601 - 700 Solved NCLEX Styled Practical MCQ Test Questions Bank

601. What information should the nurse give a new mother regarding the introduction of solid foods for her infant?
A. Solid foods should not be given until the extrusion reflex disappears at 8–10 months of age.
B. Solid foods should be introduced one at a time, with 4- to 7-day intervals.
C. Solid foods can be mixed in a bottle or infant feeder, to make feeding easier.
D. Solid foods should begin with fruits and vegetables.

602. When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:
A. No fetal movement
B. Minimal fetal movement
C. Moderate fetal movement
D. Active fetal movement

603. A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?
A. I can use artificial sweeteners to keep me from gaining too much weight when I get pregnant.
B. I need to go back on a low-phenylalanine diet before I get pregnant.
C. Fresh fruits and raw vegetables will make good between-meal snacks for me.
D. My baby could be mentally retarded if I don’t stick to a diet eliminating phenylalanine.

604. The nurse is teaching the mother of an infant with galactosemia. Which information should be included in the nurse’s teaching?
A. Check food and drug labels for the presence of lactose.
B. Foods containing galactose can be gradually added.
C. Future children will not be affected.
D. Sources of galactose are essential for growth.

605. Which finding is associated with Tay Sachs disease?
A. Pallor of the conjunctiva
B. Cherry-red spots on the macula
C. Blue-tinged sclera
D. White flecks in the iris

606. A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
A. Withholding all morning medications
B. Ordering a CBC and CPK
C. Administering prescribed anti-Parkinsonian medication
D. Transferring the client to a medical unit

607. A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
A. Calcium-rich foods
B. Canned or frozen vegetables
C. Processed meat
D. Raw fruits and vegetables

608. A four-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
A. Abdominal pain and anorexia
B. Fatigue and bruising
C. Bleeding and pallor
D. Petechiae and mucosal ulcers

609. A five-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:
A. Preventing infection
B. Administering antipyretics
C. Keeping the skin free of moisture
D. Limiting oral fluid intake

610. A client on a mechanical ventilator begins to fight the ventilator. Which medication will be ordered for the client?
A. Sublimaze (fentanyl)
B. Pavulon (pancuronium bromide)
C. Versed (midazolam)
D. Atarax (hydroxyzine)

611. A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is most likely responsible for the client’s symptoms?
A. Mashed potatoes
B. Steamed carrots
C. Baked fish
D. Whole-grain cereal

612. The home health nurse is visiting a client with Paget’s disease. An important part of preventive care for the client with Paget’s disease is:
A. Keeping the environment free of clutter
B. Advising the client to see the dentist regularly
C. Encouraging the client to take the influenza vaccine
D. Telling the client to take a daily multivitamin

613. The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in:
A. The tail of the pancreas
B. The head of the pancreas
C. The body of the pancreas
D. The entire pancreas

614. A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:
A. Weight gain
B. Hair loss
C. Sore throat
D. Brittle nails

615. Four days after delivery, a client develops complications of post-partal hemorrhage. The most common cause of late postpartal hemorrhage is:
A. Uterine atony
B. Retained placental fragments
C. Cervical laceration
D. Perineal tears

616. On a home visit, the nurse finds four young children alone. The youngest of the children has bruises on the face and back and circular burns on the inner aspect of the right forearm. The nurse should:
A. Contact child welfare services
B. Transport the child to the emergency room
C. Take the children to an abuse shelter
D. Stay with the children until an adult arrives

617. A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
A. Providing a supportive environment
B. Controlling the client’s feelings of anger
C. Discussing the details of the attack
D. Administering a hypnotic for sleep

618. The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is:
A. Preventing addiction
B. Alleviating pain
C. Facilitating mobility
D. Preventing nausea

619. Which aminophylline level is associated with signs of toxicity?
A. 5 micrograms/mL
B. 10 micrograms/mL
C. 20 micrograms/mL
D. 25 micrograms/mL

620. Which finding is the best indication that a client with ineffective airway clearance needs suctioning?
A. Oxygen saturation
B. Respiratory rate
C. Breath sounds
D. Arterial blood gases

621. A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
A. Gastric distress
B. Changes in hearing
C. Red discoloration of body fluids
D. Changes in color vision

622. The primary cause of anemia in a client with chronic renal failure is:
A. Poor iron absorption
B. Destruction of red blood cells
C. Lack of intrinsic factor
D. Insufficient erythropoietin

623. Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
A. Providing the client with a favorite meal for dinner
B. Asking if the client has allergies to shellfish
C. Encouraging fluids the evening before the test
D. Telling the client what to expect during the test

624. A client has ataxia following a cerebral vascular accident. The nurse should:
A. Supervise the client’s ambulation.
B. Measure the client’s intake and output.
C. Request a consult for speech therapy.
D. Provide the client with a magic slate.

