VATI PN COMPREHENSIVE PREDICTOR GREEN LIGHT EXAM QUESTIONS AND ANSWERS 2023/2024 PN VATI COMPREHENSIVE PREDICTOR GREEN LIGHT EXAM QUESTIONS AND ANSWERS Which of these instructionsshould a nurse include in the teaching plan for a client who had removal

VATI PN COMPREHENSIVE PREDICTOR GREEN LIGHT EXAM QUESTIONS AND ANSWERS 2023/2024 PN VATI COMPREHENSIVE PREDICTOR GREEN LIGHT EXAM QUESTIONS AND ANSWERS Which of these instructionsshould a nurse include in the teaching plan for a client who had removal of a cataract in the left eye? a. "Forcefully cough and take deep breaths every two hours to keep your airway clear." b. "Perform the prescribed eye exercises each day to strengthen your eyemuscles." c. "Rinse your eyes with saline eachmorning to prevent postoperative infection." d. "Take the prescribed stoolsoftener to avoid increasing intraocular pressure." A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions? a. Suction the nasogastric tube. b. Flush the tube with 30 mL ofsterile water. c. Remove the nasogastric tube. . d. Check the residual volume. Which of these actions best demonstrates culturalsensitivity by a nurse? a. The nurse talksin a slow-paced speech. c. The nurse uses charts and diagrams when teaching pregnant clients. d. The nurse can speak several different languages. b. The nurse asks clients about their beliefs and practices toward pregnancy. Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration? a. Hyperreflexia. . c. Bradypnea. d. Agitation. b. Tachycardia. When assessing a client'srisk of developing nosocomial infection, a nurse plansto determine potential entry portals, which include: b. Tachycardia d. Check the residual volume d. "Take the prescribed stoolsoftenerto avoid increasing intraocular pressure." b. The nurse asks clients about their beliefs and practices toward pregnancy. a. the urinary meatus. b. vomitus. c. contaminated water. d. sexual intercourse. a. the urinary meatus. A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated? b. Lock the client in a secluded room. c. Ask the other clientsto give feedback regarding the client's behavior. d. Ignore the client'sinappropriate behavior. a. Encourage the client to verbalize feelings. Which of these measuresshould a nurse include when planning care for a school-aged child during a sickle cell crisis episode? a. Monitoring forsigns of bleeding. c. Administering coolsponge bathsto reduce fevers. d. Offering a high calorie diet. b. Providing pain relief. Which of these instructionsshould a nurse include in the plan of care for a 32-week gestation client who had an amniocentesis today? a. "Drink at least six glasses of fluids during the next six hours after the test." c. "Don't be concerned if you have some vaginalspotting in the next 12 hours." d. "When you get home, stay on bed-rest for the next 48 hours." b. "Call the clinic if you experience any abdominal cramps." An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content? a. Peanut butter and jam sandwich. b. Chicken nuggets with rice. c. Tuna salad sandwich. a. Encourage the client to verbalize feelings. b. Providing pain relief. b. "Call the clinic if you experience any abdominal cramps." d. Beefburger with cheese. A client has been admitted with acute pancreatitis. Which of these laboratory testresults supports this diagnosis? a. Elevated serum potassium level. . c. Elevated serum sodium level. d. Elevated serum creatinine level. b. Elevated serum amylase level. Which of these manifestations, if assessed in a client who istwo-hours postoperative after abdominal surgery, should a nurse report immediately? b. Respiratory rate of 12/minute and urine dribbling. c. Blood pressure of 100/60 mm Hg and wound discomfort. d. Urine output of 100 mL/hr and flushed skin. a. Vomiting and a pulse rate of 106/minute. Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a correct understanding of therapeutic communication? a. The student maintains continuous eye contact with the client. b. The student places one arm around the client'sshoulder? d. The student leavesthe room to provide privacy forthe client. c. The student sits quietly next to the client. Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus develops tremors and ataxia? . b. Administer a concentrated form glucose to the client. c. Administer a prn dose of insulin. d. Measure the client's urine for ketones. a. Measure the client's blood sugar level. d. Beefburger with cheese. a. Measure the client's blood sugar level b. Elevated serum amylase level a. Vomiting and a pulse rate of 106/minute. c. The student sits quietly next to the client. An elderly client is at increased risk of developing drug toxicity to prescribed medications due to declining hepatic and renal functioning. Which of these strategies should a nurse plan to decrease this risk? b. Limiting the client's oral fluid intake. c. Administering the medications with meals. d. Encouraging the client to void every three to four hours. a. Increasing the time interval betweenmedication doses. A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these measures should a nurse include in the client's care plan? a. Explaining that staff does not poison clients. b. Focusing on how the hospital staff helps clients. d. Telling the client that not eating the food that isserved will result in privilege restrictions. c. Allowing the client to eat food from sealed containers. Thrombophlebitisis a complication that may result due to surgery. Which of these actionsshould a nurse take in the operating room to prevent this complication from occurring? a. Gatch the knee of the bed. b. Administer anticoagulants preoperatively. d. Maintain the legsin a dependent position. c. Apply sequential compression devices. When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for her height is: a. at least 15 pounds. b. 15 to 20 pounds. d. at least 45 pounds. c. 25 to 35 pounds. Which of these manifestations, if reported by a client who is 10-weeks-pregnant,supports the diagnosis of ruptured tubal pregnancy. a. Increasing the time interval between medication doses. c. Allowing the client to eat food from sealed containers c. Apply sequential compression devices c. 25 to 35 pounds . b. Uncontrollable vomiting. c. Marked abdominal distention. d. Profuse vaginal bleeding. a. Sharp unilateral abdominal pain. Which of these assignments, if made by a nurse to a nursing assistant, indicates that the nurse needs additional instructions regarding the principles of delegation? a. "Please bathe the client in room 12, and then bring the client to the dining room for breakfast by 9 A.M." the client's discomfort." c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and record each on the intake/output sheets by 2 P.M." d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch." b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased the client's discomfort." A client hasthe following order for regular insulin (Humulin R) on a sliding scale: Blood sugar 150-180 mg: Give 2 units regular insulin Blood sugar 181-200 mg: Give 4 units regular insulin