A. Wheat bread
B. Honey
C. Oranges
D. Aged cheese
A. Penicillin
B. Neomycin
C. Acyclovir
D. Tetracycline
A. Mid afternoon
B. Thirty minutes before eating
C. In a single dose at bedtime
D. Mid-morning
A. Opens on the left side of the abdomen
B. Will produce only mucus
C. Opens on the right side of the abdomen
D. Will be bluish colored in appearance
A. Ask the client to void
B. Assess the blood pressure for hypotension
C. Administer oxytocin
D. Check for vaginal bleeding
A. The need for oxygen therapy
B. A history of claustrophobia
C. A permanent pacemaker
D. Sensory deafness
A. Pounding board
B. Pull toy
C. Soft books
D. Puzzle with large pieces
A. Taking a hot bath will decrease stiffness and spasticity.
B. A schedule of strenuous exercise will improve muscle strength.
C. Rest periods should be scheduled throughout the day.
D. Visual disturbances can be corrected with prescription glasses.
A. Dulcolax suppository
B. Docusate sodium (Colace)
C. Methylergonovine maleate (Methergine)
D. Bromocriptine sulfate (Parlodel)
A. TPN leads to negative nitrogen balance and elevated glucose levels.
B. TPN cannot be managed with oral hypoglycemics.
C. TPN is a high-glucose solution that can elevate the blood glucose levels.
D. TPN use can depress the activity of the beta cells of the islets of Langerhans.
A. The client’s knowledge of the signs of preterm labor
B. The client’s feelings about the pregnancy
C. The client’s method of birth control
D. The client’s plans for continuing school
A. Lactated Ringer's
B. Dextrose 1% in water
C. Three percent normal saline
D. Dextrose 5% /.45% normal saline
A. Assess the client for allergies to iodine
B. Bolus the client with IV fluid
C. Administer an anxiolytic
D. Insert a urinary catheter
A. Provide immunity against Rh isoenzymes
B. Prevent the formation of Rh antibodies
C. Eliminate circulating Rh antibodies
D. Convert the Rh factor from negative to positive
A. Application of a walking boot
B. Stabilization with a cast
C. Surgery with Kirschner wire implantation
D. Application of spica cast
A. Strain his urine
B. Increase his fluid intake
C. Report urinary frequency
D. Avoid prolonged sitting
A. Inderal (propranolol)
B. Dilantin (phenytoin)
C. Benemid (probenecid)
D. Neoral (cyclosporine)
A. Mydriatics will be used to dilate the pupil.
B. Miotics will be used to constrict the pupil.
C. A laser will be used to smooth and reshape the lens.
D. Silicone oil injections will be used to hold the retina in place.
A. Placing mirrors in several locations in the facility
B. Placing a picture of the client in her room
C. Placing simple signs to indicate the location of her room, the bathroom, and dining room
D. Alternating healthcare workers to prevent boredom
A. Prevent the need for dressing changes
B. Reduce edema at the incision
C. Provide for wound drainage
D. Keep the common bile duct open
A. Vernix caseosa
B. Sucking pads
C. Head lag
D. Absence of scarf sign
A. Hematuria
B. Muscle spasms
C. Dizziness
D. Nausea
A. Dyskinesia
B. Confabulation
C. Formication
D. Dystonia
A. Lip the bottle and use a pack of sterile 4×4 for the dressing
B. Obtain a new bottle and label it with the date and time of first use
C. Ask the ward secretary when the solution was requested
D. Label the existing bottle with the current date and time
A. The newborn is hypothermic.
B. The newborn is experiencing bradycardia.
C. The newborn has acrocyanosis.
D. The newborn is lethargic.
A. Lessen the amount of cellular damage
B. Prevent the formation of blisters
C. Promote movement
D. Prevent pain and discomfort
A. Passing water through a dialyzing membrane
B. Eliminating plasma proteins from the blood
C. Lowering the pH by removing nonvolatile acids
D. Filtering waste through a dialyzing membrane
A. An antibiotic
B. Immune globulin
C. An antiviral
D. Airborne isolation
A. The client should be placed in a room with negative pressure.
B. Infection requires close contact; therefore, the door may remain open.
C. Transmission is highly likely, so the client should wear a mask at all times.
D. Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.
