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1. A LPN complains to the charge nurse that an unli- 4 Explore for further identifi-
censed assistive person (UAP) consistently leaves cation about the nature of the
the work area untidy and does not restock sup- problem
plies. What is the best initial response by the
charge nurse?
1Write down potential solutions to the problems
today by shift's end
2Add this concern to the agenda of the next unit
meeting
3Assure the staff nurse that the complaint will be
investigated
4Explore for further identification about the na-
ture of the problem
2. The nurse assists with the reinforcement of infor- 3
mation about breast self-examination to a group
of college students. A female student asks when to
perform the monthly exam. The appropriate reply
by the nurse should include which statement?
1"Ovulation, or midcycle is the best time to detect
changes."
2"Do the exam at the same time every month."
3"Right after the period, when your breasts are
less tender."
4"The first of every month, because it will be easi-
est to remember."
3. The nurse is caring for a 75 year-old client with 1An open wound on the heel
type 2 diabetes mellitus. The client should be in- with minimal discomfort-
structed to contact the outpatient clinic immedi-
ately if which findings are present?
1An open wound on the heel with minimal discom-
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fort
2Occasional hiccups and sneezing
3Sustained insomnia and daytime fatigue
4Persistent dryness and itching of the perineal
area
4. A pregnant woman has been advised to alter her 4. Beef, one-half cup of lima
diet during pregnancy by increasing the intake of beans, glass of skim milk,
protein and vitamin C to meet the needs of the three-fourths cup of strawber-
growing fetus. Which diet choice would best meet ries -
the woman's needs?
1. 1 cup of macaroni, three-fourths cup of peas,
glass whole milk, medium pear
2. Scrambled egg, hash browned potatoes,
one-half glass of buttermilk, large nectarine
3. 3 oz. chicken, one-half cup of corn, lettuce salad,
small banana
4. Beef, one-half cup of lima beans, glass of skim
milk, three-fourths cup of strawberries
5. A nurse is taking a health history from parents of 1. Varicella -
a child admitted with possible Reye's syndrome.
Which recent illness should the nurse recognize as
being associated with an increased the risk for the
development of Reye's syndrome?
1. Varicella
2. Meningitis
3. Hepatitis
4. Rubeola
6. A Native American chief visits his newborn son 1. Prejudice-
and performs a traditional ceremony that involves
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feathers and chanting. The nurse comments to a
colleague: "I wonder if he has any idea how ridicu-
lous he looks - he's a grown man!" The nurse's
comment is an example of what type of attitude?
1. Prejudice
2. Ethnocentrism
3. Discrimination
4. Stereotyping
7. A nursing student asks the licensed practical nurse 2
(LPN) to explain the forces that drive health care
reform. When responding to the student's ques-
tion, what information should the nurse empha-
size?
1. Increased competition between health care in-
surers
2. Increase in health care spending that's growing
faster than the economy
3. Increase in the population who have health in-
surance
4. Increase in spending for end-of-life treatment
8. A child is admitted to the unit with the suspected 2
diagnosis of pertussis (whooping cough). What is
the priority nursing intervention for this child?
1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy
9. A client has an indwelling catheter with con- 4Minimal drainage into the uri-
tinuous bladder irrigation after undergoing a nary collection bag
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transurethral resection of the prostate (TURP) 12
hours ago. Which finding at this time should be re-
ported to the registered nurse (RN) charge nurse?
1Complaints for the feeling of pulling on the uri-
nary catheter
2Light, pink to clear urine
3Occasional suprapubic cramping
4Minimal drainage into the urinary collection bag
10. A nurse is caring for a woman two hours after 3
a vaginal delivery. Documentation indicates that
the membranes ruptured 36 hours prior to deliv-
ery. Which of these nursing diagnoses should the
nurse expect the charge nurse to list as a priority
at this time?
1Risk for fluid volume deficit
2Risk for excessive bleeding
3Risk for infection -
4Altered tissue perfusion
11. A 14 month-old child ingests a half a bottle of baby 2
aspirin (81 mg) tablets. Which finding should a
nurse expect to see in the child?
1Hypothermia
2Nausea and vomiting
3Hypoventilation
4Bradycardia
12. A school nurse monitors a child with a history 1Place the hands or a folded
of tonic-clonic seizures. The school nurse should blanket under the head of the
inform teachers that if the child falls to the floor child -
and experiences a seizure while in the classroom,