Form A, B, & C, Exam, ( )
Questions And Correct Verified
Answers
1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client
behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Answer: C. Uses others for personal gain
3. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a Harrington rod
Answer: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
4. A nurse is assessing an infant who has water intoxication. Which of the following findings should
the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
,C. Thready pulse
D. Increased hematocrit
Answer: A. Generalized edema
5. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which
of the following statements indicates the newly licensed nurse understands the purpose of the
technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Answer: B. This technique decreases the risk of subcutaneous infiltration
6. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Answer: C. Monitor the client for 1 hr after meals
7. A nurse is planning care for a child who has increased intracranial pressure with a decrease in level
of consciousness. Which of the following interventions should the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
, Answer: B. Maintain the head at a midline position
8. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following
findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia
Answer: A. Hallucinations
9. A nurse is assessing a client who is receiving enteral feedings via a gastrostomy tube. The nurse
should identify that which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
Answer: D. Bounding pulses
10. A nurse is caring for a client following an open colectomy. Which of the following findings places
the client at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
Answer: B. Hyperemesis