QUESTIONS AND ANSWERS|| ALREADY
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VERSION 2025
Clients with mitral stenosis would likely manifest findings associated with
congestion in the
A) Pulmonary circulation
B) Descending aorta
C) Superior vena cava
D) Bundle of His - ANSWER-A) Pulmonary circulation
The nurse is teaching a smoking cessation class and notices there are 2 pregnant
women in the group. Which information is a priority for these women?
A) Low tar cigarettes are less harmful during pregnancy
B) There is a relationship between smoking and low birth weight
C) The placenta serves as a barrier to nicotine
D) Moderate smoking is effective in weight control - ANSWER-B) There is a
relationship between smoking and low birth weight
What is the best way for the nurse to accomplish a health history on a 14 year-
old client?
A) Have the mother present to verify information
B) Allow an opportunity for the teen to express feelings
,C) Use the same type of language as the adolescent
D) Focus the discussion of risk factors in the peer group - ANSWER-B) Allow
an opportunity for the teen to express feelings
What principle of HIV disease should the nurse keep in mind when planning
care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated - ANSWER-B) The infant
is very susceptible to infections
While planning care for a preschool aged child, the nurse understands needs.
Which of the following would be of the most concern to the nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom - ANSWER-B) Expressing shame
A client has been receiving lithium (Lithane) for the past two weeks for the
treatment of bipolar illness. When planning client teaching, what is most
important to emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months - ANSWER-D)
Have blood lithium levels drawn during the summer months
,While teaching a client about their medications, the client asks how long it will
take before the effects of lithium take place. What is the best response of the
nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month - ANSWER-C) 2 weeks
The nursing intervention that best describes treatment to deal with the behaviors
of clients with personality disorders include
A) Pointing out inconsistencies in speech patterns to correct thought disorders
B) Accepting client and the client's behavior unconditionally
C) Encouraging dependency in order to develop ego controls
D) Consistent limit-setting enforced 24 hours per day - ANSWER-D)
Consistent limit-setting enforced 24 hours per day
Following a cocaine high, the user commonly experiences an extremely
unpleasant feeling called
A) Craving
B) Crashing
C) Outward bound
D) Nodding out - ANSWER-B) Crashing
The nurse asks a client with a history of alcoholism about the client's drinking
behavior. The client states "I didn't hurt anyone. I just like to have a good time,
and drinking helps me to relax." The client is using which defense mechanism?
A) Denial
B) Projection
C) Intellectualization
D) Rationalization - ANSWER-D) Rationalization
, One reason that domestic violence remains extensively undetected is
A) Few battered victims seek medical care
B) There is typically a series of minor, vague complaints
C) Expenses due to police and court costs are prohibitive
D) Very little knowledge is currently known about batterers and battering
relationships - ANSWER-B) There is typically a series of minor, vague
complaints
A neonate born 12 hours ago to a methadone maintained woman is exhibiting a
hyperactive MORO reflex and slight tremors. The newborn passes loose, watery
stool. Which of these is a nursing priority?
A) Hold the infant at frequent intervals.
B) Assess for neonatal withdrawal syndrome
C) Offer fluids to prevent dehydration
D) Administer paregoric to stop diarrhea - ANSWER-B) Assess for neonatal
withdrawal syndrome
The nurse is caring for a post myocardial infarction client in an intensive care
unit. It is noted that urinary output has dropped from 60 -70 ml per hour to 30
ml per hour. This change is most likely due to
A) Dehydration
B) Diminished blood volume
C) Decreased cardiac output
D) Renal failure - ANSWER-C) Decreased cardiac output
The primary nursing diagnosis for a client with congestive heart failure with
pulmonary edema is
A) Pain
B) Impaired gas exchange