625. The doctor has prescribed aspirin 325mg daily for a client with transient ischemic attacks. The nurse explains that aspirin was prescribed to:
A. Prevent headaches
B. Boost coagulation
C. Prevent cerebral anoxia
D. Decrease platelet aggregation

626. The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
A. Mix the insulin with Dextrose 5% in water.
B. Flush the IV tubing with the insulin solution and discard the first 50mL.
C. Avoid using a pump or controller with the infusion.
D. Mix the insulin with Ringer’s lactate.

627. While reviewing the chart of a client with a history of hepatitis B, the nurse finds a serologic marker of HB8 AG. The nurse recognizes that the client:
A. Has chronic hepatitis B
B. Has recovered from hepatitis B infection
C. Has immunity to infection with hepatitis C
D. Has no chance of spreading the infection to others

628. A client with tuberculosis who has been on combined therapy with Rifadin (rifampin) and INH (isoniazid) asks the nurse how long he will have to take medication. The nurse should tell the client that:
A. Medication is rarely needed after two weeks.
B. He will need to take medication the rest of his life.
C. The course of combined therapy is usually six months.
D. He will be re-evaluated in one month to see if further medication is needed.

629. Which developmental milestone puts the four-month-old infant at greatest risk for injury?
A. Switching objects from one hand to another
B. Crawling
C. Standing
D. Rolling over

630. A newborn is diagnosed with congenital syphilis. Classic signs of congenital syphilis are:
A. Red papular rash, desquamation, white strawberry tongue
B. Rhinitis, maculopapular rash, hepatosplenomegaly
C. Red edematous cheeks, maculopapular rash on the trunk and extremities
D. Epicanthal folds, low-set ears, protruding tongue

631. Infants should be restrained in a car seat in a semi-reclined position facing the rear of the car until they weigh:
A. 10 pounds
B. 15 pounds
C. 20 pounds
D. 25 pounds

632. A client is caring for a client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:
A. Development of pouches in the wall of the intestine
B. Alternating bouts of constipation and diarrhea
C. Swelling, thickening, and abscess formation
D. Hypocalcemia and iron-deficiency anemia

633. A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?
A. The medication can cause dental staining.
B. The client will need to avoid a high-carbohydrate diet.
C. The client will need a regularly scheduled blood work.
D. The medication can cause problems with drowsiness.

634. Assessment of a newborn male reveals that the infant has hypospadias. The nurse knows that:
A. The infant should not be circumcised.
B. Surgical correction will be done by six months of age.
C. Surgical correction is delayed until six years of age.
D. The infant should be circumcised to facilitate voiding.

635. The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet?
A. Safflower oil
B. Sunflower oil
C. Coconut oil
D. Canola oil

636. A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:
A. A weight loss of two pounds in one day
B. A serum creatinine of 1.25mg/dL
C. Urinary output of 50mL/hr
D. Rising blood pressure

637. A client is admitted with a blood alcohol level of 180mg/dL. The nurse recognizes that the alcohol in the client’s system should be fully metabolized within:
A. Three hours
B. Five hours
C. Seven hours
D. Nine hours

638. The nurse is caring for a client with stage III Alzheimer’s disease. A characteristic of this stage is:
A. Memory loss
B. Failing to recognize familiar objects
C. Wandering at night
D. Failing to communicate

639. The doctor has prescribed Cortone (cortisone) for a client with systemic lupus erythematosis. Which instruction should be given to the client?
A. Take the medication 30 minutes before eating.
B. Report changes in appetite and weight.
C. Wear sunglasses to prevent cataracts.
D. Schedule a time to take the influenza vaccine.

640. The nurse is caring for a client with an above-the-knee amputation (AKA). To prevent hip flexion contractures, the nurse should:
A. Place the client in a prone position for 15–30 minutes twice a day.
B. Keep the foot of the bed elevated on shock blocks.
C. Place trochanter rolls on either side of the affected leg.
D. Keep the client’s leg elevated on two pillows.

641. The mother of a six-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:
A. 12 months
B. 18 months
C. 24 months
D. 30 months

642. A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:
A. Applying oxygen at 4L via nasal cannula
B. Removing the tube after deflating the balloons
C. Elevating the head of the bed to 45°
D. Increasing the pressure in the esophageal balloon

643. The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:
A. The third intercostal space right of the sternum
B. The third intercostal space left of the sternum
C. The fourth intercostal space beneath the sternum
D. The fourth intercostal space mid-clavicular line

644. While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:
A. Place the implant in a biohazard bag and return it to the lab.
B. Give the client a pair of gloves and ask her to reinsert the implant.
C. Use tongs to pick up the implant and return it to a lead-lined container.
D. Discard the implant in the commode and double-flush.

645. The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:
A. Tell the client to avoid a tub bath for 48 hours.
B. Tell the client to expect clay-colored stools.
C. Tell the client that she can expect lower abdominal pain for the next week.
D. Tell the client to report pain in the back or shoulders.

646. A high school student returns to school following a three-week absence due to mononucleosis. The school nurse knows it will be important for the client:
A. To drink additional fluids throughout the day
B. To avoid contact sports for 1–2 months
C. To have a snack twice a day to prevent hypoglycemia
D. To continue antibiotic therapy for six months

647. An adolescent with cystic fibrosis has an order for pancreatic enzyme replacement. The nurse knows that the medication should be given:
A. At bedtime
B. With meals and snacks
C. Twice daily
D. Daily in the morning

648. The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are the best sources of B12?
A. Meat, eggs, dairy products
B. Peanut butter, raisins, molasses
C. Broccoli, cauliflower, cabbage
D. Shrimp, legumes, bran cereals

649. A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:
A. 20–30 minutes three times a week
B. 45 minutes two times a week
C. One hour four times a week
D. One hour two times a week

650. A home health nurse is visiting a client who is receiving diuretic therapy for congestive heart failure. Which medication places the client at risk for the development of hypokalemia?
A. Aldactone (spironolactone)
B. Demadex (torsemide)
C. Dyrenium (triamterene)
D. Midamor (amiloride hydrochloride)

651. A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:
A. Elevate the client’s right arm on pillows.
B. Place the client’s right arm in a dependent sling.
C. Keep the client’s right arm on the bed beside her.
D. Place the client’s right arm across her body.

652. The physician has ordered Nitrostat (nitroglycerin SL) tablets for a client with stable angina. The medication:
A. Slows contractions of the heart
B. Dilates coronary blood vessels
C. Increases the ventricular fill time
D. Strengthens contractions of the heart

653. A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
A. Pneumothorax
B. Mediastinal shift
C. Pulmonary contusion
D. Flail chest

654. A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:
A. Short, abrupt muscle contractions
B. Quick, severe bilateral jerking movements
C. Abrupt loss of muscle tone
D. Brief lapse in consciousness

655. To decrease the likelihood of seizures and visual hallucinations in a client with alcohol withdrawal, the nurse should:
A. Keep the room darkened by pulling the curtains.
B. Keep the light over the bed on at all times.
C. Keep the room quiet and dim the lights.
D. Keep the television or radio turned on.

656. A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?
A. Zyprexa (olanzapine)
B. Cogentin (benzatropine mesylate)
C. Benadryl (diphenhydramine)
D. Depakote (divalproex sodium)

657. Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?
A. Playing video games
B. Swimming
C. Working crossword puzzles
D. Playing slow-pitch softball

658. The home health nurse is scheduled to visit four clients. Which client should she visit first?
A. A client with acquired immunodeficiency syndrome with a cough and reported temperature of 101°F
B. A client with peripheral vascular disease with an ulcer on the left lower leg
C. A client with diabetes mellitus who needs a diabetic control index drawn
D. A client with an autograft to burns of the chest and trunk

659. The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:
A. The client can have a higher-calorie diet.
B. The client has good control of her diabetes.
C. The client requires adjustment in her insulin dose.
D. The client has poor control of her diabetes.

