1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
A. Expressing feelings of low self-worth
B. Discussing remorse and guilt for actions
C. Displaying dependence on others
D. Expressing anger toward others
2. A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:
3. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
6. The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder
7. The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
8. The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her.
B. She can copy a horizontal line.
C. She can build a tower of eight blocks.
D. She can broad-jump.
9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
D. Tracheostomy set
10. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of The nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
D. Activated charcoal
12. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints
13. A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used with caution in the client with a history of:
B. Gastric ulcers
14. An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client’s confusion by:
A. Assigning a nursing assistant to sit with him until he falls asleep
B. Allowing the client to room with another elderly client
C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts
15. Which of the following is a common complaint of the client with end-stage renal failure?
A. Weight loss
C. Ringing in the ears
16. Which of the following medication orders needs further clarification?
A. Darvocet 65mg PO q 4–6 hrs. PRN
B. Nembutal 100mg PO at bedtime
C. Coumadin 10mg PO
D. Estrace 2mg PO q day
17. The best diet for the client with Meniere’s syndrome is one that is:
A. High in fiber
B. Low in sodium
C. High in iodine
D. Low in fiber
18. Which of the following findings is associated with right-sided heart failure?
A. Shortness of breath
B. Nocturnal polyuria
C. Daytime oliguria
D. Crackles in the lungs
19. An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
A. Place the probe on the child’s abdomen
B. Recalibrate the oximeter at the beginning of each shift
C. Apply the probe and wait 15 minutes before obtaining a reading
D. Place the probe on the child’s finger
20. An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse should instruct the mother to:
A. Administer the medication using a nipple
B. Administer the medication using the calibrated dropper in the bottle
C. Administer the medication using a plastic baby spoon
D. Administer the medication in a baby bottle with 1oz. of water
21. The client scheduled for electroconvulsive therapy tells the nurse, "I’m so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make?
A. "You will be given medicine to relax you during the treatment."
B. "The treatment will produce a controlled grand mal seizure."
C. "The treatment might produce nausea and headache."
D. "You can expect to be sleepy and confused for a time after the treatment."
22. Which of the following skin lesions is associated with Lyme’s disease?
A. Bull’s eye rash
B. Papular crusts
23. Which of the following snacks would be suitable for the child with gluten-induced enteropathy?
A. Soft oatmeal cookie
B. Buttered popcorn
C. Peanut butter and jelly sandwich
D. Cheese pizza
24. A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An adverse side effect of the medication is:
B. Elevated temperature
C. Weight gain
D. Elevated blood pressure
25. Which information should be given to the client taking phenytoin (Dilantin)?
A. Taking the medication with meals will increase its effectiveness.
B. The medication can cause sleep disturbances.
C. More frequent dental appointments will be needed for special gum care.
D. The medication decreases the effects of oral contraceptives.
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