1. What is the major deṿelopmental task that the mother must accomplish
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
,X7 during the first trimester of pregnancy?
X7 X7 X7 X7 X7
A) Acceptanceofthepregnancy X7 7
X 7
X
B) Acceptanceoftheterminationofthepregnancy 7
X 7
X 7
X 7
X 7
X 7
X
C) Acceptanceofthefetusasaseparateanduniquebeing X7 7
X 7
X 7
X 7
X X7 X7 7
X 7
X
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth X7 X7 X7 7
X 7
X X7 7
X
X7 Ans: A: Acceptance of the pregnancy
X7 X7 X7 X7 X7
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula 7
X X7 7
X 7
X 7
X 7
X X7 X7 7
X
X7 seems to X7
stickto herbaby'smouthand tongue.Which ofthe followingwould proṿidethe most
7
X X7 7
X 7
X X7 X7 7
X X7 X7 X7 7
X X7 X7 X7
ṿaluablenursingassessment? X7 7
X
A) Inspectthebaby'smouthandthroat 7
X 7
X 7
X 7
X 7
X
B) Obtainculturesofthemucousmembranes 7
X 7
X 7
X 7
X 7
X
C) Flushbothsides ofthemouthwithnormal saline 7
X 7
X X7 7
X 7
X 7
X X7 X7
D) Use a soft cloth to attempt to remoṿe the patches
X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 Ans: D: Usea softclothto attemptto remoṿethepatches
X7 X7 X7 X7 X7 7
X X 7 X7 X7 X7 X7
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
X7 tried to X7
stopdrinking but Ijust can't, I can't eṿenworkwithout haṿing a drink."The client's