A. The pain will go away in a few days.
B. The pain is due to peripheral nervous system interruptions. I will get you some pain medication.
C. The pain is psychological because your foot is no longer there.
D. The pain and itching are due to the infection you had before the surgery.
A. The head of the pancreas
B. The proximal third of the small intestine
C. The stomach and duodenum
D. The esophagus and jejunum
A. Mustard
B. Salt
C. Pepper
D. Ketchup
A. Avoid antihistamines containing diphenhydramine
B. Increase the intake of all vegetables
C. Have a PTT checked monthly
D. Have a CBC drawn every six months
A. Take a deep breath, hold it, and bear down as the catheter is withdrawn
B. Turn his head to the left side and hyperextend the neck
C. Take slow, deep breaths as the catheter is removed
D. Turn his head to the right while maintaining a sniffing position
A. Allergies to pineapples and bananas
B. A history of streptococcal infections
C. Prior therapy with phenytoin
D. A history of alcohol abuse
A. Using oils or cream-based soaps
B. Flossing between the teeth
C. The intake of salt
D. Using an electric razor
A. Apply the new tie before removing the old one
B. Have a helper present in case assistance is needed
C. Hold the tracheostomy tie with the nondominant hand while removing the old tie
D. Ask the client to hold the tracheostomy in place as the ties are changed
A. Turning the client to the left side
B. Milking the tube to ensure patency
C. Slowing the intravenous infusion
D. Notify the physician of the amount
A. Bulging fontanels
B. Bradycardia
C. Urine specific gravity of 1.015
D. Bradypnea

A. A
B. B
C. C
D. D
A. Tire more easily
B. Have normal patterns of growth and development
C. Require more calories
D. Need additional fluids to prevent thrombi
A. Determine lung maturity
B. Measure the fetal activity
C. Show the effect of contractions on fetal heart rate
D. Measure the well-being of the fetus

A. Instruct the client to push
B. Perform a vaginal exam
C. Stop the infusion of Pitocin (oxytocin)
D. Place the client in a semi-Fowler’s position

