PN
The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: A. offering sterile water B. holding the infant C. Offering a pacifier D. Providing a mobile
C. Offering a pacifier
The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child's joint discomfort. The nurse should tell the mother to purchase: A. Aspirin B. Naproxen C. Tylenol D. Advil
C. Tylenol
Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? A. Cold showers B. Plyometrics C. Using wide-gripped utensils during breakfast D. Running in the park
C. Using wide-gripped utensils during breakfast
The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority? A. alteration in skin integrity B. alteration in comfort C. alteration in mobility D. alteration in 02 perfusion
C. alteration in mobility
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is: A. the mottled appearance B. the presence of conjunctival hemorrhages C. cyanosis of the hands and feet D. respiratory rate of 20-28 per minute
C. cyanosis of the hands and feet
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 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"
A. "you will given medicine to relax you during the treatment"
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
A. 14 pounds
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
A. Administering pain medication
Which home remedy is suitable to relieve the itching associated with varicella? A. Applying a paste of baking soda and water B. dusting the lesions with baby powder C. using cool compresses of normal saline D. applying gauze saturated in hydrogen peroxide
A. Applying a paste of baking soda and water
Which of the following skin lesions is associated with Lyme's disease? A. Bull's eye rash B. Spider veins C. bullae D. scaly, silvery skin patches
A. Bull's eye rash
Which of the following conditions is most likely related to the development of renal calculi? A. Gout B. Pancreatitis C. Fractured femur D. Disc disease
A. Gout
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
A. Increased urinary output
The nurse is caring for a client following the 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 neck 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
A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows
A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should: A. Remove the previously applied ointment B. Tell the client he will experience pain relief in 15 minutes C. Apply the ointment to the previous application D. Obtain both radial and an apical pulse
A. Remove the previously applied ointment
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
A. She can pull a toy behind her
Which play activity is best suited to the gross motor skills of the toddler? A. ball B. coloring book and crayons C. building cubes D. swing set
A. ball
Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child? A. behavior is determined by consequences B. showing care about the effect of their actions on others C. following the rules of authorities is seen as important D. pleasing others is viewed as good behavior
A. behavior is determined by consequences
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include: A. constipation B. Diarrhea C. Urinary Retention D. Confusion
A. constipation
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 restraint
A. elbow restraints
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
A. low blood pressure
The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located: A. Over the fetal back B. Over the fetal abdomen C. Near the symphysis pubis D. Near the umbilicus
A. over the fetal back
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis? A. swelling, inflammation, and effusion of the joints B. faint areas of red demarcation over the back and abdomen C. irregular movements of the extremities and facial grimacing D. painless swelling over the extensor surfaces of the joints
A. swelling, inflammation, and effusion of the joints
Robert is diagnosed with varicella. He went to a clinic with a mild fever, loss of appetite, and rashes on the chest area. When he asked about the disease. Which statement describes the contagious stage of varicella? A. the contagious stage is 1 day before the onset of the rash until all the lesions are crusted B. the contagious stage is 1 day before the onset of the rash until the apperance of vesicles C. the contagious stage lasts during the vesicular and crusting stages of the lesions D. The contagious stage is from the onset of the rash until the rash disappears
A. the contagious stage is 1 day before the onset of the rash until all the lesions are crusted
The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with: A. tomato juice, to increase absorption B. milk to prevent stomach upset C. Oatmeal, to prevent constipation D. Water, to increase serum iron levels
A. tomato juice, to increase absorption
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 C. Pilers D. Tracheostomy set
A. wire cutters
An elderly client is hospitalized for transurethral resection of the prostate (TURP). Which finding postoperatively should be reported to the doctor immediately? A. hourly urinary output of 40-50 cc B. bright red output with many clots C. dark red urine output with few clots D. request for pain med q 4 hrs
B. bright red output with many clots
A factory worker is brought to the nurse's office after a metal fragment enters his right eye. The nurse should: A. attempt to remove the metal with a cotton-tipped applicator B. cover both eyes and transport to the ER C. Cover the right with a sterile 4x4 D. flush the eye for 10 minutes with running water
B. cover both eyes and transport to the ER
