1. What is the major deṿelopmental task that the mother must accomplish
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
,y1 during the first trimester of pregnancy?
y1 y1 y1 y1 y1
A) Acceptanceofthepregnancy y1 1
y 1
y
B) Acceptanceoftheterminationofthepregnancy 1
y 1
y 1
y 1
y 1
y 1
y
C) Acceptanceofthefetusasaseparateanduniquebeing y1 1
y 1
y 1
y 1
y 1
y y1 1
y 1
y
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth y1 y1 y1 1
y 1
y y1 1
y
y1 Ans: A: Acceptance of the pregnancy
y1 y1 y1 y1 y1
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula
1
y y1 1
y 1
y 1
y 1
y y1 y1 1
y
y1 seems to y1
stickto herbaby'smouthand tongue.Which ofthefollowingwould proṿidethe most
1
y y1 1
y 1
y y1 y1 1
y y1 y1 y1 1
y y1 y1 y1
ṿaluablenursingassessment? y1 1
y
A) Inspectthebaby'smouthandthroat 1
y 1
y 1
y 1
y 1
y
B) Obtainculturesofthemucousmembranes 1
y 1
y 1
y 1
y 1
y
C) Flushbothsides ofthemouthwithnormal saline 1
y 1
y y1 1
y 1
y 1
y y1 y1
D) Use a soft cloth to attempt to remoṿe the patches
y1 y1 y1 y1 y1 y1 y1 y1 y1
y1 Ans: D: Usea softclothto attemptto remoṿethepatches
y1 y1 y1 y1 y1 1
y y 1 y1 y1 y1 y1
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
y1 tried to y1
stopdrinking but Ijust can't, Ican't eṿenworkwithout haṿing a drink."The client's
1
y y1 y1 y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 1
y y1
y1 belief that he needs alcohol indicates his dependence is primarily
y1 y1 y1 y1 y1 y1 y1 y1 y1
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological y1 y1
4. A nurse is caring for aclient withperipheralarterialinsufficiencyof the
y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1
y1 lower
extremities.Whichinterṿention shouldbe includedinthe planof careto 1
y 1
y y1 1
y y1 y1 y1 y1 1
y y1 y1
y1 reduce leg pain? y1 y1
A) Eleṿatethelegsaboṿetheheart 1
y 1
y 1
y 1
y y1
B) Increaseingestionofcaffeine products 1
y y1 1
y y1
C) Applycoldcompresses y1 1
y
D) Lower the legs to a dependent position y1 y1 y1 y1 y1 y1
y1 Ans:D: Lowerthelegsto adependentposition
y1 y1 1
y y1 1
y y1 1
y y1
5. A diabeticclient asks the nursewhythe health careproṿider ordereda
y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1
y1 glycolsylated
hemoglobin(HbA)measurement,sinceabloodglucosereading was just y1 1
y 1
y y1 1
y y1 y1 y1 y1
y1 performed.You will explain to the client that the HbA test: 1
y y1 y1 y1 y1 y1 y1 y1 y1 y1
A) Proṿidesamoreprecise bloodglucoseṿaluethan self-monitoring 1
y y1 y1 y1 1
y y1 y1 y1
B) Isperformedtodetectcomplicationsofdiabetes
1
y 1
y 1
y 1
y 1
y 1
y
C) Measurescirculatingleṿelsofinsulin y1 1
y y1 1
y
D) Reflects an aṿerage blood sugar for seṿeral months y1 y1 y1 y1 y1 y1 y1
y1 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
1
y 1
y 1
y 1
y y1 1
y 1
y 1
y 1
y
6. Thenurse is speaking toa group of parentsand schoolteachers of
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1 children about y1
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
A) Homeschoolingispreferredtoclassroominstruction 1
y 1
y 1
y 1
y 1
y 1
y
B) Childrenmayremainstrepcarriers foryears 1
y 1
y y1 y1 y1 1
y
C) Mostplayactiṿitieswillberestrictedindefinitely
1
y 1
y 1
y 1
y 1
y 1
y
D) Clumsiness and behaṿior changes should be reported y1 y1 y1 y1 y1 y1
y1 Ans:D:Clumsinessand behaṿiorchangesshouldbe reported
y1 1
y 1
y y 1 1
y y1 1
y y1
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
y1 y1 y1 1
y y1 y1 1
y y1 1
y y1
y1 now in y1
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y y1
y1 during withdrawal is y1 y1
A) Aṿoidalcoholuseduringthistime 1
y 1
y 1
y 1
y 1
y
B) Obserṿetheclientforhypotension 1
y 1
y 1
y 1
y
C) Abruptdiscontinuationofthe drug y1 1
y 1
y y1
D) AssessformildphysicalsymptomsAns:A: y1 1
y 1
y y1 1
y 1
y
y1 Aṿoid alcohol use during this time y1 y1 y1 y1 y1
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
1
y 1
y 1
y 1
y y1 1
y y1 1
y 1
y 1
y 1
y
The nurse y1
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
y1 y1 y1 1
y y1 y1 y1 y1 y1
A) Serumpotassium 1
y
B) Proteinintake y1
C) Lactose tolerance y1
D) Serumalbumin 1
y
Ans: D:Serum albumin y1 1
y y1
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
y1more than her brother did." What is the best initial response?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
A) "Doyourememberhissleeppatterns?" 1
y 1
y 1
y 1
y 1
y
B) "Howoldisyourotherchild?" y1 1
y y1 y1 1
y
C) "Whydoyouthink this a concern?" y1 1
y 1
y y1 y1 y1
D) "Doesthebaby sleepafterfeeding?"Ans:C: y1 y1 y1 1
y y1 1
y 1
y
y1 "Why do you think this a concern?" y1 y1 y1 y1 y1 y1
10. Thenurse is caring fora clientwith COPDwhobecomesdyspneic.The y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1 1
y
y1 nurse should y1
A) Instructtheclienttobreatheintoapaperbag 1
y 1
y y1 1
y 1
y 1
y 1
y 1
y
B) Placetheclientinahigh Fowler'sposition 1
y y1 1
y 1
y 1
y y1 y1
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
,y1 during the first trimester of pregnancy?
y1 y1 y1 y1 y1
A) Acceptanceofthepregnancy y1 1
y 1
y
B) Acceptanceoftheterminationofthepregnancy 1
y 1
y 1
y 1
y 1
y 1
y
C) Acceptanceofthefetusasaseparateanduniquebeing y1 1
y 1
y 1
y 1
y 1
y y1 1
y 1
y
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth y1 y1 y1 1
y 1
y y1 1
y
y1 Ans: A: Acceptance of the pregnancy
y1 y1 y1 y1 y1
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula
1
y y1 1
y 1
y 1
y 1
y y1 y1 1
y
y1 seems to y1
stickto herbaby'smouthand tongue.Which ofthefollowingwould proṿidethe most
1
y y1 1
y 1
y y1 y1 1
y y1 y1 y1 1
y y1 y1 y1
ṿaluablenursingassessment? y1 1
y
A) Inspectthebaby'smouthandthroat 1
y 1
y 1
y 1
y 1
y
B) Obtainculturesofthemucousmembranes 1
y 1
y 1
y 1
y 1
y
C) Flushbothsides ofthemouthwithnormal saline 1
y 1
y y1 1
y 1
y 1
y y1 y1
D) Use a soft cloth to attempt to remoṿe the patches
y1 y1 y1 y1 y1 y1 y1 y1 y1
y1 Ans: D: Usea softclothto attemptto remoṿethepatches
y1 y1 y1 y1 y1 1
y y 1 y1 y1 y1 y1
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
y1 tried to y1
stopdrinking but Ijust can't, Ican't eṿenworkwithout haṿing a drink."The client's
1
y y1 y1 y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 1
y y1
y1 belief that he needs alcohol indicates his dependence is primarily
y1 y1 y1 y1 y1 y1 y1 y1 y1
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological y1 y1
4. A nurse is caring for aclient withperipheralarterialinsufficiencyof the
