Select one:
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. None of the above
Select one:
A. The client is unable to distinguish between two tactile stimuli presented simultaneously.
B. The client is unable to complete a range of vision without turning his head side to side.
C. The client is observed shaving only one side of his face.
D. None of the above
Select one:
A. Wash the area thoroughly with soap and rinse with hot water
B. Shave the area where the patch will be applied
C. Wear gloves
D. None of the above
Select one:
A. Cross the legs at the ankles
B. Grimace the facial muscles
C. Pull against the palms
D. None of the above
Select one:
A. Slow the intravenous infusion
B. Listen to the lungs for rales
C. Call the doctor immediately
D. None of the above
Select one:
A. Initiate a group session with the nursing assistant
B. Change the nursing assistant’s assignment
C. Explore the interaction with the nursing assistant
D. None of the above
Select one:
A. The client grimaces during care.
B. The client’s pupils are dilated.
C. The client is unable to concentrate.
D. None of the above
Select one:
A. Limiting applications to the chest
B. Rubbing it into the skin
C. Rotating application sites
D. None of the above
Select one:
A. Tort
B. Negligence
C. Assault
D. None of the above
Select one:
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. None of the above
Select one:
A. Peanuts, dates, raisins
B. Pickles, salad with vinaigrette dressing, beef
C. Figs, chocolate, eggplant
D. None of the above
Select one:
A. To treat general discomfort
B. To correct electrolyte imbalances
C. To prevent stress ulcers
D. None of the above
Select one:
A. Constipation alternating with diarrhea
B. Bowel sounds of 5–20 seconds
C. Hemoglobin 26% and hematocrit 32
D. None of the above
Select one:
A. Elevating the arm on the side of the mastectomy
B. Positioning the client on the unaffected side
C. Taking the blood pressure in the side of the mastectomy
D. None of the above
Select one:
A. Use a magnet to remove the object.
B. Rinse the eye thoroughly with saline.
C. Cover both eyes with paper cups.
D. None of the above
Select one:
A. Neutrophil count of 60%
B. Monocyte count of 2%
C. Reticulocyte count of 1%
D. None of the above
Select one:
A. A 66-year-old female with a gastroenteritis
B. A 27-year-old male with severe depression
C. A 40-year-old female with a hysterectomy
D. None of the above
Select one:
A. Cream of wheat
B. Banana
C. Puffed rice
D. None of the above
Select one:
A. The graduate turns the stop-cock to the off position from the IV fluid to the client.
B. The graduate instructs the client to perform the Valsalva maneuver during the CVP reading.
C. The graduate places the client in a supine position to read the manometer.
D. None of the above
Select one:
A. Discard the solution and order a new bag
B. Continue the infusion and document the finding
C. Warm the solution
D. None of the above
Select one:
A. Maintain the client’s systolic blood pressure at 70mmHg or greater
B. Maintain the client’s urinary output greater than 300cc per hour
C. Maintain the client’s body temperature of greater than 33°F rectal
D. None of the above
Select one:
A. Starting an IV
B. Obtaining blood gases
C. Applying oxygen
D. None of the above
Select one:
A. Before the first dose
B. 30 minutes after the first dose
C. 30 minutes before the fourth dose
D. None of the above
Select one:
A. No, you should avoid getting the colostomy wet.
B. Yes, you should be able to swim again, even with the colostomy.
C. You should avoid immersing the colostomy in water.
D. None of the above
Select one:
A. H. influenza
B. H. pylori
C. E. coli
D. None of the above
Select one:
A. Denial
B. Conversion reaction
C. Rationalization
D. None of the above
Select one:
A. Hemoglobin
B. Blood glucose
C. Creatinine
D. None of the above
Select one:
A. Administer the medication with milk
B. Administer the medication with orange juice
C. Administer the medication with a meal
D. None of the above
Select one:
A. Troponin
B. Myoglobin
C. AST
D. None of the above
Select one:
A. A history of minimal physical activity
B. A history of radiation treatment in the neck region
C. A history of recent orthopedic surgery
D. None of the above
Select one:
A. Measuring five finger breaths under the axilla
B. Measuring 3 inches under the axilla
C. Measuring the client with the elbows flexed 10°
D. None of the above
Select one:
A. Suggest that the client take warm showers B.I.D.
B. Add baby oil to the client’s bath water
C. Apply powder to the client’s skin
D. None of the above
Select one:
A. A client with Crohn’s disease
B. A client with pylonephritis
C. A client with hypothyroidism
D. None of the above
Select one:
A. Administer an antiarrythmic medication such as Lidocaine
B. Administer atropine sulfate
C. Check the potassium level
D. None of the above
Select one:
A. Splinting swollen joints
B. Administering analgesic medications
C. Providing saliva substitute
D. None of the above
Select one:
A. White blood cell count
B. Blood glucose
C. Stool specimen for occult blood
D. None of the above
Select one:
A. Talk to the client and explain the need for self-care
B. Explore the reason for the lack of motivation seen in the client
C. Alternate nurses caring for the client so that the staff will not get tired of caring for this client
D. None of the above
Select one:
A. A client with Crohn’s disease
B. A client with gastritis
C. A client with phlebitis
D. None of the above
Select one:
A. Administer an antiemetic
B. Administer pain medication
C. Administer a bolus of IV fluid
D. None of the above
Select one:
A. I will keep candy with me just in case my blood sugar drops.
B. I need to stay out of the sun as much as possible.
C. I often skip dinner because I don’t feel hungry.
D. None of the above
Select one:
A. 6 months
B. 3 months
C. 18 months
D. None of the above
Select one:
A. Bran
B. Fresh peaches
C. Cucumber salad
D. None of the above
Select one:
A. 0.5mL
B. 1mL
C. 0.25mL
D. None of the above
Select one:
A. The 5-month-old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension
B. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
C. The 78-year-old who had a gastrectomy 3 weeks ago with a PEG tube
D. None of the above
Select one:
A. Depression
B. Anger
C. Mania
D. None of the above
Select one:
A. By giving it over 1–2 minutes
B. By hanging it IV piggyback
C. With normal saline only
D. None of the above
Select one:
A. The licensed practical nurse
B. The security guard
C. The registered nurse
D. None of the above
Select one:
A. Taking the vital signs of the 10-year-old with a 2-day post-appendectomy
B. Administering medication to the 2-year-old with periorbital cellulites
C. Taking the vital signs of the 5-month-old with bronchiolitis
D. None of the above
Select one:
A. Biopsy
B. Scrape cytology
C. Gram Stain
D. None of the above
Select one:
A. Reactions to blood transfusions
B. Shellfish allergies
C. Egg allergies
D. None of the above
Select one:
A. Roasted chicken
B. Cooked broccoli
C. Noodles
D. None of the above
Select one:
A. She pulls a toy behind her.
B. She can copy a horizontal or vertical line.
C. She dresses herself.
D. None of the above
Select one:
A. “You will be given some medication to anesthetize the area.”
B. “You will be sitting for the examination procedure.”
C. “Portions of the procedure will cause pain or discomfort.”
D. None of the above
Select one:
A. Tort
B. Malpractice
C. Fraud
D. None of the above
Select one:
A. To lower the uric acid level
B. To lower the ammonia level
C. To lower the blood glucose level
D. None of the above
Select one:
A. Feeding the baby during the first 48 hours after delivery
B. Applying warm, moist soaks to the breast several times per day
C. Breaking suction by placing a finger between the baby’s mouth and the breast when she terminates the feeding
D. None of the above
Select one:
A. Genital secretions
B. Blood
C. Nasopharyngeal secretions
D. None of the above
Select one:
A. Uses pressure from the fingers and hands to stimulate the energy points in the body
B. Uses needles to stimulate certain points on the body to treat pain
C. Uses oils extracted from plants and herbs
D. None of the above
Select one:
A. Assess for tube placement by aspirating stomach content
B. Administer feeding with 50% H20 concentration
C. Place the patient in a left-lying position
D. None of the above
Select one:
A. The client with diverticulitis
B. The client post–coronary bypass
C. The client receiving chemotherapy
D. None of the above
Select one:
A. Mask
B. Gown
C. Gloves
D. None of the above
Select one:
A. To replace electrolytes
B. To prevent dehydration
C. To facilitate clotting
D. None of the above
Select one:
A. Force fluids 24 hours before the procedure
B. Hold medication that affects the central nervous system for 12 hours pre- and post-test
C. Ask the client to void immediately before the study
D. None of the above
Select one:
A. Antacids should be administered without regard to mealtimes.
B. Antacids should be administered with each meal and snack of the day.
C. Antacids should be administered within 1–2 hours of all other medications.
D. None of the above
Select one:
A. Monitor the client for orthostatic hypotension
B. Monitor the client for respiratory depression
C. Monitor the client for seizures
D. None of the above
Select one:
A. The rest of his life
B. 1 year
C. 10 years
D. None of the above
Select one:
A. “The machine will administer one large dose every 4 hours to relieve your pain.”
B. “The machine will administer only the amount that you need to control your pain without your taking any action.”
C. “The machine has a locking device that prevents overdosing to occur.”
D. None of the above
Select one:
A. Talk to the client and explain the need for self-care
B. Alternate nurses caring for the client so that the staff will not get tired of caring for this client
C. Explore the reason for the lack of motivation seen in the client
D. None of the above
Select one:
A. “Sally has not been sad at all by Daddy’s death. She acts like nothing has happened.”
B. “She really had a hard time after Daddy’s funeral. She said that she had a sense of longing.”
C. “My sister still has episodes of crying, and it’s been 3 months since Daddy died.”
D. None of the above
Select one:
A. With increasing lymph node involvement
B. That is in situ
C. That cannot be assessed
D. None of the above
Select one:
A. Ask the client to rate his pain on a scale of 0–5
B. Watch the client’s facial expression
C. Take the blood pressure, pulse, and temperature
D. None of the above
Select one:
A. Place the client in a supine position and apply heat to the knee
B. Insert a Foley catheter and measure the intake and output
C. Elevate the head of the bed and apply ice to the eye
D. None of the above
Select one:
A. Aspirate for blood
B. Check the pulse rate
C. Check the site for bleeding
D. None of the above
Select one:
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. None of the above
Select one:
A. Irrigate the ileostomy daily.
B. Use Karaya powder to seal the bag.
C. Stomahesive is the best skin protector.
D. None of the above
Select one:
A. Streptokinase
B. Cyanocobalamine
C. Protamine sulfate
D. None of the above
Select one:
A. Apply heat to the abdominal area
B. Apply ice to the scrotum
C. Elevate the scrotum on a small pillow
D. None of the above
Select one:
A. A client with brain attack (stroke) with tube feedings
B. A client with congestive heart failure complaining of nighttime dyspnea
C. A client with Parkinson’s disease
D. None of the above
Select one:
A. “Please report skin irritation to the doctor.”
B. “You may be electrocuted if you use water with this unit.”
C. “The unit may be used anywhere on the body without fear of adverse reactions.”
D. None of the above
Select one:
A. Sweeping the floor
B. Squeezing a ball
C. Combing her hair
D. None of the above
Select one:
A. Bland
B. Clear-liquid
C. Low-residue
D. None of the above
Select one:
A. “She sleeps quite a bit of the time.”
B. “Her gums look too big for her teeth.”
C. “She is very irritable lately.”
D. None of the above
Select one:
A. 1700
B. 1200
C. 2100
D. None of the above
Select one:
A. Telling the client that the medication will need to be taken with juice
B. Telling the client that the medication will change the color of the urine
C. Telling the client to take the medication before going to bed at night
D. None of the above
Select one:
A. “You need to empty your bladder before the procedure.”
B. “You will be asleep during the procedure.”
C. “You will need to lay flat during the exam.”
D. None of the above
Select one:
A. Intramuscularly
B. Into the cerebrospinal fluid
C. Intravenously
D. None of the above
Select one:
A. Protein breaks down into blood urea nitrogen and metabolic waste.
B. A high-protein diet decreases albumin production.
C. High protein increases the sodium and potassium levels.
D. None of the above
Select one:
A. The baby can lose up to 10% of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding.
B. The baby is hypoglycemic due to lack of glucose.
C. The baby is allergic to the formula the mother is giving him.
D. None of the above
Select one:
A. Western Blot
B. White blood cell count
C. ELISA
D. None of the above
Select one:
A. Notify the nursing supervisor
B. Notify the hospital pharmacist
C. Notify the Board of Nursing
D. None of the above
Select one:
A. Colonoscopy
B. Barium enema
C. Complete blood count
D. None of the above
Select one:
A. “Peptic ulcers are associated with H. pylori, although there are other ulcers that are associated with stress.”
B. “Peptic ulcers are always caused from exposure to continual stress.”
C. “Peptic ulcers result from overeating fatty foods.”
D. None of the above
Select one:
A. A client with Alzheimer’s disease
B. A client with pneumonia
C. A client with appendicitis
D. None of the above
Select one:
A. Avoid rapid movements after taking the medication
B. Take the medication with water only
C. Rest in bed after taking the medication for at least 30 minutes
D. None of the above
Select one:
A. To restrict her fat intake for 1 week before the test
B. To omit creams, powders, or deodorants before the exam
C. That mammography replaces the need for self-breast exams
D. None of the above
Select one:
A. A weight loss of 10 pounds in 2 weeks
B. A red, beefy tongue
C. Complaints of numbness and tingling in the extremities
D. None of the above
Select one:
A. Sitz baths
B. Aspirin
C. Promethazine
D. None of the above
Select one:
A. Temperature
B. Urinary output
C. Pulse
D. None of the above
Select one:
A. Pain
B. Anorexia
C. Insomnia
D. None of the above
Select one:
A. Offer the patient a potassium-rich food
B. Withhold the drug and call the doctor
C. Administer the Lasix as ordered
D. None of the above
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