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• Whichn ofnthesenfoodsnshouldn annursen suggestnthatn anclientn whonisn diagnosedn withniron-
deficiencynanemian choosenforndinner?
a. Cookedndrynbeans,ngreennleafynvegetables,nandndriednfruits.
b. Rawncabbage,ntomatonjuice,nandncantaloupe.
c. Freshnfish,npeanutnbutter,nandnoatmeal.
d. Cheddarncheese,nenrichednbread,nandnyellownvegetables.
• Annurseninnanprenatalnclinicn performsn Leopold'snmaneuversn onn anclientnwhonisn8-months-pregnantnprimarilynto:
a. turnnthenfetusninnthenuterus.
b. easenthenfetusnintonthentruenpelvis.
c. assessmentnofnthenlocationnofnthenplacenta.
d. determinenthenfetalnpresentation.
• Whichnofnthesenitemsnshouldnannursenremovednfromnthenfoodntraynofnanclientnwhonisnonnansodium-restrictedn diet?
a. Packetnofnansaltnsubstitute.
b. Grapefruitnjuice.
c. Containernofnjelly.
d. Ketchup.
• Whichnofnthesenstatements,nifnmadenbynanclientnwhonhadnantotalnhipnreplacement,nwouldnindicatenancorrectn
understandingnofnthenpostoperativeninstructions?
a. "Inwillnstoopncarefullyntonpicknupnitemsnfromnthenfloor."
b. "Inwillnusenanraisedntoiletnseatninnthenbathroom."
c. "Inwillnbendnforwardnwhenntyingnmynshoes."
d. "Inwillnputnmynlegnthroughnthenfullnrangenofnmotionneachnday."
• Whichnofnthesenmeasuresn shouldnannursenincludenwhennplanningn carenfornann88-year-
oldnclientnwhonisnadmittedn tonthenhospitalnwithnpneumonia?
a. Restrictingnvisitorsntonthenclient'snimmediatenfamilynmembers.
b. Limitingnthenclientncarenactivitiesntonnonmorenthannfivenminutesneach.
c. Allowingnthenclientntonperformnself-carenasntolerated.
d. Providingnthenclientnwithnannon-stimulatingnenvironment.
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• Whichnofntheninstructionsnshouldnannursenincludeninnthenteachingnfornanpt.nwhonhadnremovalnofnancataractninnthenleftn
eye?
a. "Forcefullyncoughnandntakendeepnbreathsneveryntwonhoursntonkeepnyournairwaynclear."
b. "Performnthenprescribedneyenexercisesneachndayntonstrengthennyourneyenmuscles."
c. "Rinsenyourn eyesnwithnsalinen eachn morningn tonpreventn postoperativen infection."
d. "Takenthenprescribednstoolnsoftenerntonavoidnincreasingnintraocularnpressure."
• Anclientnvomitsnduringnancontinuousnnasogastricntubenfeeding.nAnnursenshouldnstopnthenfeedingnandntakenwhichnofn
thesenactions?
a. Suctionnthennasogastricn tube.
b. Flushnthentubenwithn30nmLnofnsterilenwater.
c. Removenthennasogastricntube.
d. Checknthenresidualnvolume.
• Whichnofnthesenactionsnbestndemonstratesnculturalnsensitivitynbynannurse?
a. Thennursen talksninnanslow-pacednspeech.
b. Thennursenasksnclientsnaboutntheirnbeliefsnandnpracticesntowardnpregnancy.
c. Thennursenusesnchartsnandndiagramsnwhennteachingnpregnantnclients.
d. Thennursencannspeaknseveralndifferentnlanguages.
• Whichnofn thesen manifestationsn shouldn annursen expectn ton observen innan3-month-
oldn infantnwhonisn diagnosednwithndehydration?
a.nHyperreflexia.n
b.n Tachycardia.
c.n Bradypnea.
d.n Agitation.
• Whenn assessingn anclient'snrisknofndevelopingn nosocomialn infection,nannursen plansntondeterminen potentialn entryn portals,n
whichninclude:
a. thenurinarynmeatus.
b. vomitus.
c. contaminatednwater.
d. sexualnintercourse.
• Anclientnwhonisnonntheninpatientnpsychiatricnunitnhasnanhistorynofnviolence.nWhichnofnthesenactionsnshouldnannursentakenifn
thenclientnisnagitated?
