1 >>A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms? ?
- (A) Zyprexa (olanzapine)
- (B) Cogentin (benzatropine mesylate)
- (C) Benadryl (diphenhydramine)
- (D) Depakote (divalproex sodium)
2 >>Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis? ?
- (A) Playing video games
- (B) Swimming
- (C) Working crossword puzzles
- (D) Playing slow-pitch softball
3 >>The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that: ?
- (A) The client can have a higher-calorie diet.
- (B) The client has good control of her diabetes.
- (C) The client requires adjustment in her insulin dose.
- (D) The client has poor control of her diabetes.
4 >>The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is having its intended effect if the client: ?
- (A) Is asleep 30 minutes after the injection
- (B) Asks for extra servings on his meal tray
- (C) Has an increased urinary output
- (D) States that he is feeling less nauseated
5 >>The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have: ?
- (A) Choanal atresia
- (B) Nasal polyps
- (C) Septal deviations
- (D) Enlarged adenoids
6 >>A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness? ?
- (A) Prilosec (omeprazole)
- (B) Synthroid (levothyroxine)
- (C) Premarin (conjugated estrogens)
- (D) Lipitor (atorvastatin)
7 >>The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet? ?
- (A) Cornflakes, whole milk, banana, and coffee
- (B) Scrambled eggs, bacon, toast, and coffee
- (C) Oatmeal, apple juice, dry toast, and coffee
- (D) Pancakes, ham, tomato juice, and coffee
8 >>An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching? ?
- (A) The child should not play on his rocking horse.
- (B) Applying warm compresses to decrease pain.
- (C) Diapering should be avoided for 1-2 weeks.
- (D) The child will need a special diet to promote healing.
9 >>An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: ?
- (A) Keep crackers at the bedside for eating before she arises
- (B) Drink a glass of whole milk before going to sleep at night
- (C) Skip breakfast but eat a larger lunch and dinner
- (D) Drink a glass of orange juice after adding a couple of teaspoons of sugar
10 >>The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA? ?
- (A) The nurse leaves the stethoscope in the client’s room for future use.
- (B) The nurse cleans the stethoscope with alcohol and returns it to the exam room.
- (C) The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
- (D) The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.
11 >>The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that: ?
- (A) The medication will be needed only during times of rapid growth.
- (B) The medication will be needed throughout the child’s lifetime.
- (C) The medication schedule can be arranged to allow for drug holidays.
- (D) The medication is given one time daily every other day.
12 >>A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication: ?
- (A) At bedtime
- (B) With breakfast
- (C) Before lunch
- (D) After dinner
13 >>The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis? ?
- (A) Visual disturbances, including diplopia
- (B) Ascending paralysis and loss of motor function
- (C) Cogwheel rigidity and loss of coordination
- (D) Progressive weakness that is worse at the day’s end
14 >>The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents: ?
- (A) That the infant will need daily calcium supplements
- (B) To lift the infant by the buttocks when diapering
- (C) That the condition is a temporary one
- (D) That only the bones are affected by the disease
15 >>Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will: ?
- (A) Reduce the secretion of pancreatic enzymes
- (B) Decrease the client’s need for insulin
- (C) Prevent secretion of gastric acid
- (D) Eliminate the need for analgesia
16 >>A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis? ?
- (A) Pain in the left lower quadrant
- (B) Boardlike abdomen
- (C) Low-grade fever
- (D) Abdominal distention
17 >>The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is: ?
- (A) Prostigmin (neostigmine)
- (B) Atropine (atropine sulfate)
- (C) Didronel (etidronate)
- (D) Tensilon (edrophonium)
18 >>A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS? ?
- (A) High calorie, high protein, high fat
- (B) High calorie, high carbohydrate, low protein
- (C) High calorie, low carbohydrate, high fat
- (D) High calorie, high protein, low fat
19 >>The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services? ?
- (A) Patching one of the eyes to strengthen the muscles
- (B) Providing suckers and pinwheels to help strengthen tongue movement
- (C) Providing musical tapes to provide auditory training
- (D) Encouraging play with a video game to improve muscle coordination
20 >>At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age: ?
- (A) 1 month
- (B) 2 months
- (C) 3-4 months
- (D) 5-6 months