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms? A. mixed fruit and yogurt B. cream of tomato soup and crackers C. baked potato with sour cream and chives D. tossed salad with oil and vinegar dressing
B. cream of tomato soup and crackers
An infant with Tetralogy of Fallot is discharged with a prescription of lanoxin elixir 0.5 mL once a day PO. 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 1 ox of water
B. administer the medication using the calibrated dropper in the bottle
Following a generalized seizure, the nurse can expect the client to: A. be unable to move the extremities B. Be drowsy and prone to sleep C. Remember events before the seizure D. Have a drop in blood pressure
B. be drowsy and prone to sleep
A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal? A. Dolophine ( methadone) B. Ativan ( lorazepam) C. Narcan ( Naloxone) D. Antabuse ( disulfiram)
B. Ativan ( lorazepam)
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 C. antiemetics D. Activated charcoal
B. Chelating agents
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
B. Dresses in extra layers of clothing
Which diet is associated with an increased risk of colorectal cancer? A. High protein, simple carbohydrates B. High fat, refined carbohydrates C. low carbohydrates, complex proteins D. Low protein, complex carbohydrates
B. High fat, refined carbohydrates
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 fiber, low fat C. High protein, high fat D. low protein, high carbohydrate
B. High fiber, low fat
The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: A. Elevating the toilet seat for easy access B. Limiting fluid intake to 1000 ml per day C. Establishing a regular schedule for toileting D. Providing a high-roughage diet
B. Limiting fluid intake to 1000 ml per day
The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is: A. Meningitis B. Nephritis C. Cardiomegaly D. Desquamation
B. Nephritis
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
B. Nocturnal Polyuria
A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? A. Methergine B. Protamine sulfate C. Calcium gluconate D. Aquamephyton
B. Protamine sulfate
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 100 beats per minute. The nurse should: A. Record the HR and call the physician B. Record the HR and administer the medication C. Administer the medication and recheck the HR in 15 minutes D. hold the medication and recheck the HR in 30 minutes
B. Record the HR and administer the medication
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: A. rectus femoris muscle B. Vastus lateralis muscle C. deltoid muscle D. Dorsogluteal muscle
B. Vastus lateralis muscle
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client's plan of care? A. weighing the client after she eats B. having a staff member remain with her for 1 hour after she eats C. Placing high-protein foods in the center fo the client's plate D. providing the client with child-size utensils
B. having a staff member remain with her for 1 hour after she eats
A client with schizophrenia is receiving Thorazine (chlorpromazine) 400mg twice a day. An adverse side effect of the medication is: A. Photo sensitivity B. High fever C. Weight gain D. Elevated blood pressure
B. high fever
The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching? A. I need to drink at least a quart of milk a day B. i need to reduce my daily intake to 1200 calories a day C. i shouldnt add salt when i am cooking D. i need to eat more protein and fiber each day
B. i need to reduce my daily intake to 1200 calories a day
Which of the following is a common complaint of the client with end-stage renal failure? A. Weight loss B. Itching C. Ringing in the ears D. Bruising
B. itching
A child with a croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to: A. provide a moist environment with oxygen at 50% B. moisten secretions and relieve laryngospasm C. prevent insensible water loss D. prevent dehydration and reduce fever
B. moisten secretions and relieve laryngospasm
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
B. numbness and tingling in the extremities
The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. The nurse should tell the client to: A. Sleep on either side but keep his back straight B. periodically lie prone without a neck pillow C. Sleep only in dorsal recumbent position D. Rest in supine position with his head elevated
B. periodically lie prone without a neck pillow
The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetidine. The purpose of the cimetidine is to: A. promote peristalsis B. prevent a common side effect of prednisone C. decrease the secretion of pancreatic enzymes D. enhance the effectiveness of methotrexate
B. prevent a common side effect of prednisone
The chart of a client with schizophrenia states that the client has perseveration. The nurse can expect the client to: A. speak using words that rhyme B. say the same thing over and over C. include irrelevant details in conversation D. make up new words with new meanings
B. say the same thing over and over
An adolescent with borderline personality is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client? A. The client with remain in her room when feeling overwhelmed by sadness B. the Client with seek out a staff member to verbalize feelings of anger and sadness C. the client will leave group activities to pace when feeling anxious D. The client will request medication when feeling loss of emotional control
B. the Client with seek out a staff member to verbalize feelings of anger and sadness
