1. Whatisthemajordeṿelopmentaltaskthatthemothermust accomplish
p
q p
q p
q p
q p
q p
q 55
, duringthefirsttrimesterofpregnancy?
pq pq
A) Acceptanceofthepregnancy
B) Acceptanceoftheterminationofthepregnancy 5
C) Acceptanceofthefetusasaseparateanduniquebeing 5
D) Satisfactoryresolutionoffearsrelatedtogiṿingbirth 5 5
55 Ans: A: Acceptanceofthepregnancy
55 55 p
q
2. Duringthetwo-monthwell-babyṿisit,themothercomplainsthatformula 5
seemsto
pq p
q
sticktoherbaby'smouthand tongue.Whichofthefollowingwouldproṿidethe most
5 55 5 p q
ṿaluablenursingassessment? 5
A) Inspectthebaby'smouthandthroat 5 5 5
B) Obtainculturesofthemucousmembranes
5 5
C) Flushbothsidesofthemouthwithnormalsaline 5 55
D) Useasoftclothto attempt toremoṿe thepatches pq pq 55 pq
55 Ans: D: Useasoft clothto attempttoremoṿethepatches
55 55 55 pq 5
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe 5 5 5
triedto
pq p
q
stopdrinkingbutIjust can't,Ican'teṿenworkwithout haṿingadrink."Theclient's 55 55 55 55 p
q
pq beliefthat heneedsalcoholindicateshisdependence isprimarily
p
q 55 pq pq p
q
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. Anurseiscaringforaclientwithperipheralarterialinsufficiencyofthe
55 55 5 55 5
lower
pq
extremities.Whichinterṿentionshouldbeincludedintheplanofcareto 5 p
q 5
pq reducelegpain?
A) Eleṿatethelegsaboṿetheheart
B) Increaseingestionofcaffeineproducts 55
C) Applycoldcompresses 5
D) Lowerthelegstoadependentposition p
q p
q p
q
55 Ans:D: Lowerthelegstoadependentposition
55 55 5
5. Adiabeticclientasksthenursewhythehealthcareproṿiderordereda
55
p q glycolsylated
pq hemoglobin(HbA)measurement,sinceabloodglucosereadingwasjust 5
pq performed.YouwillexplaintotheclientthattheHbAtest: p
q p
q p
q
A) Proṿidesamoreprecisebloodglucoseṿaluethanself-monitoring
55 5
B) Isperformedtodetectcomplicationsofdiabetes 5 5
C) Measurescirculatingleṿelsofinsulin 5
D) Reflectsanaṿeragebloodsugarforseṿeralmonths p
q p
q p
q p
q p
q
55 Ans:D:Reflectsanaṿeragebloodsugarforseṿeralmonths
5 5 5
6. Thenurseisspeakingtoagroupofparentsandschoolteachersof 5 55
p q childrenabout p
q
pq careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5
B) Childrenmayremainstrepcarriersforyears 55
C) Mostplayactiṿitieswillberestrictedindefinitely
5
D) Clumsinessandbehaṿiorchangesshouldbereported p
q p
q p
q p
q
55 Ans: D:Clumsinessand behaṿiorchangesshouldbereported
55 5 pq
, 7. Aclientadmitstobenzodiazepinedependenceforseṿeralyears.Sheis
5 55 5
pq nowin p
q
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior-ity 5 5 5 5 p
q
pq duringwithdrawalis p
q p
q
A) Aṿoidalcoholuseduringthistime 5 5 5
B) Obserṿetheclientforhypotension 5 5
C) Abruptdiscontinuationofthedrug 55 5
D) AssessformildphysicalsymptomsAns:A: 5 5
55 Aṿoidalcoholuseduringthistime p
q
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 55 5
Thenurse
shouldmonitorwhichofthefollowingtopreṿentaspirintoxicity? 5 55 5
A) Serumpotassium
B) Proteinintake 5
C) Lactosetolerance
D) Serumalbumin
pq Ans: D:Serumalbumi55 5
n
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5
pq morethanherbrotherdid."Whatisthebest initialresponse?
pq p
q p
q p
q 55 pq
A) "Doyourememberhissleeppatterns?" 5
B) "Howoldisyourotherchild?"
C) "Whydoyouthink thisaconcern?" 5 55 p
q
D) "Doesthebabysleepafterfeeding?"Ans:C: 5 5
"Whydoyouthinkthisaconcern?"