660. A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:
A. Determine which social intervention will be best for the client
B. Help diagnose the seriousness of the client’s clinical symptoms
C. Determine whether the client will benefit from electroconvulsive therapy
D. Reverse the depressive symptoms the client is experiencing

661. A high school student returns to school following a three-week absence due to mononucleosis. The school nurse knows it will be important for the client:
A. To drink additional fluids throughout the day
B. To avoid contact sports for 1–2 months
C. To have a snack twice a day to prevent hypoglycemia
D. To continue antibiotic therapy for six months

662. An adolescent with cystic fibrosis has an order for pancreatic enzyme replacement. The nurse knows that the medication should be given:
A. At bedtime
B. With meals and snacks
C. Twice daily
D. Daily in the morning

663. The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are the best sources of B12?
A. Meat, eggs, dairy products
B. Peanut butter, raisins, molasses
C. Broccoli, cauliflower, cabbage
D. Shrimp, legumes, bran cereals

664. A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to:
A. 20–30 minutes three times a week
B. 45 minutes two times a week
C. One hour four times a week
D. One hour two times a week

665. A home health nurse is visiting a client who is receiving diuretic therapy for congestive heart failure. Which medication places the client at risk for the development of hypokalemia?
A. Aldactone (spironolactone)
B. Demadex (torsemide)
C. Dyrenium (triamterene)
D. Midamor (amiloride hydrochloride)

666. A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:
A. Elevate the client’s right arm on pillows.
B. Place the client’s right arm in a dependent sling.
C. Keep the client’s right arm on the bed beside her.
D. Place the client’s right arm across her body.

667. The physician has ordered Nitrostat (nitroglycerin SL) tablets for a client with stable angina. The medication:
A. Slows contractions of the heart
B. Dilates coronary blood vessels
C. Increases the ventricular fill time
D. Strengthens contractions of the heart

668. A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
A. Pneumothorax
B. Mediastinal shift
C. Pulmonary contusion
D. Flail chest

669. A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:
A. Short, abrupt muscle contractions
B. Quick, severe bilateral jerking movements
C. Abrupt loss of muscle tone
D. Brief lapse in consciousness

670. To decrease the likelihood of seizures and visual hallucinations in a client with alcohol withdrawal, the nurse should:
A. Keep the room darkened by pulling the curtains.
B. Keep the light over the bed on at all times.
C. Keep the room quiet and dim the lights.
D. Keep the television or radio turned on.

671. A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?
A. Zyprexa (olanzapine)
B. Cogentin (benzatropine mesylate)
C. Benadryl (diphenhydramine)
D. Depakote (divalproex sodium)

672. Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?
A. Playing video games
B. Swimming
C. Working crossword puzzles
D. Playing slow-pitch softball

673. The home health nurse is scheduled to visit four clients. Which client should she visit first?
A. A client with acquired immunodeficiency syndrome with a cough and reported temperature of 101°F
B. A client with peripheral vascular disease with an ulcer on the left lower leg
C. A client with diabetes mellitus who needs a diabetic control index drawn
D. A client with an autograft to burns of the chest and trunk

674. The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:
A. The client can have a higher-calorie diet.
B. The client has good control of her diabetes.
C. The client requires adjustment in her insulin dose.
D. The client has poor control of her diabetes.

675. A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:
A. Determine which social intervention will be best for the client.
B. Help diagnose the seriousness of the client’s clinical symptoms.
C. Determine whether the client will benefit from electroconvulsive therapy.
D. Reverse the depressive symptoms the client is experiencing.

676. The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:
A. That the infant will need daily calcium supplements
B. That it is best to lift the infant by the buttocks when diapering
C. That the condition is a temporary one
D. That only the bones of the infant are affected by the disease

677. The home health nurse is visiting an elderly client following a hip replacement. Which finding requires further teaching?
A. The client shares her apartment with a cat.
B. The client has a grab bar near the commode.
C. The client usually sits on a soft, low sofa.
D. The client wears supportive shoes with nonskid soles.

678. Physician’s orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that withholding oral intake will:
A. Reduce the secretion of pancreatic enzymes
B. Decrease the client’s need for insulin
C. Prevent the secretion of gastric acid
D. Eliminate the need for pain medication

679. A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?
A. Pain in the left lower quadrant
B. Boardlike abdomen
C. Low-grade fever
D. Abdominal distention

680. The physician has ordered Vancocin (vancomycin) 500mg IV every six hours for a client with MRSA. The medication should be administered:
A. IV push
B. Over 15 minutes
C. Over 30 minutes
D. Over 60 minutes

681. The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirm a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:
A. Prostigmine (neostigmine)
B. Atropine (atropine sulfate)
C. Didronel (etidronate)
D. Tensilon (edrophonium)