A client with a bowel resection and anastomosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly? A. the client is able to swallow B. the client's abdomen is soft C. the client has active bowel sounds D. the client's abdominal dressing is dry and intact
B. the client's abdomen is soft
Which instruction should be included in the discharge teaching for the client with cataract surgery? A. OTC eye drops can be used to treat redness and irritation B. the eye shield should be worn at night C. it will be necessary to wear special cataract glassess D. a prescription for medication to control post-operative pain will be needed
B. the eye shield should be worn at night
A 6-year-old is diagnosed with Legg-Calve Perthes disease. An important part of the child's care includes instructing the parents: A. to increase the amount of dietary protein B. to prevent weight bearing on the affected leg C. about relaxation exercises to minimize pain in the shoulder D. about exercises to strengthen affected muscles
B. to prevent weight bearing on the affected leg
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is: A. decreased urine output B. tremors C. vision changes D. hypotension
B. tremors
Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by Meniere's disease. The following food items she is discouraged to eat, except: A. Green tea B. Unsalted Pretzels C. Grapefruit D. Smoked fish
B. unsalted Pretzels
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
B. weight gain, lethargy, slowed speech and decreased respiratory rate
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 would 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
C a history of cruelty to animals
The nurse is providing dietary teaching for a client with Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms? A. " i can help control problems with vertigo if I avoid breads and cereals." B. " I need to eat fewer foods that are high in potassium, such as raisins and bananas" C. " i need to limit foods that taste salty or that contain a lot of sodium" D. " i can expect to see more problems with tinnitus is I eat lot of dairy products"
C. " i need to limit foods that taste salty or that contain a lot of sodium"
A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at: A. 8 am B. 10 am C. 3 pm D. 5 am
C. 3 pm
A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within: A. 15 minutes B. 20 minutes C. 30 minutes D. 45 minutes
C. 30 minutes
Which of the following snacks would be suitable for the child with gluten-induced enteropathy? A. ice cold ale B. Pumpkin loaf cake C. Buckwheat kasha D. Oatmeal cookies E. Linguine with lemon and tomatoes
C. Buckwheat kasha
A nurse is caring for a 5th month old boy who suffered physical injuries from fall. Which of the following is the most appropriate pain assessment that the nurse will use? A. Numerical pain scale B. Mcgill pain scale C. CRIES scale D. Mankoski pain scale
C. CRIES scale
Which of the following medication orders needs further clarification? A. Darvocet 65 mg PO q 4-6 hrs. PRN B. Nembutal 100 mg PO at bedtime C. Coumadin 10 mg PO D. Estrace 2 mg PO q day
C. Coumadin 10 mg PO
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol should be used with caution in the client with a history of: A. Benign Prostatic Hyperplasia B. Gastric Ulcers C. Diabetes Mellitus D. Pancreatitis
C. Diabetes Mellitus
The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: A. Ankle edema B. Diminished reflexes C. Facial swelling D. Pulse deficits
C. Facial swelling
An elderly client with dementia is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in: A. Balance B. Speech C. Judgement D. Endurance
C. Judgement
The nurse is providing dietary instructions for a client with hemochromatosis. Which food items should the client consume, except? A. Grains B. Coffee C. Lamb D. Legumes
C. Lamb
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should: A. provide additional warmth for swollen, inflamed joints B. bathe the client using only mild soap and water C. encourage the client to drink extra fluids D. request a low-protein diet for the client
C. encourage the client to drink extra fluids
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first? A. Collect the clothing and underwear of the child B. Provide privacy and disregard the behavior of the child C. inform the law enforcement for a possible child abuse D. Record all the findings
C. inform the law enforcement for a possible child abuse
The physician has ordered Amoxil (amoxicillin) 500 mg 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. requesting an alternate form of the medication D. Giving the medication with an antacid
C. requesting an alternate form of the medication
A client with oxalate renal calculi should be taught to avoid eating: A. grapefruit B. milk C. rhubarb D. oranges
C. rhubarb
Which of the following meal choices is suitable for a 6-month-old infant? A. pea puree, formula and orange juice B. honey cereal, carrot stick and apple juice C. rice cereal, mashed sweet potato, formula D. melba toast, banana puree, whole milk
C. rice cereal, mashed sweet potato, formula
A 5-month-old infant is admitted to the ER with a temperature of 106°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for: A. Negative scarf sign B. positive Babinski reflex C. tenseness of the anterior fontanel D. periobital edema
C. tenseness of the anterior fontanel
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia? A. nausea B. flushed skin C. tremulousness D. slow pulse
C. tremulousness
The licensed vocational nurse may not assume the primary care for a client: A. in the fourth stage of labor B. 2 days post-appendectomy C. with a venous access device D. with bipolar disorder
C. with a venous access device
