1 >>The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should: ?
(A) Encourage the client to drink extra fluids
(B) Request a low-protein diet for the client
(C) Bathe the client using only mild soap and water
(D) Provide additional warmth for swollen, inflamed joints
2 >>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 (methodone)
(D) Ativan (lorazepam)
3 >>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 a.m.
(B) 10 a.m.
(C) 3 p.m.
(D) 5 a.m.
4 >>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 comfort
(B) Alteration in mobility
(C) Alteration in skin integrity
(D) Alteration in O2 perfusion
5 >>The primary purpose for using a CPM machine for the client with a total knee repair is to help: ?
(A) Prevent contractures
(B) Promote flexion of the artificial joint
(C) Decrease the pain associated with early ambulation
(D) Alleviate lactic acid production in the leg muscles
6 >>Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child? ?
(A) Obeying adults is seen as correct behavior.
(B) Showing respect for parents is seen as important.
(C) Pleasing others is viewed as good behavior.
(D) Behavior is determined by consequences.
7 >>A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to: ?
(A) Determine whether the ear infection has affected her hearing
(B) Make sure that she has taken all the antibiotic
(C) Document that the infection has completely cleared
(D) Obtain a new prescription in case the infection recurs
8 >>A factory worker is brought to the nurse's office after a metal fragment enters his right eye. The nurse should: ?
(A) Cover the right eye with a sterile 4x4
(B) Attempt to remove the metal with a cotton-tipped applicator
(C) Flush the eye for 10 minutes with running water
(D) Cover both eyes and transport the client to the ER
9 >>The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is: ?
(A) Nephritis
(B) Cardiomegaly
(C) Desquamation
(D) Meningitis
10 >>Which diet is associated with an increased risk of colorectal cancer? ?
(A) Low protein, complex carbohydrates
(B) High protein, simple carbohydrates
(C) High fat, refined carbohydrates
(D) Low carbohydrates, complex proteins
11 >>The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: ?
(A) Holding the infant
(B) Offering a pacifier
(C) Providing a mobile
(D) Offering sterile water
12 >>The physician has ordered Amoxil (amoxicillin) 500mg 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) Giving the medication with an antacid
(D) Requesting an alternate form of the medication
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13 >>The nurse is providing dietary instructions for a client with irondeficiency anemia. Which food is a poor source of iron? ?
(A) Tomatoes
(B) Legumes
(C) Dried fruits
(D) Nuts
14 >>The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to: ?
(A) Periodically lie prone without a neck pillow
(B) Sleep only in dorsal recumbent position
(C) Rest in supine position with his head elevated
(D) Sleep on either side but keep his back straight
15 >>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 calorie, low fat
(C) High protein, high fat
(D) Low protein, high carbohydrate
16 >>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
17 >>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
18 >>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
19 >>The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to: ?
(A) Speak using words that rhyme
(B) Repeat words or phrases used by others
(C) Include irrelevant details in conversation
(D) Make up new words with new meanings
20 >>Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? ?
