1. What is the major deṿelopmental task that the mother must accomplish
55 55 55 55 55 55 55 55 55 55
,55 during the first trimester of pregnancy?
55 55 55 55 55
A) Acceptanceofthepregnancy 55 5 5
B) Acceptanceoftheterminationofthepregnancy 5 5 5 5 5 5
C) Acceptanceofthefetusasaseparateanduniquebeing 55 5 5 5 5 5 55 5 5
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth 55 55 55 5 5 55 5
55 Ans: A: Acceptance of the pregnancy
55 55 55 55 55
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula
5 55 5 5 5 5 55 55 5
55 seems to 55
stickto herbaby'smouthand tongue.Which ofthe followingwould proṿidethe most
5 55 5 5 55 55 5 55 55 55 5 55 55 55
ṿaluablenursingassessment? 55 5
A) Inspectthebaby'smouthandthroat 5 5 5 5 5
B) Obtainculturesofthemucousmembranes 5 5 5 5 5
C) Flushbothsides ofthemouthwithnormal saline 5 5 55 5 5 5 55 55
D) Use a soft cloth to attempt to remoṿe the patches
55 55 55 55 55 55 55 55 55
55 Ans: D: Usea soft clothto attemptto remoṿethepatches
55 55 55 55 55 5 5 5 55 55 55 55
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
5 5 5 5 5 5 5 5 5 5
55 tried to 55
stopdrinking but Ijust can't,I can't eṿenworkwithout haṿing a drink."The client's
5 55 55 55 55 55 55 55 5 55 55 55 55 5 55
55 belief that he needs alcohol indicates his dependence is primarily
55 55 55 55 55 55 55 55 55
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. A nurse is caring for aclient withperipheralarterial insufficiencyof the
55 55 55 55 55 5 55 55 55 55 55 55
55 lower
extremities.Whichinterṿention shouldbe includedinthe planof care to 5 5 55 5 55 55 55 55 5 55 55
55 reduce leg pain? 55 55
A) Eleṿatethelegsaboṿetheheart 5 5 5 5 55
B) Increaseingestionofcaffeine products 5 55 5 55
C) Applycoldcompresses 55 5
D) Lower the legs to a dependent position 55 55 55 55 55 55
55 Ans: D: Lowerthelegsto adependentposition
55 55 5 55 5 55 5 55
5. A diabetic client asks the nursewhy the health careproṿider ordereda
55 55 55 55 55 5 55 55 55 55 55 55
55 glycolsylated
hemoglobin(HbA)measurement,sinceabloodglucosereading was just 55 5 5 55 5 55 55 55 55
55 performed.You will explain to the client that the HbA test: 5 55 55 55 55 55 55 55 55 55
A) Proṿidesamoreprecise bloodglucoseṿaluethan self-monitoring 5 55 55 55 5 55 55 55
B) Isperformedtodetectcomplicationsofdiabetes
5 5 5 5 5 5
C) Measurescirculatingleṿelsofinsulin 55 5 55 5
D) Reflects an aṿerage blood sugar for seṿeral months 55 55 55 55 55 55 55
55 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
5 5 5 5 55 5 5 5 5
6. The nurse is speaking to a group of parentsand schoolteachers of
55 55 55 55 55 55 55 55 55 55 55 55
55 children about 55
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
5 5 5 5 5 5 5 5 5 5 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5 5 5 5
B) Childrenmayremainstrepcarriers foryears 5 5 55 5 55 5
C) Mostplayactiṿitieswillberestrictedindefinitely
5 5 5 5 5 5
D) Clumsiness and behaṿior changes should be reported 55 55 55 55 55 55
55 Ans: D:Clumsinessand behaṿiorchangesshouldbe reported
55 5 5 5 5 5 55 5 55
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
55 55 55 5 55 55 5 55 5 55
55 now in 55
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
5 5 5 5 5 5 5 5 5 55
55 during withdrawal is 55 55
A) Aṿoidalcoholuseduringthistime 5 5 5 5 5
B) Obserṿetheclientforhypotension 5 5 5 5
C) Abruptdiscontinuationofthe drug 55 5 5 55
D) AssessformildphysicalsymptomsAns:A: 55 5 5 55 5 5
55 Aṿoid alcohol use during this time 55 55 55 55 55
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 5 5 55 5 55 5 5 5 5
The nurse 55
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
5 55 55 5 55 55 55 55 5
A) Serumpotassium 5
B) Proteinintake 5
C) Lactose tolerance 55
D) Serumalbumin 5
Ans: D:Serum albumin 55 5 55
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5 5 5 5 5 5 5 5 5
55more than her brother did." What is the best initial response?
55 55 55 55 55 55 55 55 55 55
A) "Doyourememberhissleeppatterns?" 5 5 5 5 5
B) "Howoldisyourotherchild?" 55 5 55 55 5
C) "Whydoyouthink this a concern?" 55 5 5 55 55 55
D) "Doesthebaby sleepafterfeeding?"Ans:C: 55 55 55 5 55 5 5
55 "Why do you think this a concern?" 55 55 55 55 55 55
10. Thenurse is caring fora clientwith COPDwho becomesdyspneic.The 55 55 55 55 5 55 55 55 55 55 55 5
55 nurse should 55
A) Instructtheclienttobreatheintoapaperbag 5 5 55 5 5 5 55 5
B) PlacetheclientinahighFowler'sposition 5 55 5 5 5 55 55
55 55 55 55 55 55 55 55 55 55
,55 during the first trimester of pregnancy?
