12.The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
a."I will make sure I eat breakfast within 10 minutes of taking my insulin."
b."I will need to carry candy or some form of sugar with me all the time."
c."I will eat a snack around three o’clock each afternoon."
d."I can save my dessert from supper for a bedtime snack."
13.The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
a.New parents need time to learn how to hold the baby.
b.The umbilical cord needs time to separate.
c.Newborn skin is easily traumatized by washing.
d.The chance of chilling the baby outweighs the benefits of bathing.
14.A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
a.Treat iron-deficiency anemia caused by chemotherapeutic agents
b.Create a synergistic effect that shortens treatment time
c.Increase the number of circulating neutrophils
d.Reverse drug toxicity and prevent tissue damage
15.A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
c.Hepatitis B vaccine
16.The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
a.30 minutes before meals
b.With each meal
c.In a single dose at bedtime
d.30 minutes after meals
17.A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
a.Call security for assistance and prepare to sedate the client.
b.Tell the client to calm down and ask him if he would like to play cards.
c.Tell the client that if he continues his behavior he will be punished.
d.Leave the client alone until he calms down.
18.When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
a.Check the client for bladder distention
b.Assess the blood pressure for hypotension
c.Determine whether an oxytocic drug was given
d.Check for the expulsion of small clots
19.A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:
b.Reaction to antiviral medication
d.Superinfection due to low CD4 count
20.The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?
21.The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:
a.Pain on flexion of the hip and knee
b.Nuchal rigidity on flexion of the neck
c.Pain when the head is turned to the left side
d.Dizziness when changing positions
22.The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
23.The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:
a.Chronic fatigue syndrome
24.The client with confusion says to the nurse, "I haven’t had anything to eat all day long. When are they going to bring breakfast?" The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?
a."You know you had breakfast 30 minutes ago."
b."I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse."
c."I’ll get you some juice and toast. Would you like something else?"
d."You will have to wait a while; lunch will be here in a little while."
25.The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?