A bschool bnurse bis bassessing ba bchild bwho bhas bbeen bstung bby ba bbee. bThe bchild's
bhand bis bswelling band bthe bnurse bnotes bthat bthe bchild bis ballergic bto binsect bstings.
bWhich bof bthe bfollowing bfindings bshould bthe bnurse bexpect bif bthe bchild bdevelops
banaphylaxis? b(SATA)
A) bBradycardia b
B) bNausea b
C) bHypertension
D) bUrticaria
E) bStridor b- bcorrect banswers✔✔B) bNausea b
D) bUrticaria
E) bStridor
A bnurse bis bcaring bfor ba bclient bwho bis bunconscious. bWhich bof bthe bfollowing bactions
bshould bthe bnurse btake bwhen bproviding boral bcare bfor bthe bclient?
A) bTest bfor bthe bpresence bof bthe bclients bgag breflex
B) bPlace bthe bclient bin bthe bsupine bposition
C) bUse ba bfirm btoothbrush bfor btooth band bgum bcare
D) bUse b2 bgauze-wrapped bfingers bto bhold bthe bmouth bopen b- bcorrect banswers✔✔A)
bTest bfor bthe bpresence bof bthe bclients bgag breflex
A bnurse bis bplanning bcare bfor ba bclient bwho bhas bacute bmyelogenous bleukemia band
ba bplatelet bcount bof b48,000/mm^3. bWhich bof bthe bfollow binterventions bshould bthe
bnurse binclude?
A) bAvoid bIM binjections b
B) bAssess bthe bclient bfor becchymosis bonce bper bshift
C) bDo bnot ballow bthe bclient bto bhave bvisitors
D) bEncourage bdaily bflossing bbetween bteeth b- bcorrect banswers✔✔A) bAvoid bIM
binjection
,A bnurse bis bpreparing bto bassess bthe bfunction bof bthe bclients btrigeminal bnerve
b(cranial bnerve bV). bWhich bof bthe bfollowing bitems bshould bthe bnurse bgather bfor bthe
btest?
A) bSugar
B) bCoffee
C) bCotton bwisps b
D) bSnellen bchart b- bcorrect banswers✔✔C) bCotton bwisps
A bnurse bis bcaring bfor ba bclient bwith balcohol buse bdisorder bwho bhas bundergone
bdetoxification. bWhich bof bthe bfollowing bmedications bshould bthe bnurse bexpect bthe
bprovider bto bprescribe bto bassist bthe bclient bwith bmaintaining bsobriety b
A) bVarenicline
B) bClonidine
C) bBuprenorphine
D) bDisulfiram b- bcorrect banswers✔✔D) bDisulfiram
A bnewly badmitted bclient bwho bhas bmajor bdepressive bdisorder bstates bto bthe bnurse,
b"I'm ba bfailure, bI bcan't beven bcope bwith bthe blittle bthings banymore." bWhich bof bthe
bfollowing bresponses bshould bthe bnurse bprovide?
A) b"What bhappened bin byour blife bto bmake byou bfeel blike bsuch ba bfailure?"
B) b"It bsounds bas bif byou bare bfeeling bpretty boverwhelmed bright bnow"
C) b"Do byou bfeel blike byou bdon't bdeserve bto bfeel bgood babout byourself?"
D) b"I bknow byou bfeel blike bthat bnow, bbut byou'll bfeel bdifferently bwhen byou bget bbetter"
b- bcorrect banswers✔✔C) b"Do byou bfeel blike byou bdon't bdeserve bto bfeel bgood babout
byourself?"
A bnurse bis bcaring bfor ba bmiddle-aged badult bclient. bThe bnurse bshould bidentify bwhich
bof bthe bfollowing bstatements bas ban bindication bthat bthe bclient bhas bcompleted
bEriksons bdevelopmental btask bfor bher bage bgroup?
A) b"I bam bcomfortable bwith bmy bdecision bto bchoose ba blifelong bpartner."
B) b"I bthink bI bhave bdone ba bgood bjob bwith bmy bchildren bsince bthey bare ball
bindependent bnow."
C) b"As bI blook bback bover bmy blife, bI bcan bsee bthat bI bhave bachieved bmost bof bthe
bgoals bI bset bfor bmyself."
D) bI blove bmy bwork bso bmuch bthat bit's bdifficult bto bthink babout bretirement." b- bcorrect
banswers✔✔B) b"I bthink bI bhave bdone ba bgood bjob bwith bmy bchildren bsince bthey bare
ball bindependent bnow."
A bnurse bis bconducting ban badmission binterview bwith ba bclient. bWhich bof bthe
bfollowing bpieces bof bassessment binformation bshould bthe bnurse bcollect bduring bthe
bintroductory bphase bof bthe binterview?"
A) bClients blevel bof bcomfort band bability bto bparticipate bin bthe binterview
B) bPrevious billnesses band bsurgeries b
, C) bEvents bsurrounding bthe bclients brecent billness b
D) bSociocultural bhistory b- bcorrect banswers✔✔A) bClients blevel bof bcomfort band
bability bto bparticipate bin bthe binterview
A bnurse bis bplanning bto bassess bthe babdomen bof ba bclient bwho breports bfeeling
bbloated bfor bseveral bweeks. bWhich bof bthe bfollowing bmethods bof bassessment
bshould bthe bnurse buse bfirst?
A) binspection b
B) bAuscultation
C) bPercussion
D)Palpation b- bcorrect banswers✔✔A) bInspection
A bnurse bis bperforming ba bcomprehensive bphysical bassessment bof ba bclient. bThe
bnurse bshould buse binspection bto bassess bwhich bof bthe bfollowing?
A) bLiver bsize
B) bPedal bedema
C) bSkin btexture b
D) bGait b- bcorrect banswers✔✔D) bGait
A bnurse bis bcaring bfor ba bclient bwho bis bimmobile. bThe bnurse bshould brecognize bthat
bimmobility bplaces bthe bclient bat brisk bof bwhich bof bthe bfollowing bhealth balterations? b
A) bIncreased bintestinal bmotility
B) bRespiratory balkalosis
C) bDecreased bcardiac boutput b
D) bHypocalcemia b- bcorrect banswers✔✔C) bDecreased bcardiac boutput
A bnurse bis bpreparing bto bperform bmouth bcare bfor ban bunresponsive bclient. bWhich bof
bthe bfollowing bactions bshould bthe bnurse bplan bto btake?
A) bPlace bthe bclient bsupine b
B) bKeep bboth bside brails bup
C) bRaise bthe blevel bof bthe bbed b
D) bInspect bthe bclients bmouth busing ba bfinger bsweep b- bcorrect banswers✔✔C)Raise
bthe blevel bof bthe bbed
A bnurse bis bpreparing bto badminister ban bafternoon bdose bof bampicillin bto ba bclient.
bThe bclient bappears bupset band brefuses bto btake bthe bmedication bbefore bthrowing
bthe bpill bon bthe bfloor. bWhich bof bthe bfollowing bentries bshould bthe bnurse benter binto
bthe bclients bmedical brecord?
A) bthe bclient brefuses bto btake bmedication btoday
B) bThe bclient bstates, b"I bwill bnot btake bthis bpill."
C) bThe bclient bseemed bangry band bhostile b
D) bThe bclient bthrew bthe bmedication bon bthe bfloor b- bcorrect banswers✔✔D) bThe
bclient bthrew bthe bmedication bon bthe bfloor