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a. Encouragenthenclientntonverbalizenfeelings.
b. Locknthenclientninnansecludednroom.
c. Asknthenothernclientsntongivenfeedbacknregardingnthenclient'snbehavior.
d. Ignorenthenclient'sninappropriatenbehavior.
• Whichn ofnthesenmeasuresnshouldn annursen includen whennplanningncarenfornanschool-
agedn childn duringn ansicklencellncrisisnepisode?
a. Monitoringnfornsignsnofnbleeding.
b. Providingnpainnrelief.
c. Administeringn coolnspongen bathsntonreducen fevers.
d. Offeringnanhighncaloriendiet.
• Whichnofntheseninstructionsnshouldnannursenincludeninnthenplannofncarenfornan32-
weekngestationnclientnwhonhadnannamniocentesisntoday?
a. "Drinknatnleastnsixnglassesnofnfluidsnduringnthennextnsixnhoursnafternthentest."
b. "Callnthenclinicnifnyounexperiencenanynabdominalncramps."
c. "Don'tnbenconcernednifnyounhavensomenvaginalnspottingninnthennextn12nhours."
d. "Whenn youn getn home,n stayn onn bed-restn forn then nextn 48n hours."
• Annadolescentnhasnannursingndiagnosisnofnfatiguenrelatedntoninadequatenintakenofniron-
richnfoods.nSelectionnofnwhichnofnthesen lunchesn byn then clientn indicatesn an correctn understandingn ofn foodsn highn inn ironn cont
ent?
a. Peanutnbutternandnjamnsandwich.
b. Chickennnuggetsnwithnrice.
c. Tunansaladnsandwich.
d. Beefburgernwithncheese.
• Anclientnhasnbeennadmittednwithnacutenpancreatitis.n Whichnofnthesenlaboratoryntestnresultsnsupportsnthisndiagnosis?
a. Elevatedn serumn potassiumn level.
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b. Elevatednserumnamylasenlevel.
c. Elevatednserumnsodiumn level.
d. Elevatednserumncreatininenlevel.
• Whichn ofnthesenmanifestations,nifnassessedninnanclientnwhonisntwo-
hoursn postoperativenafternabdominalnsurgery,nshouldnannursenreportn immediately?
a. Vomitingnandnanpulsenratenofn106/minute.
b. Respiratorynratenofn12/minutenandnurinendribbling.
c. Bloodn pressuren ofn100/60n mmnHgn andn woundn discomfort.
d. Urinenoutputnofn100nmL/hrnandnflushednskin.
• Whichnofnthesenobservationsn ofn anstudentnnurse'snbehaviornwhileninteractingnwithnanclientnwhonisncryingnindicatesnan
correctnunderstandingnofntherapeuticn communication?
a. Thenstudentnmaintainsncontinuousneyencontactnwithnthenclient.
b. Thenstudentnplacesnonenarmnaroundnthenclient'snshoulder?
c. Thenstudentnsitsnquietlynnextntonthenclient.
d. Thenstudentnleavesnthenroomntonprovidenprivacynfornthenclient.
• Whichnofnthesenactionsnshouldnannursentakeninitiallynifnanclientnwhonisndiagnosednwithndiabetesnmellitusndevelopsn
tremorsn andnataxia?
a. Measurenthenclient'snbloodnsugarnlevel.
b. Administernanconcentratednformnglucosentonthenclient.
c. Administernanprnndosenofninsulin.
d. Measurenthenclient'snurinenfornketones.
• Annelderlynclientnisnatnincreasednrisknofndevelopingndrugntoxicityntonprescribednmedicationsnduentondecliningnhepaticn
andnrenalnfunctioning.n Whichnofnthesenstrategiesnshouldnannursenplanntondecreasenthisnrisk?
a. Increasingnthentimenintervalnbetweennmedicationndoses.
b. Limitingnthenclient'snoralnfluidnintake.
c. Administeringnthenmedicationsnwithnmeals.
d. Encouragingnthenclientntonvoidneverynthreentonfournhours.
• Anclientnhasnpersistentn paranoidn delusionsnthatnthen foodnonnthenunitnisn poisoned.n Whichnofnthesenmeasuresn shouldnan
nursenincludeninnthenclient'sncarenplan?
a. Explainingnthatnstaffndoesnnotnpoisonnclients.
b. Focusingnonnhownthenhospitalnstaffnhelpsnclients.
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