1. The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:
2. Which diet is associated with an increased risk of colorectal cancer?
a. Low protein, complex carbohydrates
b. High protein, simple carbohydrates
c. High fat, refined carbohydrates
d. Low carbohydrates, complex proteins
3. The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:
a. Holding the infant
b. Offering a pacifier
c. Providing a mobile
d. Offering sterile water
4. The physician has ordered Amoxil (amoxicillin) 500mg capsules for a client with esophageal varices. The nurse can best care for the client’s needs by:
a. Giving the medication as ordered
b. Providing extra water with the medication
c. Giving the medication with an antacid
d. Requesting an alternate form of the medication
5. The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
c. Dried fruits
6. The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:
a. Periodically lie prone without a neck pillow
b. Sleep only in dorsal recumbent position
c. Rest in supine position with his head elevated
d. Sleep on either side but keep his back straight
7. The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?
a. Low calorie, low carbohydrate
b. High calorie, low fat
c. High protein, high fat
d. Low protein, high carbohydrate
8. A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:
a. Uses an electric blanket at night
b. Dresses in extra layers of clothing
c. Applies a heating pad to her feet
d. Takes a hot bath morning and evening
9. A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
a. A family history of laryngeal cancer
b. Chronic inhalation of noxious fumes
c. Frequent straining of the vocal cords
d. A history of alcohol and tobacco use
10. The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
a. Difficulty in breathing after exertion
b. Numbness and tingling in the extremities
c. A faster-than-usual heart rate
d. Feelings of lightheadedness
11. The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
a. Speak using words that rhyme
b. Repeat words or phrases used by others
c. Include irrelevant details in conversation
d. Make up new words with new meanings
12. Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?
a. Brushing the teeth
b. Drinking a glass of juice
c. Drinking a cup of coffee
d. Brushing the hair
13. A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:
a. 14 pounds
b. 18 pounds
c. 25 pounds
d. 30 pounds
14. A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client’s symptoms?
a. Tossed salad with oil and vinegar dressing
b. Baked potato with sour cream and chives
c. Cream of tomato soup and crackers
d. Mixed fruit and yogurt
15. A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect?
a. Increased urinary output
b. Stabilized weight
c. Improved appetite
d. Increased pedal edema
16. Which play activity is best suited to the gross motor skills of the toddler?
a. Coloring book and crayons
c. Building cubes
d. Swing set
17. The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
b. Urinary retention
18. A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
a. Loss of sensation in the lower extremities
b. Back pain that lessens when standing
c. Decreased urinary output
d. Pulsations in the periumbilical area
19. A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
a. Low blood pressure
b. Slow, regular pulse
c. Warm, flushed skin
d. Increased urination
20. An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?
a. Hourly urinary output of 40–50cc
b. Bright red urine with many clots
c. Dark red urine with few clots
d. Requests for pain med q 4 hrs.
21. A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis?
a. Irregular movements of the extremities and facial grimacing
b. Painless swelling over the extensor surfaces of the joints
c. Faint areas of red demarcation over the back and abdomen
d. Swelling, inflammation, and effusion of the joints
22. A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
a. Prevent insensible water loss
b. Provide a moist environment with oxygen at 30%
c. Prevent dehydration and reduce fever
d. Liquefy secretions and relieve laryngeal spasm
23. A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:
a. Slow pulse rate, weight loss, diarrhea, and cardiac failure
b. Weight gain, lethargy, slowed speech, and decreased respiratory rate
c. Rapid pulse, constipation, and bulging eyes
d. Decreased body temperature, weight loss, and increased respirations
24. Which statement describes the contagious stage of varicella?
a. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
b. The contagious stage lasts during the vesicular and crusting stages of the lesions.
c. The contagious stage is from the onset of the rash until the rash disappears.
d. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.
25. A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept away from his followers. The most likely explanation for the client’s delusion is:
a. A religious experience
b. A stressful event
c. Low self-esteem
d. Overwhelming anxiety