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Viewing page 6 out of 13 pages
Viewing questions 101-120 out of questions
Questions # 101:

Which of the following nursing care goals has the highest priority for a child with epiglottitis?

Options:

A.

Sleep or lie quietly 10 hr/day.

B.

Consume foods from all four food groups.

C.

Be afebrile throughout her hospital stay.

D.

Participate in play activities 4 hr/day.

Questions # 102:

A 4 year old has an imaginary playmate, which concerns the mother. The nurse’s best response would be:

Options:

A.

“I understand your concern and will assist you with a referral.”

B.

“Try not to worry because you will just upset your child.”

C.

“Just ignore the behavior and it should disappear by age 8.”

D.

“This is appropriate behavior for a preschooler and should not be a concern.”

Questions # 103:

On the third postpartum day, the nurse would expect the lochia to be:

Options:

A.

Rubra

B.

Serosa

C.

Alba

D.

Scant

Questions # 104:

A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had episodes of muscle cramps, weakness, and unexplained temperature elevation. Many years ago her father died shortly after surgery after developing a high fever. She further tells the nurse that her surgeon is having her take dantrolene sodium (Dantrium) prophylactically prior to her tonsillectomy. Dantrolene sodium is ordered preoperatively to reduce the risk or prevent:

Options:

A.

Infection postoperatively

B.

Malignant hyperthermia

C.

Neuroleptic malignant syndrome

D.

Fever postoperatively

Questions # 105:

A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P. aeruginosa such as:

Options:

A.

Cefoperazone (Cefobid)

B.

Clindamycin (Cleocin)

C.

Dicloxacillin (Dycill)

D.

Erythromycin (Erythrocin)

Questions # 106:

Goal setting for a client with Meniere’s disease should include which of the following?

Options:

A.

Frequent ambulation

B.

Prevention of a fall injury

C.

Consumption of three meals per day

D.

Prevention of infection

Questions # 107:

The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:

Options:

A.

Fever, runny nose, and hyperactivity

B.

Changes in breathing pattern, moodiness, fatigue, and edema of eyes

C.

Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness

D.

Fever, cough, paleness, and wheezing

Questions # 108:

A client develops an intestinal obstruction postoperatively. A nasogastric tube is attached to low, intermittent suction with orders to “Irrigate NG tube with sterile saline q1h and prn.” The rationale for using sterile saline, as opposed to using sterile water to irrigate the NG tube is:

Options:

A.

Water will deplete electrolytes resulting in metabolic acidosis.

B.

Saline will reduce the risk of severe, colicky abdominal pain during NG irrigation.

C.

Water is not isotonic and will increase restlessness and insomnia in the immediate postoperative period.

D.

Saline will increase peristalsis in the bowel.

Questions # 109:

A client with a head injury asks why he cannot have something for his headache. The nurse’s response is based on the understanding that analgesics could:

Options:

A.

Counteract the effects of antibiotics

B.

Elevate the blood pressure

C.

Mask symptoms of increasing intracranial pressure

D.

Stimulate the central nervous system

Questions # 110:

Nursing assessment of early evidence of septic shock in children at risk includes:

Options:

A.

Fever, tachycardia, and tachypnea

B.

Respiratory distress, cold skin, and pale extremities

C.

Elevated blood pressure, hyperventilation, and thready pulses

D.

Normal pulses, hypotension, and oliguria

Questions # 111:

The nurse is teaching a child’s parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:

Options:

A.

Dandelion leaves

B.

Pencils

C.

Old paint

D.

Stuffing from toy animals

Questions # 112:

The initial treatment for a client with a liquid chemical burn injury is to:

Options:

A.

Irrigate the area with neutralizing solutions

B.

Flush the exposed area with large amounts of water

C.

Inject calcium chloride into the burned area

D.

Apply lanolin ointment to the area

Questions # 113:

The most commonly known vectors of Lyme disease are:

Options:

A.

Mites

B.

Fleas

C.

Ticks

D.

Mosquitoes

Questions # 114:

The priority nursing goal when working with an autistic child is:

Options:

A.

To establish trust with the child

B.

To maintain communication with the family

C.

To promote involvement in school activities

D.

To maintain nutritional requirements

Questions # 115:

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

Options:

A.

Chlamydia

B.

Herpes genitalis

C.

Syphilis

D.

Gonorrhea

Questions # 116:

Dietary planning is an essential part of the diabetic client’s regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planning?

Options:

A.

50% complex carbohydrate, 20%–25% protein, 20%–25% fat

B.

45% complex carbohydrate, 25%–30% protein, 30%–35% fat

C.

70% complex carbohydrate, 20%–30% protein, 10%–20% fat

D.

60% complex carbohydrate, 12%–15% protein, 20%–25% fat

Questions # 117:

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

Options:

A.

Neosporin sulfate

B.

Mafenide acetate

C.

Silver sulfadiazine

D.

Povidone-iodine

Questions # 118:

A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

Options:

A.

A normal blood sugar level

B.

A decreased blood sugar level

C.

An increased blood sugar level

D.

Fluctuating levels with a predawn increase

Questions # 119:

The therapeutic blood-level range for lithium is:

Options:

A.

0.25–1.0 mEq/L

B.

0.5–1.5 mEq/L

C.

1.0–2.0 mEq/L

D.

2.0–2.5 mEq/L

Questions # 120:

The nurse practitioner determines that a client is approximately 9 weeks’ gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

Options:

A.

Nausea and vomiting

B.

Quickening

C.

A 6–8 lb weight gain

D.

Abdominal enlargement

Viewing page 6 out of 13 pages
Viewing questions 101-120 out of questions
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