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1.The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:
a.Is asleep 30 minutes after the injection
b.Asks for extra servings on his meal tray
c.Has an increased urinary output
d.States that he is feeling less nauseated
2.The mother of a child with cystic fibrosis tells the nurse that her child makes "snoring" sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
3.A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
c.Premarin (conjugated estrogens)
4.The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
a.Cornflakes, whole milk, banana, and coffee
b.Scrambled eggs, bacon, toast, and coffee
c.Oatmeal, apple juice, dry toast, and coffee
d.Pancakes, ham, tomato juice, and coffee
5.An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?
a.The child should not play on his rocking horse.
b.Applying warm compresses to decrease pain.
c.Diapering should be avoided for 1–2 weeks.
d.The child will need a special diet to promote healing.
6.An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
a.Keep crackers at the bedside for eating before she arises
b.Drink a glass of whole milk before going to sleep at night
c.Skip breakfast but eat a larger lunch and dinner
d.Drink a glass of orange juice after adding a couple of teaspoons of sugar
7.The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
a.The nurse leaves the stethoscope in the client’s room for future use.
b.The nurse cleans the stethoscope with alcohol and returns it to the exam room.
c.The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
d.The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.
8.The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:
a.The medication will be needed only during times of rapid growth.
b.The medication will be needed throughout the child’s lifetime.
c.The medication schedule can be arranged to allow for drug holidays.
d.The medication is given one time daily every other day.
9.A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
10.The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
a.Visual disturbances, including diplopia
b.Ascending paralysis and loss of motor function
c.Cogwheel rigidity and loss of coordination
d.Progressive weakness that is worse at the day’s end
11.The nurse is teaching the parents of a newborn with osteogenesis imperfecta. The nurse should tell the parents:
a.That the baby will need daily calcium supplements
b.To lift the baby by the buttocks when diapering
c.That the condition is a temporary one
d.That only the bones are affected by the disease
12.Physician’s orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will:
a.Reduce the secretion of pancreatic enzymes
b.Decrease the client’s need for insulin
c.Prevent secretion of gastric acid
d.Eliminate the need for analgesia
13.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
14.The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:
b.Atropine (atropine sulfate)
15.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
16.The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
a.Patching one of the eyes to strengthen the 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
17.At the 6-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:
18.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
19.The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. 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
c.Do percussion after the child eats and at bedtime
d.Use cupped hands during percussion
20.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
21.A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
22.A 3-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
23.The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
a.Temperature of 100°F
b.Coolness and discoloration of the digits
c.Complaints of pain
d.Difficulty moving the digits
24.When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
a.Cherry-red urine that gradually becomes clearer
b.Orange-tinged urine containing particles of calculi
c.Dark red urine that becomes cloudy in appearance
d.Dark, smoky-colored urine with high specific gravity
25.The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include: