1.
Nursing diagnosis:
a. A statement that
describes potential health problem only.
b. A
statement that describes actual and potential health problems.
c. A statement that
describes actual health problem only.
d. Puts the nursing
care plan into action.
2.
In which of the following ways can ascorbic acid be administered?
a. IM.
b. Diluted
intravenous fluids.
c.
Orally.
d.All of the above.
3.
ECG done for a patient with chest to assess:
a. Change the rhythm.
b. The decreased
blood supply to particular part of the heart.
c.
Stress of heart rate.
4.
Following a sigmoidoscope, the patient should be observed for signs of
hemorrhage and:
a.
Performation.
b. Flatus.
c. Fluid loss.
d. Nausea.
5.
Which of the following amounts of water per day should be ingested by the
average person to maintain hydration:
a. 1000cc
b. 1200cc
c. 500cc
d.
2500cc
6.
If a nasogastric tube has been misplaced in the trachea during preparation to
obtain a gastric specimen, the nurse should anticipate that the patient will:
a. Swallow every few
seconds.
b. Gage without
relief.
c.
Have difficulty in breathing.
d. Complain of
feeling nauseated.
7. A 40 year old
male patient is complaining of chronic progressive and mental deterioration is
admitted to the unit. The nurse recognized that these characteristics indicate
a disease that results in degeneration of the basal ganglia and cerebral
cortex. The disease is called:
a. Myasthenia gravis.
b.
Huntington disease.
c. Multiple
sclerosis.
d. Guillain-Barre
syndrome.
8. To prevent the
formation of thrombi in the postoperative patient, the nurse should:
a. Have the patient
lie still.
b. Place pillows
under the knee.
c.
Teach foot and leg exercises.
d. Lie in lateral
position.
9.
Mr. Lucas, a 63 year old, went to the clinic complaining of hoarseness of voice
and a cough. His wife states that his voice has changed in the last few months.
The nurse interprets that Mr.
Lucas’s symptoms are consistent with which of the following disorders:
a. Chronic sinusitis.
b.
Laryngeal cancer.
c. Gastro esophageal
reflux disease
d. Coronary artery
disease
10.
Which of the following symptoms is most characteristic of a client with a
cancer of the lung?
a. Air hunger
b. Exceptional
dyspnea
c. Cough with night
sweats
d.
Persistent changing cough
11.
The relation between the pulse and respiratory rate is represented by which of
the following ratios:
a. One
respiration to 3 or 4 heartbeat.
b. One
respiration to 4 or 5heartbeat.
c. One
respiration to 2 or 3heartbeat.
d. One
respiration to 5 or 6 heartbeat.
12.
12 hours after delivery the fundus is at level of:
a. One fingerbreadth
above the umbilicus.
b. At the level of
umbilicus.
c. One fingerbreadth
below the umbilicus.
d. Below symphysis
pubis.
13.
When the patient is diagnosed with wilms tumor, the nurse should:
a.
Avoid palpation of abdomen.
b. Observe foe nausea
and vomiting.
c. Always keep bed
rails up.
14.
Red has just returned from the post anesthesia care unit (PACU) from
hemorrhidectomy. His postoperative orders include sitz baths every morning. The
nurse understands that sitz bath is use for:
a. Relive tension.
b. Lower body
temperature.
c.
Promote healing.
d. Cause swelling.
15.
A 48 year old woman presents to the hospital complaining of chest pain,
tachycardia and dyspnea. On exam, heart sounds are muffled. Which of the
following assessment findings would support a diagnosis of cardiac tamponade:
a. deviated trachea
b. Absent breath
sounds to the lower lobes
c.
Pulse 40 with inspiration
d. Blood pressure
140/80
16.
The intentional wound is:
a. Occur
accidentally.
b. The mucous
membrane or skin surface is broken.
c. Occur during
therapy.
d. The
tissue is traumatized without a break in the skin.
17.
Lisa is newly diagnosed with asthma and is being discharged from the hospital
after an episode of status asthmaticus. Discharge teaching should include which
of the following:
a. Limitations in
sports that will be imposed by the illness
b. Specific
instructions on staying cal during an attack
c. The
relationship of symptoms and a specific trigger such as physical exercise
d. Incidence of
status asthmaticus in children and teens.
18.
The client has ST segment depression on his 12-lead ECG. The nurse determines
that this would indicate the following:
a. Necrosis
b. Injury
c.
Ischemia
d. nothing
significant
19. Nurse Fiona is caring a patient with
Raynaud’s disease. Which of the following outcomes concerning
medication regimen is of highest priority?
a. Controlling the
pain once vasospasm occur
b. Relaxing
smooth muscle to avoid vasospasms
c. Preventing major
disabilities that may occur
d. Avoiding lesions
on the feet
20.
A shuffling gait is typically associated with the patient who has:
a. Parkinson’s disease
b. Multiple sclerosis
c. Raynaud’s disease
d. Myasthenia gravis
21.
Sarah complains of a nuring sensation, cramping pain in the top part of her
abdomen that becomes worse in the afternoon and sometimes awakes her at night.
She
reports that when sheets, it helps the pain go away but that pain is now
becoming more intense. Which of the following is the best condition for the
nurse to draw?
a.
these symptoms are consistent with an ulcer
b. The client
probably has indigestion
c. A snack before
going to bed should be advised
d. The client
probably developing cholelithiasis
22. Which
individual is at greatest risk for developing hypertension?
A. 45
year-old African American attorney B.
60 year-old Asian American shop owner C. 40 year-old Caucasian nurse D. 55
year-old Hispanic teacher
23. A child who
ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in
the emergency department. Which of these orders should the nurse do first?
A.
Gastric lavage PRN B. Acetylcysteine (mucomyst) for age per pharmacy C. Start an IV
Dextrose 5% with 0.33% normal saline to keep vein open D. Activated charcoal
per pharmacy
24. Which
complication of cardiac catheterization should the nurse monitor for in the
initial 24 hours after the procedure?
A. angina at rest B.
thrombus formation C. dizziness D. falling blood pressure
25. A client is
admitted to the emergency room with renal calculi and is complaining of
moderate to severe flank
pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit.
The priority nursing goal for this client is
A. Maintain fluid
and electrolyte balance B. Control nausea
C. Manage pain D. Prevent urinary tract
infection
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