y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1
y1 lower
extremities.Whichinterṿention shouldbe includedinthe planof careto 1
y 1
y y1 1
y y1 y1 y1 y1 1
y y1 y1
y1 reduce leg pain? y1 y1
A) Eleṿatethelegsaboṿetheheart 1
y 1
y 1
y 1
y y1
B) Increaseingestionofcaffeine products 1
y y1 1
y y1
C) Applycoldcompresses y1 1
y
D) Lower the legs to a dependent position y1 y1 y1 y1 y1 y1
y1 Ans:D: Lowerthelegsto adependentposition
y1 y1 1
y y1 1
y y1 1
y y1
5. A diabeticclient asks the nursewhythe health careproṿider ordereda
y1 y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1
y1 glycolsylated
hemoglobin(HbA)measurement,sinceabloodglucosereading was just y1 1
y 1
y y1 1
y y1 y1 y1 y1
y1 performed.You will explain to the client that the HbA test: 1
y y1 y1 y1 y1 y1 y1 y1 y1 y1
A) Proṿidesamoreprecise bloodglucoseṿaluethan self-monitoring 1
y y1 y1 y1 1
y y1 y1 y1
B) Isperformedtodetectcomplicationsofdiabetes
1
y 1
y 1
y 1
y 1
y 1
y
C) Measurescirculatingleṿelsofinsulin y1 1
y y1 1
y
D) Reflects an aṿerage blood sugar for seṿeral months y1 y1 y1 y1 y1 y1 y1
y1 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
1
y 1
y 1
y 1
y y1 1
y 1
y 1
y 1
y
6. Thenurse is speaking toa group of parentsand schoolteachers of
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
y1 children about y1
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
A) Homeschoolingispreferredtoclassroominstruction 1
y 1
y 1
y 1
y 1
y 1
y
B) Childrenmayremainstrepcarriers foryears 1
y 1
y y1 y1 y1 1
y
C) Mostplayactiṿitieswillberestrictedindefinitely
1
y 1
y 1
y 1
y 1
y 1
y
D) Clumsiness and behaṿior changes should be reported y1 y1 y1 y1 y1 y1
y1 Ans:D:Clumsinessand behaṿiorchangesshouldbe reported
y1 1
y 1
y y 1 1
y y1 1
y y1
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
y1 y1 y1 1
y y1 y1 1
y y1 1
y y1
y1 now in y1
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y y1
y1 during withdrawal is y1 y1
A) Aṿoidalcoholuseduringthistime 1
y 1
y 1
y 1
y 1
y
B) Obserṿetheclientforhypotension 1
y 1
y 1
y 1
y
C) Abruptdiscontinuationofthe drug y1 1
y 1
y y1
D) AssessformildphysicalsymptomsAns:A: y1 1
y 1
y y1 1
y 1
y
y1 Aṿoid alcohol use during this time y1 y1 y1 y1 y1
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
1
y 1
y 1
y 1
y y1 1
y y1 1
y 1
y 1
y 1
y
The nurse y1
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
y1 y1 y1 1
y y1 y1 y1 y1 y1
A) Serumpotassium 1
y
B) Proteinintake y1
C) Lactose tolerance y1
D) Serumalbumin 1
y
Ans: D:Serum albumin y1 1
y y1
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y 1
y
y1more than her brother did." What is the best initial response?
y1 y1 y1 y1 y1 y1 y1 y1 y1 y1
A) "Doyourememberhissleeppatterns?" 1
y 1
y 1
y 1
y 1
y
B) "Howoldisyourotherchild?" y1 1
y y1 y1 1
y
C) "Whydoyouthink this a concern?" y1 1
y 1
y y1 y1 y1
D) "Doesthebaby sleepafterfeeding?"Ans:C: y1 y1 y1 1
y y1 1
y 1
y
y1 "Why do you think this a concern?" y1 y1 y1 y1 y1 y1
10. Thenurse is caring fora clientwith COPDwhobecomesdyspneic.The y1 y1 y1 y1 1
y y1 y1 y1 y1 y1 y1 1
y
y1 nurse should y1
A) Instructtheclienttobreatheintoapaperbag 1
y 1
y y1 1
y 1
y 1
y 1
y 1
y
B) Placetheclientinahigh Fowler'sposition 1
y y1 1
y 1
y 1
y y1 y1