1 >>An infant is hospitalized for treatment of botulism. Which factor is associated with botulism in the infant? ?
- (A) The infant sucks on his fingers and toes.
- (B) The mother sweetens the infant’s cereal with honey.
- (C) The infant was switched to soy-based formula.
- (D) The infant’s older sibling has an aquarium.
2 >>A nurse is assessing a client hospitalized with peptic ulcer disease. Which finding should be reported to the charge nurse immediately? ?
- (A) BP 82/60, pulse 120
- (B) Pulse 68, respirations 24
- (C) BP 110/88, pulse 56
- (D) Pulse 82, respirations 16
3 >>The nurse is teaching the client with AIDS regarding proper food preparation. Which statement indicates that the client needs further teaching? ?
- (A) “I should avoid adding pepper to food after it is cooked.”
- (B) “I can still have an occasional medium-rare steak.”
- (C) “Eating cheese and yogurt won’t help prevent AIDSrelated diarrhea.”
- (D) “I should eat fruits and vegetables that can be peeled.”
4 >>A client taking Laniazid (isoniazid) asks the nurse how long she must take the medication before her sputum cultures will return to normal. The nurse recognizes that the client should have a negative sputum culture within: ?
- (A) 2 weeks
- (B) 6 weeks
- (C) 2 months
- (D) 3 months
5 >>Which person is at greatest risk for developing Lyme’s disease? ?
- (A) Computer technician
- (B) Middle-school teacher
- (C) Dog trainer
- (D) Forestry worker
6 >>Following eruption of the primary teeth, the mother can promote chewing by giving the toddler: ?
- (A) Pieces of hot dog
- (B) Celery sticks
- (C) Melba toast
- (D) Grapes
7 >>A client scheduled for an exploratory laparotomy tells the nursethat she takes kava-kava (piper methysticum)for sleep. The nurse should notify the doctor because kava-kava: ?
- (A) Increases the effects of anesthesia and post-operative analgesia
- (B) Eliminates the need for antimicrobial therapy following surgery
- (C) Increases urinary output, so a urinary catheter will be needed post-operatively
- (D) Depresses the immune system, so infection is more of a problem
8 >> The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching? ?
- (A) “I will apply a petroleum gauze to the area once a day.”
- (B) “I will clean the area carefully with each diaper change.”
- (C) “I can place a heat lamp next to the area to speed up the healing process.”
- (D) “I should carefully observe the area for signs of infection.”
9 >>The chart of a client hospitalized with a fractured femur reveals that the client is colonized with MRSA. The nurse knows that the client: ?
- (A) Will not display symptoms of infection
- (B) Is less likely to have an infection
- (C) Can be placed in the room with others
- (D) Cannot colonize others with MRSA
10 >>A client is admitted with Clostridium difficile. The nurse would expect the client to have: ?
- (A) Diarrhea containing blood and mucus
- (B) Cough, fever, and shortness of breath
- (C) Anorexia, weight loss, and fever
- (D) Development of deep leg ulcers
11 >>An elderly client asks the nurse how often he will need to receive immunizations against pneumonia. The nurse should tell the client that she will need an immunization against pneumonia: ?
- (A) Every year
- (B) Every 2 years
- (C) Every 5 years
- (D) Every 10 years
12 >>The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned: ?
- (A) On the right side
- (B) Supine
- (C) On the left side
- (D) Prone
13 >>A nursing assistant is referred to the employee health office with symptoms of latex allergy. The first symptom usually noticed by those with latex allergy is: ?
- (A) Oral itching after eating bananas
- (B) Swelling of the eyes and mouth
- (C) Difficulty breathing
- (D) Swelling and itching of the hands
14 >>Acticoat (silver nitrate) dressings are applied to the arms and chest of a client with full-thickness burns. The nurse should: ?
- (A) Change the dressings once per shift
- (B) Moisten the dressings with sterile water
- (C) Change the dressings only when they become soiled
- (D) Moisten the dressings with normal saline
15 >>A client is diagnosed with stage III Hodgkin’s lymphoma. The nurse recognizes that the client has involvement: ?
- (A) In a single lymph node or single site
- (B) In more than one node or single organ on the same side of the diaphragm
- (C) In lymph nodes on both sides of the diaphragm
- (D) In disseminated organs and tissues
16 >>A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking: ?
- (A) Aspirin
- (B) Multivitamins
- (C) Omega 3 and omega 6 fish oils
- (D) Acetaminophen
17 >>A suitable diet for a client with cirrhosis and abdominal ascites is one that is: ?
- (A) High in sodium, low in calories
- (B) Low in potassium, high in calories
- (C) High in protein, high in calories
- (D) Low in calcium, low in calories
18 >>A client with gallstones in the gall bladder is scheduled for lithotripsy. For the procedure, the client will be placed: ?
- (A) In a prone position
- (B) In a supine position
- (C) In a side-lying position
- (D) In a recumbent position
19 >>A client with rheumatoid arthritis is being treated with daily steroid medication. Which food should the client avoid? ?
- (A) Raw oysters
- (B) Cottage cheese
- (C) Baked chicken
- (D) Green beans
20 >>A client tells the nurse that she takes St. John’s wort (hypericum perforatum) three times a day for mild depression.The nurse should tell the client that: ?
- (A) St. John’s wort seldom relieves depression.
- (B) She should avoid eating cold cuts and aged cheese.
- (C) Skin reactions increase with the use of sunscreens.
- (D) St. John’s wort will increase the amount of medication needed.