Blood sugar 201-220 mg: Give 6 units of regular insulin Blood sugar above 220 mg: Call MD At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one. Regularinsulin is available as 100 units per milliliter. How many millilitersshould the nurse administer? b. 0.4 c. 4 d. 40 a. 0.04 Which of these nursing diagnosis isthe priority for a client who is one-hour postoperative after extensive abdominalsurgery? a. Risk forimpaired physical mobility. a. Sharp unilateral abdominal pain b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased a. 0.04 b. Risk for deficient fluid volume. . d. Risk for infection. c. Risk for ineffective airway clearance. A nurse should recognize that which of these occupations increases a person's risk of developing hepatitis B? a. Sanitation worker. b. Nursery schoolteacher. . d. Fish marketsales person. c. Hemodialysis nurse. Which of these assessments is the priority for a client who sustained second-degree burns of the face and neck? b. Renal function. c. Level of pain. d. Signs of infection. a. Respiratory status. A nurse should place a child who istwo hours post-tonsillectomy and adenoidectomy in which of these positions? a. Supine, flat. b. Orthopneic. c. Trendelenberg. . d. Side-lying. Which of these instructionsshould a nurse include in the discharge teaching for a client who has diabetes mellitus? a. "Soak your feet in hot water once a day." b. "Cut yourtoenails in an oval shape weekly." c. "Avoid using any soap on your feet." d. Side-lying c. Hemodialysis nurse c. Risk for ineffective airway clearance a. Respiratory status. d. "Apply lotion to your feet each day." A nurse inadvertently administers an incorrect medication to a client. Which of these actions should the nurse take first? . b. Notify the physician. c. Contactthe nursemanager. d. Complete an incident report. a. Assess the client. An elderly client who isreceiving a blood transfusion develops a rapid bounding pulse and an elevated blood pressure. Which of these actions should a nurse take? a. Add a 5% dextrose solution to the line. b. Raise the head of the bed. . d. Measure the client'stemperature. c. Stop the transfusion. When caring for a client who has hepatitis B, a nurse should wear: a. gloves when administering oral medicationsto the client. b. a gown when changing the client's position. d. a gown when emptying the client's used bath water. c. gloves when removing the intravenous cannula. Which of these outcome criteria is appropriate for a client who has a nursing diagnosis of ineffective airway clearance? a. Absence of wheezing throughout the lung fields. c. Pulse oximetry level of 80%. d. Frequent coughing throughout the day. b. Clear lung sounds on auscultation. d. "Apply lotion to your feet each day." c. Stop the transfusion a. Assessthe client c. gloves when removing the intravenous cannula. b. Clear lung sounds on auscultation. A doctor prescribes liquid oral iron medication for a 4-year-old child. Which of these questions should a nurse ask the child's mother to determine if the medication is being administered correctly? b. "Has your child been urinating more frequently?" c. "Have you increased your child's milk intake each day?" d. "Isthere a change in the color of your child's skin?" a. "Are you using a straw to administer the medicine?" Which of these assessment findings, if present in a 4-month-old infant who hassevere diarrhea, should a nurse recognize as suggestive that the infant is dehydrated? a. Bulging anterior fontanel. b. Pulse rate of 120/minute. d. Cyanosis of the mucus membrane. c. Decreased urine output. Which of these instructionsshould be included in the teaching plan for the parents of a 10-month-old infant who is admitted to the hospital for failure to thrive? a. Advise the mother to make sure the infant drinksthe entire bottle at each feeding. c. Teach the mother to position the infant on the abdomen following feedings. d. Instruct the motherto play actively with the infant during bottle feedings. b. Encourage the mother to feed the infantslowly in a quiet environment. When a newborn is 48 hours old, a nurse notesthat the child is jaundiced. The nurse should recognize which of these conditions as a probable cause of the newborn's jaundice? a. Dehydration. c. ABO incompatibility. d. Gallbladder immaturity. b. Liver immaturity. Which of these items should a nurse removed from the food tray of a client who is on a sodiumrestricted diet? a. Packet of a saltsubstitute. a. "Are you using a straw to administer the medicine?" c. Decreased urine output. b. Encourage the mother to feed the infantslowly in a quiet environment . b. Liverimmaturity. b. Grapefruit juice. c. Container of jelly. . d. Ketchup. Which of these statements, if made by a client who had a total hip replacement, would indicate a correct understanding of the postoperative instructions? a. "I willstoop carefully to pick up itemsfrom the floor." b. "I will use a raised toiletseat in the bathroom." c. "I will bend forward when tying my shoes." d. "I will put my leg through the full range of motion each day." b. "I will use a raised toilet seat in the bathroom." Which of these measures should a nurse include when planning care for an 88-year-old client who is admitted to the hospital with pneumonia? a. Restricting visitorsto the client'simmediate family members. b. Limiting the client care activitiesto no more than five minutes each. d. Providing the client with a non-stimulating environment. c. Allowing the client to perform self-care astolerated. A client, who is newly diagnosed with cancersaysto anurse, "Isuppose I need to complete all unfinished business as soon as possible." Which of these responses is appropriate? a. "Yes, you should do thisimmediately. b. "Don't you think you should stay focused on yourtreatment for now? c. "Exactly what things are you talking about?" d. "It sounds like you are concerned with your diagnosis." Which of these interventions should plan for a child who is receiving chelation therapy for lead poisoning? . b. Institutingmeasuresto preventskeletal fractures. c. Maintaining isolation precautions. a. Keeping an accurate record of intake and output d. Ketchup c. Allowing the client to perform self-care astolerated. d. "It sounds like you are concerned with your diagnosis." d. Maintaining strict bed rest. a. Keeping an accurate record of intake and output. A nurse obtainsthese vitalsigns on an adult client. Which finding should the nurse follow-up first? a. Heart rate, 60/minute and regular. . c. Temperature, 97.1 °F (36.2 °C) d. Blood pressure, 136/86 mm Hg b. Respiration, 30/minute and deep. When determining the duration of a uterine contraction, a nurse shouldmeasure the contraction from the: b. end of one contraction to the beginning of the next contraction. c. beginning of one contraction to the beginning of the next contraction. d. strongest point of one contraction to the strongest point of the next contraction. a. beginning of one contraction to the end of that contraction. A nurse should recognize which of these signs is a probably sign of