1 >>Which finding is associated with secondary syphilis? ?
(A) Painless, popular lesions on the perineum, fingers, and eyelids
(B) Absence of lesions
(C) Deep asymmetrical granulomatous lesions
(D) Well-defined generalized lesions on the palms, soles, and perineum
2 >>The physician has ordered an injection of morphine for a client with post-operative pain. Before administering the medication, it is essential that the nurse assess the client’s: ?
(A) Heart rate
(D) Blood pressure
3 >>The nurse is assessing a client following a subtotal thyroidectomy. Part of the assessment is asking the client to state her name. The primary reason for asking the client to state her name is to check for: ?
(A) Post-operative bleeding
(B) Decreased calcium
(C) Laryngeal stridor
(D) Laryngeal nerve damage
4 >>A client is admitted for treatment of essential hypertension. Essential hypertension exists when the client maintains a blood pressure reading at or above: ?
5 >>The nurse is applying karaya powder to the skin surrounding the client’s ilestomy. The purpose of the karaya powder is to: ?
(A) Prevent the formation of odor
(B) Help form a seal that will protect the skin
(C) Prevent the loss of electrolytes
(D) Increase the time between bag evacuations
6 >>The nurse is caring for a 9-month-old with suspected celiac disease. Which diet is appropriate? ?
(A) Whole milk and oatmeal
(B) Breast milk and mixed cereal
(C) Formula and barley cereal
(D) Breast milk and rice cereal
7 >>Which lab finding would the nurse expect to find in the client with diverticulitis? ?
(A) Elevated red cell count
(B) Decreased serum creatinine
(C) Elevated white cell count
(D) Decreased alkaline phosphatase
8 >>A gravida two para one has just delivered a full-term infant. Which finding indicates separation of the placenta? ?
(A) Wavelike relaxation of the abdomen
(B) Increased length of the cord
(C) Decreased vaginal bleeding
(D) Inability to palpate the uterus
9 >>The physician has ordered a daily dose of Tagamet (cimetidine) for a client with gastric ulcers. The nurse should administer the medication: ?
(A) Before breakfast
(B) After breakfast
(C) At bedtime
(D) At noon
10 >>A client admitted for treatment of a duodenal ulcer complains of sudden sharp midepigastric pain. Further assessment reveals that the client has a rigid, boardlike abdomen. The nurse recognizes that the client’s symptoms most likely indicate: ?
(A) Ulcer perforation
(B) Increased ulcer formation
(C) Esophageal inflammation
(D) Intestinal obstruction
11 >>Which snack is best for the child following a tonsillectomy? ?
(A) Banana popsicle
(B) Chocolate milk
(C) Fruit punch
12 >>The physician has prescribed Xanax (alprazolam) for a client with acute anxiety. The nurse should teach the client to avoid: ?
(A) Sun exposure
(B) Drinking beer
(C) Eating cheese
(D) Taking aspirin
13 >>The nurse is instructing a post-operative client on the use of an incentive spirometer. The nurse knows that the correct use of the incentive spirometer is directly related to: ?
(A) Promoting the client’s circulation
(B) Preparing the client for amubulation
(C) Strengthening the client’s muscles
(D) Increasing the client’s respiratory effort
14 >>The nurse is assisting the physician with the insertion of an esophageal tamponade. Before insertion, the nurse should: ?
(A) Inflate and deflate the gastric and esophageal balloons
(B) Measure from the tip of the client’s nose to the xiphoid process
(C) Explain to the client that the tube will remain in place for 5-7 days
(D) Insert a nasogastric tube for gastric suction
15 >>The physician has ordered Cephulac (lactulose) for a client with increased serum ammonia. The nurse knows the medication is having its desired effect if the client experiences: ?
(A) Increased urination
(C) Increased appetite
(D) Decreased weight
16 >>The nurse is assessing a client immediately following delivery. The nurse notes that the client’s fundus is boggy. The nurse’s next action should be to: ?
(A) Assess for bladder distention
(B) Notify the physician
(C) Gently massage the fundus
(D) Administer pain medication
17 >>Which breakfast selection is suitable for the client on a high-fiber diet? ?
(A) Danish pastry, tomato juice, coffee, and milk
(B) Oatmeal, grapefruit wedges, coffee, and milk
(C) Cornflakes, toast and jam, and milk
(D) Scrambled eggs, bacon, toast, and coffee
18 >>A male client is admitted with a tentative diagnosis of Hodgkin’s lymphoma. The client with Hodgkin’s lymphoma commonly reports: ?
(A) Finding enlarged nodes in the neck while shaving
(B) Projectile vomiting upon arising
(C) Petechiae and easy bruising
(D) Frequent, painless hematuria
19 >>A client with acquired immunodeficiency syndrome has begun treatment with Pentam (pentamidine). The nurse recognizes that the medication will help to prevent: ?
(A) Candida albicans
(B) Pneumocystis carinii
20 >>During a well baby visit, the mother asks the nurse when the “soft spot” on the front of her baby’s head will close. The nurse should tell the mother that the anterior fontanel normally closes by the time the baby is: ?