1. A male client with esophageal cancer is admitted to an acute care facility. The incidence of esophageal cancer is highest in:
a. Black males
b. Adult ages 20 to 30
c. Women older than age 60
d. Whites younger than age 10
2. Nurse Jackie prepares to palpates a client’s maxillary sinuses. For this procedure, where should the nurse place the hands?
a. On the bridge of the nose
b. Below the eyebrows
c. Below the cheekbones
d. Over the temporal area
3. Which finding is considered normal in the neonate during the first few days after birth?
a. Weight loss of 25%
b. Birth weight of 4 ½ to 5 ½ lb
c. Weight loss then return to birth weight
d. Weight gain of 25%
4. When a client states that her “water broke”, which of the following actions would be appropriate for nurse Jasmine do?
a. Observing for pooling of straw-colored fluid
b. Checking vaginal discharge with nitrazine paper
c. Conducting a bedside ultrasound for an amniotic fluid index
d. Observing for flakes of vernix in the vaginal discharge
5. What diagnostic study is recommended that all women older than age 50 receive annually?
b. Papanicolau (Pap) test
d. 12 lead electrocardiogram (ECG)
6. When teaching a client with peripheral vascular disease about foot care, nurse Fina should include which instruction?
a. Avoid using cornstarch on the feet
b. Avoid wearing canvas shoes
c. Avoid using a nail clipper to cut toenails
d. Avoid wearing cotton socks
7. Nurse Amby should teach a client to administer oxytocin (Syntocinon) nasal spray while:
a. Sitting with her head vertical
b. Lying down with her head turned to the side
c. Sitting with her head tilted back
d. Lying down with her tilted back
8. Nurse Jake is performing a psychosocial assessment on an adolescent, age 14. Which emotional response is typical during early adolescence?
a. Frequent anger
9. When performing a physical assessment on a girl, age 10, nurse Eddie keeps in mind that the first sign of sexual maturity in girls is:
a. Breast bud development
b. Pubic hair
c. Axillary hair
10. Nurse Vina on the pediatric floor is caring for a toddler. The nurse should keep in mind that toddlers:
a. Express negativism
b. Have reliable verbal response to pain
c. Have a good concept of danger
d. Have little fear
11. Nurse May in a well-clinic is assessing children for scoliosis. Which of the following children is mot at risk for scoliosis?
a. 8-year-old boy
b. Teenage boy
c. ^-year-old girl
d. 10-year-old girl
12. Nurse Jasper expects an infant to sit up without support at which age?
a. 4 months
b. 6 months
c. 8 months
d. 10 months
13. Nurse Leslie is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
a. Eustachian tubes
c. Tympanic membrane
d. External ear canal
14. A client asks the nurse about the rhythm (calendar-basal body temperature) method of family planning. Nurse Mercy explains that this method involves:
a. Chemical barrier that act as spermicidal agents.
b. Hormones that prevent ovulation
c. Mechanical barriers that prevent sperm foam reaching the cervix.
d. Determination of the fertile period to identify safe times for sexual intercourse
15. During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advices the client to exercise how often to meet the goals of planned exercise?
a. At least once per week
b. At least three times per week
c. At least five times per week
d. Every day
16. Which of the following describes how nurse Bryan interprets a neonates Apgar score of 8 at 5 minutes?
a. A neonate who’s in good condition
b. A neonate who’s mildly depressed
c. A neonates who’s moderately depressed
d. A neonate who needs additional oxygen to improve the Apgar score
17. Nurse Candy is teaching a client about a newly prescribed drug. What could cause a geriatric client to have difficulty learning about prescribed medications?
a. Decreased drug excretion
b. Sensory deficits
c. Lack of family support
d. Fixed income
18. Which of the following is an example of a primary preventive measure?
a. Participating in a cardiac rehabilitation program
b. Obtaining an annual physical examination
c. Practicing a monthly breast self-examination
d. Avoiding overexposure to the sun
19. Nurse Loraine is assessing an adult’s developmental stage. The nurse should consider:
a. Height and weight
b. Blood pressure
c. Previous problem-solving strategies
d. Pulse rate
20. Nurse Katie is assessing a client’s pulse. Which pulse feature should the nurse document?
a. Timing in the cycle