682. A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?
A. High calorie, high protein, high fat
B. High calorie, high carbohydrate, low protein
C. High calorie, low carbohydrate, high fat
D. High calorie, high protein, low fat

683. The nurse is caring for a four-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
A. Patching one of the eyes to help strengthen the ocular muscles
B. Providing suckers and pinwheels to help strengthen tongue movement
C. Providing musical tapes to provide auditory training
D. Encouraging play with a video game to improve muscle coordination

684. A client is admitted with a diagnosis of duodenal ulcer. A common complaint of the client with a duodenal ulcer is:
A. Epigastric pain that is relieved by eating
B. Weight loss
C. Epigastric pain that is worse after eating
D. Vomiting after eating

685. A client with otosclerosis is scheduled for a stapedectomy. Which finding suggests a complication involving the seventh cranial nerve?
A. Diminished hearing
B. Sensation of fullness in the ear
C. Inability to move the tongue side to side
D. Changes in facial sensation

686. At the six-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:
A. One month
B. Two months
C. 3–4 months
D. 5–6 months

687. A client with emphysema has been receiving oxygen at 3L per minute by nasal cannula. The nurse knows that the goal of the client’s oxygen therapy is achieved when the client’s PaO2 reading is:
A. 50–60mm Hg
B. 70–80mm Hg
C. 80–90mm Hg
D. 90–98mm Hg

688. A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?
A. Blood glucose 92mg/dL
B. Urine specific gravity 1.020
C. White blood count of 7,500
D. Glycosylated hemoglobin 3.5mg/dL

689. Which of the following pediatric clients is at greatest risk for latex allergy?
A. The child with a myelomeningocele
B. The child with epispadias
C. The child with coxa plana
D. The child with rheumatic fever

690. The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:
A. 1–3 micrograms/mL
B. 4–6 micrograms/mL
C. 7–9 micrograms/mL
D. 10–20 micrograms/mL

691. The nurse is developing a plan of care for a client with acromegaly. Which nursing diagnosis should receive priority?
A. Alteration in body image related to change in facial features
B. Risk for immobility related to joint pain
C. Risk for ineffective airway clearance related to obstruction of airway by tongue
D. Sexual dysfunction related to altered hormone secretion

692. A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:
A. Tell the client to inhale deeply during the inspiratory cycle.
B. Turn the client every hour.
C. Breathe as quickly as possible
D. Breathe as quickly as possible

693. The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
A. Use the heel of her hand during percussion.
B. Change the child’s position every 20 minutes during percussion sessions.
C. Do percussion after the child eats and at bedtime.
D. Use cupped hands during percussion.

694. A client with Addison’s disease asks the nurse what he needs to know to manage his condition. The nurse should give priority to:
A. Emphasizing the need for strict adherence to his medication regimen
B. Teaching the client to avoid lotions and skin preparations containing alcohol
C. Explaining the need to avoid extremes of temperature
D. Assisting the client to choose a diet that contains adequate protein, fat, and carbohydrates

695. The nurse is caring for a client following the removal of a central line catheter when the client suddenly develops dyspnea and complains of substernal chest pain. The client is noticeably confused and fearful. Based on the client’s symptoms, the nurse should suspect which complication of central line use?
A. Myocardial infarction
B. Air embolus
C. Intrathoracic bleeding
D. Vagal response

696. The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:
A. Divide the amount into two injections and administer in each vastus lateralis muscle.
B. Give the medication in one injection in the dorsogluteal muscle.
C. Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle.
D. Give the medication in one injection in the ventrogluteal muscle.

697. A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
A. One week
B. Two weeks
C. Four weeks
D. Six weeks

698. The physician is preparing to remove a central line. The nurse should tell the client to:
A. Breathe normally
B. Take slow, deep breaths
C. Take a deep breath and hold it
D. Breathe as quickly as possible

699. Cystic fibrosis is an exocrine disorder that affects several systems of the body. The earliest sign associated with a diagnosis of cystic fibrosis is:
A. Steatorrhea
B. Frequent respiratory infections
C. Increased sweating
D. Meconium ileus

700. A three-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
A. Keep the bed flat, with a small pillow beneath the cast.
B. Provide crayons and a coloring book for play activity.
C. Increase her intake of high-calorie foods for healing.
D. Tuck a disposable diaper beneath the cast at the perineal opening.