RENR questions 21.2.20.HEALTH CARE 2020/2021 APPROVED 100%

1. A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client? A. 1 cup beef broth B. 1 baked potato with the skin C. 1/2 cup raisins D. 1 cup rice 2. An appropriate nursing intervention for the client with borderline personality disorder is: A. Observing the client for signs of depression or suicidal thinking B. Allowing the client to lead unit group sessions C. Restricting the client’s activity to the assigned unit of care throughout hospitalization D. Allowing the client to select a primary caregiver 3. Which of the following is an expected finding in the assessment of a client with bulimia nervosa? A. Extreme weight loss B. Presence of lanugo over body C. Erosion of tooth enamel D. Muscle wasting 4. Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning? A. One-year-old B. Four-year-old C. Eight-year-old D. Twelve-year-old Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Check 6 Chapter 1 5. Which term describes the play activity of the preschool aged child? A. Cooperative B. Associative C. Parallel D. Solitary 6. The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother’s lap. Which 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 7. In terms of cognitive development, a three-year-old would be expected to: A. Think abstractly B. Use magical thinking C. Understand conservation of matter D. See things from the perspective of others 8. Which of the following describes the language development of a two-year-old? A. Doesn’t understand yes and no B. Understands the meaning of all words C. Can combine three or four words D. Repeatedly asks “why?” 9. A client who has been receiving Urokinase (uPA) for deep vein thrombosis is noted to have dark brown urine in the urine collection bag. Which action should the nurse take immediately? A. Prepare an injection of vitamin K B. Irrigate the urinary catheter with 50 mL of normal saline C. Offer the client additional oral fluids D. Withhold the medication and notify the physician Quick Check Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Quick Answer: 58 Detailed Answer: 61 Practice Exam 1 and Rationales 7 10. Which of the following can occur with the frequent use of calciumbased antacids? A. Constipation B. Hyperperistalsis C. Delayed gastric emptying D. Diarrhea 11. Which statement made by the student nurse indicates the need for further teaching regarding the administration of heparin? A. “I will administer the medication 1–2 inches away from the umbilicus.” B. “I will not massage the injection site after administering the heparin.” C. “I will check the PTT before administering the heparin.” D. “I will need to gently aspirate when I give the heparin.” 12. To correctly assess the oxygen saturation level of an adult client, the pulse oximeter should not be placed on the: A. Finger B. Earlobe C. Extremity with noninvasive BP cuff D. Nose 13. While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse’s initial action should be to: A. Report the findings to the physician B. Recheck the vital signs in one hour C. Ask the patient if he is in pain D. Compare the current vital signs with those on admission 14. The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid: A. Using a recliner to rest B. Resting in supine position C. Sitting in a straight chair D. Sleeping in right Sim’s position Quick Check Quick Answer: 58 Detailed Answer: 62 Quick Answer: 58 Detailed Answer: 62 Quick Answer: 58 Detailed Answer: 62 Quick Answer: 58 Detailed Answer: 62 Quick Answer: 58 Detailed Answer: 62 8 Chapter 1 15. The doctor has ordered antithrombotic stockings to be applied to the legs of a client with peripheral vascular disease. The nurse knows antithrombotic stockings should be applied: A. Before the client arises in the morning B. With the client in a standing position C. After the client has bathed and applied lotion to the legs D. Before the client retires in the evening 16. The nurse has just received the change of shift report and is preparing to make rounds. Which client should the nurse assess first? A. A client recovering from a stroke with an oxygen saturation rate of 99% B. A client three days post-coronary artery bypass graft with an oral temperature of 100.2ºF C. A client admitted one hour ago with rales and shortness of breath D. A client being prepared for discharge following a right colectomy 17. A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with