personality disorder. A key part of the care of such a client is:
A. Setting realistic limits
B. Encouraging the client to express remorse for behavior
C. Minimizing interactions with other clients
D. Encouraging the client to act out feelings of rage
2.A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:
A. Superior intelligence
B. Underlying hostility
C. Dependence on others
D. Ability to share feelings
3.An important intervention in monitoring the dietary compliance of a client with bulimia is:
A. Allowing the client privacy during mealtimes
B. Praising her for eating all her meals
C. Observing her for 1–2 hours after meals
D. Encouraging her to choose foods she likes and to eat in moderation
4. The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother’s lap. What should the nurse do first?
A. Check the Babinski reflex
B. Listen to the heart and lung sounds
C. Palpate the abdomen
D. Check tympanic membranes
5. A client who has been receiving urokinase has a large bloody bowel movement. What nursing action would be best for the nurse to take immediately?
A. Administer vitamin K IM
B. Discontinue the urokinase
C. Reduce the urokinase and administer heparin
D. Stop the urokinase, notify the physician, and prepare
to administer amicar
6. The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for:
A. Constipation
B. Hyperphosphatemia
C. Hypomagnesemia
D. Diarrhea
7. The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:
A. Abdomen
B. Ankle
C. Earlobe
D. Chin
8. While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36,temperature 100.8°F. The nurse’s initial action should be to:
A. Call the doctor
B. Recheck the vital signs
C. Obtain arterial blood gases
D. Obtain an ECG
9. The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows that the proper method of applying the stockings is:
A. Before rising in the morning
B. With the client in a standing position
C. After bathing and applying powder
D. Before retiring in the evening
10. The nurse has just received shift report and is preparing to make rounds. Which client should be seen first?
A. The client who has a history of a cerebral aneurysm with an oxygen saturation rate of 99%
B. The client who is three days post–coronary artery bypass graft with a temperature of 100.2°F
C. The client who was admitted 1 hour ago with shortness of breath
D. The client who is being prepared for discharge following a femoral popliteal bypass graft
11. The physician has ordered that the client’s medication be administered intrathecally. The nurse is aware that medications will be administered by which method?
A. Intravenously
B. Rectally
C. Intramuscularly
D. Into the cerebrospinal fluid
12. Which action by the novice nurse indicates a need for further teaching?
A. The nurse fails to wear gloves to remove a dressing.
B. The nurse applies an oxygen saturation monitor to the ear lobe.
C. The nurse elevates the head of the bed to check the blood pressure.
D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.
13. Which of the following roommates would be best for the client
newly admitted with gastric resection?
A. A client with Crohn’s disease
B. A client with pneumonia
C. A client with gastritis
D. A client with phlebitis
14. The client is receiving total parenteral nutrition (TPN). Which lab
test should be evaluated while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
15. Which laboratory test would be the least effective in making the
diagnosis of a myocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
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