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
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
(C) On the left side
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: ?
(C) Omega 3 and omega 6 fish oils
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.