Questions and Guide Answers
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1. A nurse is admitting a client who has antisocial personality disorder. Which
of the following client behaviors should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Answer: C. Uses others for personal gain
2. A nurse is interpreting the cardiac rhythm strip of a client who was admitted
with syncope. Which of the following images indicates that the client has atrial
,fibrillation?
3. A client who has a diagnosis of complete placenta previa is admitted to
the labor and delivery suite at 36 weeks gestation with contractions 5 min in
frequency and 1 min in duration. Which of the following actions should the
nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
Answer: C. Prepare the client for a cesarean section
4. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign
to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treat-
ments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
,septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following place-
ment of a Harrington rod
Answer: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
5. A nurse notices smoke coming from a client's room and discovers a fire in
the wastebasket. After moving the client to safety, which of the following is the
priority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.
Answer: A. Notify the facility operator.
6. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
, D. Increased hematocrit
Answer: A. Generalized edema
7. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Answer: This technique decreases the risk of subcutaneous infiltration
8. A nurse is creating a plan of care for a client who has anorexia nervosa.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Answer: C. Monitor the client for 1 hr after meals