Q.1 A client begins to have a seizure during her assessment. Which…
Q.1 A client begins to have a seizure during her assessment. Which of the following interventions should be initiated first?
A. Place protective pads on the bed.
B. Protect the client from injuring himself.
C. Turn the client onto his side.
D. Monitor seizures and give appropriate medication.
Q.2 A client with congestive heart failure is receiving spironolactone (Aldactone) 25 mg orally each day. Which of the following is essential for the nurse to assess in order to monitor the client for symptoms of potassium imbalance?
A. Hypotension and hyperglycemia.
B. Nausea, vomiting, and diarrhea.
C. Increased respiration and decreasing level of consciousness.
D. Increased urine output.
Q.3 Blood work done to identify risk factors for coronary heart disease reveals a client has elevated cholesterol and low-density lipid (LDL) levels. The nurse should make the following suggestions for changes in dietary habits _____
A. Eliminate all red meat from the diet.
B. Eliminate all simple sugars from the diet.
C. Avoid eating eggs or any foods prepared with eggs.
D. Switch from whole milk to skim milk.
Q.4 The nurse is preparing to administer influenza immunizations to a group of clients. The nurse should not administer the immunization to clients who are _____
B. not exposed to the influenza virus.
C. naturally immune.
Q.5 While eating in a restaurant, a nurse observes a woman in the late stage of pregnancy coughing and holding her throat. When asked by the nurse if she is choking, she nods “yes.” What is the most correct placement of hands should the nurse need to perform the Heimlich maneuver?
A. Above the naval and below the xiphoid process.
B. In the same place as for CPR.
C. Over the xiphoid process of the sternum.
D. Over the upper two-thirds of the sternum.
Q.6 A student nurse had a needle-stick injury and had not been immunized for hepatitis B. The infection control nurse advises the student nurse to get which of the following treatments?
A. Evaluation of liver function tests in 10 days.
B. Hepatitis B immune globulin (HBIG).
C. Hepatitis B vaccine.
D. Hepatitis B vaccine and hepatitis B immune globulin (HBIG).
Q.7 The client diagnosed with endometriosis asks the nurse to explain what it is. The nurse provides the following explanation _____
A. “It is inflammation of the inside of your uterus.”
B. “It is an infection of the tissue that connects your intestines.”
C. “It is inflammation of the outside lining of your uterus.”
D. “It is a condition in which the tissue found inside the uterus grows outside the uterus.”
Q.8 A nurse is assigned to a client who is returning from the recovery room after a right pneumonectomy. What is the best position to facilitate chest and lung expansion postoperatively for this client?
A. Left side-lying.
D. Right side-lying
Q.9 When providing client instruction, the nurse must incorporate all three domains of learning to promote the success if the teaching. A client is to be instructed in giving heparin by self-injection. Which aspect of the teaching involves the psychomotor domain of the client’s learning?
A. The nurse discusses with the client how he feels about giving himself injections.
B. The client is educated about the reasons he is taking heparin.
C. The client provides a return demonstration of the procedure for subcutaneous injection to the nurse.
D. The client is given a list of side effects that need to be reported to the physician.
Q.10 The nurse should watch for which of the following side effects when clients are receiving NSAIDs, nonsteroidal anti-inflammatory drugs, for pain?
A. Vertigo and syncope.
B. Diarrhea and vomiting.
C. Confusion and memory loss.
D. Tarry black stools and epigastric pain.
Q.11 The nurse evaluates the effectiveness of a client’s intravenous injection of morphine sulfate, 15 mg, given for pain. How soon can the nurse expect the client to begin to get some relief?
A. 1 to 5 minutes.
B. 10 to 15 minutes.
C. 20 to 30 minutes.
D. 1 to 2 hours.
Q.12 A physician’s order has been written for a pediatric client in skeletal traction to be weighed daily because of recent anorexia, vomiting, and diarrhea. The nurse who is caring for the client should plan too first _____