, 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client
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behaviors should the nurse identify as consistent with this disorder?
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A. Compulsive attention to details q q q
B. Avoidsinteractingwithothers q q q
C. Usesothers for personalgain
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D. Sociallyawkward in group situations ANS:C.Uses others for personal gain
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2. enthasatrial q q
Anurseisinterpretingthecardiacrhythmstripofa clientwhowasadmitted withsyncope. Whichof
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thefollowingimagesindicatesthatthecli
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3. A client who has a diagnosis of complete placenta previa is admitted to
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the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
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duration.Which of the following actions should the nurse take?
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A. Rupture the amniotic sac q q q
B. Medicate the client for pain q q q q
C. Prepare the client for a cesarean section q q q q q q
D. Performa vaginal exam ANS:C.Preparethe client fora cesarean section
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4. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
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Which of the following clients is appropriate to assign to the float nurse?
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,A.A10-year-old clientwho haspneumoniaandis receivingrespiratorytreat- ments
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B.A 4-year-old client who has aWilms tumor and is receiving chemotherapy
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C.An8-month-oldclientwhoisscheduledforasurgicalrepairofaventricular septal defect tomorrow
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D.A14-year-oldclientwho is scheduled for dischargetodayfollowing place- ment of a Harrington rod
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ANS: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
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5. A nurse notices smoke comingfrom a client's room and discovers a fire in the wastebasket. After
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moving the client to safety, which of the following is the priority action?
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A. Notify the facility operator. q q q
B. Close the fire doors on the unit. q q q q q q
C. Turnoffoxygensources. q q q
D. Putout the firewith the appropriate extinguisher. ANS:A.Notify the facility opera- tor.
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6. Anurse is assessing an infant who has water intoxication.Which of the following findings
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should the nurse expect?
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, A. Generalized edema q
B. Elevated urine specific gravity q q q
C. Threadypulse q
D. Increasedhematocrit ANS:A.Generalizededema q q q q q
7. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
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qfollowing statements indicates the newly licensed nurse understands the purpose of the technique?
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A. Thistechnique prevents injury to the sciatic nerve
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B. Thistechnique decreases the risk of subcutaneous infiltration
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C. This technique allows a larger amount of medication to be injected
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D. This technique increases the absorption rate of the drug ANS:This technique decreases the risk
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q of subcutaneous infiltration
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8. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
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qinterventions should the nurse include in the plan?
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A. Encourage the client to gain 2.3 kg per week q q q q q q q q
B. Weighthe client once per week throughout hospitalization
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behaviors should the nurse identify as consistent with this disorder?
q q q q q q q q q q
A. Compulsive attention to details q q q
B. Avoidsinteractingwithothers q q q
C. Usesothers for personalgain
q q q q
D. Sociallyawkward in group situations ANS:C.Uses others for personal gain
q q q q q q q q q q q
2. enthasatrial q q
Anurseisinterpretingthecardiacrhythmstripofa clientwhowasadmitted withsyncope. Whichof
q q q q q q q q q q q q q q q q q
thefollowingimagesindicatesthatthecli
q q q q q q q q fibrillation?:
3. A client who has a diagnosis of complete placenta previa is admitted to
q q q q q q q q q q q q
the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
q q q q q q q q q q q q q q q q q q
duration.Which of the following actions should the nurse take?
q q q q q q q q q q
A. Rupture the amniotic sac q q q
B. Medicate the client for pain q q q q
C. Prepare the client for a cesarean section q q q q q q
D. Performa vaginal exam ANS:C.Preparethe client fora cesarean section
q q q q q q q q q q q q
4. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
q q q q q q q q q q q q q q q q q
Which of the following clients is appropriate to assign to the float nurse?
q q q q q q q q q q q q q
,A.A10-year-old clientwho haspneumoniaandis receivingrespiratorytreat- ments
q q q q q q q q q q q q
B.A 4-year-old client who has aWilms tumor and is receiving chemotherapy
q q q q q q q q q q q q
C.An8-month-oldclientwhoisscheduledforasurgicalrepairofaventricular septal defect tomorrow
q q q q q q q q q q q q q q q q
D.A14-year-oldclientwho is scheduled for dischargetodayfollowing place- ment of a Harrington rod
q q q q q q q q q q q q q q q q
ANS: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
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5. A nurse notices smoke comingfrom a client's room and discovers a fire in the wastebasket. After
q q q q q q q q q q q q q q q q
moving the client to safety, which of the following is the priority action?
q q q q q q q q q q q q q
A. Notify the facility operator. q q q
B. Close the fire doors on the unit. q q q q q q
C. Turnoffoxygensources. q q q
D. Putout the firewith the appropriate extinguisher. ANS:A.Notify the facility opera- tor.
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6. Anurse is assessing an infant who has water intoxication.Which of the following findings
q q q q q q q q q q q q q q
should the nurse expect?
q q q q
, A. Generalized edema q
B. Elevated urine specific gravity q q q
C. Threadypulse q
D. Increasedhematocrit ANS:A.Generalizededema q q q q q
7. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
q q q q q q q q q q q q q q q q
qfollowing statements indicates the newly licensed nurse understands the purpose of the technique?
q q q q q q q q q q q q
A. Thistechnique prevents injury to the sciatic nerve
q q q q q q q
B. Thistechnique decreases the risk of subcutaneous infiltration
q q q q q q q
C. This technique allows a larger amount of medication to be injected
q q q q q q q q q q
D. This technique increases the absorption rate of the drug ANS:This technique decreases the risk
q q q q q q q q q q q q q q
q of subcutaneous infiltration
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8. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
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qinterventions should the nurse include in the plan?
q q q q q q q
A. Encourage the client to gain 2.3 kg per week q q q q q q q q
B. Weighthe client once per week throughout hospitalization
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