pregnancy? a. Frequency of urination. . c. Nausea in the morning. d. Abdominal distention. b. Positive pregnancy test. All of these clients are on bed rest. Which one isthe most at risk to develop skin breakdown? a. An 82-year-old client who bathes once a week. b. An 83-year-old client who applies powder after drying the skin. d. An 85-year-old client who has coronary artery disease. c. An 84-year-old client who has been NPO for four days. A client diagnosed with type 1 diabetes mellitus has a glycosylated hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the client has: a. had a period ofsustained hyperglycemia. b. Positive pregnancy test b. Respiration, 30/minute and deep a. beginning of one contraction to the end of that contraction. c. An 84-year-old client who has been NPO for four days b. been non-compliant with home management. . d. eaten a high carbohydrate snack just prior to testing. c. been in relatively good diabetic control. A nurse is caring for a client with burns and in reverse isolation. Which measures should the nurse include? a. Wearing disposable gloves when chaging the dressings. b. Having the client wear goggles when staff is in the room. d. Disposing of the client'ssoiled laundry in a red bag. c. Wearing a gown, mask, and gloves when providing care to the client. A physician has ordered 100 mg of Amoxicillin po for a child. The available liquid amoxicillin is 250 mg/5 mL. How many milliliters should a nurse administer? a. 1.0 b. 1.5. d. 2.5 c. 2.0 A nurse charts on all assigned clients at 2:00 P.M. The nurse then remembers something that happened at 9:00 A.M. to a client who was not charted. Which of these actions should the nurse take? a. Include the 9:00 A.M.scenario in the shift report. c. Put the information in the margin and indicate the accurate time placement by drawing an arrow. d. Draw a line through the previous charting with "error" and then re-record everything, including the new information. b. Enter the scenario after the original 2:00 P.M. charting and mark it as a "late entry". While giving a bath to a client, a nurse notices that the client's back appear reddened. Which of these interpretations and additional assessments should the nurse make? a. The client'sskin issensitive to touch; lightly rub the client's chest area. b. The client has decreased circulation; palpate the peripheral pulses. c. The client isshowing signs of pressure; press on the skin and observe for a return of color . c. been in relatively good diabetic control c. Wearing a gown, mask, and gloves when providing care to the client. c. 2.0 b. Enter the scenario after the original 2:00 P.M. charting and mark it as a "late entry". d. The client is allergic to the soap; check the extremities for discoloration. c. The client isshowing signs of pressure; press on the skin and observe for a return of color. A newborn is placed under fluorescent light as part of the treatment for physiologic jaundice. During the duration of the newborn's treatment, a nurse should: . b. measure the newborn's pulse and respirations every two hours. c. keep the newborn under the light at all times, even during the feedings. d. notify the physician ifthe newbornsstools become greenish yellow. a. cover the newborn's closed eyes with patches. Which of these symptomsshould a nurse expect to assess in a client who develops hypoglycemia? a. Fruity breath odor. b. Polyuria. d. Flushed skin. c. Diaphoresis. A client is eight hours postoperative after a transurethral resection of the prostate (TURP). Which of these observations, if noted by a nurse, indicates a complication? a. Hourly urine output of 90 mL. b. Reports of bladder spasms. . d. Pink-tinged urine output. c. BP 92/60 mm Hg, pulse rate 118/minute. A nurse should assess a child who has diabetes mellitus(type 1) for symptoms of hyperglycemia, which include: . b. irritability and hunger. c. sweating and jitteriness. d. lethargy and tremors. a. flushed skin and thirst. a. flushed skin and thirst c. BP 92/60 mm Hg, pulse rate 118/minute a. cover the newborn's closed eyes with patches c.Diaphoresis. Which of these laboratory test resultsshould a nursemonitor for a client who isreceiving intravenous heparin therapy at a rate of 1,500 units per hour for the treatment of an acute pulmonary embolism? . b. Clot retraction time. c. Platelet levels. d. Bleeding time. a. Partialthromboplastin time. Which of these techniquesshould a nurse use to assess for correct placement of a nasogastric tube prior to administering a feeding? . b. Slowly inject 50 mL ofsaline and observe for resistance. c. Inject 20 mL of water and listen for gurgling sounds. d. Observe for bubbles aftersubmerging the end of the tube in a cup of water. a. Aspirate 10 mL contents and measure the pH. A client hasshortness of breath when lying down and usually assumes an upright orsitting position in order to breathe more comfortably. A nurse should document this observation as: a. dyspnea. b. bradypnea. . d. apnea. c. orthopnea. Which of these instructionsshould a nurse give to a client when collecting a sputum specimen? b. "Gargle with antisepticmouthwash before you spit into this container. c. "Spit whateversputum you have in yourmouth into this container." d. "Drink some fluids to loosen yoursecretions and the spit into this container." a. "Take a deep breath, then cough and spit into this container." A client who is receiving radiation therapy has a nursing diagnosis of imbalanced nutrition: less than body requirements related to diminished taste perception and nausea. Which of these additional nursing diagnoses should a nurse consider for the client? a. Risk for aspiration. c. orthopnea a. Aspirate 10mL contents and measure the pH a. Partialthromboplastin time a. "Take a deep breath, then cough and spitinto this container." b. Ineffective protection. d. Altered tissue perfusion. c. Risk for deficient fluid volume. Which of these menus, if chosen by a parent of a child who has celiac disease, would indicate to a nurse that the parent understands the teaching about a gluten-free diet? . b. Pork chop, egg noodles, and green peas. c. Fried chicken, white roll, and mixed vegetables. d. Baked macaroni with cheddar cheese and corn. a. Broiled steak, baked potato, and spinach. Which of these statements, if made by a nurse, is non-therapeutic because it disregards a client's feelings and concerns? a. "You appear anxious and tense." c. "I notice you're biting your nails." d. "I'm notsure I understand what you're saying." b. "Everything will be okay." A client tells a nurse, "I am so scared about the interview tomorrow. I just know I willsay the wrong thing and not get the job." Which of these responses, if made by the nurse, will create a communication barrier? a. "Would you like to practice the interview?" b. "Have you thought about some possible questionsthat may be asked in the interview?" c. "Tell me more about your concerns." d. "You need to relax, and everything will be fine." d. "You need to relax, and everything will be fine." A young healthy adult, who has been exercising