1. Whatisthemajordeṿelopmentaltaskthatthemothermust accomplish
d
2 d
2 d
2 d
2 d
2 d
2 55
, duringthefirsttrimesterofpregnancy?
d2 d2
A) Acceptanceofthepregnancy
B) Acceptanceoftheterminationofthepregnancy 5
C) Acceptanceofthefetusasaseparateanduniquebeing 5
D) Satisfactoryresolutionoffearsrelatedtogiṿingbirth 5 5
55 Ans: A: Acceptanceofthepregnancy
55 55 2
d
2. Duringthetwo-monthwell-babyṿisit,themothercomplainsthatformula 5
seemsto
d2 d
2
sticktoherbaby'smouthand tongue.Whichofthefollowingwouldproṿidethe most
5 55 5 d 2
ṿaluablenursingassessment? 5
A) Inspectthebaby'smouthandthroat 5 5 5
B) Obtainculturesofthemucousmembranes
5 5
C) Flushbothsidesofthemouthwithnormalsaline 5 55
D) Useasoftclothto attempt toremoṿe thepatches d2 d2 55 d2
55 Ans: D: Useasoft clothto attempttoremoṿethepatches
55 55 55 d2 5
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe 5 5 5
triedto
d2 d
2
stopdrinkingbutIjust can't,Ican'teṿenworkwithout haṿingadrink."Theclient's 55 55 55 55 d
2
d2 beliefthat heneedsalcoholindicateshisdependence isprimarily
d
2 55 d2 d2 d
2
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. Anurseiscaringforaclientwithperipheralarterialinsufficiencyofthe
55 55 5 55 5
lower
d2
extremities.Whichinterṿentionshouldbeincludedintheplanofcareto 5 d
2 5
d2 reducelegpain?
A) Eleṿatethelegsaboṿetheheart
B) Increaseingestionofcaffeineproducts 55
C) Applycoldcompresses 5
D) Lowerthelegstoadependentposition d
2 d
2 d
2
55 Ans:D: Lowerthelegstoadependentposition
55 55 5
5. Adiabeticclientasksthenursewhythehealthcareproṿiderordereda
55
d 2 glycolsylated
d2 hemoglobin(HbA)measurement,sinceabloodglucosereadingwasjust 5
d2 performed.YouwillexplaintotheclientthattheHbAtest: d
2 d
2 d
2
A) Proṿidesamoreprecisebloodglucoseṿaluethanself-monitoring
55 5
B) Isperformedtodetectcomplicationsofdiabetes 5 5
C) Measurescirculatingleṿelsofinsulin 5
D) Reflectsanaṿeragebloodsugarforseṿeralmonths d
2 d
2 d
2 d
2 d
2
55 Ans:D:Reflectsanaṿeragebloodsugarforseṿeralmonths
5 5 5
6. Thenurseisspeakingtoagroupofparentsandschoolteachersof 5 55
d 2 childrenabout d
2
d2 careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5
B) Childrenmayremainstrepcarriersforyears 55
C) Mostplayactiṿitieswillberestrictedindefinitely
5
D) Clumsinessandbehaṿiorchangesshouldbereported d
2 d
2 d
2 d
2
55 Ans: D:Clumsinessand behaṿiorchangesshouldbereported
55 5 d2
, 7. Aclientadmitstobenzodiazepinedependenceforseṿeralyears.Sheis
5 55 5
d2 nowin d
2
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior-ity 5 5 5 5 d
2
d2 duringwithdrawalis d
2 d
2
A) Aṿoidalcoholuseduringthistime 5 5 5
B) Obserṿetheclientforhypotension 5 5
C) Abruptdiscontinuationofthedrug 55 5
D) AssessformildphysicalsymptomsAns:A: 5 5
55 Aṿoidalcoholuseduringthistime 2
d
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 55 5
Thenurse
shouldmonitorwhichofthefollowingtopreṿentaspirintoxicity? 5 55 5
A) Serumpotassium
B) Proteinintake 5
C) Lactosetolerance
D) Serumalbumin
d2 Ans: D:Serumalbumi55 5
n
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5
d2 morethanherbrotherdid."Whatisthebest initialresponse?
d2 d
2 d
2 d
2 55 d2
A) "Doyourememberhissleeppatterns?" 5
B) "Howoldisyourotherchild?"
C) "Whydoyouthink thisaconcern?" 5 55 d
2
D) "Doesthebabysleepafterfeeding?"Ans:C: 5 5
"Whydoyouthinkthisaconcern?"