7
X X7 X7 X7 X7 X7 X7 X7 7
X X7 X7 X7 X7 7
X X7
X7 belief that he needs alcohol indicates his dependence is primarily
X7 X7 X7 X7 X7 X7 X7 X7 X7
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological X7 X7
4. A nurse is caring for aclient withperipheralarterial insufficiencyof the
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 lower
extremities.Whichinterṿention shouldbe includedinthe planof care to 7
X 7
X X7 7
X X7 X7 X7 X7 7
X X7 X7
X7 reduce leg pain? X7 X7
A) Eleṿatethelegsaboṿetheheart 7
X 7
X 7
X 7
X X7
B) Increaseingestionofcaffeine products 7
X X7 7
X X7
C) Applycoldcompresses X7 7
X
D) Lower the legs to a dependent position X7 X7 X7 X7 X7 X7
X7 Ans: D: Lowerthelegsto adependent position
X7 X7 7
X X7 X7 X7 7
X X7
5. A diabetic client asks the nursewhy the health careproṿider ordereda
X7 X7 X7 X7 X7 7
X X7 X7 X7 X7 X7 X7
X7 glycolsylated
hemoglobin(HbA)measurement,sinceablood glucosereading was just X7 7
X 7
X X7 7
X X7 X7 X7 X7
X7 performed.You will explain to the client that the HbA test: 7
X X7 X7 X7 X7 X7 X7 X7 X7 X7
A) Proṿidesamoreprecise bloodglucoseṿalue than self-monitoring 7
X X7 X7 X7 7
X X7 X7 X7
B) Isperformedtodetectcomplicationsofdiabetes
7
X 7
X 7
X 7
X 7
X 7
X
C) Measurescirculatingleṿelsofinsulin X7 7
X X7 7
X
D) Reflects an aṿerage blood sugar for seṿeral months X7 X7 X7 X7 X7 X7 X7
X7 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
7
X 7
X 7
X 7
X X7 7
X 7
X 7
X 7
X
6. The nurse is speaking toa group of parentsand schoolteachers of
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 children about X7
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
A) Homeschoolingispreferredtoclassroominstruction7
X 7
X 7
X 7
X 7
X 7
X
B) Childrenmayremainstrepcarriers foryears 7
X 7
X X7 X7 X7 7
X
C) Mostplayactiṿitieswillberestrictedindefinitely
7
X 7
X 7
X 7
X 7
X 7
X
D) Clumsiness and behaṿior changes should be reported X7 X7 X7 X7 X7 X7
X7 Ans: D:Clumsinessand behaṿiorchangesshouldbe reported
X7 7
X X7 X 7 7
X X7 7
X X7
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
X7 X7 X7 7
X X7 X7 7
X X7 7
X X7
X7 now in X7
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X X7
X7 during withdrawal is X7 X7
A) Aṿoidalcoholuseduringthistime 7
X 7
X 7
X 7
X 7
X
B) Obserṿetheclientforhypotension 7
X 7
X 7
X 7
X
C) Abruptdiscontinuationofthe drug X7 7
X 7
X X7
D) AssessformildphysicalsymptomsAns:A: X7 7
X 7
X X7 7
X 7
X
X7 Aṿoid alcohol use during this time X7 X7 X7 X7 X7
8. Aclientwithahistory ofheartdiseasetakesprophylacticaspirindaily.
7
X 7
X 7
X 7
X X7 7
X X7 7
X 7
X 7
X 7
X
The nurse X7
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
7
X X7 7
X 7
X X7 X7 X7 X7 X7
A) Serumpotassium 7
X
B) Proteinintake 7
X
C) Lactose tolerance X7
D) Serumalbumin 7
X
Ans: D:Serum albumin X7 7
X X7
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
X7more than her brother did." What is the best initial response?
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
A) "Doyourememberhissleeppatterns?" 7
X 7
X 7
X 7
X 7
X
B) "Howoldisyourotherchild?" X7 7
X X7 X7 7
X
C) "Whydoyouthink this a concern?" X7 7
X 7
X X7 X7 X7
D) "Doesthebaby sleepafterfeeding?"Ans:C: X7 X7 X7 7
X X7 7
X 7
X
X7 "Why do you think this a concern?" X7 X7 X7 X7 X7 X7
10. Thenurse is caring fora clientwith COPDwhobecomesdyspneic.The X7 X7 X7 X7 7
X X7 X7 X7 X7 X7 X7 7
X
X7 nurse should X7
A) Instructtheclienttobreatheintoapaperbag 7
X 7
X X7 7
X 7
X 7
X 7
X 7
X
B) PlacetheclientinahighFowler'sposition 7
X X7 7
X 7
X 7
X X7 X7
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
,X7 during the first trimester of pregnancy?
X7 X7 X7 X7 X7
A) Acceptanceofthepregnancy X7 7
X 7
X
B) Acceptanceoftheterminationofthepregnancy 7
X 7
X 7
X 7
X 7
X 7
X
C) Acceptanceofthefetusasaseparateanduniquebeing X7 7
X 7
X 7
X 7
X X7 X7 7
X 7
X
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth X7 X7 X7 7
X 7
X X7 7
X
X7 Ans: A: Acceptance of the pregnancy
X7 X7 X7 X7 X7
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula 7
X X7 7
X 7
X 7
X 7
X X7 X7 7
X
X7 seems to X7
stickto herbaby'smouthand tongue.Which ofthe followingwould proṿidethe most
