D) Pears
9 >>A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of the child’s care includes instructing the parents: ?
- (A) To increase the amount of dietary protein
- (B) About exercises to strengthen affected muscles
- (C) About relaxation exercises to minimize pain in the joints
- (D) To prevent weight bearing on the affected leg
10 >>The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to: ?
- (A) Weigh less than expected for height and age
- (B) Have infrequent bowel movements
- (C) Exhibit clubbing of the fingers and toes
- (D) Have hyperactive deep tendon reflexes
11 >>The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with: ?
- (A) Milk, to prevent stomach upset
- (B) Tomato juice, to increase absorption
- (C) Oatmeal, to prevent constipation
- (D) Water, to increase serum iron levels
12 >>The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching? ?
- (A) “I need to reduce my daily intake to 1,200 calories a day.”
- (B) “I need to drink at least a quart of milk a day.”
- (C) “I shouldn’t add salt when I am cooking.”
- (D) “I need to eat more protein and fiber each day.”
13 >>An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in: ?
- (A) Speech
- (B) Judgment
- (C) Endurance
- (D) Balance
14 >>The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located: ?
- (A) Near the symphysis pubis
- (B) Near the umbilicus
- (C) Over the fetal back
- (D) Over the fetal abdomen
15 >>A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal? ?
- (A) Dolophine (methodone)
- (B) Klonopin (clonazepam)
- (C) Narcan (naloxone)
- (D) Antabuse (disulfiram)
16 >>A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client’s breakfast should be served within: ?
- (A) 15 minutes
- (B) 20 minutes
- (C) 30 minutes
- (D) 45 minutes
17 >>A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per mL. How much should the nurse administer? ?
- (A) 5mL
- (B) 6mL
- (C) 7mL
- (D) 8mL
18 >>Which antibiotic is contraindicated for the treatment of infections in infants and young children? ?
- (A) Tetracyn (tetracycline)
- (B) Amoxil (amoxicillin)
- (C) Cefotan (cefotetan)
- (D) E-Mycin (erythromycin)
19 >>A client with AIDS asks the nurse why he can’t have a pitcher of water at his bedside so he can drink whenever he likes. The nurse should tell the client that: ?
- (A) It would be best for him to drink tap water.
- (B) He should drink less water and more juice.
- (C) Leaving a glass of water makes it easier to calculate his intake.
- (D) He shouldn’t drink water that has been sitting longer than 15 minutes.
20 >>The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s children won’t have the disease. The nurse is aware that: ?
- (A) There is a 25% chance that his children would have cystic fibrosis.
- (B) Most of the males with cystic fibrosis are sterile.
- (C) There is a 50% chance that his children would be carriers.
- (D) Most males with cystic fibrosis are capable of having children, so genetic counseling is advised.