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1. A nurse is admitting a client who has antisocial per- C. Uses others for person-
sonality disorder. Which of the following client behav- al gain
iors 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
2. A nurse is interpreting the cardiac rhythm strip of a
client who was admitted with syncope. Which of the
following images indicates that the client has atrial
fibrillation?
3. A charge nurse on a pediatric unit is making assign- A. A 10-year-old client who
ments for a float nurse from the medical unit. Which has pneumonia and is re-
of the following clients is appropriate to assign to the ceiving respiratory treat-
float nurse? ments
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 surgi-
cal 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
4. A nurse is assessing an infant who has water intoxica- A. Generalized edema
tion. Which of the following findings should the nurse
expect?
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A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
5. A nurse is discussing the z-track administration of This technique decreases
hydroxyzine with a newly licensed nurse. Which of the risk of subcutaneous
the following statements indicates the newly licensed infiltration
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 medica-
tion to be injected
D. This technique increases the absorption rate of the
drug
6. A nurse is creating a plan of care for a client who C. Monitor the client for 1
has anorexia nervosa. Which of the following interven- hr after meals
tions 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 hospi-
talization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
7. A nurse is planning care for a child who has in- B. Maintain the head at a
creased intracranial pressure with a decrease in lev- midline position
el of consciousness. Which of the following interven-
tions should the nurse include in the plan of care?
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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
8. 10. A nurse is assessing a client who has delirium due A. Hallucinations
to a febrile illness. Which of the following findings
should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia
9. A nurse is assessing a client who is receiving enteral D. Bounding pulses
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
10. A nurse is caring for a client following an open colec- B. Hyperemesis
tomy. 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
11. B. HbA1c
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A home health nurse is reviewing treatment goals
with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory
tests to determine effective long-term management
of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones
12. A nurse is caring for a client who has neutropenia due D. Use a dedicated stetho-
to HIV. Which of the following precautions should the scope
nurse take while caring for this client?
A. Wear an N95 respirator
B. Insert an indwelling urinary catheter to monitor
urinary output
C. Monitor the client's vital signs every 8 hr
D. Use a dedicated stethoscope
13. A nurse is caring for a client who reports difficulty C. Schedule routine care
falling asleep at night. Which of the following actions tasks during hours when
should the nurse take? the client is awake
A. Encourage the client to ambulate in the hallway 1 hr
before bedtime
B. Tell the client to avoid drinking fluids 1 hr before
bedtime
C. Schedule routine care tasks during hours when the
client is awake
D. Advise the client to leave the television in the room
on when trying to fall asleep