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