in hot weather, hasfatigue, loss of appetite, and lightheadedness. Which of these assessments should a nurse make? a. Determine the client's preferred diet. . c. Auscultate the lungs. b. Measure the client's body temperature a. Broiled steak, baked potato, and spinach c. Risk for deficient fluid volume. b. "Everything will be okay." d. Ascertain the client's typical sleep pattern. b. Measure the client's body temperature. Which of these nursing measures isthe priority for a child who has hemophilia and who sustains a leg injury? a. Ensuring adequate hydration for the child. b. Soaking the child's injured leg in warm water. . d. Transfusing one unit of whole blood to the child. c. Administering the missing factor VIII to the child. Which of these outcomes should a nurse focus on for a client who had a bronchoscopy two hours ago? a. Preventing hemorrhage. b. Preventing pneumonia. d. Preventing dehydration. c. Preventing aspiration. A client who had a coronary artery bypass graft four days ago suddenly developssinus tachycardia and reports shortness of breath and dizziness. Which of these interpretations and actions should a nurse take? a. Thisis an expected occurrence following bypass surgery; continue to monitorthe client. b. Thisindicates normalization of the blood pressure; hold all anti-hypertensive medications. d. Thisindicates hypoxia; administer oxygen at 5/L per minute. c. This may be an early sign of heart failure; notify the physician. Which of these lunch selections, if made by a client who has congestive heart failure, should a nurse recognize as indicative of a need for additional instructions? a. Cottage cheese with fresh fruit salad, whole wheat bread, and herbal tea. b. Baked chicken with brown rice, mixed green salad, and iced coffee. . d. Beef tenderloin, carrots, mashed potatoes, and a baked apple. c. Egg salad sandwich withmayonnaise, pickles, and seltzer water. c. Egg salad sandwich with mayonnaise, pickles, and seltzer water c. Administering the missing factor VIII to the child c. Preventing aspiration. c. This may be an early sign of heart failure; notify the physician. Which of the statements if made by a client who istake furosemide (Lasix), supports a nursing diagnosis of knowledge deficit? a. "This medication will increase the amount and frequency of my urination." b. "This medication must be taken, even on days when I fell well." d. "Ishould change my position slowly to avoid dizziness related to this medication." c. "I will need to add more salt to my diet because this medication will increase its excretion." Which of these statements, if made by a client who has chronic obstructive pulmonary disease, indicates improvement? a. "I hope to attendmy grandson's graduation next month." c. "I take several quick breaths when I begin to cough." d. "I do my breathing exercises in the evening after I eat dinner." b. "I can now walk one more block than I could last month." An 8-month-old infant is admitted to the hospital because of failure to thrive. Which of these actions should a nurse plan? a. Limit the parents' interactions with the infant. c. Rotate assignmentsso that allstaff can evaluate the infant. d. Limit the infant's activity until the cause of the problem is identified. b. Consistently assign the care of the infant to the same staff. Which ofthese actionsshould a nurse include to enhance the effectiveness of client teaching sessions? a. Include all content in one session so as not to overwhelm the client. c. Avoid repetition of content. d. Include all clients on the unit in the sessions. b. Initially demonstrate and explain the procedure to the client. Which of these laboratory test results is more important for a nurse to assessfor a client who reports chest pain? a. WBC count. c. "I will need to add more salt to my diet because this medication will increase its excretion." b. "I can now walk one more block than I could last month." b. Consistently assign the care ofthe infant to the same staff. b. Initially demonstrate and explain the procedure to the client. b. PTT level. . d. Hemoglobin. c. Troponin level. A nurse should explain to a primigravida that urine tests will be done at each prenatal visit throughout the pregnancy to measure: a. specific gravity and pregnancy hormones. b. culture and white blood cell count. d. bacteria and red blood cell count. c. glucose and protein. Which of these manifestations should a nurse expect to observe in a client who is diagnosed with paranoid schizophrenia? a. Regression. c. Catatonia. d. Hyperactivity. b. Suspiciousness. Which of these measures should an emergency room nurse include when speaking with a family experiencing the loss of an infant from Sudden Infant Death Syndrome (SIDS)? a. Explaining to the parents how SIDS could have been predicted. b. Discouraging the parents fromviewing the infant's body. . d. Interviewing the parentsin-depth about the circumstances of the infants death. c. Encouraging the parentsto take the opportunity to say goodbye. Which of these assessments is the priority for a client who is admitted with recurrent depression? a. Previous episodes of depression. b. Compliance with prescribed medications. d. Problems with communication. c. Encouraging the parentsto take the opportunity to say goodbye c. Troponin level c. glucose and protein. b. Suspiciousness c. Presence of a suicide plan. c. Presence of a suicide plan. Which of these changes in the assessment data of a child who has congestive heart failure should a nurse recognize asindicative of a therapeutic response to prescribed medication therapy? a. Increased weight. c. Increased respiratory rate. d. Increased heart size. b. Increased urine output. Which ofthese assignments, if delegated to unlicensed assistive personnel (UAP) by a nurse, is appropriate? . b. The UAP is assigned to assess a client'slung sounds. c. The UAP is assigned to teach a client about diet restrictions. d. The UAP is assigned to change a client's postoperative wound dressing. a. The UAP is assigned to measure a client'sintake and output. A client who has a history of asthma develops an acute asthma attack. Which of these questionsshould a nurse ask when assessing the etiology of this attack? b. "How many hours did you sleep last night?" c. "Are you exercising every day?" d. "Have you reduced your fluid intake recently?" a. "Have you eaten any new foodsrecently?" Which of these foodsshould a nurse suggest that a client who is diagnosed with iron-deficiency anemia choose for dinner? b. Raw cabbage, tomato juice, and cantaloupe. c. Fresh fish, peanut butter, and oatmeal. d. Cheddar cheese, enriched bread, and yellow vegetables. a. Cooked dry beans, green leafy vegetables, and dried fruits. A nurse in a prenatal clinic performs Leopold's maneuvers on a client who is 8-months-pregnant primarily to: a. The UAP is assigned to measure a client'sintake and output b. Increased urine output. a. "Have you eaten any new foodsrecently?" a. Cooked dry beans, green leafy vegetables, and dried fruits. a. turn the fetusin the uterus. b. ease the fetus into