A. Atrial flutter
B. A sinus rhythm
C. Ventricular tachycardia
D. Atrial fibrillation
A. Inject the medication into the deltoid muscle
B. Inject the medication into the abdomen
C. Aspirate before administering the medication
D. Clear the air from the syringe before administering the medication
A. Administer the medications together in one syringe
B. Administer the medications separately
C. Administer the Valium, wait five minutes, and then administer the Phenergan
D. Question the order because the medications should not be given to the same patient
A. Douche after intercourse
B. Void every three hours
C. Increase her intake of foods containing vitamin C
D. Wipe from back to front after voiding
A. Obtaining vital signs on a patient following a craniotomy
B. Obtaining hourly intake and output on a client with preeclampsia
C. Feeding the client with depression
D. Ambulating the client following a hip replacement
A. Two-inch circle of blood behind the neck
B. Eupnea
C. Absence of carpopedal spasms
D. Negative Chvostek’s sign
A. Premedicate the patient with diphenhydramine and acetaminophen.
B. Test for hypersensitivity prior to administration.
C. Administer with heparin and hydrocortisone over four to six hours.
D. Hydrate with IV fluids before and after the drug is administered.
A. 1 cup beef broth
B. 1 baked potato with the skin
C. 1/2 cup raisins
D. 1 cup rice
A. Observing the client for signs of depression or suicidal thinking
B. Allowing the client to lead unit group sessions
C. Restricting the client’s activity to the assigned unit of care throughout hospitalization
D. Allowing the client to select a primary caregiver
A. Extreme weight loss
B. Presence of lanugo over body
C. Erosion of tooth enamel
D. Muscle wasting
A. One-year-old
B. Four-year-old
C. Eight-year-old
D. Twelve-year-old
A. Cooperative
B. Associative
C. Parallel
D. Solitary
A. Check the Babinski reflex
B. Listen to the heart and lung sounds
C. Palpate the abdomen
D. Check tympanic membranes
A. Think abstractly
B. Use magical thinking
C. Understand conservation of matter
D. See things from the perspective of others
A. Doesn’t understand yes and no
B. Understands the meaning of all words
C. Can combine three or four words
D. Repeatedly asks “why?”
A. Prepare an injection of vitamin K
B. Irrigate the urinary catheter with 50 mL of normal saline
C. Offer the client additional oral fluids
D. Withhold the medication and notify the physician
A. Constipation
B. Hyperperistalsis
C. Delayed gastric emptying
D. Diarrhea
A. I will administer the medication 1–2 inches away from the umbilicus.
B. I will not massage the injection site after administering the heparin.
C. I will check the PTT before administering the heparin.
D. I will need to gently aspirate when I give the heparin.
A. Finger
B. Earlobe
C. Extremity with noninvasive BP cuff
D. Nose
A. Report the findings to the physician
B. Recheck the vital signs in one hour
C. Ask the patient if he is in pain
D. Compare the current vital signs with those on admission
A. Using a recliner to rest
B. Resting in supine position
C. Sitting in a straight chair
D. Sleeping in right Sim’s position
A. Before the client arises in the morning
B. With the client in a standing position
C. After the client has bathed and applied lotion to the legs
D. Before the client retires in the evening
A. A client recovering from a stroke with an oxygen saturation rate of 99%
B. A client three days post-coronary artery bypass graft with an oral temperature of 100.2ºF
C. A client admitted one hour ago with rales and shortness of breath
D. A client being prepared for discharge following a right colectomy
A. Hypothyroidism
B. Diabetic ulcers
C. Gastroenteritis
D. Bacterial pneumonia
A. I will have blood drawn every month.
B. I will assess my skin for a rash.
C. I take aspirin for a headache.
D. I will use an electric razor to shave.
A. Pedal pulses regular
B. Urinary output 20mL in the past hour
C. Blood pressure 108/50
D. Oxygen saturation 97%
A. Diet pattern
B. Mobility
C. Fluid intake
D. Sexual function
A. A distance of five fingerbreadths should exist between the top of the crutch and the axilla.
B. The nurse should measure three inches between the top of the crutch and the axilla.
C. The client’s elbows should be flexed at a 10º angle.
D. The crutches should be extended 8 to 10 inches from the side of the foot.
A. Temporal lobe
B. Frontal lobe
C. Occipital lobe
D. Parietal lobe
A. Hypothalamus
B. Pituitary
C. Carotid baroreceptors
D. Frontal lobe
A. A low protein diet helps reduce blood urea nitrogen and other wastes excreted by the kidneys.
B. A low protein diet increases the sodium and potassium levels.
C. A low protein diet increases albumin production.
D. A low protein diet increases the calcium and phosphorous levels.
A. Metered chamber
B. Infusion controller
C. Intravenous filter
D. Three-way stopcock
A. 40
B. 30
C. 20
D. 10
A. Low carbohydrate potassium
B. Moderate protein
C. Low calcium
D. Increased potassium
A. A WBC of 14,000 cu.mm
B. Auscultation of abdominal bruit
C. Complaints of lower back pain
D. A platelet count of 175,000 cu.mm
A. Stronger than normal
B. Hypoactive
C. Normal
D. Hyperactive
A. 0.25mL
B. 0.5mL
C. 1.0mL
D. 1.25mL
A. Pressure in the left ventricle
B. Systolic, diastolic, and mean pressure in the pulmonary artery
C. Pressure in the pulmonary veins
D. Pressure in the right ventricle
A. Notify the physician immediately
B. Slow the intravenous infusion
C. Auscultate the lungs for rales
D. Administer a diuretic
A. Administering atropine sulfate
B. Requesting a stat potassium level
C. Administering amiodarone
D. Defibrillating at 360 joules
A. Breathe normally
B. Hold his breath and bear down
C. Take deep breaths
D. Take shallow breaths
A. Continue the medication as ordered
B. Administer the morning dose only
C. Give the medication with orange juice
D. Withhold the medication and notify the physician
A. Platelet count
B. White blood cell count
C. Neutrophil count
D. Basophil count
A. The onset is 1–2 hours.
B. It may be mixed with regular insulin.
C. It peaks in 2–3 hours.
D. The duration is 24 hours.
A. Most herbals are well suited to use with prescription medications.
B. He should buy only FDA-approved herbal supplements for use.
C. The use of herbals may alter the effect of the medication he is taking.
D. The herbal supplements should be taken at the same time as his medication.
A. Anorexia
B. Pain
C. Insomnia
D. Fatigue
A. Pulmonary edema
B. Increased blood pressure
C. Nervousness
D. Rapid pulse
A. The machine will administer only the amount of medication needed to control pain without any action from you.
B. The machine has a locking device that prevents overdosing.
C. The machine will administer one large dose every four hours to relieve your pain.
D. The machine is set to deliver medication only if you need it.
A. Electrocution may occur if you use water with this unit.
B. Skin irritation may occur with prolonged use of the unit.
C. The unit can be placed anywhere on the body without fear of adverse reactions.
D. A cream or lotion should be applied to the skin before applying the unit.
A. The nursing staff needs to know about funeral arrangements.
B. Much confusion regarding care can occur with the client’s family if there is no advanced directive.
C. An advanced directive allows the medical personnel to make decisions for the client.
D. An advanced directive allows active euthanasia to be carried out.
A. Feeding the baby during the first 48 hours after delivery
B. Placing a finger between the baby’s mouth and the breast to break suction after feeding
C. Applying warm, moist soaks to the breast several times per day
D. Wearing a support bra during the day
A. The client’s blood pressure is 130/86.
B. The client is unable to concentrate.
C. The client’s pupils are dilated.
D. The client grimaces during care.
A. Seizures
B. Postural hypertension
C. Respiratory depression
D. Hematuria
A. Warmth
B. Odor
C. Pain
D. Ulcer with flat edges
A. Problems with activities requiring focused vision such as sewing
B. Severe eye and face pain accompanied by nausea and vomiting
C. Seeing halos around lights
D. Veil-like loss of vision
A. Prevent formation of blood clots
B. Administer intravesical medication
C. Prevent postoperative pain
D. Maintain bladder tone
A. Positive Chvostek’s sign
B. 3+ deep tendon reflexes
C. Numbness or tingling of the toes and extremities
D. Prolonged ST and QT intervals
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