1.A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin?
2.The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span?
a.Taking part in a reality-orientation group
b.Participating in unit community goal setting
c.Going on a field trip with a group of clients
d.Meeting with an assertiveness training group
3.The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase:
c.Aspirin (acetylsalicytic acid)
4.Which home remedy is suitable to relieve the itching associated with varicella?
a.Dusting the lesions with baby powder
b.Applying gauze saturated in hydrogen peroxide
c.Using cool compresses of normal saline
d.Applying a paste of baking soda and water
5.A newborn male has been diagnosed with hypospadias with chordee. The nurse understands that the infant will have altered patterns of urination because:
a.The urinary meatus is on the dorsum of the penis.
b.The ureters will reflux urine into the kidneys.
c.The urinary meatus is on the top of the penis.
d.The bladder lies outside the abdominal cavity.
6.The recommended time for administering Zantac (ranitidine) is:
7.Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?
a.Pain associated with angina is relieved by rest.
b.Pain associated with myocardial infarction is always more severe.
c.Pain associated with angina is confined to the chest area.
d.Pain associated with myocardial infarction is referred to the left arm.
8.The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client:
a.Limiting fluid intake to 1000mL per day
b.Providing a high-roughage diet
c.Elevating the toilet seat for easy access
d.Establishing a regular schedule for toileting
9.The nurse is providing dietary teaching for a client with Meniere’s disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?
a."I can expect to see more problems with tinnitus if I eat a lot of dairy products."
b."I need to limit foods that taste salty or that contain a lot of sodium."
c."I can help control problems with vertigo if I avoid breads and cereals."
d."I need to eat fewer foods that are high in potassium, such as raisins and bananas."
10.The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for:
11.An adolescent with borderline personality is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client?
a.The client will remain in her room when feeling overwhelmed by sadness.
b.The client will request medication when feeling loss of emotional control.
c.The client will leave group activities to pace when feeling anxious.
d.The client will seek out a staff member to verbalize feelings of anger and sadness.
12.A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should:
a.Apply the ointment to the previous application
b.Obtain both a radial and an apical pulse
c.Remove the previously applied ointment
d.Tell the client he will experience pain relief in 15 minutes
13.The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?
a."I am your nurse and I will be taking care of you today."
b."Can you tell me your name and where you are?"
c."I know you are confused right now, but everything will be alright."
d."You were in an accident that hurt your head. You are in the hospital."
14.Following a generalized seizure, the nurse can expect the client to:
a.Be unable to move the extremities
b.Be drowsy and prone to sleep
c.Remember events before the seizure
d.Have a drop in blood pressure
15.A client with oxylate renal calculi should be taught to avoid eating:
16.A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of the child’s care includes instructing the parents:
a.To increase the amount of dietary protein
b.About exercises to strengthen affected muscles
c.About relaxation exercises to minimize pain in the joints
d.To prevent weight bearing on the affected leg
17.The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to:
a.Weigh less than expected for height and age
b.Have a scaphoid-shaped abdomen
c.Exhibit clubbing of the fingers and toes
d.Have hyperactive deep tendon reflexes
18.The physician has prescribed supplemental iron for a prenatal client. The nurse should tell the client to take the medication with:
a.Milk, to prevent stomach upset
b.Tomato juice, to increase absorption
c.Oatmeal, to prevent constipation
d.Water, to increase serum iron levels
19.The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?
a."I need to reduce my daily intake to 1,200 calories a day."
b."I need to drink at least a quart of milk a day."
c."I shouldn’t add salt when I am cooking."
d."I need to eat more protein and fiber each day."
20.An elderly client is admitted to the psychiatric unit from the nursing home. Transfer information indicates that the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in:
21.The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located:
a.Near the symphysis pubis
b.Near the umbilicus
c.Over the fetal back
d.Over the fetal abdomen
22.A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?
23.A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client’s breakfast should be served within:
24.A 10-year-old has an order for Demerol (meperidine) 35mg IM for pain. The medication is available as Demerol 50mg per ml. How much should the nurse administer?
25.Which antibiotic is contraindicated for the treatment of infections in infants and young children?