the true pelvis. c. assessment of the location of the placenta. . d. determine the fetal presentation. A child is brought to the clinical forserum lead screening because of ingestion of lead-based paint. Which of these manifestations, if present in the child, would indicate early signs of lead toxicity? a. Convulsive seizures. c. Bleeding tendencies. d. Low-grade fever. b. Behavior changes. Which of these recommendations should a nurse make when teaching a client who isto start taking oral prednisone (Deltasone)? a. "Take this medicine at bedtime, on an empty stomach." b. "Take this medicine with a hot beverage in the evening." c. "Take this medicine in the morning, one hour before breakfast." d. "Take this medicine in the morning with food or milk." Which of these actionsshould a nurse take prior to initiating prescribed antibiotic therapy for a client who has a urinary tract infection? a. Measure the body temperature. b. Cleanse the perineum. c. Weigh the client. d. Obtain a urine culture specimen. When caring for a client who isreceiving oxygen therapy via nasal cannula, a nurse should instruct the client: a. to inhale through the mouth. d. determine the fetal presentation b. Behavior changes. d. "Take thismedicine in the morning with food or milk." d. Obtain a urine culture specimen. b. to breathe through the nose. c. to hold the catheter when coughing. d. to take quick,shallow breaths. b. to breathe through the nose. Each of these clients hasimpaired mobility related to knee surgery. Which client should a nurse assess first? a. A 20-year-old who has a sports-related injury. b. A 37-year-old who reportslimitedmobility. d. A 70-year-old who has bilateral cataracts. c. A 59-year-old who has a history of hypertension. The mother of a 2-month-old tells a nurse that the baby is consuming six ounces of plain commercial formula seven times a day, plus one ounce of cereal in the morning and at bedtime. Based on this information, the nurse should conclude that the baby's diet is: a. too high in calories. b. too high in iron content. c. deficient in calcium. d. insufficient forthe baby's age and weight. c. A 59-year-old who has a history of hypertension. A nurse plans to assess a client's recent memory. Which of these questionsshould the nurse include? a. "Who is your closest friend?" b. "What wasthe name of the school you attended?" c. "What day were you admitted to the unit?" d. "What did you have for breakfast?" A client who has a breast tumorsaysto a nurse, "I am so anxious. Why did I have to get sick now?" Which of these responses, if made by the nurse, is therapeutic? a. "You will need to find someone to talk over your fears on a regular basis." b. "What do you think is making you feelso anxious now?" c. "Are you aware thatthere are newer,more effective treatmentsfor breast cancer?" c. A 59-year-old who has a history of hypertension. d. "What did you have for breakfast?" d. "Tellme more about your concerns." d. "Tell memore about your concerns." Which of these actions, if taken by a nurse who istransferring a client from the bed to the chair, is correct? a. The bed is raised to a comfortable working height for the nurse. b. The wheelchair is placed perpendicular to the bed. c. The nurse stands behind the client during the transfer. d. The nurse supportsthe client in an uprightstanding position for a few moments. A nurse should assist a pregnant client who is in the first trimester to achieve the developmental task of this stage of pregnancy, which is: b. accepting the fact that the fetus is a separate being. c. accepting that she willsoon deliver the child. d. accepting that her body image has changed. a. accepting the fact that she is pregnant. When interacting with a client who is paranoid, a nurse should: a. use touch to place the client at ease. b. maintain a caring facial expression. c. stand close to the client. d. maintain a professional attitude towardsthe client. Which of these tasks is appropriate for a nurse to delegate to a nursing assistant in an acute care unit? a. Feeding a client who was admitted with a stroke yesterday. b. Ambulating a client who was admitted with amyocardial infarction yesterday. d. Suctioning the tracheostomy that was performed on a client yesterday. c. Measure the blood pressure of a client who was admitted with an asthma attack yesterday. Which of these techniquesshould a nurse plan to use with a client who is delusional? a. Explore the delusion so the client will know it is false. b. Explain clearly why the client's belief is incorrect. d. The nurse supportsthe client in an upright standing position for a few moments a. accepting the fact that she is pregnant. d. maintain a professional attitude towardsthe client. c. Measure the blood pressure of a client who was admitted with an asthma attack yesterday. d. Avoid speaking with the client when he/she is delusional. c. Focus on reality-based topics. Which of the followingmanifestationsshould a nurse recognize as suggestive of right-sided heart failure? a. Cool extremities and frothy sputum. . c. Orthopnea and frequent cough at night. d. Weight loss and lower calf pains. b. Jugular vein distention and pedal edema. Which of these statements, if made by a nursing student prior to a sterile dressing change, is correct? a. "I understand that if objects touch other objects on the sterile field they are considered contaminated." c. "I understand that all objects in the sterile field must be dry." d. "I understand that contaminated objects can be used if rinsed with an antimicrobial solution." b. "I understand that sterile objects that are below my waist are considered contaminated." A nurse reviews a client's prenatal record and notes that the client's last menstrual period (LMP) was on September 18th. Using the Naegele's rule, the nurse should calculate that the client's expected date of delivery (EDD) will be: a. May 11th. b. May 25th. c. June 11th. d. June 25th. Which of these instructionsshould a nurse give to a client who has venous insufficiency regarding the use of elastic stockings (TEDs)? a. "Bunch the TEDs up and pull them on like socks." b. "Lower the TEDs to your ankles if your legs ache." c. "Keep the TEDs on at all times." c. Focus on reality-based topics. b. Jugular vein distention and pedal edema b. "I understand thatsterile objects that are below my waist are considered contaminated." d. June 25th. d. "Put the TEDs on before you get up in the morning." d. "Put the TEDs on before you get up in the morning." A nurse assesses a client who isscheduled for a total abdominal hysterectomy at 10:00 A.M. WHich of the factors should the nurse recognize as most likely to influence the outcome ofthe surgery? a. The client has voided two times since 5:00 A.M. b. The client is not able to demonstrate leg exercises because of osteoarthritis. . d. The client reports mouth dryness. c. The client takes one acetysalicylic acid (baby Aspirin) daily. A client's urine output is 500 mL in 24 hours. Which of these actionsshould a nurse take? . b. Obtain an order for a diuretic. c. Encourage