The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness? A. " I am your nurse and I will be taking care of you today" B. " Can you tell me your name and where you are" C. " i know you are confused right now, but everything will be alright" D. " you were in an accident that hurt your head. You are in the hospital"
D. " you were in an accident that hurt your head. You are in the hospital"
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: A. Pear B. Apple C. Orange D. Avocado
D. Avocado
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's: A. level of consciousness B. movement of extremities C. Urinary output D. Gag reflex
D. Gag reflex
The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal? A. Antabuse (disulfiram) B. Romazicon (flumazenil) C. Dolophine (methadone) D. Librium (chlordiazepoxide)
D. Librium (chlordiazepoxide)
Jeremiah, a clinical instructor, is discussing the list of controlled substances schedules. The following are considered to be under Schedule I controlled substances, except: A. Cannabis B. Methaqualone C. Lysergic acid Diethylamide D. Oxycodone
D. Oxycodone
Which statement best describes the difference between the pain of angina and the pain of myocardial infarction? A. Pain associated with MI is referred to the left arm B. Pain assoicated with angina is confined to the chest area C. pain associated with MI can last for 5-7 minutes D. Pain associated with angina is relieved by nitroglycerin
D. Pain associated with angina is relieved by nitroglycerin
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. Calibrate 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
D. Place the probe on the child's finger
Which antibiotic is contraindicated for the treatment of infections in infants and young children? A. E- mycin B. Amoxil C. Cefotan D. Tetracyn
D. Tetracyn
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
D. a history of alcohol and tobacco use
The nurse is assessing an infant with Hirschsprung's disease. The nurse can expect the infant to: A. Fixed plantar flexion of the ankle B. sonorous seal-bark cough C. strawberry tongue D. abdominal distension
D. abdominal distension
Which of the following symptoms is associated with relapse of multiple sclerosis? A. Diarrhea B. hearing loss C. jaunduce D. diplopia
D. diplopia
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to: A. Obtain a new prescription in case the infection recurs B. determine whether the ear infection has affected her hearing C. make sure that she has taken all the antibiotic D. document that the infection has completely clearly
D. document that the infection has completely clearly
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should: A. Place the baby on enteric isolation B. apply lotion, or oil on the baby's skin to prevent drying C. wear a gown, gloves and a mask while caring for the infant D. encourage the mother to continue breastfeeding
D. encourage the mother to continue breastfeeding
An 8-year-old is admitted with a sore throat, drooling, muffled phonation, high pitched-sound upon breathing (stridor), and a temperature of 102°F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of: A. primary ciliary dyskinesia B. subglottic hemangioma C. sinusitis D. epiglottis
D. epiglottis
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. overwhelming anxiety D. high self-esteem
D. high self-esteem
According to Erikson's stage of growth and development, the developmental task of an 8-year old child is: A. trust B. Initiative C. Independence D. industry
D. industry
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 the another elderly client C. Administering a bedtime sedative D. Leaving a nightlight on during the evening and night shift
D. leaving a nightlight on during the evening and night shift
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
D. luncheon meats
Which information should be given to the client taking Dilantin (phenytoin)? A. taking the medication with meals will increase its effectiveness B. the medication decreases the effects of oral contraceptives C. the medication can cause sleep disturbances D. more frequent dental appointments will be needed for special gum care
D. more frequent dental appointments will be needed for special gum care
The primary purpose for using a continuous passive motion (CPM) machine for the client with a total knee repair is to help: A. inhibit lactic acid production in the leg muscles B. prevent contractures C. decrease the pain associated with early ambulation D. promote flexion of the artificial joint
D. promote flexion of the artificial joint
A client with AIDS is admitted for the treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract? A. thoroughly cooking all foods B. offering yogurt and buttermilk between meals C. forcing fluids D. providing small, frequent meals
D. providing small, frequent meals
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
D. pulsations in the periumbilical area
The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and a short attention span? A. Meeting with an assertiveness training group B. participating in unit community goal setting C. going on a field trip with a group of clients D. taking part in a reality-orientation group
D. taking part in a reality-orientation group
A newborn male has been diagnosed with hypospadias with chordee. The nurse understands that the infant will have altered patterns of urination because: A. the bladder lies outside the abdominal cavity B. the ureters with reflux into the kidneys C. the urinary meatus is on top of the penis D. the urinary meatus is on the dorsum of the penis
D. the urinary meatus is on the dorsum of the penis
