1 >>A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should: ?
(A) Remove the unsightly markings with acetone or alcohol
(B) Cover the radiation site with loose gauze dressing
(C) Sprinkle baby powder over the radiated area
(D) Refrain from using soap or lotion on the marked area
2 >>The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should: ?
(A) Monitor the client's blood sugar
(B) Suction the mouth and pharynx every hour
(C) Place the client in low Trendelenburg position
(D) Encourage the client to cough
3 >>A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken: ?
(A) 1 hour before meals
(B) 30 minutes after meals
(C) With the first bite of a meal
(D) Daily at bedtime
4 >>A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should: ?
(A) Apply a lanolin-based lotion to the skin
(B) Wash the skin with water and pat dry
(C) Cover the area with a petroleum gauze
(D) Apply an occlusive dressing to the site
5 >>A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to: ?
(A) Prevent swelling and dysphagia
(B) Decompress the stomach via suction
(C) Prevent contamination of the suture line
(D) Promote healing of the oral mucosa
6 >>The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with: ?
(A) Speaking and writing
(B) Comprehending spoken words
(C) Carrying out purposeful motor activity
(D) Recognizing and using an object correctly
7 >>A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied: ?
(A) Just before sun exposure
(B) 5 minutes before sun exposure
(C) 15 minutes before sun exposure
(D) 30 minutes before sun exposure
8 >>A post-operative client has an order for Demerol (meperidine) 75mg and Phenergan (promethazine) 25mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an: ?
(A) Agonist effect
(B) Synergistic effect
(C) Antagonist effect
(D) Excitatory effect
9 >>Before administering a client's morning dose of Lanoxin (digoxin),the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to: ?
(A) Record the pulse rate and administer the medication
(B) Administer the medication and monitor the heart rate
(C) Withhold the medication and notify the doctor
(D) Withhold the medication until the heart rate increases
10 >>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.
11 >>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: ?
12 >>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
13 >>A 4-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
14 >>A 5-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
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15 >>The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client's symptoms? ?
(A) Mashed potatoes
(B) Steamed carrots
(C) Baked fish
(D) Whole-grain cereal
16 >>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
17 >>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
18 >>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 to: ?
(A) Prevent addiction
(B) Alleviate pain
(C) Facilitate mobility
(D) Prevent nausea
19 >>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
20 >>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: ?
