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
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
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
5. The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
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
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
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
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
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
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
12. Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?
a. Brushing the teeth
13. A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:
a. 14 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
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
16. Which play activity is best suited to the gross motor skills of the toddler?
a. Coloring book and crayons
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:
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
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
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
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
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
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
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.
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