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