A school nurse is assessing a child who has been stung by a bee. The
child's hand is swelling, and the nurse notes that the child is allergic to
insect stings. Which of the following findings should the nurse expect if the
child develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
• B) Nausea
• D) Urticaria
• E) Stridor
A nurse is caring for a client who is unconscious. Which of the following
actions should the nurse take when providing oral care for the client?
A) Test for the presence of the client's gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
• A) Test for the presence of the client's gag reflex
,A nurse is planning care for a client who has acute myelogenous leukemia
and a platelet count of 48,000/mm³. Which of the following interventions
should the nurse include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth
• A) Avoid IM injections
A nurse is preparing to assess the function of the client's trigeminal nerve
(cranial nerve V). Which of the following items should the nurse gather for
the test?
A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart
• C) Cotton wisps
A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect
the provider to prescribe to assist the client with maintaining sobriety?
A) Varenicline
B) Clonidine
, C) Buprenorphine
D) Disulfiram
• D) Disulfiram
A newly admitted client who has major depressive disorder states to the
nurse, "I'm a failure, I can't even cope with the little things anymore." Which
of the following responses should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now."
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get
better."
• C) "Do you feel like you don't deserve to feel good about
yourself?"
A nurse is caring for a middle-aged adult client. The nurse should identify
which of the following statements as an indication that the client has
completed Erikson's developmental task for her age group?
A) "I am comfortable with my decision to choose a lifelong partner."
B) "I think I have done a good job with my children since they are all
independent now."
C) "As I look back over my life, I can see that I have achieved most of the