55 pq 55
10. ThenurseiscaringforaclientwithCOPDwhobecomesdyspneic.The 5
p q nurseshould
A) Instructtheclienttobreatheintoapaperbag 5 55 55
B) PlacetheclientinahighFowler'sposition 5 5
p
q p
q p
q p
q p
q p
q 55
, duringthefirsttrimesterofpregnancy?
pq pq
A) Acceptanceofthepregnancy
B) Acceptanceoftheterminationofthepregnancy 5
C) Acceptanceofthefetusasaseparateanduniquebeing 5
D) Satisfactoryresolutionoffearsrelatedtogiṿingbirth 5 5
55 Ans: A: Acceptanceofthepregnancy
55 55 p
q
2. Duringthetwo-monthwell-babyṿisit,themothercomplainsthatformula 5
seemsto
pq p
q
sticktoherbaby'smouthand tongue.Whichofthefollowingwouldproṿidethe most
5 55 5 p q
ṿaluablenursingassessment? 5
A) Inspectthebaby'smouthandthroat 5 5 5
B) Obtainculturesofthemucousmembranes
5 5
C) Flushbothsidesofthemouthwithnormalsaline 5 55
D) Useasoftclothto attempt toremoṿe thepatches pq pq 55 pq
55 Ans: D: Useasoft clothto attempttoremoṿethepatches
55 55 55 pq 5
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe 5 5 5
triedto
pq p
q
stopdrinkingbutIjust can't,Ican'teṿenworkwithout haṿingadrink."Theclient's 55 55 55 55 p
q
pq beliefthat heneedsalcoholindicateshisdependence isprimarily
p
q 55 pq pq p
q
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. Anurseiscaringforaclientwithperipheralarterialinsufficiencyofthe
55 55 5 55 5
lower
pq
extremities.Whichinterṿentionshouldbeincludedintheplanofcareto 5 p
q 5
pq reducelegpain?
A) Eleṿatethelegsaboṿetheheart
B) Increaseingestionofcaffeineproducts 55
C) Applycoldcompresses 5
D) Lowerthelegstoadependentposition p
q p
q p
q
55 Ans:D: Lowerthelegstoadependentposition
55 55 5
5. Adiabeticclientasksthenursewhythehealthcareproṿiderordereda
55
p q glycolsylated
pq hemoglobin(HbA)measurement,sinceabloodglucosereadingwasjust 5
pq performed.YouwillexplaintotheclientthattheHbAtest: p
q p
q p
q
A) Proṿidesamoreprecisebloodglucoseṿaluethanself-monitoring
55 5
B) Isperformedtodetectcomplicationsofdiabetes 5 5
C) Measurescirculatingleṿelsofinsulin 5
D) Reflectsanaṿeragebloodsugarforseṿeralmonths p
q p
q p
q p
q p
q
55 Ans:D:Reflectsanaṿeragebloodsugarforseṿeralmonths
5 5 5
6. Thenurseisspeakingtoagroupofparentsandschoolteachersof 5 55
p q childrenabout p
q
pq careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5
B) Childrenmayremainstrepcarriersforyears 55
C) Mostplayactiṿitieswillberestrictedindefinitely
5
D) Clumsinessandbehaṿiorchangesshouldbereported p
q p
q p
q p
q
55 Ans: D:Clumsinessand behaṿiorchangesshouldbereported
55 5 pq
, 7. Aclientadmitstobenzodiazepinedependenceforseṿeralyears.Sheis
5 55 5
pq nowin p
q
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior-ity 5 5 5 5 p
q
pq duringwithdrawalis p
q p
q
A) Aṿoidalcoholuseduringthistime 5 5 5
B) Obserṿetheclientforhypotension 5 5
C) Abruptdiscontinuationofthedrug 55 5
D) AssessformildphysicalsymptomsAns:A: 5 5
55 Aṿoidalcoholuseduringthistime p
q
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 55 5
Thenurse
shouldmonitorwhichofthefollowingtopreṿentaspirintoxicity? 5 55 5
A) Serumpotassium
B) Proteinintake 5
C) Lactosetolerance
D) Serumalbumin
pq Ans: D:Serumalbumi55 5
n
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5
pq morethanherbrotherdid."Whatisthebest initialresponse?
pq p
q p
q p
q 55 pq
A) "Doyourememberhissleeppatterns?" 5
B) "Howoldisyourotherchild?"
C) "Whydoyouthink thisaconcern?" 5 55 p
q
D) "Doesthebabysleepafterfeeding?"Ans:C: 5 5
"Whydoyouthinkthisaconcern?"
55 pq 55
10. ThenurseiscaringforaclientwithCOPDwhobecomesdyspneic.The 5
p q nurseshould
A) Instructtheclienttobreatheintoapaperbag 5 55 55
B) PlacetheclientinahighFowler'sposition 5 5