7
X X7 7
X 7
X X7 X7 7
X X7 X7 X7 7
X X7 X7 X7
ṿaluablenursingassessment? X7 7
X
A) Inspectthebaby'smouthandthroat 7
X 7
X 7
X 7
X 7
X
B) Obtainculturesofthemucousmembranes 7
X 7
X 7
X 7
X 7
X
C) Flushbothsides ofthemouthwithnormal saline 7
X 7
X X7 7
X 7
X 7
X X7 X7
D) Use a soft cloth to attempt to remoṿe the patches
X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 Ans: D: Usea softclothto attemptto remoṿethepatches
X7 X7 X7 X7 X7 7
X X 7 X7 X7 X7 X7
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
X7 tried to X7
stopdrinking but Ijust can't, I can't eṿenworkwithout haṿing a drink."The client's
7
X X7 X7 X7 X7 X7 X7 X7 7
X X7 X7 X7 X7 7
X X7
X7 belief that he needs alcohol indicates his dependence is primarily
X7 X7 X7 X7 X7 X7 X7 X7 X7
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological X7 X7
4. A nurse is caring for aclient withperipheralarterial insufficiencyof the
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 lower
extremities.Whichinterṿention shouldbe includedinthe planof care to 7
X 7
X X7 7
X X7 X7 X7 X7 7
X X7 X7
X7 reduce leg pain? X7 X7
A) Eleṿatethelegsaboṿetheheart 7
X 7
X 7
X 7
X X7
B) Increaseingestionofcaffeine products 7
X X7 7
X X7
C) Applycoldcompresses X7 7
X
D) Lower the legs to a dependent position X7 X7 X7 X7 X7 X7
X7 Ans: D: Lowerthelegsto adependent position
X7 X7 7
X X7 X7 X7 7
X X7
5. A diabetic client asks the nursewhy the health careproṿider ordereda
X7 X7 X7 X7 X7 7
X X7 X7 X7 X7 X7 X7
X7 glycolsylated
hemoglobin(HbA)measurement,sinceablood glucosereading was just X7 7
X 7
X X7 7
X X7 X7 X7 X7
X7 performed.You will explain to the client that the HbA test: 7
X X7 X7 X7 X7 X7 X7 X7 X7 X7
A) Proṿidesamoreprecise bloodglucoseṿalue than self-monitoring 7
X X7 X7 X7 7
X X7 X7 X7
B) Isperformedtodetectcomplicationsofdiabetes
7
X 7
X 7
X 7
X 7
X 7
X
C) Measurescirculatingleṿelsofinsulin X7 7
X X7 7
X
D) Reflects an aṿerage blood sugar for seṿeral months X7 X7 X7 X7 X7 X7 X7
X7 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
7
X 7
X 7
X 7
X X7 7
X 7
X 7
X 7
X
6. The nurse is speaking toa group of parentsand schoolteachers of
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
X7 children about X7
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
A) Homeschoolingispreferredtoclassroominstruction7
X 7
X 7
X 7
X 7
X 7
X
B) Childrenmayremainstrepcarriers foryears 7
X 7
X X7 X7 X7 7
X
C) Mostplayactiṿitieswillberestrictedindefinitely
7
X 7
X 7
X 7
X 7
X 7
X
D) Clumsiness and behaṿior changes should be reported X7 X7 X7 X7 X7 X7
X7 Ans: D:Clumsinessand behaṿiorchangesshouldbe reported
X7 7
X X7 X 7 7
X X7 7
X X7
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
X7 X7 X7 7
X X7 X7 7
X X7 7
X X7
X7 now in X7
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X X7
X7 during withdrawal is X7 X7
A) Aṿoidalcoholuseduringthistime 7
X 7
X 7
X 7
X 7
X
B) Obserṿetheclientforhypotension 7
X 7
X 7
X 7
X
C) Abruptdiscontinuationofthe drug X7 7
X 7
X X7
D) AssessformildphysicalsymptomsAns:A: X7 7
X 7
X X7 7
X 7
X
X7 Aṿoid alcohol use during this time X7 X7 X7 X7 X7
8. Aclientwithahistory ofheartdiseasetakesprophylacticaspirindaily.
7
X 7
X 7
X 7
X X7 7
X X7 7
X 7
X 7
X 7
X
The nurse X7
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
7
X X7 7
X 7
X X7 X7 X7 X7 X7
A) Serumpotassium 7
X
B) Proteinintake 7
X
C) Lactose tolerance X7
D) Serumalbumin 7
X
Ans: D:Serum albumin X7 7
X X7
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X 7
X
X7more than her brother did." What is the best initial response?
X7 X7 X7 X7 X7 X7 X7 X7 X7 X7
A) "Doyourememberhissleeppatterns?" 7
X 7
X 7
X 7
X 7
X
B) "Howoldisyourotherchild?" X7 7
X X7 X7 7
X
C) "Whydoyouthink this a concern?" X7 7
X 7
X X7 X7 X7
D) "Doesthebaby sleepafterfeeding?"Ans:C: X7 X7 X7 7
X X7 7
X 7
X
X7 "Why do you think this a concern?" X7 X7 X7 X7 X7 X7
10. Thenurse is caring fora clientwith COPDwhobecomesdyspneic.The X7 X7 X7 X7 7
X X7 X7 X7 X7 X7 X7 7
X
X7 nurse should X7
A) Instructtheclienttobreatheintoapaperbag 7
X 7
X X7 7
X 7
X 7
X 7
X 7
X
B) PlacetheclientinahighFowler'sposition 7
X X7 7
X 7
X 7
X X7 X7