1 >>The physician has instructed the client with gout to avoid protein sources of purine. Which protein source is high in purine? ?
- (A) Dried beans
- (B) Nuts
- (C) Cheese
- (D) Eggs
2 >>The nurse is caring for a client with a long history of bulimia. The nurse would expect the client to have: ?
- (A) Extreme weight loss
- (B) Dental caries
- (C) Hair loss
- (D) Lanugo
3 >>A client with paranoid schizophrenia has an order for Thorazine (chlorpromazine) 400mg orally twice daily. Which of the following symptoms should be reported to the physician immediately? ?
- (A) Muscle spasms of the neck, difficulty in swallowing
- (B) Dry mouth, constipation, blurred vision
- (C) Lethargy, slurred speech, thirst
- (D) Fatigue, drowsiness, photosensitivity
4 >>The nurse is applying a Transderm Nitro (nitrogycerin) patch to a client with angina. When applying the patch, the nurse should: ?
- (A) Shave the area before applying a new patch
- (B) Remove the old patch and clean the skin with alcohol
- (C) Cover the patch with plastic wrap and tape it in place
- (D) Avoid cutting the patch because it will alter the dose
5 >>A client with myasthenia gravis is admitted with a diagnosis of cholinergic crisis. The nurse can expect the client to have: ?
- (A) Decreased blood pressure and pupillary meiosis
- (B) Increased heart rate and increased respirations
- (C) Increased respirations and increased blood pressure
- (D) Anoxia and absence of the cough reflex
6 >>The nurse is providing dietary teaching regarding low-sodium diets for a client with hypertension. Which food should be avoided by the client on a low-sodium diet? ?
- (A) Dried beans
- (B) Swiss cheese
- (C) Peanut butter
- (D) American cheese
7 >>A client is admitted to the emergency room with partial-thickness burns of his head and both arms. According to the Rule of Nines, the nurse calculates that the TBSA (total body surface area) involved is: ?
- (A) 0.2
- (B) 0.27
- (C) 0.35
- (D) 0.5
8 >>The physician has ordered a paracentesis for a client with severe ascites. Before the procedure, the nurse should: ?
- (A) Instruct the client to void
- (B) Shave the abdomen
- (C) Encourage extra fluids
- (D) Request an abdominal x-ray
9 >>The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching? ?
- (A) Zovirax (acyclovir)
- (B) Varivax (varicella vaccine)
- (C) VZIG (varicella-zoster immune globulin)
- (D) Periactin (cyproheptadine)
10 >>Which of the following clients is most likely to be a victim of elder abuse? ?
- (A) A 62-year-old female with diverticulitis
- (B) A 76-year-old female with right-sided hemiplegia
- (C) A 65-year-old male with a hip replacement
- (D) A 72-year-old male with diabetes mellitus
11 >>A hospitalized client with severe anemia is to receive a unit of blood. Which facet of care is most appropriate for the newly licensed practical nurse? ?
- (A) Initiating the IV of normal saline
- (B) Monitoring the client’s vital signs
- (C) Initiating the blood transfusion
- (D) Notifying the physician of a reaction
12 >>To reduce the possibility of having a baby with a neural tube defect, the client should be told to increase her intake of folic acid. Dietary sources of folic acid include: ?
- (A) Meat, liver, eggs
- (B) Pork, fish, chicken
- (C) Oranges, cabbage, cantaloupe
- (D) Dried beans, sweet potatoes, Brussels sprouts
13 >>A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client’s diagnosis? ?
- (A) Smoking a pack of cigarettes a day for 30 years
- (B) Taking hormone-replacement therapy
- (C) Eating foods with preservatives
- (D) Past employment involving asbestos
14 >>The physician has prescribed nitroglycerin buccal tablets as needed for a client with angina. The nurse should tell the client to take the tablets: ?
- (A) After engaging in strenuous activity
- (B) Every 4 hours to prevent chest pain
- (C) When he first feels chest discomfort
- (D) At bedtime to prevent nocturnal angina
15 >>The nurse is caring for an infant who is on strict intake and output. The used diaper weighs 90.5 grams. The diaper’s dry weight was 62 grams. The infant’s urine output was: ?
- (A) 10mL
- (B) 28.5mL
- (C) 10 grams
- (D) 152.5 grams
16 >>The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should explain the need for: ?
- (A) Additional calcium in the infant’s diet
- (B) Careful handling to prevent fractures
- (C) Providing extra sensorimotor stimulation
- (D) Frequent testing of visual function
17 >>The nurse is preparing a client with gastroesophageal reflux disease (GERD) for discharge. The nurse should tell the client to: ?
- (A) Eat a small snack before bedtime
- (B) Sleep on his right side
- (C) Avoid colas, tea, and coffee
- (D) Increase his intake of citrus fruits
18 >>The nurse is administering Dilantin (phenytoin) via nasogastric (NG) tube. When giving the medication, the nurse should: ?
- (A) Flush the NG tube with 2-4mL of water before giving the medication
- (B) Administer the medication, flush with 5mL of water, and clamp the NG tube
- (C) Flush the NG tube with 5mL of normal saline and administer the medication
- (D) Flush the NG tube with 2-4oz. of water before and after giving the medication
19 >>The nurse is caring for a 3-year-old in a wet hip spica cast made from plaster of Paris. When turning the 3-year-old with a wet cast, the nurse should: ?
- (A) Grasp the cast by the hand
- (B) Use an assistive sling
- (C) Use the palms of the hands
- (D) Obtain a lifting device
20 >>A client has a diagnosis of discoid lupus. The primary difference in discoid lupus and systemic lupus is that discoid lupus: ?
- (A) Produces changes in the kidneys
- (B) Is confined to the skin
- (C) Results in damage to the heart and lungs
- (D) Affects both joints and muscles