the client to limit fluid intake. d. Record the finding and continue to monitor the client. a. Report the findings to the physician. A nurse should question an order for a potassium chloride intravenous infusion for which of these clients? a. A client who has hypoxia. b. A client who is obese. d. A client who is congested. c. A client who has anuria. A 22-year-old college student has a heart rate that is 48/minute and regular during a routine physical examination. Which of these questionsshould a nurse consider when analyzing this heart rate? b. Doesthis studentsmoke? c. How much alcohol does this student drink? d. Isthisstudent feeling anxious? a. Is thisstudent an athlete? Which of the following clients should a nurse recognize is most likely to develop diabetic ketoacidosis? a. Report the findingsto the physician c. The client takes one acetylsalicylic acid (baby Aspirin) daily c. A client who has anuria. a. Is this student an athlete? a. A 23-year-old who hastype 1 diabetes mellitus and is being treated for a tooth abscess. b. A 31-year-old gestational diabetic who has occasional bout of nausea. c. A 55-year-old who hastype 2 diabetes mellitus and is adjusting well to the lifestyle changes. d. A 72-year-old who hastype 2 diabetes mellitus and is managed with diet and exercise. a. A 23-year-old who hastype 1 diabetes mellitus and is being treated for a tooth abscess. Which ofthese postoperative complicationsin the first hour aftersurgery requiresimmediate intervention? a. Serous draining on the dressing. b. Swelling of an extremity under a cast. c. Vomiting. . d. Dehiscence of a wound. Which of these assessments should a nurse make of a client who had a knee replacement this morning? . b. Signs of infection. c. Bowelmovement frequency. d. Range of motion. a. Pain. Which of these actionsshould a nurse take prior to assisting an elderly client to shave his face? a. Have the clientsign a consent form. c. Soften the client's skin by applying lotion. d. Cleanse the face with a bactericidal solution. b. Determine what medications the client takes. Which of these factorsshould a nurse consider when delegating tasksto unlicensed assistive personnel (UAP)? a. The UAP'srelationship with clients. b. The UAP's willingnessto perform tasks. d. The UAP's duration of employment on the unit. c. The UAP's previous experiences on the unit. a. Pain d. Dehiscence of a wound b. Determine what medications the client takes. c. The UAP's previous experiences on the unit. Which of these nursing diagnoses isthe priority for a young adult client who hasfirst-degree burns of the legs and smoke inhalation from a fire in the home? a. Pain. b. Risk for infection. . d. Body image disturbance. c. Impaired gas exchange. A child who has cystic fibrosis is receiving pancrelipase (Pancrease MT) with meals and snacks. To determine if the desired effects of the Pancrease are achieved, a nurse should consider which of these questions? a. Is the child's blood sugar level within normal limits? b. Hasthe child's appetite improved with the medications? d. Doesthe child report increased belching and flatus? c. Are the child'sstools of normal consistency? When assessing a group of children, a nurse should recognize which child is at increased risk of developing acute glomerulonephritis? a. A 3-year-old who has multiple urinary tract anomalies. c. A 5-year-old who hasrecurrent enuresis at night. d. A 6-year-old who had chicken pox infection two weeks ago. b. A 4-year-old who had a streptococcal infection a week ago. A client saysto a nurse, "I am Alexander the Great. I am a world leader and must return to my kingdom. I am not taking any medications. I do not want anyone to come near me. I need to protect myself if they do." Which of these problems should the nurse focus on first? b. Delusions of grandeur. c. Disturbed personal identity. d. Risk for noncompliance. a. Risk for violence. c. Impaired gas exchange c. Are the child'sstools of normal consistency? b. A 4-year-old who had a streptococcal infection a week ago a. Risk for violence. When a client who has a diagnosis of depression istaking a monoamine oxidase (MAO) inhibitor, which of these dieatry instructions should a nurse give to the client? a. "Increase your intake of foodsthat are high in vitamin C, such as oranges." c. "Increase your intake of foods high in tryptophan, such as fish." d. "Restrict foods high in sodium, such as canned soups." b. "Avoid foodsthat contain tyramine,such as aged cheeses." Which of these strategies should a nurse plan for a client who is manic and haslost 30 pounds? b. Low-protein diets. c. Limiting fluids in between meals. d. Daily weights. a. Nutritiousfinger foods. A 15-year-old child who has type I diabetes mellitus receives an injection of regular insulin 5 units and isophane (NPH) insulin 15 units subcutaneously at 7:00 A.M. before eating breakfast. At 10:30 A.M., the child tells the school nurse, "I am sweating and feel weak." Which of these actionsshould the nurse take first? b. Determine what the child ate for breakfast. c. Give a simple carbohydrate. d. Contactthe physician. a. Measure the blood sugar. A client who has a head injury is drowsy and lethargic, and has clear nasal discharge. Which of these actionsshould a nurse take? a. Obtain a specimen of the drainage for culture and sensitivity. c. Cover the nares with sterile gauze. d. Cleanse the nostrils with sterile saline solution. b. Test the drainage for glucose. Which of these actions, if taken by a nursing assistant,should a nurse recognize as increasing the client's risk of developing a nosocomial infection? b. "Avoid foodsthat contain tyramine,such as aged cheeses." a. Nutritiousfinger foods. a. Measure the blood sugar. b. Test the drainage for glucose. a. Wearing non-sterile gloves while emptying the Foley drainage bag. b. Taping a paper bag to the side rail for tissue disposal. d. Using the same cuff to measure the blood pressures of all the clients on the unit. c. Placing the Foley catheter drainage bag on the bed while transferring the client. A nurse is preparing a client for a vaginal examination. Which ofthese statementsshould the nurse make? b. "Cleanse your perineal area with betadine solution." c. "Hold your breath while the speculum remains in place." d. "Push down asthe doctor inserts the speculum." a. "Go into the bathroom and empty your bladder." A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse assess first? a. A 25-year-old client who isterminally ill withmetastatic testicular cancer. b. A 37-year-old client who has second-degree burns on both feet. d. A 68-year-old client who is bed bound related to severe Parkinson's disease. c. A 49-year-old client who has an acute myocardial infarction related to cocaine ingestion. Which of these preventative measuresshould a nursemanager in a long-term care facility plan to institute to decrease clients' risks for falls? . b. Placing all client personal itemsin the bedside drawers. c. Raising the side railsfor all clients who have memory impairment. d. Maintaining all client beds in the