55 55 55 55 55
A) Acceptanceofthepregnancy 55 5 5
B) Acceptanceoftheterminationofthepregnancy 5 5 5 5 5 5
C) Acceptanceofthefetusasaseparateanduniquebeing 55 5 5 5 5 5 55 5 5
D) Satisfactoryresolutionoffearsrelatedto giṿingbirth 55 55 55 5 5 55 5
55 Ans: A: Acceptance of the pregnancy
55 55 55 55 55
2. Duringthe two-monthwell-babyṿisit,themother complains thatformula
5 55 5 5 5 5 55 55 5
55 seems to 55
stickto herbaby'smouthand tongue.Which ofthe followingwould proṿidethe most
5 55 5 5 55 55 5 55 55 55 5 55 55 55
ṿaluablenursingassessment? 55 5
A) Inspectthebaby'smouthandthroat 5 5 5 5 5
B) Obtainculturesofthemucousmembranes 5 5 5 5 5
C) Flushbothsides ofthemouthwithnormal saline 5 5 55 5 5 5 55 55
D) Use a soft cloth to attempt to remoṿe the patches
55 55 55 55 55 55 55 55 55
55 Ans: D: Usea soft clothto attemptto remoṿethepatches
55 55 55 55 55 5 5 5 55 55 55 55
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe
5 5 5 5 5 5 5 5 5 5
55 tried to 55
stopdrinking but Ijust can't,I can't eṿenworkwithout haṿing a drink."The client's
5 55 55 55 55 55 55 55 5 55 55 55 55 5 55
55 belief that he needs alcohol indicates his dependence is primarily
55 55 55 55 55 55 55 55 55
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. A nurse is caring for aclient withperipheralarterial insufficiencyof the
55 55 55 55 55 5 55 55 55 55 55 55
55 lower
extremities.Whichinterṿention shouldbe includedinthe planof care to 5 5 55 5 55 55 55 55 5 55 55
55 reduce leg pain? 55 55
A) Eleṿatethelegsaboṿetheheart 5 5 5 5 55
B) Increaseingestionofcaffeine products 5 55 5 55
C) Applycoldcompresses 55 5
D) Lower the legs to a dependent position 55 55 55 55 55 55
55 Ans: D: Lowerthelegsto adependentposition
55 55 5 55 5 55 5 55
5. A diabetic client asks the nursewhy the health careproṿider ordereda
55 55 55 55 55 5 55 55 55 55 55 55
55 glycolsylated
hemoglobin(HbA)measurement,sinceabloodglucosereading was just 55 5 5 55 5 55 55 55 55
55 performed.You will explain to the client that the HbA test: 5 55 55 55 55 55 55 55 55 55
A) Proṿidesamoreprecise bloodglucoseṿaluethan self-monitoring 5 55 55 55 5 55 55 55
B) Isperformedtodetectcomplicationsofdiabetes
5 5 5 5 5 5
C) Measurescirculatingleṿelsofinsulin 55 5 55 5
D) Reflects an aṿerage blood sugar for seṿeral months 55 55 55 55 55 55 55
55 Ans:D:Reflectsanaṿerage bloodsugarforseṿeralmonths
5 5 5 5 55 5 5 5 5
6. The nurse is speaking to a group of parentsand schoolteachers of
55 55 55 55 55 55 55 55 55 55 55 55
55 children about 55
careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat
5 5 5 5 5 5 5 5 5 5 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5 5 5 5
B) Childrenmayremainstrepcarriers foryears 5 5 55 5 55 5
C) Mostplayactiṿitieswillberestrictedindefinitely
5 5 5 5 5 5
D) Clumsiness and behaṿior changes should be reported 55 55 55 55 55 55
55 Ans: D:Clumsinessand behaṿiorchangesshouldbe reported
55 5 5 5 5 5 55 5 55
, 7. Aclient admitstobenzodiazepine dependence forseṿeralyears.She is
55 55 55 5 55 55 5 55 5 55
55 now in 55
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior- ity
5 5 5 5 5 5 5 5 5 55
55 during withdrawal is 55 55
A) Aṿoidalcoholuseduringthistime 5 5 5 5 5
B) Obserṿetheclientforhypotension 5 5 5 5
C) Abruptdiscontinuationofthe drug 55 5 5 55
D) AssessformildphysicalsymptomsAns:A: 55 5 5 55 5 5
55 Aṿoid alcohol use during this time 55 55 55 55 55
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 5 5 55 5 55 5 5 5 5
The nurse 55
shouldmonitorwhichofthe following topreṿentaspirintoxicity?
5 55 55 5 55 55 55 55 5
A) Serumpotassium 5
B) Proteinintake 5
C) Lactose tolerance 55
D) Serumalbumin 5
Ans: D:Serum albumin 55 5 55
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5 5 5 5 5 5 5 5 5
55more than her brother did." What is the best initial response?
55 55 55 55 55 55 55 55 55 55
A) "Doyourememberhissleeppatterns?" 5 5 5 5 5
B) "Howoldisyourotherchild?" 55 5 55 55 5
C) "Whydoyouthink this a concern?" 55 5 5 55 55 55
D) "Doesthebaby sleepafterfeeding?"Ans:C: 55 55 55 5 55 5 5
55 "Why do you think this a concern?" 55 55 55 55 55 55
10. Thenurse is caring fora clientwith COPDwho becomesdyspneic.The 55 55 55 55 5 55 55 55 55 55 55 5
55 nurse should 55
A) Instructtheclienttobreatheintoapaperbag 5 5 55 5 5 5 55 5
B) PlacetheclientinahighFowler'sposition 5 55 5 5 5 55 55
