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1. A 64 year-old patient scheduled for surgery with a general anesthetic refuses to remove a
set of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
A) Explain to the patient that the dentures must come out as they may get lost or broken in
the operating room
B) Ask the patient if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the patient's refusal
D) Ask the patient if the preference would be to remove the dentures in the operating room
receiving area
The ANSWER is D: Ask the patient if the preference would be to remove the dentures in the
operating room receiving area
2. The nurse has been teaching adult patients about cardiac risks when they visit the
hypertension clinic. Which orm of evaluation would best measure learning?
A)Performance on written tests
B)Responses to verbal questions
C)Completion of a mailed survey
D)Reported behavioral changes
The ANSWER is D: Reported behavioral changes
3. A partner is concerned because the patient frequently daydreams about moving to
,Arizona to get away from the pollution and crowding in southern California. The nurse
explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can lead to
marital conflict
D) To isolate the feelings in this way reduces conflict within the patient and with others
The ANSWER is A: Such fantasies can gratify unconscious wishes or prepare for
,4. The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children
The ANSWER is B: Encourage the child to feed himself finger food
5. While caring for a patient, the nurse notes a pulsating mass in the patient's peri
umbilical area. Which of the following assessments is appropriate for the nurse to
perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
The ANSWER is B: Auscultate the mass
6. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the
main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water
The ANSWER is A: Formula or breast milk
7. The family of a 6 year-old with a fractured femur asks the nurse if the child's height will
be affected by the injury. Which statement is true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
, B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures
The ANSWER is B: Epiphyseal fractures often interrupt a child''s normal growth pattern
8. A patient is admitted to the hospital with a history of confusion. The patient has
difficulty remembering recent events and becomes disoriented when away from home.
Which statement would provide
the best reality orientation for this patient?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You’re in the hospital. I am your nurse Elaine Jones."
The ANSWER is D: "Good morning.
9. When screening children for scoliosis, at what time of development would the nurse
expect early signs to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt
The ANSWER is D: During the preadolescent growth spurt
10. A patient with congestive heart failure is newly admitted to home health care. The nurse
discovers that the patient has not been following the prescribed diet. What would be the most
appropriate nursing action?