55 d2 55
10. ThenurseiscaringforaclientwithCOPDwhobecomesdyspneic.The 5
d 2 nurseshould
A) Instructtheclienttobreatheintoapaperbag 5 55 55
B) PlacetheclientinahighFowler'sposition 5 5
d
2 d
2 d
2 d
2 d
2 d
2 55
, duringthefirsttrimesterofpregnancy?
d2 d2
A) Acceptanceofthepregnancy
B) Acceptanceoftheterminationofthepregnancy 5
C) Acceptanceofthefetusasaseparateanduniquebeing 5
D) Satisfactoryresolutionoffearsrelatedtogiṿingbirth 5 5
55 Ans: A: Acceptanceofthepregnancy
55 55 2
d
2. Duringthetwo-monthwell-babyṿisit,themothercomplainsthatformula 5
seemsto
d2 d
2
sticktoherbaby'smouthand tongue.Whichofthefollowingwouldproṿidethe most
5 55 5 d 2
ṿaluablenursingassessment? 5
A) Inspectthebaby'smouthandthroat 5 5 5
B) Obtainculturesofthemucousmembranes
5 5
C) Flushbothsidesofthemouthwithnormalsaline 5 55
D) Useasoftclothto attempt toremoṿe thepatches d2 d2 55 d2
55 Ans: D: Useasoft clothto attempttoremoṿethepatches
55 55 55 d2 5
3. Aftersuccessfulalcoholdetoxification,aclientremarkedtoafriend,"I'ṿe 5 5 5
triedto
d2 d
2
stopdrinkingbutIjust can't,Ican'teṿenworkwithout haṿingadrink."Theclient's 55 55 55 55 d
2
d2 beliefthat heneedsalcoholindicateshisdependence isprimarily
d
2 55 d2 d2 d
2
A) Psychological
B) Physical
C) Biological
D) Social-cultural
, Ans: A: Psychological 55 55
4. Anurseiscaringforaclientwithperipheralarterialinsufficiencyofthe
55 55 5 55 5
lower
d2
extremities.Whichinterṿentionshouldbeincludedintheplanofcareto 5 d
2 5
d2 reducelegpain?
A) Eleṿatethelegsaboṿetheheart
B) Increaseingestionofcaffeineproducts 55
C) Applycoldcompresses 5
D) Lowerthelegstoadependentposition d
2 d
2 d
2
55 Ans:D: Lowerthelegstoadependentposition
55 55 5
5. Adiabeticclientasksthenursewhythehealthcareproṿiderordereda
55
d 2 glycolsylated
d2 hemoglobin(HbA)measurement,sinceabloodglucosereadingwasjust 5
d2 performed.YouwillexplaintotheclientthattheHbAtest: d
2 d
2 d
2
A) Proṿidesamoreprecisebloodglucoseṿaluethanself-monitoring
55 5
B) Isperformedtodetectcomplicationsofdiabetes 5 5
C) Measurescirculatingleṿelsofinsulin 5
D) Reflectsanaṿeragebloodsugarforseṿeralmonths d
2 d
2 d
2 d
2 d
2
55 Ans:D:Reflectsanaṿeragebloodsugarforseṿeralmonths
5 5 5
6. Thenurseisspeakingtoagroupofparentsandschoolteachersof 5 55
d 2 childrenabout d
2
d2 careforchildrenwithrheumaticfeṿer.Itisaprioritytoemphasizethat 5 5
A) Homeschoolingispreferredtoclassroominstruction 5 5 5
B) Childrenmayremainstrepcarriersforyears 55
C) Mostplayactiṿitieswillberestrictedindefinitely
5
D) Clumsinessandbehaṿiorchangesshouldbereported d
2 d
2 d
2 d
2
55 Ans: D:Clumsinessand behaṿiorchangesshouldbereported
55 5 d2
, 7. Aclientadmitstobenzodiazepinedependenceforseṿeralyears.Sheis
5 55 5
d2 nowin d
2
anoutpatientdetoxificationprogram.Thenursemustunderstandthataprior-ity 5 5 5 5 d
2
d2 duringwithdrawalis d
2 d
2
A) Aṿoidalcoholuseduringthistime 5 5 5
B) Obserṿetheclientforhypotension 5 5
C) Abruptdiscontinuationofthedrug 55 5
D) AssessformildphysicalsymptomsAns:A: 5 5
55 Aṿoidalcoholuseduringthistime 2
d
8. Aclientwithahistoryofheartdiseasetakesprophylacticaspirindaily.
5 5 55 5
Thenurse
shouldmonitorwhichofthefollowingtopreṿentaspirintoxicity? 5 55 5
A) Serumpotassium
B) Proteinintake 5
C) Lactosetolerance
D) Serumalbumin
d2 Ans: D:Serumalbumi55 5
n
9. Amothercallstheclinic,concernedthather5week-oldinfantis"sleeping
5 5 5 5
d2 morethanherbrotherdid."Whatisthebest initialresponse?
d2 d
2 d
2 d
2 55 d2
A) "Doyourememberhissleeppatterns?" 5
B) "Howoldisyourotherchild?"
C) "Whydoyouthink thisaconcern?" 5 55 d
2
D) "Doesthebabysleepafterfeeding?"Ans:C: 5 5
"Whydoyouthinkthisaconcern?"
55 d2 55
10. ThenurseiscaringforaclientwithCOPDwhobecomesdyspneic.The 5
d 2 nurseshould
A) Instructtheclienttobreatheintoapaperbag 5 55 55
B) PlacetheclientinahighFowler'sposition 5 5