highest position. a. Monitoring clients frequently for evidence of activity intolerance. Which of these assessment findings, if present in a primigravida, indicatesthatthe client is experiencing true labor? a. The pains are felt in the lower abdomen, back, and groin. b. The Braxton-Hicks contractions have become stronger and more frequent. a. Monitoring clients frequently for evidence of activity intolerance c. Placing the Foley catheter drainage bag on the bed while transferring the client . a. "Go into the bathroom and empty your bladder." c. A 49-year-old client who has an acutemyocardial infarction related to cocaine ingestion. c. There is an increased amount of white mucus discharge. d. There is a progressive increase in effacement and cervical dilatation. A client is admitted for opiate detoxification forthe fifth time. Which of these statements, ifmade by a staff member, indicates a biased view of the client? a. "I feelso frustrated when clients are re-admitted." c. "Ithink this client needsto consider long-term placement after detoxification." d. "The team really needsto discussthis client'streatment plan." b. "Addicts relapse because they don't try hard enough." Which of these women, each of whom is in labor,should a nurse recognize as in need of immediate attention? a. A woman who is having contractions every 6 to 8 minutes of mild to moderate intensity. b. A woman who is receiving oxytocin augmentation and who has contractionslasting 60 to 70 seconds. d. A woman whose uterine contractions frequency is every two to give minutes. c. A woman who is in the active phase of labor and who insists she needs to use the bedpan to have a bowel movement. A nurse hasreceived a report on these assigned clients. Which client should the nurse follow-up first? a. A client, admitted with acute diverticulitis, who has a white blood cell count (WBC) of 10,000 mm3. b. A client, admitted with acute pancreatitis, who has a fasting serum glucose of 130 mg/dL today, and had a reading of 160 mg/dL yesterday. c. A client, admitted with hepatitis, who has jaundice and tea-colored urine. . d. A client who is currently receiving cancer chemotherapy and who has a white blood cell count of 500 mm3 today. Which of these statements, if made by a client who istaking a diuretic,should a nurse recognize as indicative of the need for additional instructions? b. "I eat one ortwo bananas every day." mm3 today d. There is a progressive increase in effacement and cervical dilatation. b. "Addicts relapse because they don't try hard enough." c. A woman who is in the active phase of labor and who insists she needs to use the bedpan to have a bowelmovement. d. A client who is currently receiving cancer chemotherapy and who has a white blood cell count of 500 a. "I take all of my medications at bedtime so I don't forget them." c. "I weigh myself every day in the morning." d. "I will callmy doctor if I have muscle weakness." a. "I take all of my medications at bedtime so I don't forget them." A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse should inform the physician of which these manifestations? a. The client has pink-tinged urine. b. The client reports burning on urination. d. The client appears drowsy. c. The client's white blood cell count is 15,000 mm3. Which of these actions should a nurse perform prior to a client'sscheduled hemodialysis? a. Administer prophylactic antibiotics. c. Give the client normalsaline solution to drink. d. Measure the urine specific gravity. b. Weigh the client. Which of these behaviors, if taken by a staff nurse on a psychiatric unit, indicates a correct understanding of therapeutic techniques? a. A nurse smiles when speaking with clients who are manic. b. A nurse uses touch to communicate concern with a depressed client. d. A nurse shares own anxiety reduction techniques with a client who has panic attacks. c. A nurse sets consistent limits with manipulative clients. A client has been in bed for the past three days. Which of these measuresshould a nurse include before assisting the client out of bed? a. Having the client drink a glass of water. c. Flexing the client's knees. d. Assessing the lung sounds. b. Raising the head of the bed. c. The client's white blood cell count is 15,000 mm3. b. Weigh the client. c. A nurse sets consistent limits with manipulative clients. b. Raising the head of the bed. A client who hasinsulin-dependent diabetes mellitus asks a nurse, "Whatshould I do when I feel nervous, sweaty, and hungry?" The nurse should give the client which of these instructions? a. "Lie down and rest." c. "Take your prn dose of insulin." d. "Add a slice of bread to your next meal." b. "Eat a carbohydrate snack." Which of these tasks should a licensed practical nurse (LPN) delegate to a nursing assistant? a. Checking the 11 A.M. blood sugar for a client who has ketoacidosis. b. Measuring the pulse oximetry level for a client who has status asthmaticus. d. Changing the dressing for a client who had wound debridement last week. c. AMbulating a client who had a hip replacement three days ago. A 36-week-pregnant woman awakensto find she is having profuse, red vaginal bleeding. A nurse should prepare the woman to have an immediate sonogram to determine the: . b. uterine response to labor. c. the fetus's current weight. d. condition of the uterine vascular bed. a. location of the placenta. A nurse is planning to interview a client who speaks limited English. Which of these strategies should the nurse include? a. Smile frequently during the interview interview to reduce the client's anxiety. c. Maintain constant eye contact throughout the interview. d. Keep the interview shortto decrease the client'sfatigue. b. Observe the client for indicators of confusion or not understanding questions. A nurse takes the weight of a normal 2-year-old child who comes in to the pediatric clinic for a well-child visit. If the child weighted 7 lbs, 2 oz. at birth, how much should the nurse expect the child to weight at this visit? a. 14 lbs, 2 oz. a. location of the placenta b. "Eat a carbohydrate snack." c. AMbulating a client who had a hip replacement three days ago. b. Observe the client for indicators of confusion or not understanding questions. b. 18 lbs, 6 oz. d. 45 lbs, 10 oz. c. 28 lbs, 8 oz. A nurse has been discussing the nutritional needs of children with a group of parents in a clinic. Which of these statements, if made by the parent of a 2-year-old child, should the nurse follow up? a. "I give my child slices of cheese as an afternoon snack." b. "I give my child a cup ofskim milk as an afternoon snack." " d. "I give my child some yogurt as an afternoon snack." c. "I give my child some popcorn as an afternoon snack." Which of these client care situations hasthe greatest potential for presenting an ethical dilemma for a nurse? b. Counseling a client who isterminally ill with AIDS. c. Discussing contraception options with adolescents. d. Caring for a client who is from a different culture than the nurse. a. Participating in pregnancy termination procedures. Which assessment information should a nurse obtain first when a pregnant woman and her husband arrive at the Labor and Delivery Unit? a. Whetherthe couple attended birthing classes. c. The number of previous pregnancies and outcomes. d. The amount and time ofthe client'slast food intake. b. The frequency and intensity of labor contractions. A client who has Parkinson's disease has been identified as being at risk for falls. Which of these actions by a nurse is most likely to reduce the client's risk of falling? a. Monitor the client's blood pressure after ambulation. b. Ensure the client wearssocks when ambulating. c. Encourage frequent weight-bearing exercise. c. "I give my child some popcorn as an afternoon snack. c. 28 lbs, 8 oz. a. Participating in pregnancy termination procedures. b. The frequency and intensity of labor contractions . d. Assign an assistant to remain with the client when ambulating. A nurse determinesthat the therapeutic effectiveness of magnesium sulfate (MgSO4) for client who has preeclampsia is achieved when there is increased: b. blood pressure. c. respiratory rate. d. uterine movement. a. urinary output. Which of these assessments isthe initial priority of a client who is one-hour postoperative after an exploratory laparotomy? a. The appearance of the client's surgical incision. b. The client'slevel consciousness. . d. The client'sfluid and electrolyte status. c. The adequacy of the client's respiratory function. Which of these client reports should a nurse recognize as suggestive of hypothyroidism? a. "My handsshake whenever I reach for anything." b. "I feel cold and tired all the time." c. "Isweat whenever I walk more than one block." d. "My head aches each evening." b. "I feel cold and tired all the time." A nurse is monitoring a client who istaking acetylsalicylic acid (Aspirin) 975 mg daily for adverse effects, which include: a. loss of joint mobility. b. increased serum calcium levels. c. increasing heart failure. d. occult blood in the stools. c. The adequacy of the client's respiratory function d. Assign an assistant to remain with the client when ambulating a. urinary output. d. occult blood in the stools. Which of these rationales explains the purpose of nasogastric tube with suction for a client who had abdominalsurgery? a. Prevention of gastric decompression. . c. Provision of postoperative nutrition. d. Promotion of abdominal distention. b. Removal ofsecretionsfrom the stomach. A 75-year-old client who is newly admitted to a long-term care facility has all these nursing diagnoses. Which one is the priority? . b. Anxiety. c. Sleep pattern disturbance. d. Chronic. a. Risk of injury. A 12-month-old child is playing with the father. Which of these behaviorsindicatesthat the child is demonstrating object permanence? a. The child transfers a toy to the other hand when given another one. b. The child returns a block to the same spot on the table. d. The child recognizes that a ball of clay is the same when flattened out. c. The child looks for a toy that the father has hidden under the table. A nurse should recognize that a client'sselection of which of these foods demonstrates a correct understanding of a high-fiber diet for colon cancer prevention? a. Corn muffin. c. Raising muffin. d. Green salad. b. Bran flakes. Which of these discharge instructionsshould a nurse include for a client who has a ruptured tympanic membrane that occurred during a fall? a. "No showers or washing of the hair for the next month." a. Risk of injury b. Removal ofsecretionsfrom the stomach c. The child looks for a toy that the father has hidden under the table. b. Bran flakes b. "Avoid yawning or holding your head down." d. "Avoid swallowing and coughing until your ear has healed." c. "Do not allow any water to enter the ear until healing is confirmed by direct visualization." Which of these nursing measures is appropriate for a client who hasrecurrent renal calculi? a. Weighing the client daily before breakfast. b. Measuring the blood pressure every four hours. d. Testing the urine for protein each shift. c. Encouraging a daily intake of three liters of fluids. When auscultating the lungs of a woman who is admitted for severe pregnancy-induced hypertension, a nurse notes the presence of crackles and moist respirations. These assessment findings most likely indicate which of these complications? a. A convulsion isimminent. . c. Bilateral lobar pneumonia is present. d. Respiratory failure is evident. b. Pulmonary edema has developed. A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse assess first? a. A client who is eight-hours postoperative after a hip replacement. . c. A client who is four hours post-colonoscopy and polyp removal. d. A client who is dysphasic after a transient ischemic attack. b. A client who is drowsy after falling out a third story window. Which of these clients is at the highest risk of developing osteoporosis? a. An obese African-American adolescent who does not exercise. b. A pregnant Asian client who is a vegetarian. c. A middle-aged Native-American male who is quadriplegic. b. A client who is drowsy after falling out a third story window b. Pulmonary edema has developed c. "Do not allow any water to enter the ear until healing is confirmed by direct visualization." c. Encouraging a daily intake of three liters of fluids. d. A thin, elderly Caucasian female who lives alone. d. A thin, elderly Caucasian female who lives alone. A nurse is obtaining the health history of a client who is admitted forsurgical repair of an inguinal hernia. Which of these factors should the nurse recognize as having the greatest impact on the outcome of the surgery? b. The client drinks one glass of beer every evening with dinner. c. The client had a knee replacement six months prior to this admission. d. The client is allergic to all penicillin-type antibiotics. a. The client takesseveral acetylsalicylic acid (Aspirin) tablets daily for knee pain. A nurse should recognize that a client who has chronic obstructive pulmonary disease (COPD), needs additional instructions if the client makes which of these statements? a. "I will try to take slow, deep breaths when I feelshort of breath." b. "I will use the albuterol (Proventil) nebulizer before I eat. c. "I will drink most of my fluids between meals." d. "I will turn up the oxygen flow rate if I have difficulty breathing." A woman istreated in the emergency room for a broken arm andmultiple facial bruises caused by her spouse. Which of these statements, if made by a nurse, is therapeutic? a. "You should leave thisrelationship now or you will be sorry." b. "Are you aware that women who remain in abusive relationships eventually are killed?" d. "Can you think of what you did to cause this abuse?" c. "Thistype of abuse typically recurs after a period ofremorse by the abuser." a. The client takesseveral acetylsalicylic acid (Aspirin) tablets daily for knee pain. d. "I will turn up the oxygen flow rate if I have difficulty breathing." c. "Thistype of abuse typically recurs after a period ofremorse by the abuser."